06-3711 (SOTB)P.O. BOX 1504.
78-495 CA`LLE TAMPICO 44Q
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00003711 Owner:
Property Address: 55208 BIG SPRING KILLBARGER
APN: 775-190-049- - - 55208 BIG SPRING
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3000
Contractor:
Applicant: Architect or Engineer: ALPINE POOL'S & SPA'
41995 BOARDWALK ST,
PALM DESFRT, CA 9221
(760)346-2350o
Lic. No..::786786324
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/18/06
�i�We
j i
OCT 2
FJ
S INC
A -3L ---
CITY OF to rv°.� •;1�A
FINANCE �: � r^T.
--------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C53 License No.: 786324 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_ issued. -
ate/d2-1 23 •oG ontractor: —�� 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
01 Code, for the performance of the work for which this permit is issued. My workers' compensation
ER -BUILDER DECLARATION .insurance carrier and policy number are:
'
1 hereby affirm under penalty of pe ry that I arrempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 000232362006
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwithl:l with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: �,3—CC A cant: �-
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 00
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIL RE TO SECUR WORKERS' COENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE Co OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered. for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. -
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I ave read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and my ordinances and st to laws relating to building construction, rd hereby authorize representatives
of th' ounty to enter upon above-mentioned property for inspection pu poses.
Lender's Name: _
ate: gnature (Applicant or Agent):
Lender's Address:
LQPERMIT
V
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LQPERMIT
Application Number . . . . . 06-00003711
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17.25 Plan Check Fee
4.31
Issue Date
Valuation . . .
. 0
Expiration Date
4/16/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
4/16/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
DRAIN LINE & ELECTRICAL TO COMPLETE BBQ
INSTALLATION
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total
35.25 .00 .00
35.25
Plan Check Total
8.81 .00 .00
8.81
Grand Total
44.06 .00 .00
44.06
a
Bin If
Permit # �\
��
Project Address: 7S
A. P. Number:
Legal Description:
Contractor: `
tgr� Ar
Address: t4
City, ST, Zip:
Telephone:
State Lit. # : W
Arch, Engr., Designer:
Address:
City, -ST, Zip: ,
Telephone:
State Lie. #:
Name of Contact Person:
Televhone # of Contact Person:
4�
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
Ara 2ja,
Address:
City, ST, Zip: A. l ... ► . (A 7�
Project Description:
Lie. #:
t. 1 .� r : O►i u1, a
Construction T Occupancy:
Project type (circle on . Add'
n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
ob
Estimated Value of Project: 3&0 `
#
Submittal
Plan Sets
Req'd.
Recd
TRACKING ., PERMIT FEES
Plan Check submitted Item. Amount
Structural Calcs.
Reviewed, ready for corrections Plan -Check Deposit
Truss Cala.
Called Contact Person Plan Check Balance .
Energy Cales.
Plans Picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading.plan
Y' Review, ready for eorrectionstissue Electrical 0 F7tY-TJR_-0 . .
Subcontactor List
Called Contact Person Plumbin t J
Grant Deed
Plans picked up $.M.I.
H.O.A. Approval
Plans resubmitted . Grading
IN HOUSE:-
''' Rcview; ready for correctionsliissue Developer Impact Fee.. ;
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of'permit issue.
School Fees
Total Permit. Fees...:... : .
REVISIONS .BY
EXISTING SIDE�V��.K
Tp REMAIN 1i
APPROVEDI SIDEWALK - -__ --
EXISTING' 9' 7
FOR CONSTRUCnON TO REMAIN! KILBARGER RESIDENCE -} �
I 55208-BIG SPRING -
� LAQUINTA, CA 92253 ,
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NOTE: 10 ,
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POOL AREA: 479 SQ FT
POOL PERIMETER: 103'
I
f , SPA AREA: 38 SQ FT
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SPA PERIMETER: 22°
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POOL BOND BEAM AT +12
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_ YR � CONTROLLER: JAN S 6 PDA C 0 D
WIRELESS REMOTE
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:_.._ PUMPS: DANDY 1.0 HP CIRCULA ION �_ - . __ _
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;SANDY 2,0 HP SPA - -- - -- - - -- - - -
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J HP FI EDGE , -
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HEATER:A DY ) N 400,000 BTU
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QUARTZITE
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