06-4163 (RPL)4 P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/01/06
Application Number: r 06'00004163-- Owner:
Property Address: 52715—CABO SAN LUCAS JIM COOPER D
APN: 767-200-011-32 -318741- 52715 CABO SAN LUC �_7
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 DEC J ��8�
Property Zoning: LOW DENSITY RESIDENTIAL e
Application valuation: 28000 J
Contractor:
Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS
P.O. BOX 1280
r"OACHELLA,'CA 92236
(760)398-9222
Lic. No.: 656128
--------------------------------------------------
ICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t t I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu 'R s a rofessionals Code, and my License is in full force and effect.
License Class; C8.1227 C29 LicenseNo.: 656128
OWNER -BUILDER DECLARATION
I hereby affirm of perjury that
Va, xe eby a irm under penalty P I Y at`a empt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business andfessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair 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 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:
LQPERMIT
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 SEABRIGHT Policy Number BB1060510
I certify that, in the performance the work for which this permit is issued, I shall not employ any
person in any manner so as come subject to the workers' compensation laws of California,
and agree that, if I should ec subject to the workers' compensation provisions of Section
/
3740 .the Labor Cod sh fo hwith comply with those provisions.
D�l pplicant:.
WARNING: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TOT E 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 p mit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi ru�ion, and hereby authorize representatives
of this county. to eider upon the above-mentioned grope for in ectidn.purposes.
(Applicant or Agent):
Application Number .
. . . . 06-00004163
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
271.50 Plan Check Fee
176.48
Issue Date . . . .
Valuation . . .
. 28000
Expiration Date
5/30/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00 6.5000
-------------------=------
THOU BLDG 25,001-50,000
------------------------------------
19.50
--------------
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
5/30,'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
5/30/07
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
5/30/07
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, WITH GAS & ELECTRICAL
i LQPERAIIT
Application Number . . . . . 06-00004163
-----------------------------------------------------------------------------
Special Notes and Comments
STUB -OUTS FOR FUTURE APPROVED
APPLIANCES ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged
----------------- ----------
Permit Fee Total 375.50
Plan Check Total 202.48
Grand Total 577.98
LQVERMIT
Paid Credited Due
---------- ---------- ----------
.00 .00 375.50
.00 .00 202.48
.00 .00 577.98
Sin #
City of. La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
r' I „�
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Project Addresss�_ �' S C�3 i.��
Owner's Name: �b
A. P. Number:
Address: _ l 5— r Lv
Legal Description:
City, ST, Zip: ( - n.
Contractor: \ ,
Telephone:
Address: <?z�,O Z CP
Project Description:�� Q
City, ST, Zip ' CA Z23
C^� i✓ L ct:'�R t a�tr S
Telephone:
State Lic. # : Z
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): Add'n Alter Repair Demo
Name of Contact Person:
Sq. Fk:
# Stories:
# Units:
Telephone # of Contact Person: e sQ— Ll �� Z �r
Estimated Value of Project: &, O C)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan.Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan'
21" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
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
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TAKE IN(= THAI PEPUL AND E=PLIENT LOcATIM5 ARE aW= To ACCEr"ANCE CF
LUCAL MILD1011 DEPARnWir AT 4ME OF ISSUANCE OF PLkViT
T UQW OCHr.RETE SHELL AT LEAST TRICE DAILY FOR SEAM DA,5 AFTT SHELL S I i NStALLEEI
AGREE THAT CAUFMIA POULS Is NOT RWQNSIDL£ FOR UNDERGROLm CONDMVNS Qk Mjucmh
AN6 ANY NWA(Z'iO C6*, $DEW"$. cmoEWAY� LAms. ali OTHER ITEMS IN THE ACOESS AREA
SIEE THAT ALLJMNM% GATE5, AND rARAE 109Cn MFZ7 LGQkL COMIS FCV A POM EN USURE
:V REFLASTER iWE0QN
FFU PCXX �WMAIILY AFTER PL157EFI. '(FOLLOW INSTRtMnQ — DO NOT USE R
ISIS Vopm HOW
TAKE MD110E THAT THIS WAMNQ 105 THE SOLE PROPERTY OF CAUF01, PPX$ AND 7HAT 41Y
M4
USE HMHCVF vet TTEN -PEFMS!7 OR OF fdWFOMIA IkOLS. LiE LAW.
cmFz i7rpRuvEr, -PLAN, PlnL ANo Lwipw-47- LocAmms AND HAS REAR THE MIXEi ATE W AVQW.
NAME
tMOPE F W I Ms rDE-� Nqcr E
STREET
JOB ADDRESSr.�-Z A-ICITY Lg�_Q�
-PHONE 0FFICE RES
LOT 2- TRACT PACE 9 6 _0K
MAP E300K RAGE NO.
MAJL ADDRESS
CONSTRUCTION OFFICL PHONE NO.
SCALE DATE DRAWN BY SOLDECBY CHECKED
�OG
�cxo1;fit
JAB,.
-
VISIONS RP
DATE
1.
4_4
SELECTIONS
rnW�TPHrTinm AHTW)P17ATIONI
STONE
SALES
FIELD
DIG
I PRE-.GUNITE
•
UNDERGROUND
MASONRY
DECK
PPE -PEBBLE
TILE
13DULDERS
DECK COLOR
JANDY
CITY OF LA QUINTA
F1 I - I I FFP
FOR CONSTRUCTION
DATE I '* HY_2--� �
PEBB,/PLAS
SIGNATURE
DRAINAGE NOTE, Brolmage and Irrigation for picnters and pots, by
others, unless otherwise noted,
Cp Z_—
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