05-1840 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number.
v'-'05-200.60.184A_„�
Property Address:
81141 RED -ROCK -RD
APN:
764-270-999-55 -300233-
Application description: POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
17000 '
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70 00) 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
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 td 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.).
1 _ 1 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) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/26/05
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
CALIFORNIA POOLS &•SPAS
WCC: SEABRIGHT INS
WC: BB1050510_ 01/01/06
CSLB: 656128 10/31/06
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. '
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 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, I shall forthwith comply with those provisions. '
Date: Applicant:
WARNING: FAILURE 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 issuanceof 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 property for inspection purposes.
Date: Signature (Applicant or Agent):
LQPERMIT
Application Number
05.00001840
Permit
BLDG POOL PERMIT
Additional desc ...
Permit Fee . . . .
180.00 Plan Check Fee
117.00
Issue Date
5/16/05 Valuation . . .
17000
Expiration Date
11/12/05
Qty Unit Charge
Per
Extension
BASE FEE
45.00
15.00 9..0000
THOU BLDG 2,001-25,000
135.00
Permit . . .
MECH POOL
Additional desc .
" Permit Fee
`26.00 Plan Check Fee
6.50
Issue Date
5/16/05 Valuation
0
Expiration Date
11/12/05
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
5/16/05 Valuation
0
Expiration Date
11/12/05
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 . . . .
5/16/05 Valuation . .
0
Expiration Date
11/12/05
Qty Unit Charge
Per
Extension
BASE FEE
15..00
2.00 6.0000
EA PLB FIXTURE
12.00
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
POOL & SPA'ONLY. ALARMS/BARRIERS SHALL
Application Number .. 05-00001840
Special Notes and Comments
BE.IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee 'summary Charged Paid Credited Due
----------------- ----- - ---- ---------- ---------- ----------
Permit Fee Total 284.00 284.00 .00 .00
Plan Check Total 143.00 143.00 .00 .00
Grand Total 427.00 427.00 .00 .00
LQPERMIT
Bin # '
City of La Qu►nta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�(J
Project Address: Sl k D Owner's Name:
A. P. Number: ,4, Address:
Legal Description: City, ST, Zip:
Contractor: h
C L D one• �
Ls 0 Telephone:
Address: ��C�® Project Description:
City, ST, Zip: C d to
5 ATelephone:
State Lic. # City Lic. #;
Arch., Engr., Designer:
Address:
�L
City, ST, Zip:
K.
Telephone:
hone: Construction stru ' e: Occupancy:
on TYP cu P anc Y
State#.
L c i . • '': Project ct le n
e . N
type (circle rc Add' n Alter Repair Demo
o
Name of Contact Person: PAN Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: ? f 77 Estimated Value of Project:. - v
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Title 24 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:-
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
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 C'ALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
August 26, 2005
Ms. Esther Sanchez
Riverside County Assessor's Office
325.5 E. Tahquitz. Canyon Way, Suite 114
Palm Springs, CA 92262-6962
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
APN: #764-270-999-55,
L
Dear Ms. Sanchez:
Please be advised of an address change for the following pool. The pool was incorrectly
issued to.81-124 Red Rock Road, La Quinta, Permit #05-1840. The correct address is
81-141 Red Rock Road, La Quinta.
Please make a note if this change. If I may be of further assistance; you may contact me
directly at (760) 777-7074.
Sincerely,.
Therese Vella-Finorio
Senior Secretary
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