06-0737 (RPL)P.O. BOX 1504
u%�f�ily
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
06-00000737
Property Address:
81445 CARBONERAS
APN:
764-200-006-40 -316811-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
24000
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
I 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 Class: C8. C27 C29 License No.: • 656128
Date: Contractor:
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 (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 _ 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' contractors) licensed
pursuant to the Contractors' State License Law.).
( ) 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012 '
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/24/06
------------------------------------------------
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.
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 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: Applicant:
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 ($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 as 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. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Ali
Application Number ... . . . 06-00000737.
Permit . . . BLDG POOL PERMIT
Additional desc . . -
Permit.Fee . . . . 243.00 Plan Check Fee 157.95
Issue'Date . . . . 2/24/06 Valuation 24000
Expiration Date 8/23/06
Qty Unit Charge Per Extension
BASE FEE 45.00
22.00 9.0000 THOU BLDG 2,001-25,000 198.00
-----------------------'--------------------------------------------------_--
Permit. . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan.Check Fee 6.50
Issue Date . . . . 2/24/06 Valuation 0
Expiration rate 8/23/06
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 . . . . 2/24/06 Valuation . . . . 0
Expiration Date . . 8/23/06
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 . . . . 2/24/06 Valuation . . . . 0
Expiration Date 8/23/06
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 EA PLB GAS PIPE 1-4 OUTLETS 3.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
LQPERdIIT °�
Application Number . . . . . 06-00000737
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 347.00 347.00 .00 .00
Plan Check Total 183.95 183.95 .00 .00
Grand Total 530.95 530.95 .00 .00
LQPERMIT
MONO
1�.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000737
81455 CARBONERAS
764-200-006-41 -316811-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
24000
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section'7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class:C88 C27 C29 License No.: 656128
SBafe- Z3_, t Contract
NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury thatI 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 ($500).:
(_ 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 1, 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 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:
KNUDSEN
81-455 CARBONERAS
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COI,CHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
I •.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/21/06
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.
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 HRH INS Policy Number BB1060510
_ 1 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor
Code I s hwith comply with those provisions.
te- Z� pplicanW
WARNING: FAILURE TO SECURE WORKER' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 0100,0001 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 6f 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. I agree to comply with all
city and county ordinances and state laws relating to building con ctio. and hereby authorize representatives
of this county tooentte/e,kpon the above-mentioned propert fo ion poroses.
Dat iSignature (Applicant or Agent):
0
LQPERMIT
Application Number . . . . . 06-00000737
Permit
. . . BLDG POOL PERMIT
Additional
desc . .
Permit Fee
. . . . 243.00
Plan Check
Fee
157.95
Issue Date
. . . .
Valuation
24000
" Expiration
Date 8/20/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
22.00
----------------------------------------------------------------------------
9.0000 THOU BLDG
2,001-25,000
198.00
Permit
. . . MECH POOL
Additional
desc .
Permit Fee
. . . . 26.00
Plan Check
Fee
6.50
Issue Date
. . . .
Valuation
. . .
. 0
Expiration
Date 8/20/06
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 . . 8/20/06
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 8/20/06
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 EA PLB
GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA
ONLY. ALARMS/BARRIERS
SHALL
r
n
LQPERMff
Application Number . . . '06-00000737
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
-----------------
Charged Paid
------------------=-
Credited
-------------------=
Due
Permit Fee
Total 347.00 .00
.00
347.00
Plan Check
Total 183.95 .00
.00
183.95
Grand Total
530.95 .00
.00
530.95
4
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
f - y y5 Building g La Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Permit #
DSD73
Project Addres • ,O oc>o -r-
Owner's Name:< \ — t_ 1 .5 S S
A. P. Number:
Address: r: 4,,.A
Legal Description:
City, ST, Zip: [ v
Contractor: \• �o S
Telephone:
Address: , C). 12
Project Description:
City, ST, Zip:COQX— ,,, Uoa c, . X22'3 Co
Telephone: %(p0) S9 $- 9 2 2 Z
Flood plain plan
State Lic. # : %SCG ( 2. S
City Lic. #:
Arch., Engr., Designer:
Address:
Grading plan
City, ST, Zip..
