07-1723 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 ,, i
Application Number:
07-00001723
Property Address:
46494 BRADSHAW TR
APN:
643-70 -99 -55 -31348 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
15200
Applicant:
Ti,ht 4 4 Quk&
Architect or Engineer:
`k
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B C27 C53 cense No.: 810111
Date y Ys7, Contractor:) .✓
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or_she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
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).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
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.):
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERAIIT
Owner:
CORDANO RESIDENCE
46-494 BRADSHAW TR
LA QUINTA, CA 92253
(916)456-4218
Contractor: rD
PICASSO POOLS INC
78078 COUNTRY CLU
BERMUDA DUNES, CA
(760)345-4600.
Lic. No.: 810111
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/14/07
� I
3
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for -the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued.. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 290-0001790
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
�/L 3700 of the Labor C erFshe11 forthwi comply with those provisions.
Date:Cl7T07 Applicant:
WARNING: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
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.
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
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
�` Date:
9 `p-- g�
�i 7 Si nature IAP licant ar A entl:�
t
Application Number . . . . . 07-00001723
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
171.00 Plan Check Fee
111.15
Issue Date . . . .
Valuation
15152
Expiration Date
12/11/07
Qty Unit -Charge
Per
Extension
BASE FEE
45.00
14.00 9.0000
-----------------------------------------
THOU BLDG 2,001-25,000
-----------------------------------
126.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/11/07
Qty Unit Charge
Per
Extension .
BASE FEE
15.00
1.00 11.0000
--------------------------
EA MECH FURNACE >100K
-------------------------------------
11.00
-------------
Permit . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date .
12/11/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/11/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
----------------------------------------------------------------------------
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . WALL/FENCE PERMIT'
LQPERMIT
Application Number . . . . . 07-00001723
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee' 15.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 48
Expiration Date 12/11/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
CITY
STANDARD WALL 4.' HIGH, 6" WIDE, 3
LONG
EQUIPMENT WALL.
Fee summary Charged
Paid
Credited
Due
-------------------------------------
Permit Fee Total 290.00
----------
.00
----------
.00
290.00
Plan Check Total 137.15
.00
.00
137.15
r Grand Total 427.15
.00
.00
427.15
C
LQPERMIT
Pmj= Add=
I a P.
0-ty of- L2 Quin b
hocbi�. a Safely Urrvision
P:O. Boz 13064, 78—'-5'5. Cafle Tampico .
La Qninm, CA 922 —3 - (760) 77,7-7012
W-1dinc Permit Applicadion-and Traddag . has.
1 _�I D�aiaDotz
--�'
Cin. ST. zip:
1 elepiton...
p, b
Proj�t Description:
state: # t: CI I. k
I Cm' Lie r: CP_)®Y
Q,
Add= .
k
Cm. S ?m'.
Tcl�htmc
;I State Llc S. - �
l�'ame'of Career¢?ersor�
- - --
::may Win_
_ :
'_.4Fw=- - .. -.
!
Constzvaion Typc
r l U, = Type (CISdG OT1L):
PT6
$q. FL !
OcA c:
TiGts' Add'n :i1Ci R--;:;a'Tt-' DCn10'
r Stories: ! R LILL,
Tel�ite �i Cantaa Person
�j®®
mated Value ofProieL-T,
APPLICANT: -DO NOT WRrT7= BELOW THIS LINE
R I Submitral i
Req'd I
..i ---'d
TPUCKUNG
'
Ps;tf.UT FEF
pan cm !
I
Plan Check submitted
"' I
I�
lt=n I
:Am uRt
!
StruCrral Calm !
(
Reviewed. ready for corrections
Plan Check: Doss
Trw, c lr=I.
Carted Contact Person.
Plan Check Brii2ncr !
:
Title - C' -7--t
Plans picked up
I
Construction I
food phis plan I
I
Plans resubmitred
I
_ .
Aiechanical
Graditq p=n I
ii cnr. ready for cvrrccnioasic:sue
El.-arieal
"5nbennsaetir List '
Called Contact Person
+
Plusmbirm
-G'-rarer Dea
I
Pians pick -^d up
LL
HLO-&-.k roval
I
I
Plans resrrbmined
"Grading
'IN HGUS_-v
I
Review. reads• for correctionsirssue
Developer Intp2ci Fcr
Pianming A,proral '!:
!
Called Contact Prrsan
.Pttb �i'I¢ Appr
I
Late or permit isuc "
kschoa[.Fe=!
"
�.
I
Total Pvm'rf acs.
(: