06-2487 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002487
Property Address:
81470 CARBONERAS
APN:
764-200-006-35 -316811-
Application- description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
23000
I T4ht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business Professionals Code, and my License is in full force and effect.
License Cl ss: CS C27 C29 LicenseNo.: 656128
,15ate: Contractor: i
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I a 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).:
(_ 11, 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.).
(_ 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
Owner:
BAR13AROSSA
81-470 CARBONERAS
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/22/06
Contractor: D Li-=il U
CALIFORNIA POOLS & SPA
P.O. BOX 1280
COACHELLA, CA 92236 JUN 2 7 2006
(760)398-9222
Lic. No.: 656128 CITY OF LA QUINTA
------------------
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 SEABRIGHT Policy Number BB1060510
certify that, in the perform nce of the work for which this permit is issued, I shall not employ any
person in any manner so s to become subject to the workers' compensation laws of California,
and agree that, if I shou me subject to the workers' compensation provisions of Section
3700 of the Labor C e hall rthwith comply with those provisions.
✓Date: Applicant:
WARNING: FAILURE TO SECURE sots
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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 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.
certify that ).have read this application and state that the ove information is correct. I agree to comply with all
city and county ordinances and state laws relating to b ' construction, and hereby authorize representatives
of thiscp�ou ty to enter upon the above-mentioned pro in ection purposes.
✓ate:"' ` �✓ig ature (Applicant or Ag
ent):
LQPERAIIT '
Application Number
06-00002487
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
234.00 Plan Check Fee
152.10
Issue Date . . . .
Valuation . . . .
23000
Expiration Date
12/19/06 --
Qty Unit Charge
Per
Extension
BASE FEE
45.00
21.00 9.0000
-----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
189.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/19/06
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
12/19/06
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
12/19/06
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 PERMIT
DOES NOT INCLUDE
_
LQPERAIIT '
os
LQPERNIIT
Application Number . . . . . 06-00002487
----------------------------------------------------------------------------
Special Notes and Comments
BLOCK WALLS OR EQUIPMENT ENCLOSUES
Fee summary Charged
--------------------
Paid
Credited
----------'----------
Due
-----------------
Permit Fee Total 338.00
.00
.00
338.00
Plan Check Total 178.10
.00
.00
178.10
Grand Total 516.10
.00
.00
516.10 .
-- j
GRILL -
-LIGHT
CL
mo
STAINLESS
STEEL
SINK
TONE OR
TILE,
COUNTER
PROVIDE VENT, WASTE, AND
PLUMBING FOR SINK ON SEPARATE
,CONSTRUCTION DOCUMENT.
—J. REF. I , --J
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STONE
VENEER
r
LENGTH VARIES
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RRS: H ONT.
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C�,tyof La Quanta.
uifdiii` 8t'•:Safety. Q.iirision
g`
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rmit # P O yBox 1504, 78 495 Calle:"fampico
Q La-Qumta, CA 92253,-. _(760j 777 701'2:
But(ding�Permlt App(tcatton and Tracking- Sheet
�_.
o esf Address:?'O`wrier's:Name:
u
P Number ".Address:
ri
tYC ST Zip:
-
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�ntractor\\ �•
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tate L►c =#
ddress
Description:
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;Project
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APPLICANT: DU NO? WRITE BELOW THIS LINE
tate,Lrc# !
`YBW&' : Redd"': TRACIIflNNG
PERMIT FEES
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,
cf a .;;.Desi ` `er
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Occupancy: '
Called Contatf Person Plan Check Balance
tate L►c =#
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Add'n Repair: Demo
:ProJect
lame of<Coifact'Peison', #Stories: # Units:
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APPLICANT: DU NO? WRITE BELOW THIS LINE
:2"",Review; reElectrical
`YBW&' : Redd"': TRACIIflNNG
PERMIT FEES
,
�: •?:: •:.;
; Plan>Sets:
'.
Plan Check submitted
Item Amount
r.;..,- .
Plans picked up S:M.L
` H:O:A: Approval
;.:StructuialCalcs:.
3,•, Y ;<
' Reviewed; ready-forcorrections
Plan Check Deposit
Plariring Approval Called Co�ira�t�P2c'sol� , QU I !t! i !'1 A.LP.P.
Pub Wks Appr•. Date fperm ttiss eING & SAFETY. 3EzF'.i
Scliool:Fees, A P i 1 9 u v t I
-rne !!�A1
1liVvkv.a - I '
r:: • .: ;: ; Total Permit Fees
nATr= BY
i Truss;Calcs
Called Contatf Person Plan Check Balance
:,•;:
Edergy, Calcs.
Plans picked up Construction
:: •..Flood?plain'plan
Plans resubmitted Mechanical
=Gr -d ngplan:::...
:2"",Review; reElectrical
Suticontactor List
"Called Contact Person .Plumbing
G?aut Deed
Plans picked up S:M.L
` H:O:A: Approval
Plans resubmitted Grading
3. Review; ready for eorrectiorisrssue 'iMoper Impact Fee
Plariring Approval Called Co�ira�t�P2c'sol� , QU I !t! i !'1 A.LP.P.
Pub Wks Appr•. Date fperm ttiss eING & SAFETY. 3EzF'.i
Scliool:Fees, A P i 1 9 u v t I
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