10-1008 (RPL)r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t 4 4 Q"
Application Number: 10-00001008
Property Address: 46542 BRADSHAW TR
APN: 643-170-999-57 -31348 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18000
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: C53 License No.: 8 170
&O,Pdfhotractor:
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).:
(_ 1 1, 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.).
(_) 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 _ 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:
LQPERMIT
Owner:
GLOBAL INVESTMENTS
3470 WILSHIRE BLVD. #1020
LOS ANGELES, CA 90010
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/28/10
Contractor: i
INDIO HILLS POOL CONST
28800 DESERT CHARM RO {�yy
DESERT HOT SPRINGS, CA 12 1 ViJ f i 2t16�
(760)393-6720
Lic. No.. 816170
--------------- - - -
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
1./ issued.
Yt 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 FOND Policy Number 0004052-2009
_ 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
3700 of the Labor Code4 shall forthwith comply with those p ions.
,16'ate: t d O plicant: C"
WARNING: FAILURE TO SECURE WORKERS' 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 Quints, 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 authori representatives
oft is county en r upon a above-mentioned property
for inspection purposes.
Date:" nature (Applicant or Agent): l • a ti.--��"
Application Number . . . 10-00001008
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
189.00 Plan Check
Fee
122.85
Issue Date . . . .
Valuation
. . .
. 18000
Expiration.Date
3/27/11
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
3/27/11
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
3/27/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
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
3/27/11.
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA.. ALARMS/BARRIERS
SHALL BE IN
LQPERMIT
t
LQPERMIT
Application Number . . . . . 10-00001008
-----------------------------------
Special Notes and
----------------------------------------
Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
2007
CODES.
---=------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS
ADMIN (SB1473)
1.00'
Fee summary
-----------------
Charged
--------------------
Paid
Credited
--------------------
Due
Permit Fee Total
293.00
.00
.00
293.00
Plan Check Total
148.85
.00
.00
148.85
Other Fee Total
1.00
.00
.00
1.00
Grand Total
442.85
.00
.00
442.85
n
P/L
O EQUIPMENT
cEE3 * 1- Hayward multi speed pump circulation pump C p F U 9 NTA
* 1- 325 cfin Hayward cartridge Filter
*1400,000 btu Hayward heater BUILDING & SAFETY DEPT.
H * 1- 400w pool light 1 100w for spa light APPROVED *I - pro -logic system. �
auto FOR CONSTRUCTION
* fill device N
p/L *3- 12" sheer descent
DAT •f:?W-gy
P/L
POINT HAPPY
LOT # 57
46-542 BRADSHAW TRAIL
LA QUINTA CA. 92253
INDIO-HILLS POOL CONSTRUCTION
28-800 DESERT CHARM RD
INDIO HILLS CA. 92241.
BUS.PHONE#(760) 342-3246 CELL (760)393-6720
CA. LIC.#816170 C-53
EXISTING
CONCRETE
8� x x o
8�+ NEW BLOCK
B`" #
City of La Quinta
Btdlr» g 8r Safety Division
P.O. Box 1504, 78-495 Calle TamPIC0
La Qmbta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pem it # O�
Project Address: �Y�i� �^ jW}r
Owner's Name:
A. P. Number.
Address:
Legal Description:City,
ST, Zip: 1 9o i '
Contractor.((� (
Address: �' �f a�
Telephone: t. .,.
Project
Project Description:
City, ST. Zip= l!T ;'7� "S l/�.1W
Telephone: 7JO j/93—CD
State Lic. # : g'/ to I z 0 City Lic. C 7
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lia #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMITFEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Cheek Balance.
Tale 44 Calra.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
X" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''i Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
=W2.