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06-0056 (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: 06-00000056 77186 CASA DEL SOL 773-360-005-• - POOL - RESIDENTIAL MEDIUM DENSITY RES 24000 Architect or Engineer: M BUILDING &.SAFETY DEPARTMENT BUILDING PERMIT Owner: ANSCHEL HAROLD Lf SED CONTRACTOR'S DECLARATION Ihereby affirm urgerpenalty of perju thI. licensed under provisions of Chapter 9 (commencing with Section 7000) of'Division:3 o the' u a Professionals Code, AM my License is in full force and effect. License C53 Lioense,No.: 875547 Date :� Contractor: _ ?'� y G•WNER-BUILDER DECLARATION 1 hereby affirm under pe nahy of perju t .1•amexempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Businend Professions Code: Any city or county. that requires,a permit,to construct, after; improve; demolish, or pair'anystructure prior to its issuance, elso requirea,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 (Chapter9 (commencing with Section 7000) af,Division 3 of the. Business and Professions Code) or that hs or she is exempttherefrom and the basis for the alleged exemption. Any violatiomof Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).i (_) 1, as owner of the, property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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 compistion, the owner -builder will. have the burden of proving that he orahe did not build or Improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed.wntredors to construct the.project (Sec. 7044, Business.and Professions Code: The Contractors' State License Law does not apply to an.ownerat property who builds or improves thereon, and who contracts for the projects with a contractorts) 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: M ' Lender's Address:. LQPERMIT Contractor: INTERNATIONAL GUNITE INC 75153 MERLE DRIVE, SUITE B PALM DESERT., CA 922-11 (76.0)034-1350 LiC. No.: 875547 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/26[06 ------------------------------------------ WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will. maintain a certificate of conwrit.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't�ompensation insurance, as required by Section 3700 of the Labor Code, •for the pert rmance ofalte work for which this permit is issued. My workers' compensation insurance carr lid policy nu Carrier J WARLIN INS 11 _ .1 certify, that, in the pe onnance person in any mann rso as to nd egreethat if I ould beC< 700 of the Labor C e 'I she Date:, 04 Applicant: WARNING: FAILURE TO SECURE W E ' SUBJECT AN EMPLOYER TO CRIMIN L P DOLLARS (6100,000).IN ADDITION 0 HE SECTION 3708 OF THE LABOR COD, I Ei bar are: Policy Number 229003373006 the work for which this permit is issued,. 1. shall not employ any 1�ome subject to the workers' compensation Iowa of California, sutijectto the workers' compensation provisions of Section rthwith comply with those provisions. CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COST OF COMPENSATION; DAMAGES AS PROVIDED FORJN :ST, -AND ATTORNEY'S FEES. 11 APPLICANT ACKNOW EEDGEMENT IMPORTANT Application is hereby m e'to the Director of Building end Safety fora permit subject to the conditions and restrictions set forth on this'application. 1. Each person upon whose behalf this application is made, each person etwhose 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 _ fend, indemnify and hold harmless the City of Le Ouinta, its officers, agents and emplo for any Ct or omission related to the work being performed under or following issuance of tt s permit. 2. Any permit issued as a resultof thisapplica ion becomes ull'end void if work'is not commenced within ISO days from date of issuance of i uch permit, o cessation of work,for 180 days will subject permit to cancellation. I certify I ha a read this application and stela that a ve infor ion is correct. I agree to comply with all city and.co my rd,nances and.state laws relating to bu canstructi n, and hereby authorize representatives of this'co�u to nt,erupon the above-mentioned prope r inspectic, purposes. l Date: C • Signature (Applicant or Agent):, Application Number . . . . . 06-00000056 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/28/06 Qty Unit Charge Per Extension BASE FEE 15.06 1.00 11.0000 EA MECH FURNACE >100K 11.00 Permit. . BLDG POOL PERMIT Additional desc,. . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date . . 8/28/06 Qty Unit Charge Per Extension BASE FEE 45.00 1 22.00 9.0000 THOU BLDG 2,001-25,0'00 198.00 _ Permit . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . Valuation 0 Expiration Date 8/28/06, Qty Unit Charge Per Extension BASE FEE 15.06 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 8/28/06 Qty Unit Charge Per Extension BASE FEF 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0.000 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 WPERnur Application Number . . . . . 06-00000056 - 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 Fee Total - 34.7.0.0 .00 ------ .00 347.00 Plan Check Total 183.95 .00 .00 183.95 Grand Total 53.0.95 .00 .00 530.95. LQPERMr WE as CITY OF LA QUINTA SUB-CONTRACTOW LIST JOB ADDRESS IF -4 L '�SoL, PERMIT NUMBER OG -00.t � OWNER AWA [-?XV UVinV BUILDER la4--0.1,L9 d�J�.SGId C✓ This form shall be posted on the job with the Building Inspection Card at all times in a consnlcuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must' be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be com leted by applicant. "On File" is not an. acceptable response. _ Trade. /Classification Contractor State:Gontractor s Ucense . Wgtke.s Co egsatiottlnsurance Cit Business JExp,Date Company Name Classification License Number ,Exp. Dat Carrier Name Policy Number Exp.. Date License Number f (e.g. A, B, C-8). (xxxxxxl (x le.g. State Fund, CalComp)(Format Varies) (xk/xxlxx) (xxxx) EARTHWARK(C-121 /�/9P,1� �' S er �53 •fir �� I 06 v� �sT > /aoo0Zegq- 8 ONCRETE (C-8) /t�'l e mr l� — di (1s U 0 .�%�l.S 7 f0 � -S O! Q� 76 - FRAMING ®- ,CA- " - 147 FRAMING'(C-5) STRUCT. STEEL -(C-51) , t 70 4 MASONRY- (C-29) PLUMBING (C-36) 1'C-rM&s LATH; PLASTER (C-35) DRYWALL (C-9) :. . HVAC. (C=20) ELECTRICAL.(C=10) :"AVO SHEET METAL (0=43) A00' RING GLAZING (C-77)` : => INSULATION(C-2} . . SEWAGE DISP;" (c-42) PAINTING (C=33) CERAMIC TILE (C-54) CABINETS (C-6) 'FENCING (C-13) LANDSCAPING (C-27) AWAS e vo e- r co ✓6 i 01, Bin # City of La Quints Building a Safety Division P.O. Box. 1504, 78-445 Calle Tampico La Quints, CA 92253 -.(760) 777-7012 Building Permit Application and Tracking Sheet Permit # �0LL�� Project,Address:—j — C45A L'L S b L Owner's Name: �AQ �-1? b L17 A N.SC jA 1� A. P. Number: Address: Legal Description: City, ST, Zip: �\ . Contractor: VEL opgA r-,4 Telephone25( Address: , 6 p Project Description: M Yl,% ion City, STIzip. i> fps i4, c (-- ►L1A 4D 2 �' a4 A Telephone: State Lie. # : 'S 5y. City'Lic. #: ° Arch., Engr., Designer: Address: 'City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:1� (? na.dV Sq. FU#Stories: 1. # Units: Telephone # of Contact Person: (o �j q - 0 Estimated Value of ftoject: Cb CZ> ©r `!00 APPLICANT: DO NOT WRITE BELOW THIS UNE Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted i it Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance, Energy Coles. Plantbicked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20 Review, ready for corrections/issue 'Electrical SubcontactorUst Called Contact Person Plumbing Grant Deed Plans picked up S.M.Y. H.O.A. Approval Plans,resubmitted Grading WHOM:- Review, ready for corrections(issue Developer Impact Fee Planning Approval Called Contact Person A.U.P. Pub. Wks. Appr I Date of permit issue School.Fees i Total Permit Fees NEW 1/7 THK. COLORED CONCRETE SLAB CONCRETE STEPS POOL EQUIPMENT ELECTRICAL PANEL 2V HT. LOW WALL W/ CONCRETE ON TOP GAS METER MAIN DAWN UNDERWATER LIGHT FIXTURE CERAMIC TILE WATER MM WATERFALL E705TING 8 HT. BLOCK WALL INTERIOR STEPS PROPERTY UNE EIQSTING COLUMNS CONCRETE STEPS INTERIOR BENCH Q.,„74 Old' CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION W -� OILL v J O ns Q O J } z icL W-40 > CY z W Q Q^ Q m DATE November, 2005 SCALE SHEET: 1 SHEET TITTLE DIMENSION FLOOR PLAN 8� SECTION