06-2344 (RPL)P.O.BOX 1504
-' 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4'1
BUILDING & SAFETY DEPARTMENT
BUILDING -PERMIT
Application Number: 06-00002344 Owner:
Property Address: 51205 CALLE QUITO BRAUCKMANN
APN: 770-143-009-109 -000000- 50-855 WASHINGTON #227
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY -RESIDENTIAL ------------ ------------
Application valuation: 9000
Contractor:
Applicant: Architect or Engineer: Owner
LICENSED CONTRACTOR'S DECLARATION
I hereby 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, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 703.1.5, Business and Professions 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 1, 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
f 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, 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.). -
(_ 1 I am exympt under Sec. , B.&P.C. s re
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/12/06
e
JUN 2 9 2996 I U,
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.
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 Policy Number
I certify that, in the performance of the work for which this permit is issued 1 shall not employ any
person in any manner so as to become b' ters compensation laws of California,
and agree that,. if I should bec orkers' compensation provisions of Section
370QXf the Labor 9 ith those provisions.
IFLURE
Date:��A9plicant:WARNING: TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN*EMPLOYER TO CRIMINAL PENALTIES 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 above information is correct. I agree to comply with all
city and coun y ordi nces and state laws relating t�buifding co2patpvelro—n�,arhereby authorize representatives T_
of this cou to
er upon the above -mention
Date \ Z tSignature (Applicant'or
' Application Number
. . . . 06-00002344
Permit. . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
108.00 Plan Check Fee
70.20,
Issue Date . . . .
Valuation . . .
. 9000
'- Expiration Date
12/09%06
t Qty Unit Charge
Per
Extension
BASE FEE
45.00
7.00 9.0000
---------------------------------
THOU BLDG 2,001-25,000
-----------------------------
63.00
--------------
Permit
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
. . 0
Expiration Date
12/09/06
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
12/09/06
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
12/09/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA -PLB FIXTURE
12.00
1.88 3.0000
hA PLB WWrEx 1N5'1'%AL'1'/REP
3.00'
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL/SPA ALARMS/BARRIERS SHALL BE IN
LQPERMIT
-
Application Number . . . . 06-00002344
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION
EQUIPMENT ENCLOSURES NOT INCLUDED.
Fee summary Charged Paid Credited Due
Permit Fee Total 212.00 .00 .00 212.00
Plan Check Total 96.20 .00 .00 96.20
Grand Total 308.20 .00 .00 308.20 -
Prr
Bin #
'
City of La' _Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampito
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
n"'.A(A
�j
Project Address:' �J js�C/ 1e . L)
Owner'sName:�
A. P. Number:
Address: W^Std (K(��1� {� L�
Legal Description:
City, ST, Zip:
Contractor:�C_ L
Telephone: Q g17
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lic. # : -7-9(
CityLic. #:
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: MtKe-- 3uG �;ti
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: 260 95- ?2-6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMTT 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 correctionsrssue
Electrical
Subcontactor. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval °
Plans resubmitted
Grading
IN HOUSE:-
'"" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
EXISTING 6'0 BLOCK WALL (—"PROPERTY LINE 112.04'
SCALE: 1/8"=1'-0"
CALLS QUITO
I ns
AVENIDA TAMPICO
CSCOPYRIGHT OR COPY RIGHT PENDING.
THESE DESIGNS ARE THE PROPERTY OF
LENCH DESIGN STUDIOS,INC. UNAUTHORIZED
USE, IN ANY FORM, IS EXPRESSLY PROHIBITED AND
EXTENDS TO ORIGINAL AND MODIFIED DERIVATIVE
PLANS AND IS APPLICABLE TO INTENTIONAL AND
UNINTENTIONAL INFRINGEMENTS.
123
/ 132
d
AVENIDA LA JARITA
v
J
AVENIDA LA FONDA
A. P . N .: 770-143-009
ADDRESS: 51-205 CALLE QUITO
LEGAL: LOT #109, DESERT CLUB TRACT UNIT #5
CIN OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
. DATE i �l'.' I ()1 � BY IT-
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON
TIDE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTfONS!
PLANS PRIPARED BY.
LENW DESIGN
ST[TDIO,INC.
A.P. LENCH H
REVISIONS I g
ADDED FAU ROOM
M.C.
DRAWN
K.R.
CHECKED
S.L.
DATE
06-5-06
SCALE
1/8" = 1'-0"
JOB NO.
2005-072
SHEET
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DRAWN
K.R.
CHECKED
S.L.
DATE
06-5-06
SCALE
1/8" = 1'-0"
JOB NO.
2005-072
SHEET