06-4165 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00004165
Property Address: 57863 CANTATA DR
APN: 764-010-011-50 -30092 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 24000
T -&t 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-------------------- -----------------------------
LICENS D CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I censed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines nd f essionals Code, and my License is in full force and effect.
License Class: C8, C27 C29 r License No.: 656128
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exept 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 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 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 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:
LQPERAtrT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/01/06
Owner:
FERGUSON
57863 CANTATA DRIVE
LA QUINTA, CA 92253 Lk_ A Contractor:Bic 06CALIFORNIA POOLS & S tri bP.O. BOX 1280
COACHET.LA, CA 92236 (760)398-9222Lic. No.: 656128
------------------
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.
K 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 SEABRIGHT 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 Ishout become subject to the workers' compensation provisions of Section
.� 00 of the Labor Code, shall forthwith comply with those provisions.
mete: tv pplicant:
WARNING: FAILURE TO SECURE WTTOHE
OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIOOST 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 t o information is correct. I agree to comply with all
city and county ordinances and state laws relating to ilding uction, and hereby authorize representatives
of this c nt to en r u n'the above-mentioned pr for ec purposes.
gnature (Applicant or Agent):
I
Application Number . . . . . 06-00004165
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
243.00
Plan Check
Fee
157.95
Issue Date . . .
Valuation
. . .
. 24000
Expiration Date
5/30/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
22.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
198.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee..
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
5/30/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
----------------------------------------------------
EA MECH
FURNACE >1OOK
------------------------
11.00
Permit. . . .
ELEC POOL PERMIT
-RES
Additional desc .
Permit Fee . . . .
45.00
Plan Check
Fee
11.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
5/30/07
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
5/30/07
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, WATER FEATURE.
LQPERMIT
Application Number . . . . . 06-00004165
----------------------------------------------------------------------------
Special Notes and Comments
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
-----------------------------=---------------------------
Permit Fee Total 347.00 .00 .00 347.00
Plan Check Total 183.95 .00 .00 183.95
Grand Total 530.95 .00 .00 530.95
LQPERAITT
Bin #
'a City 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 #
b5
Project Address:'
Owners Name: "Fe=2 C-t� .� r•� iZ rr.
A. P. Number:
Address: �—
Legal Description:
City, ST, Zip: i_.Jt�,
Contractor `� c y l �S
Telephone:
_
Address: ;PC-) . '�,,O !ZCo
Project Description:
City, ST, ZipC C1 1 ZZ J
p•�T _ /a.� v.Z =
Telephone:
State Lie. #: 6561 t Z
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Construction Type: Occupancy:
Project type (circle one): Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: gSQ- Ll ��
Estimated Value of Project: Z c{ c a v
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Rec'd
TRACEING
Plan.Check submitted
PERMIT FEES
Item Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2"' Review, ready for correctionsfissue
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 correctionslissue
Developer Impact Fee
Planning ApprovalCalled
Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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OWNER RESPffF99—UTikS--
r I
j- 71 1 1 1 OVIER M- 0) DE-MIRMIW THE APPR04MATE ELEVARM OF PM OR SPA ALr LAyQJj oij aAr OF CUAVATRW
(2) TAKE NOL111a THAT POOL AKO CWIH&-Nt LOQATIONS ARE SVMCt TQ AOCEnANUE iYF
LOCAL BUILDING DEPAR WNT AT 7IME OP ISSUANCE OF PUMIT
IviNti
(3) WET Dun ccimmfm SynL AT LEASr 7WIGE DAILY FOR SEVB CATS SHELL is pilsIALLEn
Ar AFTM
Z 0) AGREE THAT CAUr-URNIA POOLS IS NOT RE"sj&E Fw aWER0aM CONDIWINS OR 05JEC%.
AND MY DAMAGE M CURBS, WEWALKS, DRIVEWALM LAYM, CI? i)3iiER ITERS IN IRE ACCESS &REA
0) SE .THAT ALL 'E"G. GATES" AND ' CARAGE tMRS MM LOCAL COVES FOR A PDX FNIDLI-GUNE
PRIOR -M PRV-AYER 111`!SPRCIDN
(6) FILL POOL IMMMA1--LY AFTM PLASTER- (FULOW WSTRUGV(M -- DO HOT USE R08HER HOSE)
(2) TAKE N(MCIF 11HAT M5 DRAYM 9 IS THE SOLE PROPFRTY Gfr CAUFORNIA POOLS AM THAT AN d
I USE FHOUT WRITTEN PERMISSION OF CAUFOANiA pOoM jNr, 1,9 pRMBIF W.
0 RY LA
W AR (iARACh OWNER APPROVES PLN, POOL, AND EQUIPMENT ILMATONS AHD HAS WAD THE RES`CNSENLi-flL'5 AND NOTIGES ABCNE.
51
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MAP 1300K PAGE: NO. CITY
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