06-4327 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �6a-00004327 ,
Property Address: 81677 RICOCHET WY
APN: 767-200-999-34 -312021-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 32000
Applicant: � Architect or Engineer:
NI/A
•t 4 4 "
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 7000).of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C53 License No.: 665655
ate: IZ2 Z D ntractor:�S/
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 _ 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.). -
(_) 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 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
Owner:
O ! Date:h,2/19/06
BOB & KATHY TOOMEY
81-677 RICOCHET WAY DEC 2006
LA QUINTA, CA 92253
(760)469-3615 CiTYOFLAa WA
Contractor:
RAMMELL POOL CONSTRUCTION
1800 EXECUTIVE DRIVE
PALM SPRINGS, CA 92262
(760)320-7010
Lic. No.: 665655
-----------------------------------------------
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 REDWOOD' FIRE Policy Number W6A37144
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, ' sho Id become subject to the workers' compensation provisions of Section
3700 �of th abor C eFshfo ith comply with those provisions.
ate: pplicanavWARNING: FAILURE TO SECURE WORNSATION 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 cancell�atiponi
I certify that I have read this nd state that the above information is correct. I agree to comply with all
city and county ordinances an relating to building construction, and hereby authorize representatives
of thi ounty to enter upontioned property r insp do purposes.
ate: �Z ignature (Applicant or Agentl:
Application Number .
. . . . 06-00004327
Permit
BLDG POOL PERMIT
BASE
Additional desc .
15.00
2.00
6.0000 EA
PLB
Permit`Fee . . . .
297.50
Plan Check
Fee
193:38
Issue Date . . . .
3.00
Valuation
. . .
. 32000
Expiration Date
6/17/07
----------------------------------------------------------------------------
Special Notes and Comments
Qty Unit Charge
Per
ALARMS/BARRIERS
SHALL
Extension
BASE
FEE
252.00
7.00 6.5000
----------------------------------------------------------------------------
THOU BLDG
25,001750,000
45.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
6/17/07
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
6/17/07
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 . . 6/17/07
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,
ALARMS/BARRIERS
SHALL
BE.IN
LQPERMIT
Application Number . . . . . 06-00004327
Special Notes and Comments
PLACE.AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary_ Charged Paid Credited Due
----------------- ---------- -------- ---------- ----------
Permit Fee Total 401.50 .00 .00 401.50
Plan Check Total '219.38 .00 .00 219.38
Grand Total 620.88 .00 .00 620.88
f
LQPERMTT
Bin ffCity
of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
.,
'
Project Address: 161 7 % ��� c c 0-Y,
Owner's Name:
A. P. Number:
Address: 816 7 c,
Legal
Legal Description:
Contractor: fG,y,y,Q /
r �dGt7 � N
City,'ST, Zip: k At/r Z 2 3
Telephone;
Address: /Boo fxecOlk'Ve
Project Description:
ccJ
nn
City, ST, Zip: /n c5Y rr S Q Z (0 2
i
Telephone: (, p - 320 _70 101
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type:Occupancy:
l S '�`'
Project type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person:
Sq. FL:.
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: T;2,000.01
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
item
Amount
Structural Calcs.
Reviewed, ready for' 'Erections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plau
V Review, ready for corrections(issue
Electrical
Subcoutactor 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.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
�o
� 00 °.
Y
07
0
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ol Builder
mmell Pool Construction lic.# 665655
900 Executive Dr.
Palm Springs, CA. 92262
760-320-7010
0
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+ 4
DESERT MANAGEMENT
DESERT MANAGEMENT
I� 003/009
• s
e 0oa/00S
ARCHITECTURAL, COMMITTEE CERTIFICATE
(Exhibit "A" to the Architectural
Improvement Application and Agreement)
The Architectural Improvement Application and Agreement was reviewed by the
Architectural Committee on and has been;
Approved „ Conditionally Approved ✓� Rej ected
Subject to the following
Conditions set forth below
Returned for Further Information
Required Modifieatiota3
Comments J`uj J� t',
Yes No
Recording to be sant by owner to County Recorder's office for roof and/or
exterior wall modifications.
Deposi Requirod Deposit Amount Required $
d(
Data Architectural Committee
Architectural rnmittee Architectural Committee
Architectural Committee Architectural Committee
NOTE: THIS APPROVAL IS VALID FOR 90 DAYS FROM APPROVAL PATE
�1+ 2006 10:31 FAX 760 862-1210 DESERT MANAGEMENT
1 27 06 01:26p Bob Toomey 760-469-3515
i�11/08/2006 14:34 FAX 760 862 1210 OERFRT 6ANA6EMENT
i pegs Tbxee
We further agree that this
WT will be completed in a reasonable aged di tigene
�
manner. We further e that 1) if we do not roNect any damage caused ns n cCsult of
implementation of this improvement or, 2) if we fail to complete lhis.itnprovernCnt within
the allowed time frame the Homcowners Association tT>ly elect to complete the work
and/or repairs. and we will be r�onsible for the actual costs of such work payrneat t4
the Associ.adoti is truthotized by us in the fords of an assessment nr monthly penahy
payments as approved in the Guidelines.
By signing this agreement below, we agree to be bound by its terms and conditions and
any eanditions set forth by the Arehitactttral Committee in the Architectural Committee
Certificate, which is attached hereto as Exhibit "N' and made apart hereof by this
reference.
Si tures of Own=:
(:
r lgnatu rs. St11iC)
Ia 004/009