06-0820 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
06-00000820
58089-CARMONA
764-200-006-7 -316811
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
30000
v
Architect or
w/li
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: C8 C27 C29 License No.: 656128
_D te:�X Contraco':
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).:
(_) 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.).
(_ 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
Owner:
LEE
58-089 CARMONA
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACT-1ELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
Date: 2/28/06
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 HRH INS 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 I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I all forthwith comply with those provisions.
9ate�- 0 pplicant:/
WARNING: FAILURE TO SECURE WORKED S' 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 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 the abov i reformation is correct. I agree to comply with all
city and county ordinances and state laws relating to building o struction, and hereby authorize representatives
of this
�cou-nnttyy to enter upon the above-mentioned property -4 pecNion purposes.
Datil: � `�-0gSignature (Applicant or Ageat(:
Application Number . . . . . 06-06000820
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
284.50
Plan Check
Fee
.184.93
Issue Date . . . .
Valuation
. . .
. 30000
Expiration Date . .
8/27/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
32.50
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . .
Valuation
. . .
. 0
-+ Expiration Date
8/27/06=-
/27/06=-Qty
QtyUnit 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
8/27/06
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 . .
8/27/06
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 .. . . . . 06-00000820
----------------------------------------------------------------------------
Special Notes and Comments
PLACE PRIOR TO PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED IN
PERMIT.
Fee summary Charged Paid. Credited Due
----------------------------------------------------=----
Permit Fee Total 388.50 .00 .00. 388.50
Plan Check Total 210.93 .00 .00 210.93
Grand Total 599.43 .00 .00 599.43
LQPERMff
Bin #
City of La Quinta
Building U 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: T.C>-S
Owner's Name: L e -,P— eS
A. P. Number:
Address: '2LQ $ 011
Legal Description:
City, ST, Zip: L
Contractor: 60 5
Telephone:
.; s
Address:9. L2
Project Description:
City, ST, Zip:GO0.+CJt+etkt, I^,.,A. 1223 (p
Telephone:760) S9 V 9 Z Z Z
$�+YSN s33.S"-.F/XC dR�a"54f_MA['+�II YffiYJ.i.
State Lic. # : ID ✓ 6 1 2_,3 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:i
'
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Se s5, e-
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2 6-0d6 0Z Y y
Estimated Value of Project: '�z � C� V C%
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
2-[21
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionstiissue
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
�PAIRMNIA Dnni_C v tpm
86-100 Ave. 54, P.O. Box 1280 • Coachella, CA 92236 • (760) 398-9222 • Fax (760) 398-9255 • Ca. Lic. No. 656128
April 20, 2006
City of La Quinta
Building Department
78-495 Calle Tampico
La Quinta, CA 92253
To Whom It May Concern:
The following is a request to change the address on the following Lee/Bloodgood
Residence Permit# 06-00000820, (Andalusia Lot 8-E) from 58-089 to 58-103 Carmona.
If you have any questions please call the office at 398-9222.
Thank you,
California Pools & Spas
f /I
James D. Harebottle
CFO
OFFICES
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P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
April 24, 2006
Ms. Esther Sanchez
Riverside County Assessor's Office
.3255 E. Tahquitz Canyon Way, Suite 114
Palm Springs, .CA 92262-6962
RE: APN #764-200-006-7
Dear Ms. Sanchez:
BUILDING& SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
Please.be advised of an address change for the following permits #06-820 (pool & spa);
and #06-831 (barbeque). The permits were incorrectly issued to 58-089 Carmona, La
Quinta (APN #764-200-006-7). The correct address and APN are 58-103 Carmona, La
Quinta, (APN 764-200-006-8).
I have enclosed a copy of both of the permit for your files
.Please make the appropriate changes. If I may be of further assistance, you may contact
me directly at (760) 777-7074.
Sincerely,
Therese Vella-Finorio
Senior Secretary
Enclosures