05-5073 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-iht 4 4 Q" -
Application Number:
05-00005073
Property Address:
57730 RESIDENZA CT
APN:
764-010-011-85 -30092 -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5000
Applicant: . Architect or Engineer:
A - -,/ 4 C, -) q
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
� 1
�pV 18 2005 D
------------------------------------ €OYor
LICENSED CONTRACTOR'S DECLARATION PINA
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (com encin i
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:jjj: � Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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 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, 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 withi
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 o
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 7.77-7011
INSPECTIONS (760) 777-7153
Date: 11/17/05
Owner:
K. HOVNANIAN FORECAST HOMES
4240 E. JURUPA ST. STE.'402
CHINO, CA 91710
Contractor:
CALIFORNIA POOLS & SPAS
WCC: SEABRIGHT INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
IQU NTPo
NC------------------------------------='----
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.
x I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
T Code, for the performance of the work for which this permit is issued. My.workers' compensation
insurance carrier and policy number are:
Carrier C8 C27 C29 C53 Policy Number - - - - -
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as 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
3700 of the Labor Code, ishall forthwith comply with those provisions.
DaWo-O Applicant:
. WARNING: FAILURE TO SECURE WO KERS' 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
n 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 county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propeH� fo action purposes.
Da gnature (Applicant or Agent):
Application Number
. . 05-00005073
Permit
BUILDING PERMIT
Additional desc .
Permit Fee. . . . .
72.00
Plan Check Fee ..
46.80
Issue Date . . . .
Valuation
5000
Expiration Date
5/16/06
Qty Unit Charge
Per
Extension
BASE
FEE
45:00
3.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
27.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . .
16.35
Plan Check Fee ..
4.09
Issue Date
Valuation . . .
. 0
Expiration Date
5/16/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .4500
7 ------------------------------------------------------------------------
EA ELEC
DEVICE/FIXTURE >20
1.3S
Permit . . .
PLUMBING
Additional desc .
Permit Fee
18.00
Plan Check Fee
4.50
Issue Date
Valuation
0
Expiration.Date
5/16/06
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
-------------------------------------
BARBEQUE #Z21-58-1995
-------.---------------------------------------------------------------------
Other Fees .
. . . . ENERGY REVIEW FEE
4.68
Fee summary Charged
Paid Credited
Due
Permit Fee Total
106.35
.00 .00
106.35
Plan Check Total
55.39
.00 .00
55•.39
Other Fee Total
4.68
.00 .00.
4.68
Grand Total
166.42
.00 .00
166.42
LQPERMIT
STAINLESS
STEEL
GRILL CL SINK
LIGHT. -
'STONE OR
TILE
COUNTER
PROVIDEMENT, WASTE, AND
PLUMBING -FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
00 001 GFI
7
RE F. OUTLET
cf)
ui LIGHT'
Fy PRE -HUNG 740 0 CSTUCCO OR SWITCH
S.S. DOORS STONE (WATERPROOF)
VENEER
I I IT 1- 1 17=1
1313Q..
LENGTH VARIES
ANSI #
FREE—STANDING OUTDOOR KITCHEN FRONT ELEVATION BTU
11 1 11 U.L. APPROVED.
1/2 =1 —0
F cf)
oj
I.LIG
GRILL REF.
ADAPT DIMENSIONS
FREE—STANDING -OUTDOOR KITCHEN PLAN TO FIT APPLIANCES
6X8XI6 CMU;'GROUT CELLS WITH STEEL.
#4 BARS VERT, AT 241, O.C. (TYP-)
cf)
Lu
Lu BBQ LAYOUTS MAY VARY. W<
FOOTING SIZE & REINF. ARE TYPICAL.
FREE—STANDING OUTDOOR KITCHEN— FOUNDATION IJLAIN
0
2"- I'l -0U
- -------------
711- 7
STONE CAP, TILE
OR POURED CONC.
#4 BAR HORIZ. AT
y P.)
b.
QR0':7t..8LL"8`w I'TH:-,ST
........................
l';..;iVERT-.'-.. T
A
4" O.C.'(TYR.)
244 BARS HORIZ. CONT. -
4 4
L6" L VARIES L6
r�nrti
lAlAl I
2"- I'l -0U
- -------------
711- 7
W....._..,.. _
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-70112
Building Permit Application and Tracking Sheet
Permit #
73
Project Address:k5?- QCSi d i�Z� e,'-
Owner's Name: ;+
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor
�� . ` • �
t
Telephone: �
:.vim
i ' p,'- y �,��
Address: ago
isu
Project Description:
City, ST, Zip:
Telephone:766�pG v7 -(7222
r
State Lic. #: (-5-ro ( 2 $
City Lic. #:
Arch., Engr., Designer:
Address:
I
City, ST, Zip:
Telephone:
4'
State Lic. #: MUMMM
Name of Contact Person: O`G��
Construction Type: Occupancy:
� p ./:
Project type (circle one): New Afld'n Alter Repair Demo
Sq. Ft.:
# Stories: I
#Units:
Telephone # of Contact Person: 2 tj 0--�/(//. S/277$-D,?
Estimated Value of Project: C)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
I �S
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Flood plain plan
Plans picked up
Plans resubmitted
Construction
Mechanical
T
Grading plan
Subcontactor List
Grant Deed
2" Review, ready for corrections/issue
Called Contact Person
Plans picked up
Electrica
Plumbing
S.M.I.
r, J91,75
OJt( t�
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" 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