06-0832 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06--00000832
Property Address: 81455 CARBONERAS
APN: 764-200-006-41 -316811-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000 6
Applicant:
(17
Architect or Engineer:
-------------------------------------------- - - - - - -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury thatI am lic nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Pro assionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 icense No.: 656128
Contfo.".:
OW €R -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exem t from the Contractor's State License Law for the
following reason ISec. 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 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 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:
KNUDSON
81,-455 CARBONERAS
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
O. BOX 1280
O-ACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7,153
Date: 3/01/06
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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
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 b eq�e subject to the workers' compensation provisions of Section
�2 3700 of the Labor C e, 1 II fbfthwith comply with those provisions.
-Date—D— 06 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 info, n is correct. I agree to comply with all
city and county ordinances and state laws relating to building c t ct �n, a hereby authorize representatives
of this county to ent(e(%r )upon the above-mentioned property for ins ecu rAo es.
'Sgnature (Applicant or Agent):(
I
Application Number . . . . . 06-00000832
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . .
72.00
Plan Check Fee
46.80
Issue Date
Valuation
5000
Expiration Date
8/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
3.00 9.0000
7 ------------------------------------------------------------------
THOU BLDG
2,001-25,000
27.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17.25
Plan Check Fee
4.31
Issue Date . . . .
Valuation . . .
. 0
- Expiration Date . .
8/2F/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
Valuation
0
Expiration Date
8/28/06
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 Fees . . . . .
. . . . ENERGY REVIEW FEE
4.68
Fee summary Charged
----------
----------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
107.25
.00 .00
107.25
Plan Check Total
55.61
.00 .00
55.61
Other Fee Total
4.68
.00. .00
4.68
Grand Total
167.54
.00 .00
167.54
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 #
932
Project Address:1 1-
Owner's Name: AV
A. P. Number:
Address: (- V, 5-5 Coy
Legal Description:
City, ST, Zip: L C, Q `
Contractor: \• S
Telephone:
Address: LZ 13 io
Project Description:
City, ST, Zip:Coo b, Uo, CA. CJ2.2.3 G
Telephone:760) Z9 S' 9 Z Z -z-
State
State Lie. # :G,56 12 S
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: e 55 e
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2 $'c)-qcl z5 -19? -6- pZ yy
Estimated Value of Project: # 57 ovv
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
SO -Tib
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' Review, ready for corrections/'issue
Electrical
3 • l= 7 S
Subcontactor List-
Called Contact Person `
Plumbing?k%l,, p,5Grant
Deed
1 -Y
-'Al nspicked'ap �' iJ T 1
S.M.I.
H.O.A. Approval
I
l::L
n r
.11..
Plans resubmitted- 1
Grading
IN HOUSE:-
1
? R�wutw reai�y fps&Qi%ctions/issue
Developer Impact Fee
GRILL
LIGHT
STAINLESS
STEEL
PROVIDE VENT, WASTE, AND
PLUMBING: FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
LENGTH VARIES
FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION
F
LIGHT
GRILL
FREE-STANDING OUTDOOR KITCHEN - PLAN
=1 —011
GFI
OUTLET
LIGHT
SWITCH
(WATERPROOF)
BBQ: Is I i A P_ 3 C2
1.C.B.0. #
ANSI #
BTU oy
U. L. APPROVED.
1/211_1,-011
U)
uJ
d
GFI
SI "I
ADAPT DIMENSIONS.
# TO FIT APPLIANCES
6X8XI6 CMU; GROUT CELLS WITH. STEEL
#4 BARS VERT. AT 24" 0. C. (TYP. )
u�
'S MAY VARY. a
?E & REINF. ARE TYPICAL.
.I
-� i AIVU i IV h uu I uuuK r\ I I uf-ICIy - r uuvuA i i uN rLAN
1/211=11.-011
STONE CAP, TILE
OR POURED CONC.
#4 BAR HORIZ. AT
3"
32" 0. C. (TYP. )
6X8X16 CMU
1N GROUT CELLS WITH STEEL
#4. BAR
VERT. AT
F.S. 24" 0. C. (TYP. )
2-#4 BARS HORIZ. CONT.
VARIES L61
l� FREE-STANDING BBQ - WALL SECTION an BBQ ISLAND -SIDE ELEV.
1_011�� 1/211_11_011
b
CALIFORNIA POOLS a SPAS
86-100 Ave. 54, P.O. Box 1280 • Coachella, CA 92236 • (760) 398-9222 • Fax (760) 398-9255 • Ca. Lic. No. 656128
May 25, 2006
City of La Quinta
Building Department
78-495 Calle Tampico
La Quinta, CA 92253
To Whom It May Concern:
The following is a request to change the address on Permit# 06-00000737 and Permit#
06-00000832, Andalusia Lot 40-F to 81-445 Carboneras (Wrong address on permit.)
If you have any questions please call the office at 398-9222.
Thank you,
California Pools & Spas
X17
James D. Harebottle
CFO
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