07-0261 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T_&f 4 . a VQ"
Application Number: 07-00000261
Property Address: 57355 CAMINO PACIFICA
APN: 764-010-008-67 -31910 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4000
Applicant:
Architect or Engineer:
I1P<_
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: C53 C27 j�, ��� ..LiclenseNo.: 419309
Date` z7` ontractor. ,C/Y7//
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 _ I 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, 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 am exempt under Sec. , BAP.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:
LA QUINTA 57 ESTATES INC
78401 HWY 111 STE G
LA QUINTA, CA 92253
Contractor:
DESERT PARADISE POOL & SP
78005 WILDCAT DRIVE SUITE
PALM DESERT, CA 92211
(760)360-7400
Lic. No.: 419309
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/24/07
D JAN 24 2001
OF LA QUINTA
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.
)1—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 ENDURANCE WORK Policy Number WVS001347901
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 Cod shall forthwith comply with those provisions.
DD 7pplicant:
WARNING: FAILURE TO S RE 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 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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of t/his, °_unty to enVgnature
he above-mentioned propert or inspection purposes.
at0 e: /�Z '� (Applicant or Agent)
Application Number . . . . . 07-00000261
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
63.00
Plan Check Fee
40.95
Issue Date . . . .
Valuation . . .
. 4000.
Expiration Date
7/23/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
2.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
18.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . .
17.25.
Plan Check Fee
4.31
Issue Date . . . .
Valuation . . .
. 0.
Expiration Date
7/23/07
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
7/23/07
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
BBQ & FIREPIT PER APPROVED
PLANS
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
4.10
Fee summary Charged
---------------------------
----------
Paid' Credited
--------------------
Due
Permit Fee Total
98.25
.00 .00
98.25
Plan Check Total
49.76
.00 .00
49.76
Other Fee Total
4.10
.00 .00
4.10
Grand Total
152.11
.00 .00
152.11
LQPERMIT
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # \
�(n
--
Project Address: !J. -7 - S$' L U lrn o a C i
Owner's Name: Lt � c� OGS Model
A. P. Number:'
3
Address: 7_ 3'3:5 m10 -P c
Legal Description:
Contractor: �u ���1 '_ i�UDLS� S�✓Jc,
City,'ST, Zip: /_H Q drNr� e li
Telephone: (76r-) 5-15 7- -2-3
Address: 7��1;� ,'IG�lQ"� �l2•
#/���
Project Description:
City, ST, Zip: A //y! 145e -0--r ti
� S /� c � � %19Pi7 ~Z
Telephone: 61 - y00
State Lic. # 0
City Lic. #:
C� - IL >
Arch., Engr., Designer:
Address:V-
Q,, C1
City, ST, Zip:
Telephone:
State Lic. #:
Construction T Occupa —
Project type (circle one): New Add'n Al erepair Demo
Name of Contact Person: 5 a �.
G��,� y� 14 f
Sq. Ft.:
#Ston
# Units:
Telephone # of Contact Person:
Estimated Value of Pr "rt
Iwo
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd
Ree'd
TRACKING
PERMIT FEES
F#Submittal
Plan Check submitted
Item
Amount
l Calcs.
Reviewed, ready foro6yrections
Plan Check Deposit
fes.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
CjQ
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
3 — Fi}TJQE�
Subcontactor List
Called Contact Person
Plumbing I<
013T E ZS'
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I
I
`k
1
1
1
I
I
1-1 f2" GAS LINE
TO FIDE PIT AND
BBQ ISLAND
(APPROX. 132 L.F.)
GAS
ELECTRIC
—4'X4' 0 +12"
—STONE CAP
—STONE FACING
—LAVA ROCK
—GAS LINE
—FIRE RING
LOT 67
PLAN 3R
7
PLAN 3R
FF=443. 2D 5
PE-442.7
i
k
I
1
I
I
I
I
I
I
I
I
I
I
I
I
I
`1
I
I
1
BBQ ISLAND STONE OR TILE
STONE COUNTERTOP &
STUCCO ON THE ALL SIDES
NTH S/S 32" (4) BURNER
GRILL, 14"20" SfS DOOR
AND A ROTISSERIE, 20"X14"
ACCES DOOR
CITY OF LA QUINTA
BUILDING & SAFETY DEFT.
APPROVED
FCR G STRuC-nON
DA ~ t , 0
#ESIl1R
A W A R 0
fI NCE ism a
E44
N A710NAk
sraaa013
� r
D
Servi ng Gvat 0#iteI IA
valley Since 1 9 6 2
Ccntraatars L F c AtA19309
r �
L
C-53., 0_27 -J� CALIFORNIA CORPORBTIQN
�f� '
78005 Wil4im all Or. Sulte 104
Palm Desert, CA.0221 7
W11 vkrV
. dose r t p a r a disepaoIaay.aam
760-360•7400
LENGTH —
F I', WIDT1-I
POOL SQ. FT.
, — _ SPA SQ. FT. _
FOOL PER WTER FT. SPA PERIMMMR
DEPTli-
TO TO
EXCAVATION: DFCKTNO;
Special %Aisr
Dccking by Sq. FL
Finish Color
CW1 Sttp.. pordi Stop
Deck Drains: Yes No
stub: Yes No —
Drain to 5tr=: Ycs N'
Tie into owners Ex. brain Liner --
spacial misc.
Club Com-, Yce Flo
Decca Drain: Yes No
_ 5pccial N1ise.
POOL PLUMBING! ELECTRICAL:
special Misc_
Special Misc.
SPA PLUMBING-. MASONkY:
Spec[al Disc.
Spillway Typc
llfoptrty lane wall
Firc Pit
RBB Facing
Equipment wall
(;UNITE:
Stone Stcps
Fiirepl=
special MIge.
Vcnccr on Outside of Spa_
Stone wtuerline
Special Milo,
WOOD:
TILE:
5pt 1CiEd [4I15C-
(-jk 1,Ip i ,2,3 Yes No — —
Tile Trim: Yes No
0 5te:ps 0 Bendtes 0 LuvQ Seats
5porial Mi, U. — —
IRON:
Special Misr..
PLASTER 1 PEBBLE:
— Type
Special Misc,
JOB#
ADDENOUIVIS DATE
SELECTIONS
1
ti Il 1,14F
2
BOULDERS
3
DECK CQLUR
4
Nrl rn��rl:1t
5
s7UCm COLOR
61
WATERLINE
71
eROUT COLON
[IF �:d
SCALE: REVISION'
a' 4' $' — 16' DATE: 01-10-07
SALESMAN D. HERNANDEZ LOT No, LOT 67
MAP BOOK LIEF, TgACT NO-
� a I�Ilpacles711 >�r: CAPI TRANO MODEL COMPLEX
Stm6L 57-355 CAMINO PACIFICA
cit7 LA QUINTA, CA. �CAPISTRANQ)
RAFAELMELENDREZ
Phone (760) 578-8223 —Cc 11 Phone
Onus Fax
J