09-0685 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
Application Number: 09�- 0
0.000.6� Owner:
Property Address: 78658 PEERLESS PL BARBER
APN: 770-310=007- - - 78658 PEERLESS PLACE .
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 76500' D
c_,.. _... Contractor:. 1
Applicant: Architect or Engineer: AZURE POOLS AND SPAS
P.O. BOX 10641
PALM.DESERT, CA 92255
I
(760)322 -7665 -
VOICE (760) 777-7012
FAX (760) 777-7011 ;.P.
INSPECTIONS (760) 777-7153,.
Date: 7/06/09
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lily �310D9.. .
C1 iIN
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Lic. No.: 80291-9
- LICENSED CONTRACTOR'S DECLARATION
WORKER'S. COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am'licensed under provisions of Chapter 9 (commencing.with
•I hereby affirm under penalty of perjury one of the -following declarations:
Sectiorc7000).of Division 3 of the Business and Professionals Code, and my License is in full force and, effect.
I have and will maintain a certificate.of consent to self -insure for workers' compensation, as proJided
License Classy @43 icense No:: 802919`-'
_
for by Section 3700 of the Labor Code for performance' f the work for which this permit is
lite: tractor: . . _ _
OP
issued. .:
I have andwill maintain, workers' compensation insurance, as required by Section 3700 of the Labor
/
.Code for the performance ofthe work for which this`permrt is issued.. My workers'. compensation
- OWNER=BUILDER DECLARATION.
insurances carrier and policy'number, are
I hereby affirm under penalty. of perjury that'I am -exempt frorn the Contractor's State License.Law for the
•,
"Carrier DELOS 'INS' -CO '• Policy Number -'02DKRM12002794 '
fbllbwing reason"(Sec.-7031:5, Business and Professions'Code::'Any city:or,countythat requires: a: permit to
_ Pcertify,that; in the performance of the -work "for which this permit is issued, I'shall not employ _any. .
construct, alter,amprove; demolish, or repair any structure, prior to its issuance' -also requires the applicant for the :
person in,any manner so as to become subject to the workers"compensation laws of California,
permit to file a,silfned°statemeot:that he. or she is licensed pursuant to the provisions of the- Contractor!sState .
and agree that; if I should b me subjtct thewprkers'compensation provisions ofSectionLicense
Law. (Chapter. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or -
3700 the L or Code, I o wp ywith those provisions.
or exet.therefrom and the basis,foi the alleged exemption. Any violation of Section 7031`5 by
that'lte mp
���J
• �, any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollarss($500):: -
Date: plicant.•`
. ('•� 1 I, as owner of the property•or my employees with wages -as their sole, compensation; will -.do the work, and
-
the structure isnot intended or offered for sale (Sec. 7044, Business and. Professions•Code:- The
WARNING: URE TO SECURE WORKERS' COMPENSATION,COVERAGEJS UNLAWFUL; AND SHALL
Contractors' State License Law does not apply 6 an owner of:.property who builds or, improves thereon, -
SUBJECT AN'EMPLOYER TO CRIMINAL' PENALTIES AND CIVIL FINES UP TOtONE•HUNDRED THOUSAND
' and who does the work himself orheiseIf through his or her own employees,.provided that the. `
DOLLARS_I$100,000). IN ADDITION TOTHE COST OF,CONIPENSATION, DAMAGES AS PROVIDED FOR IN
-improvements are,not intended or'offeied'foi sale: If;'however, the building,or,improvertien' Vis sold within
- SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
' one yearof'completion; the owner -builder will have the'burden of proving that he or she did not build or
'improve.for thepurpose of sale.). ` -
APPLICANT ACKNOWLEDGEMENT
(_) I, as ownerof the property; am.exclusively: contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director_ of.Building and Safety for a permit,subject to the .
7044; Business and Piofessions Coder The Contractors' State'License Law does norapply to. an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon; and who contracts for the projects with a contractor(s) licensed
1. - Each person upon whose behalf this application is`made, each person, at whose request and for _
pursuant to the Contractors' State License Law.). - - •
whose benefit work is performed under or pursuant'to�any,permit issued as a result of this application,
(_) I am exempt under Sec. ' , B.&P.C. for this reason
the owner, and the'epplicam, each agrees to, and, shall; defend, indemnifyand 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.
Date: Owner:
2. - Any permit issued, as a result of this application becomes null and void if work isnot commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
' CONSTRUCTION LENDING AGENCY _
permit to cancellation.
I hereby affirm under penalty oUperjurythat there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.): -
city and county ordinances and st te,laws relating.to buil construction, and herauthorize representatives
and
of this county to e r n bove-mentioned prop r y 'n 'on purposes.
Lender's Name:
Date: i ture (Applicant or Agent): '
Lender's Address: '
LQPERMIT \��
LQPERAI[T
e
Application Number . . . . . 09-00000685
Permit . . . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 180.00 Plan Check Fee
117.00
Issue -Date Valuation . . .
