08-0465 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA., CALIFORNIA 92253
Application Number:
r08-00000465
Property Address:
_ 81818 RANCHO SANTANA DR
APN:
767-200-999-3 -312023-
Application description: POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
18000
Applicant: Architect or Engineer:
P /A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED NTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licen d under provisions of Ch -pt 9 (commencing with
Sectio s0) off Division 3 of the Business and �rofe�ion Li Code, and 6 205 in full force and effect.
Licens la s: 53 A License No.: 69205
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I m exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and rofessions 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).:
(_ 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 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.).
(_) 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
LQ[TR.AM
Owner:
CRAIG ALLEN
81818 RANCHO
LA QUINTA, CA
(760)777-9920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/1.7/08
SANTANA DRIVE
92.253
Contractor:
CAHUILLA POOL CC
P O BOX 2569
PALM DESERT, CA
(760)396-5886
Lic. No.: 692059
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 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 STATE FUND Policy Number 0026982-2007
I certify that, in the performance.of he work for which this permit is issued, I shall not employ any
person in any manner so as betl`ome subject to the workers' compensation laws of California,
and agree that, if I should be�om�subject to the workers' compensation provisions of Section
13700 of t4pl. bor Cod I s II fottthwith comply with those provisions. n
WARNING: FAILURE TO SECURE WOR S' COIGIPENSATION COVERAGE IS UNLAWFUL, A -f B'SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 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.
I certify that I have read this application and state that the abo a in rmation is correct. I agree to comply with all
city and county ordinances and to laws relating to buil 'ng nstr ction, and hereby authorize represe tatives
of this court to enter upon above-mentioned grope for pe ion purposes.
Date: nature (Applicant or Agent):
Application Number .
. . _ . 08-00000465
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee,
189.00 Plan Check Fee
122.85
Issue Date . . . .
Valuation . . . .
18000
Expiration Date
9/13/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
-----.-------------------------------------------------•----------------------
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee,
26.00 Plan Check Fee'.
6.50
Issue Date
Valuation
0
Expiration Date
9/13/08
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
9/13/08
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 . . . .
27.00 Plan Check Fee-
6.75
Issue Date . . . .
Valuation
0
Expiration Date
9/13/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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
SPA ONLY. ALARMS/BARRIERS
SHALL BE IN
LQPERA11T
Application Number . . . . . 08-00000465
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 2'87.00 .00 ..00 287.00
Plan Check Total 147.35 .00 00 147.35
Grand Total 434..35 .00 .00 434.35
LQPERAI IT
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hDortont Notice — UndergroundService Alert Cmstrvctlon contractor agrees that in accordance with generally accepted construction
practices, construction contractor will be required to assume sole and complete responslbiiity for
Section 9216/07 of the Commmetlt Code requires job site conditions during the course of construction of the project, including safety of all persons
i a Dig Aleft idantWation Number be issued befM a and property; that this requirement shall be made to apply con kuxsly and not be limited to
Amit to Iscavate' uQ be valid For gpur Dig Alert normal working hours, and construction contractor further agrees to defend, indemnify and hold
Identifieaiion Number call Underground Seruiee Alert design professional harmless from any and all !lability, real or alleged, In connection with the
TOLL FREE at 1-800-227-2600 two barking days perfomlance of work on this project, excepting ilabilittl arising from the sole negligence of design
before you dig. professlonai.
RANCHO SANTANA DRIVE
LEGEND --
--- INDICATES 5MTION
L-rJ INDICATES %EET MMBM
P.A. PLANT AREA
AREA SCHWUL F-
;pA
b4 . Ft.
FA PERIMETER
52 Ln. Ft.
5PA GAP
58 . Ft.
)EGK (BY OTHER5)
1,112 5cl. Ft.
d
OWNER, to determine approximate etevation of pool on day of
SCALD 1/8' = 1'-0' excavation.
Pool area to be fenced. by owner PPer county or city ordinance.
Gates to be self closing and self latchtng.
IDo not turn on pool light when pool Is empty.
0 8' 16' 24' 32' Wet down concrete shett at least twice dally for 14 days.
Do not use rugger hose when fitting poot as it will mark plaster,
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City of La Quinta
Building a 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: !
Ownei:'s Name:
A. P. Number: 7
Address:r I D �Q�+ 1►Q. W
Legal Description: .{.
Contractor: e q � :tta�Telephone:
—T�i�{ii �, t�ii�(__,
City, ST, Zip:
i •
Address: ;4 2,t; coot
Project Description:
City, ST, Zip: LM=AC's
Telephon : -I pD, M p
State Lic. # : C,09 Z,(%.S1 City Lic. #: .
Arch., Engr., Designer: i
. 1
;r
Address:
City, ST, Zip:
,
Telephone: t
State Lic. #:
Name of Contact Person:.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft::
#Stories:
#Units:
Telephone # of Contact Person:
i
Estimated Value of Project: 016 wo. 0 a
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
Energy 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.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'd 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 Permit Fees
-
c