05-3611 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
r
0-5=00003611
81525 CARBONERAS
764-200-006-48 -316811-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
30000
T41yl
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
V
Owner: fir.%
CORAL OPTION I U
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253 AUG 2 �- 1005
Q TA
Contractor:
CALIFORNIA POOLS & SPAS
WCC: SEABRIGHT INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LICENSED CONTRACTOR'S DECLARATION
- -
- - - - - - - - - - - - - - - - - - - - - - - -'- - - - - - - - - - - - - - - - - - - - - - —
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.: —G!r 61 2 !t
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
%
/Date: Contract --
` 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - - -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires.the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section,
License Law (Chapter.9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwith comply with those provisions.
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).:
Date Applicant: �� �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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions -set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
'pursuant to the Contractors' State License Law.).
whose benefit work is performed under or.pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta its officers a ants and em to ees for an act or omission related to the work bein
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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
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.
Dat('e%/J i ignature (Applicant or 1,d4t, ^�
' M
Application Number . . . . . OS -00003611
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
252.00
Plan Check
Fee
163.80
Issue Date
Valuation
25000
Expiration Date
2/22/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
23.00 9.0000
----------------------------
THOU BLDG
------------------------------------------------
2,001-25,000
207.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
2/22/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
-------------------------------------------------7--------------------------
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
2/22/06
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
2/22/06
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
LQPERMIT
Application Number . . . . . 05-00003611
----------------------------------------------------------------------------
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 356.00 .00
----------
.00
356.00
Plan Check Total 189.80 .00
.00
189.80
Grand Total 545.80 .00
.00
545.80
LQPERMIT
Bin #
City of La Quint
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: - �j- CA`,�
Owner's Name: t t
A. P. Number: :,
Address:
Legal Description:
City, ST, Zip:
Fo �o0s �
Telephone:
o e•Contractor:Ci
Address: o sDx
Project Description:
City, ST, Zip: to
Doot `-^ a
Tele hone: G —
P � O
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
hone•
Telephone:
to
Ste Lic. #:
Name of Contact Person: DAN /S 516-7
Con truction Type: Occupancy:
cY
. Repairair Demoo
roJect type one Add'n Alter
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: ^' ? '
P ,� � ""114, Z -75'--O;L
Estimated Value of Project: G 6GCJ
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
Title 24 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.
k0 -.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd 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 PermitTees
CC.
Nov 16 05 08:25a RF STRUCTURAL&SANTRMARIA 760 836 0856 P.10
R F STRUCTURAL CONSULTANTS, INC.
75-153 MI;RI,F' DRIVI:, STE. 13, PALM DISI:10', CA 92211
I'1 IONI-. (760) 936-1000 FAX (760) 836-M;56
F-MAIL12AYMc)NI)r'ri�itl�'tlti)(:'I'tJ12A1..c.'t)M
NOVFMBER 15, 200S
T.D. DESERT I)EVCL.OPMENT, I.P.
C/O SPARKS CONSTRUCTION
POST OFFICI; BOX 1716
LA QIIINTA, CA. 92247
Attn,: Mr. CHAP SLUSSI=R
Rc,: 'I'HE ANDALUSIA AT CORAL. MOUNTAIN, TRAGI' )1681-1
o LOT 1148, PLAN 4AR
81-525 CARBONt'RAS
LA OUINTA, CA, 02253
FOLLOW -IIP TO WALK TI IROUGH
JOB NO.: 4253
DEAR CIIAP
THIS LI,:1' I'F..R ADVISES THAT WE HAVE OBSERVED 'I'I IE STRUCTURAL,
REOUIRI:Mt NTS TI IAT ARE VISIBLE DURING CONSTRUCTION AT TI IE' TIME OF,
OUR Sill' VISIT.
WE BEI11?VE THAT' "I'llE4' AS -BUIL L' CONSTRUCTION AT Z'lil: "1'LME OF OUR VISIT 1S
IN GENI.,.RAL CONI ORMANCE WITII OUR STRUCTURAL PIANS AND Rc?L..I,'VANT
CORRESPONDENC:I? ISSIJED BY OUR OFFICE.,
WE OBSERVED TI lh BUILDING IN ITS FRAMI.,D CONDITION PRIOR TO
INSTALLATION OI? DRYWALL AND STUCCO. WI-. OBSERVF,D'i'Fil~ VISUAL, AND
ACCESSIBLE STRUCTURAL RF"QUIREMENTS. (h:XCLIJSIONS ARI~ ITEMS SUCH AS:
FOOTING SIZE AND RFINFORCEM ENT, TOP PLATF SPLICES, ROOF SHEA'1'l IING,
AND ANY STRAPS ABOVE T1lE ROOF SHEAl'I IING.).
RESPECTFULLY SUBMITTED
M.
Z�
No. 57958
Exp. 06-30-0(,,
c
ZEYAD FAQII I, PF
06/21/2006 13:52 17603471841 PARGON SCHMID PAGE 29
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building at
81-525 CARBONERAS, LOT 48;'MODEL, SPARKS LA QUINTA, CA
CEILINGS: -
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-21
GENERAL CONTRACTOR: SPARKS CONSTRUCTION LICENSE #
BY: TITLE:
PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY• TITLE: ACCOUNT REPRESENTIVE DATE: a�IpJ�
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