08-1235 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001235
Property Address: 81789 CONTENTO
APN: 767-200-011-10 -318742-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20731
ADolicant:
Talv/ 4 4 Q"
Architect or Engineer:
PIP-
---------------------------------------------------
LICENSED
im
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DEC
I hereby affirm under penalty of perjury that 1 am licensed under provisi 0 apter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Co( y License is in full force and effect.
License s: C53 C27 Lic o.: 419309
ate:tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 01 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 (55001.:
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.).
I _ I 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
Owner:
GREGG
81789 CONTENTO
LA QUINTA, CA 92253
Contractor:
DESERT PARADISE POOL
78005 WILDCAT DRIVE
PALM DESERT, CA 9221
(760)360-7400
Lic. No.: 419309
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/22/08
----------- --`-- ----
WORKER'S COMPENSATION DECLARATION v
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.
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 WEN1000818-02
_ 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 the workers' compensation laws of California,
and agree that, if I should become subjec a workers' compensation provisions of Section
3700 of the Labor Code, I shal�fortth�omply with those provisions.
a' te: v( cant:
JV
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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,vffee to comply with all
city and county ordinances and state laws relating to building construction, and heroiluthorize representatives
of this county to enter upon t e above-mentioned property for inspection pu
D nature (Applicant or Agent):
Application Number . . . . . 08-00001235
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
216.00 Plan Check
Fee
140.40
Issue Date . . . .
Valuation
. . . .
20731
Expiration Date
1/18/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
19.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
171.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
1/18/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA • MECH FURNACE >100K
11.00
Permit
ELEC POOL PERMIT -RES
ti
Additional desc .
Permit Fee
45.00 Plan Check
Fee
11.25
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
1/18/09
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
1/18/09
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 . . . . . 08-00001235
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
----------------- -- ------------------------------------
Permit Fee Total 320.00 .00 .00 320.00
Plan Check Total 166.40 .00 .00 166.40
Grand Total 486.40 .00 .00 486.40
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.#
1�3
Project Address:* N
Owner's Name:
A. P. Number:
Address:
Legal.Description: L c
Contractor:
D21�)l''ft- 'L- jaMl,4 t_j'10XS
City, ST, Zip: 1✓
Telephone:
Address: 7.1? o a5' W iva CA,,.r_
Project Description:
City, ST, Zip:_Jai
.4. .
Telephone: ^ °Z Lt
State Lic. # : %j v17
City Lic. #:
Arch., Engr., Designer:
Address:
.City, ST, Zip:
Telephone:
= `' -4.. ;
Construction. Type: Occupancy:
State Lic. #:
Project type (circle. one): New Add'n Alter Repair Demo
Name of Contact Person:.: -
Sq. Ft.:
#Stories:
F# Units:
Telephone # of Contact Person: ?Z��D-- �( 6% �.
Estimated Value of Project: 2 0 '7 3
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING .
PERMIT FEES
-.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plau Check Balance
Energy 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:-
"Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees