06-0831 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
`06-000008317
58089 CARMONA
764-200-006-7 -316
STRUCTURES OTHER THA
LOW DENSITY RESIDENT
5000
Arcl
T4ht 4 4 Q"
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 C`27 C29 License No.: 656128
[late: P—C)(/Contra' or.
A 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 155001.:
(_ 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 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
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012—
FAX
77-7012FAX (760) 777-7011
INSPECTIONS (760) 777-7153 +)
Date: 3/01/06
-----------------------------------------------
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
—///3�71�00�� of the Labor Code I hall forthwith comply with those provisions.
Dab�L� 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 15100,0001. 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin o str\uction, and hereby authorize representatives
i
of t�ohis county to enter upon the above-mentioned property pec ion purposes.
Daus ignature (Applicant or Agent): ..
Application Number . . . 06-00000831
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
72.00
Plan Check Fee
46.80
Issue Date . . . .
Valuation . . .
. 5000
_ Expiration Date
8/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
3.00 9.0000
-----------------------------------------------------7----------------------
THOU BLDG
2,001-25,000
27.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17.25
Plan Check Fee
4.31
Issue Date
Valuation . . .
. 0
Expiratio_:, Date
8/28/06
--r►
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .7.500
----------------------------------------------------------------------------
PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee
4.50
Issue Date
Valuation . . .
. 0
Expiration Date `
8/28/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
BARBEQUE ONLY.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
4.68
Fee summary Charged
---------------------------
----------
Paid Credited
Due
Permit Fee Total
107.25
--------------------
.00 .00
107.25
Plan Check Total
55.61
.00 .00
55.61
Other Fee Total
4.68
.00 .00
4.68
Grand Total
167.54
.00 .00
167.54
LQPERMIT
Bin #
City of La Quinta
Building a 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: O' —
Owner's Name:
A. P. Number:
Address: J5 --Q
Legal Description:
City, ST, Zip:_ Q.
Contractor: \• o S
Telephone:
Plans picked up
Address:y- 0. 7zcpyc LZ
Project Description:
City, ST, Zip:G00.C,�—e� 0, CA,. cl22.. -S G
G�jC
Telephone:760) S'9 �9- 4 2 Z 2—
State
State Lic. # : G-56 1 2—f
City Lic. #:
tiGradir I n
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
r.
r r .
I Devetope� Impacf:Fee ^ �"
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: N��� ec�cJ
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: 2 5't9 -ply Z o? -7-S OZ YY
Estimated Value of Project: �� 0 C"o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
I iC11q od
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Total Permit Fees
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
PlumbinD}b
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
tiGradir I n
i ,, I
IN HOUSE:-
''" Review, ready for corrections/issue
I
r.
r r .
I Devetope� Impacf:Fee ^ �"
/ (� =iceF.
Planning Approval
Called Contact Person
1�3Py PgR G
Pub. Wks. Appr
Date of permit issue
FOR CONSTRuC
I iC11q od
School Fees
pV
Total Permit Fees
GRIL
LIGHT I
-TI- 00 00
PRE=HUNG 74 0 0
Q S.S. DOORS
LENGTH VARIES
STAINLESS
STEEL
SINK
PROVIDE VENT, WASTE, AND
PLUMBING: FOR SINK ON SEPARATE
STONE OR
CONSTRUCTION DOCUMENT.
TILE
COUNTER
F.
STUCCO OR
STONE
VENEER
FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION
1/2 =1..-0.,
F_
LIGHT
I
GFI
OUTLET
LIGHT
SWITCH
(WATERPROOF)
BBQ: '11Fc-ems
I.C.B.O. #
ANSI #721-�8-- /4qS__
BTU -5-5120 c'
U.L. APPROVED.
GRILL
FREE-STANDING OUTDO
6XBX16 CMU; GROUT CELLS WITH. STEEL
#4 BARS VERT. AT 24" 0. C. (TYP. )
w
OUTS MAY VARY. Q
SIZE a REINF. ARE TYPICAL. I
t-MrE-J I /-kNVINl7 UU I UVUK NI 1 (-I-iCN - ryufVUA 1 101\4 f__lL 1\1
STONE CAP, TILE
OR POURED CONC.
#4 BAR HORIZ. AT
32" 0. C. (TYP. )
F,.F.
6X8X16 CMU
GROUT CELLS WITH STEEL
XLL LAM
#4. BAR
VERT. AT
. 24" O.C. (TYP. )
a e
2-#4 BARS HORIZ. CONT.
b" , VARIES 1 "j,
I� FREE-STANDING BBQ -WALL SECTION BBQ ISLAND - SIDE-ELEV.
1/2"=1'-0" 1/211=11-01,
�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
Antelope Valley • Arcadia/San Gabriel • Austin, TX • Bakersfield • Camarillo • Chino • Commercial Division • Covina • Glendale/Burbank
• Grass Valley • High Desert • Huntington Beach • Imperial Valley • La Verne • Lancaster • Las Vegas, NV • Mission Viejo . North Dallas,
TX • North Orange • Palm Springs • Paramount • Pasadena • Ridgecrest • Riverside • San Bernardino • San Diego • San Jose • Santa
Barbara • Santa Clarita Valley • Santa Cruz • Simi Valley • Thousand Oaks Tucson, AZ • Upland • Valencia • Valley • Walnut • Yuma, AZ
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