06-3741 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q",
Application Number: r_
06-00003741
Property Address:
49815 RANCHO SAN FELIPE
APN:
649-610-025-61 -28964 -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7000
Applicant:.
Architect or Engineer:
ala -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BROCK CLAUDE W
49815 RANCHO SAN FELIPE
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & S
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
-------------------+------------------------------------------ - - - - - -
UC SED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that nsed'under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine nd I�rofe onaIs Code, and my License is in full force and effect.
License Class: C$ C27 C2_ I License No.: 656128
[iOWNER.BUILDER DECLARATION
I hereby affirm under penalty of perjury tha I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business an Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repo; any structure,- prior to its issuance, also requires the applicant for the
Permit to file a signed statement that he or s e is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with S tion 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the ba !s 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).:
(_) 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 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 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:
LQPER)N[T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/24/06
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.
_y__I have and will maintain workers' co ensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the ark for which this permit is issued. My workers' compensation
insurance carrier and policy nu er are:
Carrier SEABRIGHT Policy Number BB1060510
I certify that, in the performance the work for which this permit is issued, I shall not employ any
person in any manner so as t b e ubject to the workers' is
laws of California,
and agree that, if I should be a subje t to the workers' compensation provisions of Section
3700 of the Labor Cod_e I s II orthwit comply with those provisions.
WARNING: FAILURE TO SECURE WORKJT-EREST,
R8'- COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
SUBJECT AN EMPLOYER TO CRIMINALENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TOHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, I AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this pplication.
1 . Each person upon whose behal this application is made, each person at whose request and for
whose benefit work is performed under or pursuant any permit issued as a result of this application,
the owner, and the applicant, each agrees to, ands all 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 per..laae
2. Any permit issued as a result of this applicames null and void if work is not commenced
within 180 days from date of issuance of it, or cessation of work for 180 days will subject
permit to cancellation.I certify that I have read this application and state that tnf ation iscorrect. I agree to comply with all
city and county ordinances and state laws relating to bustruc ' n, and hereby authorize representatives
of this county to enter upon the above-mentioned propaW-ction urposes.
(Applicant or Agent):
r(
Application Number . . . 06-00003141
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . .
90.00
Plan Check Fee58.50
Issue Date . . . .
Valuation . . .
. 7000
Expiration Date
4/22/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
5.00 9.0000
---------------------------------
THOU BLDG
-------------------------------------------
2,001-25,000
45.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17.25
Plan Check Fee
4.31
Issue Date . . . .
Valuation . . .
. 0
Expiration Late
4/22/07
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
4/22/07
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
BBQ PER APPROVED PLAN.
Fee summary Charged
Paid Credited
Due
Permit Fee Total
125.25
.00 .00
125.25
Plan Check Total
67.31
.00 .00
67.31
Grand Total
192.56
.00 .00
192.56
LQPEnlrf
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Permit # . P.O.. ft :1 D -?f, X78-.495 Cai6 Tampico
tuinta, CA`.923.= 17¢0) 777-7012 .
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:Legal Description:
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: State Lic. #
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Arch., Engr., Desiguer: '
Address: -
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Telephone:'
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`State.Lip. #:
? Oct type (circle:one): Add'n 'Alter Repair
Name '£Contact Person ;;:r"' ;,;, ;'a;
• .. .. . _ .. '� �::. .9 #.Stone's• #Units• - .
T•elephortie.# df-ContactPer�on:
5 ,: kstiruated Value.of Project . o cs cC)
PRUPANT, Ao,.1uor;V11�ITE 13�!•�lly.THI$ I,IIyE.
# Submittal Req;a' .Reie�a...
Plan Sets_;:.;:.;:,.,.:,..._.,4:;r;•;:;,.,::�.. ; .. ti
.. .Cbecl;-s►jbmitted
StructuralCalcs. .:,; <,=.t ,, .. . F7. Amo
. unt
�..•
Reviewed, ready for.coqectlons
Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Cales. Plane pic]ed tip
Construction • 90.
Flobd plain plan Plans resubmitted
Mechanical
Gradingplaw 2 •:lleview, ready for corrcetio"rusue Electrical
SabcontactorList
Called Coqaet Person :•Plumb[ng
Grant Deed cuZ t7J
Plans picked up SALL
ILO:A.•Approval Plans resubmitted
Grading
INHOUSE:- .Review, ready for correctionslissue !Developer Impact Fee
Planning Approval Called Contact Person
• A.I.P.P.
Pub. Wks. Appr Date of permit issue
School Fees
• . •Total Permit Flies � '