06-2930 (RPL)40. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
r Application Number:
t---Property-Address- _
APN:
Application description
Property Zoning:
Application valuation:
Applicant: y{�h
06-00002930_ A78225 CALLE CADIZ
770-156-002-2 -000000-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
25000
Architect or Engineer
1 V I f�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
AUG 1 2006
CITY OF LA QUINTA
FINANCE DEFT: .
LICE ED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that m licensed under provisions of C t c?1.
ting with
Section 7000) of Division 3 of the Busines nd Professionals Code, and icense is in fe and effect.
License Class: B , i s ` 38535
.Date: •(01 tractor.'
e t .
O NER-BMits
0
I hereby affirm under penalty of rjury that I am exempt f's State License Law for the
following reason (Sec. 7031. usiness and Professions ounty that requires a permit to
construct, alter, improve, demolish, or repair any structuree, also requires the applicant for the
permit to filea 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 1 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:
LQPERNIIT
Owner:
TRI GENERATION DEVELOPMENT
P.O. BOX 450
LA QUINTA, CA 92253
Contractor:
LENDEL VENTURES, INC
P.O. BOX 450
LA QUINTA, CA 92247
(760)564-1866
Lic. No.: 638535
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/07/06
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 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 0009671-2006
_ I certify that, in the performan of the work for which this permit is issued, I shall not employ any
person in any manner so to become subject t he workers' compensation laws of California,
and agree that, if I shou become subject tot workers' co i n provisio f Section
Q�3700 of the Labor Co , shall forthwith c I oYi,s
Date (` --&Applicant: ��/i
WARNING: FAILURE TO SEC WORKERS' CO ATIO VERAGE IS UNL SHALL
SUBJECT AN EMPLOYER T IMINAL PENALT S AND CIVIL FINES UP TO 0 UNDRED THOUSAND
DOLLARS ($100,000). IN DITION TO THE COST OF COMPENSATION MAGES AS PROVIDED FOR IN
SECTION 3706 OF THE OR CODE, INTEREST, AND ATTORNEY'S S.
APPLICANT AC WLEDGEMENT
IMPORTANT Application is hereby made to the Director o wlding 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 be omes null and void if work is ommenced
within 180 days from date of issuance of such rmit, or cessation of wor r 180 days will subj t
permit to cancellation.
I certify that I have read this application and state that the ove information is rect. I agree to comply ith all
city and county ordinances and state laws relating to buil i g construction, hereby authorize repre tatives
of this county to enter upon the above-mentioned op y for inspectio
Date" 5_01_Signature (Applicant or Agent):
r
A
I%
Application Number. .
. . . . 06-00002930
Permit . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00 Plan Check
Fee
163.80
Issue Date . . . .
Valuation
. . .
. 24675
Expiration Date
2/03/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
-----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check.Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Ex;,iration Date
2/03/07
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,,.
2/03/07
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
2/03/07
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
LQPMIIT
Application Number 06-00002930
Permit . . . WALL/FENCE PERMIT
Additional desc..
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 325
Expiration Date 2/03/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 15LF X 5 FT EQUIPMENT WALL
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid
Credited
Due
Permit Fee Total -371.00
.00 .00
371.00
Plan Check Total 189.80 ..00
.00
189.80
Grand Total 560.80
.00 .00
560.80
1
LQPERMIT
Bin #
City of La Quinta
Building U Safety.Division '
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
' ���0
Project Address: Z2 5' C,f`VC (�41>±-Z.
Owner's Name: �� v
A. P. Number: 776 • Ot> Z
Address: T.10 • 4. 5-4)
Legal Description: 'j. t✓LX;B''L/
Contractor:
City, ST, Zip: 6,t4l (,j1r,,.
Telephone: —7&o - .l
Address: Po 'aw g'cp
Project Description:
City, ST, Zip: �, V-�T� q z-2--- -'
Telephone:
P 564I g(�
State Lie. # : (PSF3S3S^ City Lic. #:
Arch., Engr., Designer:jtEjl�7
Address:
City, ST, Zip: VI.�Sr4�0�
Telephone:
State Lic. #:
�i�11t5
Construction Type: Occupancy:'JCG'L
Project type (circle one): Add', Alter Repair Demo
Name of Contact Person: .p >rlP9Ce
Sq. Ft.:
#Stories:
# Uni
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
lPlan
Sets
Plan Check submitted
/
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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