06-0832 (SOTB)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-ity . 44Q".
Application Number: 06-00000832
Property Address: �. 81445 CARBONERAS
APN: 764-200-006-40 -316811-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 LicenseNo.: 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)•:
1—) 1, 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 ocher 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.).
(_ 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/24/06
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
--------------- - - -
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 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Application Number . . . . . 06-00000832
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
72.00
Plan Check Fee
46.80
Issue Date . . . .
3/02/06
Valuation . . .
. 5000
Expiration Date
9/16/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
3.00 9.0000
---------------------.----------------------------------------------.---------
THOU BLDG
2,001-25,000
27.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17.25
Plan Check Fee
4.31
Issue Date . . . .
3/02/06
Valuation . . .
. 0
Expiration Date
9/16/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .7500
-----------------------------------------------------
PER ELEC
DEVICE/FIXTURE 1ST 20
----------------------
2.25
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
18.00
Plan Check Fee
4.50
Issue Date . . . .
3/02/06
Valuation
0
Expiration Date
9/16/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00.
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
BARBEQUE ONLY.
Other Feesf . . . . I.
. . . . ENERGY REVIEW FEE
4.68
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total
107.25
107.25 .00
.00
Plan Check Total
55.61
55.61 .00
.00
Other Fee Total
4:68
4.68 .00
.00
Grand Total
167.54
167.54 .00
.00
LQPERMIT
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o�
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4 4
41-111
UKx= .n .
P.O. BOX 1504
BUILDING & SAFETY DEPARTMENT
OF I
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,
I
' Kay Hensel
Counter Technician
.is
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- SPECIFICATION
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SPECIAL NOTES - LO CD
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01NrTEF TTL (1). DE7ti,wiNE T11E APPRcomo rp ELEVATION 4F POOL OR SPA AT L OUT ON DAY OF EXCAvATiOm
„; I (2) TAKE NO16CE THAT POOL AND EQJIPi4ENT LOCATIONS ARE SLIELrECT TO ACCEPTANCE CIF
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-J _Y�� r - LOCAL 8'JILGIHS DEPARTMENT AT 11NE CF ISSUANCE OF PERMIT r T
r I , (I�] tra 1" k �, {3) NEt DON7i 9Q $ETE SNEI.L Al LEAST TYRGf P ILY NR S£VE�I pAY$ a�TER EiA i iNSTkU EO
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L _ = r 0 (4) ••AGREE•THAP.CALIFORNIA POOLS IS NOT RESPONSIBLEFOR UNOERGRour CONDITIONS OR OBJECTS, L--
' ' aaraa -, �" 1 �ti ss +`d I, �T r, , ' ' AND ANY DAMAGE TO CURBS, S1OEWALKS, DRIVEWAYS. LAWNS. OR OTHER ITEMS rN T}iE ACCESS AREA
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k 1 I ''r -?" •(5) 'SEE THAT ALL I ENCINO. GATES, AND GARAGE DOORS MEET LOCAL CODES FCC A Mil ENLI.LISURE
' l'` r To PREPL.,ISTER I RPECT:o1;
ist, I, iI • T -�� �� E i''" (6) FILL+'40! IM DIA?ELY-A�1 R P1+1516R, {F�L�+I rnSTWVCTi0e�5 -- U� HOT u5E RUBBER HOSE}
.. ,.. r - (7) TA!!E NOTE€ TL1AT 7FIt5 DRAII1EiG"IS TTNE S1LE P12fl'FRTr Cif CAtF RAJA POOLS AH6 TIfAT At1Y
~ •:(Li _. USE h41THOUT 1YTdT IEN PERMISSION OF CA�JFORNI.POOLS;INC IS PRCF69ITE5 BY LAN_: h
r.+ i ��- c I J �. f +r am ,r v414J3 APPRo4C5 PLAN. POOL,.AND E4uIPUENT LOCATIONS AND HAS REDO TFiE RESPOT#S1BIU13ES.AND NOTICES h 'Y:. C' -
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and irrigation for planters arc! pots, by
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` others, unless otherwise noted.
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