06-0928 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q"
Application Number:
06-00000928
Property Address:
78230 SAN TIMOTEO ST
APN:
646-160-017- - D
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL'
Application valuation:
10000
Applicant: Architect or Endiae
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
� Owner:
BALL STERLING C
6886 OCUITT RD
O� 2006 SAN LUIS OBISPO, CA 93401
MAR
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 de, and my License is in full force and effect.
LicenseCla �:JC3 ce seNo.: 856835
Date: / 10 __/7
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 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, 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(sl licensed
_ pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , BAP.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
Contractor:
VACATION POOLS INC
83900 AVE 45 STE C
INDIO,. CA 92201 ;y
(760)775-0468
Lic. No.: 856835
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/08/06
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, focthe 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 STATE FUND Policy Number 1795938-05
_ 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
00 of the Labor Code, I shall f hwit comply with those provisions.
De:
a 17 06Applicant:
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 ($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 above information is correct. I agree to comply with all
city and count ordinances and state laws relating to building construction, and hereby a rize representatives
of this ccooun to ter upon the above-mentioned propeTr spe tion rpo
Date/4 7 d/49ignature (Applicant or Agent):
LQPERMIT
Application Number 06-00.000928
Permit . . . ELEC.POOL PERMIT -RES
Additional desc .
Permit Fee . . . . 45.00 Plan Check
Fee
'. 11.25
Issue Date . . . . Valuation
. . .
0
Expiration Date 9/04/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING
--------------------------------------------- -------------------------------
POOL
30.00
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . ." . 108.00 Plan Check
Fee
70.20
Issue Date Valuation
. . .
. 8500
Expiration Date 9/04/06 -
Qty Unit Charge Per
Extension
BASE FEE
45.00
7.00 9.0000 THOU. BLDG 2,001-25,000
-----------------------------------------------------------
------------------
63.00
i
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 27.00• Plan Check
Fee
6.75
Issue Date . . . . Valuation
0
Expiration Date.. 9/04/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 35.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
1500
Expiration Date 9/04/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG,501-2,000
20.00
----------------------------------------------------------------------------
Special Notes and Comments
TWO FOUNTAINS IN FRONT COURTYARD. 60
L.F. 6- BLOCK WALL, CITY STANDARD.
Fee summary Charged Paid Credited
Due
LQPERMIT
Application Number . . . . . 06-00000928
---------------------------------------------------------
Permit Fee Total 215.00 .00 .00 215.00
Plan Check Total 88.20 .00 .00 88.20
Grand Total 303.20 .00 .00 303.20
LQPERMIT
Bin #
City of La Quinta
Building U Safety Division 0
P.O. Box 150.4, 78-495 Calle Tampico
La Quinta; CA 92253 - (760) 777-7012
BuildingPermit Application pplication and Tracking Sheet .
Permit #
^, Q
U g'w
Project Address:' / � � �� Q
2230Sd- f�
Owner's Name:
A. P. Number:
Address: L.
Legal Description:
City, ST, Zip: �� C ,22-5-3
Contractor: W747poa'Pool-5, DUC,
Telephone( 71 �
Project Description: Com, �y '
Address: S 3 - ��Ave- Ys 5u' C
City, ST, Zip:
T e I e p h o n : Z 60 7 7 5
State Lic. # :� �3 City Lic. #:
Arch., Engr., Designer:
i*4v-�
'
.� � o�
Address:
s
Z _Ach
City, ST, Zip:
3�P
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair' Demo °
Name of Contact Person: s S L t-,
l
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person": �. �j
Estimated Value of Project:® C" c7
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan.Sets
Plan Check submitted
3
Item
Amount
Structural Calcs.
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"d Review, ready for corrections/issue
Electrical ems.
3 F(p
Subcontactor List
Called Contact Person
Plumbing°
idyl A S
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted°
Grading -
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
t
Date of permit issue
School Fees
"
Total Permit Fees '
i?.
9
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