07-2124 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002124
Property Address: 81760 CONTENTO
APN: 767-200-011-7 -318742-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 40000
Applicant:
Architect or Engineer:
Ok
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License la s: C 3 %%%% Li se No.: 828284
ate: ontractor:
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 (commencingwithSection 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 I, as owner of the property, am'exclusively contracting with licensed contractors io 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 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
.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
ROD HENDRY
81760 CONTENTO
LA QUINTA, CA 92253
Contractor:
ALDERETE POOLS II,
P.O. BOX 5219
LA QUINTA, CA -9224
(760)275-5783
Lic. No.: 828284
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/19/07
reY'Y OF LAQUINTA
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 1744999
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,
a agree that, if I should become su ect to 1he workers' compensation provisions of Section
00 of the Labo e, 1 s at ith cc ly with those provisions. _
Date: pplicant:
WARNING: FAILURE TO SEC 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 i orrect. gree to comply with all
city and county o mances and state laws relating to buil con c, hereby thorize representatives
of this o my to
nter upon the above-mentioned p op e or i pe o r oses.
te: Sign re (Applicant or Age
Application Number . . . . . 07-00002124
Permit . . ..
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
349.50
Plan Check Fee
227.18
Issue Date . . . .
Valuation . . .
. 40000
Expiration Date
1/15/08
Qty Unit Charge
Per
Extension
BASE FEE
252.0'0
15•.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
97.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date
1/15/08
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
1/15/08
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
1/15/08
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. ALARMS/BARRIERS
SHALL BE IN
LQPERMIT
Application Number . . . . . 07-00002124
------------------------------------------7---------------------------------
Special Notes and Comments
PLACE.AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
----------------- ----- - ---- ---------- ---------- ----------
Permit Fee'Total 453.50 .00 .00 453.50
Plan Check Total 253.18 .00 .00 253.18
Grand Total 706.68 .00 .00 706.68
LQPERMIT
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P.O. Bax 5219 (760) 773-3193 office
La Quiet, CA 92248 (760) 275-5783 cell
07/07/2007 07:38 7607733293
ALDERETE CONST PAGE 01
Bin # City of La QUinta
Building ai Safety Division
Permit # P.O. Box 1504, 78-445 Calle Tampico
nn La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Wracking Sheet
Project Address: Owner's Name: �,/'�70--D e
A. P_ Number: Address:
Legal Description: City, ST, Zip: Z.
Contractor: -7.11 Telephone: —
Address: Project Description:
City, ST, Zip:
l .Aq
Telephone:
State Lie. # :
pity Lie #:
Arch., Engr., Designer:'
Address:
City, ST, Zip:yak 11
Telcphotle: ':jktP
Constntption Type: f (�eeitpancy:
State Lic. #:
Project type (circle 011e): New Add% Alter Repair Demo
Name of Contact Person:
.M*�&A ..(_ Sq. FL: # Storics: 0 Units:
Telephone # of Contact Person:
4 Fztimated Value of proj Q O
APPLICANT: 00 NOT WRITE BELOW THIS LINE
M Submittal Req'd Recd TRACMC . PF4LNM FEES
Pita Sets
Plan Ckeek submitted Item Amount
Structural Caics.
Reviewed, ready for corrections Plan Cheek Deposit
Truax Caica.
Called Coutact Person Pian Cluck 131lanee
Energy Calcs.
Pians (Icked up Construction
Flood plain plan
Plana resubmitted Meebanical
Grading. plan
V Review, ready for mrrectioasMsae Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Putts picked up S.M.L
H.O.A. Approval
Plana resubmitted Cradiag
IN HOUSE:-
"s Review, ready for corretdom/lssue Developer Impact Fee
Planning Approval
Called Coutact Person
Pub, Wks. Appr
Date of permit issue
School Fccs
Total Permit Fees