. 16500
Expiration Date 1/02/10
Qty. Unit Charge Per
Extension
BASE FEE
45.00
15.00 9.0000 THOU BLDG 2,001-25,000
135.00
Permit . . . ELEC POOL PERMIT -RES'
Ad &:tional` dsc
•,Permit Fee 45.0-0' Plan Check Fee
11.25
Issue,Date Valuation
0
Expiration Date 1/02/10
Qty.. Unit Charge Per
Extension
BASE; _:FEE
•1.00 30.0000 EA ELEC:PRIVATE •SWIMMING -'POOL
3,0.00.
Permit PLUMBING' "
-Additional desc..
Permit Fee 27.00 Plan. Check. Fee .-
6`':75
Issue Date Valuation ..
0
Exp rat on.:Date 1/02/10V
Qty Unit ,.Charge Per
Extension
1.00 6.00,00,.EA PLB FIXTURE
6'.00
.1: 00 3:OA00 EA PLB WATER INST/.ALT/REP3.00
1.00. 3.0000 EA PLB.GAS..PIPE 1-4 -OUTLETS-
3.00
----------------------------------------
Special-Notes and Comments_
WATER FEATURE/.POND•.@ FRONT`COURTYARD
WITH •4.. PEDESTALS. PLUMBED FOR •FIRE. .
FEATURES,'. .
----------------------------------
Other Fees . . . . . BLDG STDS.ADMIN..(SB1473)
1..00
Fee summary ..Charged Paid Credited
Due'
------
Permit.Fee'Total 252.00 .00 .00
252.00"
Plan Check Total 135.00: .00 .00
13.5.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 388.00 ."00 .00
388.00
Bin # .
City of La Qdi
Building &r Safety'Dlvislon
Permit #
P.Q. Boz 1504, 78=,495 Calle Tampico
0
La Wnta, CA'•92253'- (760) 77,7-7012
-- . -
Utlqing,-Permit ApOlidtton'a*nd Tracking Sheet
Project Address:
Owner's Name S •
A. P. Number:'Address:
p ,
Legal Description:
City; ST, Zip:
/•
Contractor:-A i Q
S. S
4..:Y::N�t:
Telephone:;
Address:
Project Description:��
City, ST, Zip:ALP
S;
Telephone: _
�• ',,ho's ��A•:;;>.;�.r•:
State Lic. # .
•
aCity Lic. #
(�.
Arch., Engr., Designer:.
Address:
City., ST, Zip: .
Telephone:
Construction Te:,
Occupancy. •
State Lic.
> x,: /...<....r./� a :. •,.<'•�<
Project 4ype (circle on Ne Add'n After Repair Demo
Name of Contact•Peison:
Sq. Ft #Stories:
#Units:
Telephone # of Contact Peron:
a _
Estimated Value:of.Pro�ect
APPLICANT: DO.•NOT,WRITE, BELOW THIS.LINE
#
Submittal
Req'&
Recid
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submittedD
I
Item Amount
Structural Calcs.
Reviewed, readyfor corrections .
Plan Check Deposit
Truss Calcs.
Called Contact Person
PlanCheck Balance
Tithe 24 Calcs.
Plansicked'uP
P
--
ConstraeH- -
,c
Floodplain plan
P P
_
Plans resubmitted
.
Mechanical
Grading.plan
V Review, ready for corrections/issue
Electrical r
$ubcontactor List
Called Contact Person
Plumbing. .
Grant Deed
'Plans picked up:
;S.M.I.
H.O A. Approval
Plans resubmitted
:Grading
IN HOUSE:-
'rd Review, :ready for corrections/issue
Developer Impact Fee
Planning, Approval
Called, Contact,Person
tA,I,P,p,
Pub. Wks. Appr
Dat e.of permit issue
School; Fees .
Total Permit Fees
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Oi Project Name
BARBER
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2'-0" DEEP N \ , \
78658 Fearless Place
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La Quinta, CA
P/A
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k (/ sp• �'�-t�� Vb I 64.50 T.G. �/ 6tY c \, - �� 1 O �'
C ,�.�. LOT 3 �,�
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2'-0" DEEP P/A ,
Soto
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1.75 T.W.
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56.0 T Q 1 '
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3.6 DEE :DEEP
63.5 T.P. iC �� 6:450 T.P. r.
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L — J P/A 1.75 T. . — J 61.75 T.W.
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1'59.50 T.W.
8.0 F.S
ti 56.50 F.S.
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- ' — — — , Project No.
— I r— POOL EQUIP 1
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` \ 70/
Scale: 1/8"=1'-0"
Date: 1240-08
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55
45 rte.
Revision No.
Description
12-18-08
Updated Landscape Pian
1-21-09
Hardscape Plan Update
4-21-09
Hardscape Plan Update
4-22-09
Hardscape Plan Update
5-21-09
Hardscape-Plan Update
5-26-09
Hardscape Plan Update