06-3372 (RPL)P.O. BOX 1504
7845•.1 CALLE TAMPICO
t LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant: n�
06-00003372
78640 CARNES CIR
604-223-015-58 -23268 -
POOL - RESIDENTIAL .
LOW DENSITY RESIDENTIAL
25000
T-it4t 4 XP Q"
Architect or Engineer:
I "/lk
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
KURT SCHOPPE
78640 CARNES CIR.
LA QUINTA, CA 92253
(
Contractor:
LAGUNA FALLS CUSTOM
81730 HIGHWAY 111,
INDIO, CA 92202
(760)347-8977
LiC. No.: 818149
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/06
POOL/SPAS
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMEENSATA_0 __. CE,C}1fR
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and rofessionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C53 818149
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
(�.,/
� '6
issued.
Date:( r Contractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier CALIF. INS Policy Number 46001785-0101
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of t work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
-!
person in any manner so as to bec subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become ubject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I Hhwi ose rovisions.
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).:
Date0�/i Applican
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose, benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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 info cess
is correc ree to comply with all
city and county ordinances and state laws relating to building cons ion, a reby a epresentatives
of thi9s c my olenter upon the above-mentioned property for in ction rposes.
Date. �o Signature (Applicant or Agent):
Application Number . . . . . 06-00003372
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 252.00 Plan Check Fee 163.80
Issue Date . . . . Valuation . . . . 25000
Expiration Date 3/18/07
Qty Unit Charge Per Extension
BASE FEE 45.00
23.00 9.0000 THOU BLDG 2,001-25,000 207.00
----------------------------------------------------------------------------
Permit . . .. MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 3/18/07-
Qty
/18/07Qty Unit Charge Per, Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
----------------------------------------------------------------------------
Permit . . . BLDG POOL PERMIT
Additional desc . . .
Permit Fee . . . . 252.00 Plan Check Fee 163.80
Issue Date . . . . Valuation . . . . 25000
Expiration Date 3/18/07 -
I' Qty Unit Charge Per Extension
BASE FEE 45.00
23.00 9.0000 THOU BLDG 2,001-25,000 207.00
----------------------------------------------------------------------------
Permit . . . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 3/18/07
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
LQPERMIT
Application Number . . . . . 06-00003372
Permit . . . . . PLUMBING
Issue Date . . Valuation
0
Expiration Date 3/18/07
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
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 608.00 .00 .00
608.00
Plan Check Total 353.60 .00 .00
353.60
Grand Total 961.60 .00 .00
961.60
r i
LQPERMIT
C
Equipment
18 ft. 4 in.
4'x 12'
block wall
[a
+12" w/18" sheer
rrty line / Existing 6' block wall - - - - - - - - - - - - - - - - - - - - -
+12" blockwall
+18" w/18" sheer +18" 7' Spa
Sit -n -spin
+18" blockwall -
29 ft. 0 in. iv in,
7' Spillway
-3/4" stacked stone
05
MONS
10
0
Gas & Electric
X
X
A
Bin #
City of La Quinta
Building aL Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701.2 `
Building Permit Application and Tracking Sheet
Permit #
Project Address: -1 Cot rh e $ a 2,
Owner's Name:
A. P. Number:
Address:
[City.
Lceal Description:
ST, Zip: 3
Contractor: Falls Fo v 15 d
F Telephone: %
Address: 73 p
0XProject Description: P601
Cit)•, ST, Zip: i t1. � t a Cev '17--2- D I
Telephone: 51/74y77
State Lic. # : &Istqq City Lic. #: 7-C>01
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:._... .. _
a -L C7
State Lic. #:
Name of Contact Person: p h je; K i L
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: ?j 6' 4 # Stories: # Units:
Telephone # of Contact Person: 15-7,Y- 11-76
stimated Value of Project: C)0 Q `-
APPLICANT: DO NOT WRITE BELOW THIS LINE 25.000
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, read), for correctionslissue
Electrical
Subcoatactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SAI.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, read)• 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