06-1111 (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:
(06-00001111,
!4996.0 PATTI CT
649-520-998-3 -290533-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
22000
c<t 4 -4 Q" -
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
. BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
1 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 Pr fessionals Code, and my License is in full force and effect.
License Class: C8 C27 C29License No. 656128
ate Contracto(/
LA I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am a empt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Profes ' ns 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.).
1 _ 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.).
(_) I am exempt under Seca , 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
Owner:
PM RENAISSANCE, LLC
9968 HIBERT STREET,
SAN DIEGO, CA 92131
Contractor:
CALIFORNIA POOLS &
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
r
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/17/06
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.
1 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 HRH INS Policy Number BB1060510
_ 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 beco bject to the workers' compensation provisions of Section
3700 of the Labor Code, I h ith comply with those provisions.
Dal1s:/ //� Applicant`
WARNING: FAILURE TO SECURE WORKERS' C MPENSATION 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 co my ordinances and state laws relating to building const ction, and hereby authorize representatives
of this unty to enter upon the above-mentioned propert or inspe n purposes. '
Date:5Signature (Applicant or Agent):
Application Number .
. 06-00001111
Permit . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
225.00 Plan Check Fee
146.25•
Issue Date . . . .
Valuation
22000
Expiration Date
9/13/06
Qty Unit Charge
Per
Extension'
BASE FEE
45.00
- 20.00 9.0000
7 ----------------------------------------------------------------------
THOU BLDG 2,001-25,000-
180.00
Permit . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
.6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
9/13/06
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
9/13/06
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
9/13/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA, PLB FIXTURE
12.00
1.00. 3 . UUUU
$A YLli WATER iNST/AL'T'/REP
S.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
LQPERMIT ..
.
Application Number 06-00001111
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT. t
Fee'summary Charged Paid Credited Due
Permit Fee Total 329.00 .00 .00 329.00
4 Plan Check Total 172.25 .00 .00 172.25
Grand Total 501.25 .00 .00 501.25
Permit #
Project Address: /I5
A. P. Number:
Legal Description:
Address: -t'o
City, ST, Zip- 't�
Telephone: AWO 3q1�-- JZZ
State Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading. plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
N
City of. La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
CT Owner's Name: CD r
Address:
City, ST, Zip:
City Lic. #:
IN
Project Description:
_
Q
Construction Type: OccuDancy: .
Project type (circle one): Add'n .Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Estimated Value of Project:. 2 21 C O 0.
APPLICANT:
DO NOT WRITE BELOW THIS LINE
Recd
TRACMG _
PERMIT FEES
Plan.Check submitted
3//7
Item
Amount
Reviewed; ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Ba4ance
Plans picked up
Construction
Plans resubmitted
Mechanical
2°" Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
S.M.I.
Plans picked up
Plans resubmitted
Grading
Developer Impact Fee
A.I.P.P.
7rd Review, ready for corrections/issue
Called Contact Person
Date of permit issue
Total Permit Fees