Telephone:
!
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Nc -6-%n Seasse-
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Z i-0 -(I(/ Z z. Q Z q (d
Estimated Value of Project -.7- L! O o U
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
2..
Plan Sets
H.O.A. Approval
Plan Check submitted
Item
Amount
Grading
Structural Calcs.
IN HOUSE:-
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°" 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 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
May 24, 2006
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114
Palm Springs, CA 92262-6962
Dear Ms. Sanchez,
Please be advised of an address change for the following pool and BBQ permits.
The pool and BBq were incorrectly issued to 81-455 Carboneras, permit # 06-
737 — pool, and 06-832 — BBQ. The correct address is: 81-445 Carboneras.
Enclosed please find corrected copies of the previously issued permits.
Please note this change and contact me directly at (760) 777-7084 if I may be of
further assistance.
Sincerely,
Kay Hensel
Counter Technician
P.O. BOX 1504 I
BUILDING & SAFETY DEPARTMENT
OF
78-495 CALLE TAMPICO
(760) 777-7012
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
May 24, 2006
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114
Palm Springs, CA 92262-6962
Dear Ms. Sanchez,
Please be advised of an address change for the following pool and BBQ permits.
The pool and BBq were incorrectly issued to 81-455 Carboneras, permit # 06-
737 — pool, and 06-832 — BBQ. The correct address is: 81-445 Carboneras.
Enclosed please find corrected copies of the previously issued permits.
Please note this change and contact me directly at (760) 777-7084 if I may be of
further assistance.
Sincerely,
Kay Hensel
Counter Technician
•
_ -- - — �
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__
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• • (2) TNdE NOTICE TIMT J�S}OL Al EQt,1PIAEb#T LOCATIONS ARE SU9JECT 1D AE3CJEPT's Of
_„_I L9C4k 9lALQING OEPAf2TkLfldT AT TIME OF ISSt1ANCE OF AERhRT _-
?`%. o- ro .:.,. .rF4 (.) ;CT I}R4kJ G4rLCR£TF SHELL AT LEAST TWICE 6AlLY FOR $f4EN DAYS AFTER SHELL E5 INSTALkEp I
' I) �� �J I �~� 4 AGREE SFiAT CAUPORt1IA POO13 IS NO1 RESPOIcS1BLE foil'Ui1UERORDL:RP CONDITIONS off OBJEC1 ' r }
m-vcra�eaa- -•.. I '" 1� � { AND ANY EAMAOE f0 CUFfRS, SiDEWALIfS. OI ItIYAYS, LAWN°s, OR OTHER ITEN5 II THE ACECS' AREA 1
it (9 S£E THAT ALL FE}I HNC. I k7E5,AM OAR AGE Minn BEET LOCAL CODES FOR A Pb4t ENCLUSORE
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'"' • � I �'rt Ll ; I PRIOR TO PI;EPLASTER INSPECTION
....Ti; Ik \, i ..J. I (5) FILL POOL TIMELIJATELY AFTER PLASTER, VFOLLOri UISIRUCI1LEIS -- LW ROT USE (RUDER HOSE) ,
1t +r' 1h 7�—.. (7) SAXE NOTICE: THAT IRIS 0RAHWNG IS FrIE SO PROPE RFf OF CALWI NIA FOOLS AND THAT ANY
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USE E1THOUT YA�rTFFN PERFLSSIOH OF CALIFORNIA POOLS INC. Is F CHIEITEG BY TAN.
10 „- f I olorET APPRovE5 PLAN.N. POOL AND IOUs.4EN LOCASIONs AND HAS READ THE RESPONSiI;NIJ1►ES MD NOTICES AHQ , I
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"�J I SWIMMING P •
OOL PLAN FOR:
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• I E I' LOT Aa- F TRACT PAGE $DEk • --^
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f ; - ^ thi: „- ., , -,1,F ; 'I --�F_ ' Draincg and irrigation for planters and pots, by_;.= -; 0 = . ... , ,
. nri r, 1 PRE-PEBBLE f• �
DRAINAGE NEITE;
F others, unless otherwise noted. I d
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