05-2837 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
-- Application Number: 05.-0000_2837
..._._
Property Address: 81685 BROWN- DEER PARK
APN: 767-540-005- -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Applicant:
T4&t 4 - XP Q"
Architect or Engineer
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
t
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
- — -
Owner:
SWC NORMAN 39
C/O DAVID PEERY
7161 INDIANA AVE
RIVERSIDE, CA 92504
CINTYRE POOLS & SPAS,
INC.
CC: STATE FUND
"LAontractor:
C: 1769111
01%01/06
SLB: 614611
09/30/05
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 Di ision 3 of the Business and Professionals Code, and my icense is i9 full force and effect.
License CIa9s: License No.:
ate:% Contractor.
OWNER-BUILDE ECLARATION
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 _ 1 1, 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.).
I—) 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:
LQPERMrT
Date: 7/08/05
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 C53 Policy Number - - - - -- --- - - - - - -
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' ompensation provisions of Section
3700 of the Labor de, I sh forth rilr comply with ose prov' ions.
te: �f Applicant: `AVJ
"✓ '"�---z-
WARNING: FAILURE TO SECURE WORKER ' COMPENSATIO 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 thonze presentatives
of this unty to enter upon the above-mentioned propert ori ecti purposes.
//�,f
e: Signature (Applicant or Agent)r/ �'
y
Application Number . . . 05-00002837
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 207.00 Plan Check Fee 134.55
Issue Date Valuation . . . . 20000
Expiration Date 1/04/06
Qty Unit Charge Per Extension
BASE FEE 45.00
18.00 9.0000 THOU BLDG 2,001-25,000 162.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date . .. 1/04/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
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Permit . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 1/04/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
-------------------- :
. . . PLUMBING
Additional desc . .
Permit Fee . . . . 33.00 Plan Check Fee 8.25
Issue Date Valuation . . . . 0
Expiration Date 1/04/06
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
r
Application Number . . . . . 05-00002837
-----------------------------------------------
Special Notes and Comments
--------------
---------------
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid
----------------- ---------- --- ------
Credited
Due
Permit Fee Total 311.00 .00
---------- ----------
.00
311.00
Plan.Check.Total 160.55 .00
.00
160.55
Grand Total 471.55 .00
.00
471.55
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LAS VENTANAS
81-685 BROWN BEER PARK LOTS
LA QUINTA, CA.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE l8` �S By �H
a a�aa � ■ ■ amu
OOts4PAs.
CONSMUMN SPEpw�T .
342-3612
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Permit K
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if Project Address; f —6 S'
A. P. Number �
Leeal Description:
Contractor: C'�T
x Address: A � f
X City, ST, Zip:
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Telephone: (a
A State Lie. N : 1 41C7
Arch.. Engr., Designer:
Address:
City. ST. Zip:
Telephone:
State Lie. N:
1C Name of Contact Person:
ii Teleohone N of Contact Person:
M Submittal
Plan Sets
Structural Cates.
Truss Calcs.
Energy Cala.
Flood plain pian
Grading plan
Subcontactor List
Grant Deed
City of La Quinta
Building 8 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
U Quinu, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
har-& oa4,ll( kOA-ner's Name:
Address: l—�i-e S —
City. ST. Zip: -Ac ,. ,ilk N c -J i!�/�
/v;"k S�, I Telephone:
Description:
Citv Lic. N:
Construction Type:
:• • Project type (circle one):
Occupancy:
ew Add'n Alter Repair Demo
G Sq. Ft.: L
N Stories:
N Units:
stimated Value of Proiect:
Ar-eLt%..ANT: DO NOT WRITE BELOW THIS LINE
U Z -V
TRACKING
PERMIT FEES
heek submitted
Item Amount
wed. ready for corrections
T
Plan Check Deposit
Contact Person
Pian Check Balance
picked up
Construction
Plans resubmitted
Mechanical
2" Review. ready for correctionstissue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:.
14 Review, ready for torrtctionsAssue
Devtloper impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees