05-2832 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
05-00002832
47698 CALEO BAY
'643 -230 -005 -
POOL - RESIDENTIAL
MEDIUM DENSITY RES
18000
Architect or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED 0 'RACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lit sed der provisions of Chapter 9 (commencing with
Section 70001 0 ' 'sio a Busi ss and Pr Sion s Code, and �� �s I e and effect.
Licen77 la s:�/�� License No.: i�(D/ r✓
att`r��5+-�-�,� Contractor
. -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 (5500).:
(_ 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
imprnvements are not intended nr nfferpd fnr sale. If, hnwever, the building ar 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.l.
(_ 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:
LQPERIISIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/08/05
Owner:
MEADER
47-698 CALEO BAY
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
WCC: SEABRIGHT INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
WORKER'S COMPENSATION DECLARATION
1 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
T Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: �/ j
Carrier C8 C27 C29 C53 Poli y Number l� ((�
I certify that, in the performance of t ork for which this permit is issued, 1 shall note ploy any
person in any manner so as to bec e s ject to the workers' compensation laws "of California,
an agree that, if I sh become su 'ect o the workers' compensation provisions of Section
3)b,
0� he Labor d I shall f hw h omply with those provisions.
I/at pylic
WARNING: FAILURE TO SECURE ORKE' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 Ouinta, 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 becomk
if work is not commenced
within 180 days from date of issuance of such permiwork for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that thea ve ireci. I agree to comply with all
city and punt! or mantes and state laws relating to bui ng onseby authorize representatives -
of this un to nter upon the above-mentioned prop fo insp
D Signature (Applicant or Agent)
Application Number . . . . . 05-00002832
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
189.00 Plan Check Fee
122.85
Issue Date . . . .
Valuation . . .
. 17520
Expiration Date
1/04/06
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
1/04/06
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
1/04/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
---=------------- 2 ------------------------------------------------
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..
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
--------------------------7--------------------------------=----------------
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . . . . WALL/FENCE PERMIT.
LQPERAIIT
Application Number . . . . . 05-00002832
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 480
Expiration Date 1/04/06
Qty Unit Charge Per
Extension
BASE FEE
:
15.00
-------------------------------------
Notes and Comments
POOL, SPA & WATER FEATURE; 30 L.F. 4'
BLOCK WALL, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE PRIOR
TO PRE -PLASTER INSPECTION. EQUIPMENT.
ENCLOSURE NOT INCLUDED IN PERMIT.
Fee summary Charged Paid
-------------------------------------
Credited
---------------------
Due
Permit Fee Total 308.00
.00 .00
308.00
Plan Check Total 148.85
.00 .00
148.85
Grand Total 456.85
.00 .00
456.85
1
LQPERMIT
6►n # City Of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit # La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: — (! Owner's Name:
A. P. Number: Address:
Legal Description: City, ST, Zip:
v Tele
h
Contractor: one.
t7D
P
C t; e� t � �
CaFo t�s �
Address: o B®x I zcg® Project Description:
City, ST, Zip:. f4 CM -9 3 (0 DooL d- 5
Telephone: ho
ne
v
s
State Lie. # : C) City Lie. #;
Arch., Engr., Designer:"
Address: w 'G� ��'I �0 llil41.L Cil 57'1
City, ST, Zip:
Telephone: Construction Type:
•iii:�::�ii::; �};�:iii:i�i::i;:$}; �{:±;:�:'�:};}:�ii�iii ti�{i ({.
State Lie. #: :<•>:<.> ss:>:>: <;; :>.•>::>:>•>•:: Project type (circle one): Ne Add'n Alter Repair Demo
Name of Contact Person: DAJ �'� Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:.2 -; -/1t, �;�-7,5"=O--)-Y Estimated Value of Project: MOD
APPLICANT: DO NOT WRITE BELOW THIS LINE'
#
Req'd
Redd
TRACKING
PERMIT FEES
7PlanSett,
Plan Check submitted
71816
1.. Amount
l Calcs.
Reviewed, ready for corrections
PlaaCheck Deposit
lcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3' 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
qO o
5I o
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OMER 74. CO DEEP:MINE THE APPROXIMATE ELEvATtuti gF PK& OR SPA AT LAYOUT ON [DAY OF EXCAVATION
J ,,........,,,,f . . ::,1: jL.-.1.11ok-re5 ---rE_D (..,- .. ,i
I / (2) TAKE feoTTCE THAT POGT,AK E491F,MENT LCCATINS ARE SUELEOT TO AccEPTAKE OF
I / / : ---i-7 il • 1 LacAL BUILDING NEPARTMEni-AT TUE OF ISSUAN6E OF PERMIT
S TAL.L.- -SELF LA-rc..4--I;i•-•ic..1 :-:._E i_.•r= 0 5 TA I-1--- SELF LT -1 i F--ic..-1 s E_L-F 7 T--,is--..-.A- )4r:;6 !.• •h-• -.
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