07-1079 (RPL).C-
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
- —
Application Number: X07-00001079
Property Address: 81591 RICOCHET WY
APN: 767-200-999-29' -312021-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18000
Tit�l
" - -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
-- - - - - - - - - - - -- -----------------------------------
LICENSED CONTRACTOR'S DECLARATION
I here y affirm under penalty of rju t I am licensed under provisions of Chapter 9 (commencing with
Secti 700 ) of Division 3 of the s and Professionals Code, and my License is in full force and effect.
Licen Clas C53 License No.: 658996
at ntracto
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury the m exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and rofessions 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 (5500).:
1 _ 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
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 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. , BAP.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
LQPERAIIT
Owner:
AL POSTI
81591 RICOCHET WAY
LA QUINTA, CA 92253
(760)777-9920
Contractor:
FAMILY POOLS CONSTRUC'.
P O BOX 283
LA QUINTA, CA 92247
(760)564-3655
Lic. No.: 658996
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/10/07
---------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 perfornce of the work for which this permit is issued. My workers' compensation
insurance carrier and (icy number are:
Carrier STATE FUND Policy Number 1344032-06
I certify that, in the perf ante oft ork for which this permit is issued, I shalt not employ any
15
person in any manner as to come subject to the workers' compensation laws of California,
`and agree that, if I ome subject to the workers' compensation provisions of Section
_x}700 of the Labor o all fo¢hwith comply with those provisions.
WARNIN(j: FRULURE TO SECURE WORK RS1COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL JLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INT ST, 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 applic on
becomes null and void if work is not commenced
within 180 days from date of issuance of ch permit, or cessati work for 180 days will subject
permit to cancellation. '
I certif that I have read this application and state that t abo ormation is correct. I agree to comply with all
city n cou y ordinances and state laws relating to g construction, and hereby authorize representatives
of th c u�ntl�to a%er upon the above-mentione pe r inspq�ion purposes.
11
_Sig lure (Applicant or
Application Number 07-00001079
Permit . . . .BLDG
POOL PERMIT
Additional desc .
Permit Fee
189.00 Plan Check Fee
122.85
Issue Date
Valuation
18000
Expiration Date
10/07/07
Qty. Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
--------------------------
THOU BLDG 2,•001-25,000
------------------------------------
144.00
------=-------
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation
0
Expiration Date
10/07/07
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
10/07/07-
0/07/07Qty
QtyUnit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
27.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/07/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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. ALARMS/BARRIERS
SHALL BE IN PLACE
LQPERMIT
Application Number . . . . . 07-00001079
-----------------------------------------------=----------------------------
Special Notes and Comments
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 287.00 ..00 .00 287.00
Plan Check Total 147.35 .00 .00 147.35
Grand Total 434.35 .00 .00 434.35
LQPERMIT
wall by Landscaper
La uuunia, vri
P
238-4870
CITY OF LA QUlii TA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA lO-U7BY
1/811=11 /8"=1'
Construction
Pools Spas Fountains
(760)564-3655
Lic. #658996
Bin #
City of La Quinta .
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit #
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
1
6,� Owner's Name: r j2 DSII
Project Address:'
Address:
A. P. Number:
Z2S3
.
u
City, ST, Zip: WTD
Legal Description:
`�, f
Contractor: U—
Telephone:
Zt�2, of f
jD Q
OBJ
Project Description:
Address:
r '
2— �3
City, ST, Zip:
Telephoner` �—
State Lic. # : ',
City Lic. #,.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Construction Type: Occupancy:
Telephone:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Sq. Ft.:
# Sto •es:
#Units:
Name of Contact Person:
Coo
9Q'
5 3
Estimated Value of Project:
Telephone # of Contact Person:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd
PERMIT FEES
Ree'd TRAC MG .
Plan Check submitted Item Amount
Plan Sets
corrections Plan Check Deposit
Reviewed, read'fo-
Structural Cala.
Plan Check Balance
Truss Cales.
Called Contact
Energy Cales.
Plans ticked up Construction
Flood plain plan
Plans resubmitted Mechanical
ady for correctionsrissue Electrical
Grading. plan
Subcontactor List
ct Person Plumbing
.
Grant Deed
up S.M.L
H.O.A. Approval
itted Grading •.
Mu
eady for correctionslissue Developermpact Fee
Jw
IN HOUSE: -
Planning Approval
Called act Person A.LP.P.
Pub. Wks. Appr
it issue
School Fees
LtFees