06-0482 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00000482
Property Address: 81997 COUPLES CT
APN: 764-060-035- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 28000
TW�v 4 4 Q"
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
FEB 0 6 2w
I herby 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, endmy License is in full force and effect.
License Class;. C53Ua No.: 786814
Dym r ' 61-c o scicr:
OWNER -BUILDER DECLARATION
I hereby affirm under'penalty of perjury that l 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 atructure; 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 orshe 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 (9500).:
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 enowner 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 burdenof proving that he or she did not build or
improve for the purpose of.sale.).
(_ 1 1, as owner of the property, ani exclusively contracting with licensed'contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does'nat apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a comractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , BAP.C. for'this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that.there is a construction lending_ agency'forthe performance of the
work for which this permit is issued (Sec. 3097, Civ. C.)•
Lender's Name:
Lender's Address:
LQFERMLT
VOICE (760) 777-7012
FAX (760) 777-7011+
INSPECTIONS (760) 777-7153
Date: 1/31/06
Owner:
DAVIS
81-997 COUPLES COURT
LA QUINTA, CA 92253
I
Contractor:
DEVINE SWIMMING POOL DESIGN
8084.4 BOULDER DRIVE
INDIO, CA 92201
(760)989-0354
Lia. No.: 786814
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WORKER'S COMPENSATION DECLARATION
1 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 3700of the Labor
Code, for the performsn9sof the work for which,this permit is issued.. ,My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1641733-2005
_ I certify that, in the performance of.the work for which this permit is issued, I shall not employ any
person in any manner sous 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
� 37100 of,the Labor Code; 1 II forthwith com i ith those provisions.
Date: - 2 -4'06 APPlicamu�
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 (9100,000). 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 Applicet(on'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; eachagrees to, and shall defend, indemnifyand hold harmless the City
of Le Quints, its officers, agents and employees for any act or omissionrelated. 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 'issuenoe of such permit, or cessation of work for 180 days' will subject
permit to cancellation.
I certify thatThave read this; application and state that,the above information.is correct. 1 agree to comply with all
city and' county ordinances and state laws relating to but mg construction, and hereby authorize representatives
of this co u IV ter upon thwabove-mentioned proforin ion purposes.
Dati ature (Applicant or Agent): .
Application Number . . . . . 06-00000482
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 2.71.50 Plan Check Fee 176.48
Issue Date . . . . Valuation . . . . 27808
Expiration Date 7/30/06
Qty Unit Charge Per Extension
BASE FEE 252.00
3.00 6.5000 THOU BLDG 25,001-50,000 19.50
-----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 2.6.00 Plan Check Fee 6..50
Issue Date . . - Valuation . . . . 0
Expiration Date 7/30/0.6
Qty Unit Charge Per Extension
BASEFEE 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 . . . Valuat.ion . . . . 0
Expiration Date . . 7/30/0.6
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 . 7/30/06
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
----------------------------------------------------------------------------------
3.000,0
EA
PLB GAS PIPE.1.-4 OUTLETS
3.00
Permit . . _ . . WALL/FENCE PERMIT
Application Number . . . . . 06-00000482.
_
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 192
Expiration Date . . 7/30/06
Qty Unit Charge Pet
Extension
SASE FEE
15.00
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Special Notes and Comments
-
---------------
POOL & SPA. 12 L.F. 41BLOCK WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE PRIOR TO PRE -PLASTER INSPECTION.
Fee summary Charged Paid
Credited
Due
Permit Fee Total 390.50
.00
.00
3.90.50
Plan Check Total 202.48
.00
.00
202.48.
Grand Total 592.98
.00
.0:0
592..98
L,QPERMff
Bin #
City of La Quinta
Building ex Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
VV.. ,�
Project Address:' 91 � � opl e
Owner's Name:
A. P. Number:
Address: ij-1 1;-q CDS
Legal Description:
City, ST„Zip:44- AL V In , 64- 22 S 3
Contractor: CVn i6P (.S A-S
Telephone:
Address: Ave, I `d M ".v
Project Description: Net^s pot> j, J- SPA
City, ST, Zip: CA A 2.?.6
=OUR 4 r X IZt
Telephone: toil `'Iv, 03s--i NEEM
&ze-v- tNAu_ Pw e-,T-, SraA-'o
State Lic. # City Lic.:#:
Arch., Engr., Designer:
zttz All
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: At �-� Occupancy:
Project type (circle one . e Add'n Alter Repair Demo
Name of Contact Person
Sq. FL: X00 # Stories:
It Units:
Telephone # of Contact Person:
Estimated Value.of.Project: 600
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd -
Rec.'d
TRACHING .
PERMIT FEES
FSubmittal
Plan Check submitted
3�
Item
Amount
l Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called ContactPerson
Plan Check Balance
Energy Calcs.
Plans bicked 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
Planwpicked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
Review, ready for correcdom issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permibissue
School Fees
Total.Permit Fees
01/26/2006 21:42
January 26, 2006
7605680324
Addie Davis
81.997 Couples Court
1A QWAU4 CA 92233
AVAIL. PROP MGT
VILLAGE AT TIHIE PALMS H.O.A.
Avail Property Management
P.O. Boa 1032
Palm. Desert,- CA 92,261
760-%8-2717
RE: Architccc vital Variance Request
Dear Ms. Davis:
PAGE 01
Your request for the batallation of a poollspa on your propoty was reviewed and approved by the
Architecaual Committee with the follevAng eonditiorrs:
• All necessary City permits are obtained prior to work starting.
• .All contraction rules (sw attached) will be followed by your contractor.
• Any damage to the common areas during this construction will be your responsibility to repair
andlor replace.
Tbank you for your cooperation in this matter.
Sincerely,
Cam Anderson
Project Manager
tp t� v � 1 14