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05-2866 (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: O5-=QQOQ286.6 57602 SANTA ROSA TR 762-240-013-21 -30487 POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 �'otJi%4c,Jo Architect or E LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT �.FJUL z o zoos ID CITY Or 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: License No.: /Date:�'��'T� ce` G�C&�e0 ,,-Date / Con ctor: Vhf"/ 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 1, 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' Statb 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 { INSPECTIONS (760) 777-7153 Date: 7/11/05 Owner: SANTA ROSA DEV 40847 SANDPIPER CT PALM DESERT, CA 92260 Contractor: CASA VERDE LANDSCAPE MAINT COR WCC: GRANITE WC:' 9549987 09/05/05 CSLB: 624647 08/31/06 ----------------------------------------------- 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 C-27 - Policy Number '--------- - - - - - - 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/CCooddie, I shall forthwith comply with thole provisions. �Wa 7 Applicantj ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 th above information is correct. I agree to comply with all city and county ordinances and state laws relating to b ding construction, and hereby authorize representatives of thi co my t enter upon the above-mentioned pro rty for inspection oses. te:� Signature (Applicant or Agent): LQYERMIT Application Number . . . . • 05-000,02866 Permit BLDG POOL PERMIT Additional desc . Permit .Fee 207.00 Plan Check,Fee -134.55 Issue Date . - . . Valuation . . 19792 Expiration Date 1/07/06 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000• 162.00, PermitMECH POOL Additional desc . Permit Fee 26.00 Plan Check.Fee 6.50 Issue Date . . . Valuation 0 Expiration Date 1/07/06 Qty Unit 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 1/07/06 Qty Unit Charge Per Extension BASE -FEE 15.00 1.00 30.0000 ------------------------------------------------------ EA ELEC PRIVATE SWIMMING POOL ---------- 30.00 ------------ Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 208 Expiration Date 1/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------ ---------------------------------------------------------------- Special Notes*and Comments POOL & SPA ONLY. 13 L.F. 4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. LQPERMIT Application Number . . . . . 05-00002866 Fee summary-• Charged Paid Credited •Due - ------ - - - - - - - - -- Permit Fee Total ---- - - - --- 293.00 ---- - - - - -- .00 ---- - - - - -- - .00 - - - -- - 293.00 _ Plan Check Total 152.30 .00 .00 152.30 Grand Total 445.30 .00 .00• 445.30 y' LQPERMIT 4 SPECIFICATIONS m m b . O v < � Q - f8 8 C4 ,• �. ail 1 � ry 7 win 611 til n • ' ' 'r. - r -, ` r_ =° 3: • - - • .. .� • . . • • • a Q C� . • - - - - PLAN r - r" �• �,, 1 LOT ,. ` GARAGE ...... 70.0 •yry .fi. ' •' ..�� ,,j • • • .. .. 1R' - • c. ,' • 21_. ' I','j .1' V 50 ,. a • ••t 0•. • - - .. ; • ;. .•.' '�� .• •.y . '• i 70.0 000 / 12 CITY BUILDIN FOR DA �I I I 0 • t - .. ! + 4 • ' _ F LA � � � STA & SAFETY CREPT ROVED NSTRUCTION , BY •SEI _. • � - '� •. a C I� i. 1 1 . ..T ' - -` + y13 !� � r r t<-� .. .• �~ .. i f 1 n • T • NAME STREET JOB ADDRESS- 5 —�_ + }< .. ` . - r _ •i . - • •. SWIMMING POOL PLAN FOR: SANTA ROSA TRAILS LLC SWIMMING POOL PLAN FOR: SANTA ROSA TRAILS CONSTRUCTION • OIG PRE-GUNITE UNDERGROUND MASONARYI DECK _ _ r • .,EL • 4 - z• /. y'Yti _ ,� _ . • - .r s a ', � I:. � . k � : s ♦ i • .' _ _., ,� ja ~ ~ f `a'; , . f Y.* C s - �� r •_+ .•� •x .. a - w • .,'� • • .• .. _ L61 : oZ CITY, LA QUINTA AUTHORIZATI SALES FIELD1 .�"mm..a,� SPA SKCIFICATKM �nrt MOs. rLL WE om rl� M a WmID rmaw TDF _ YiR AIII mmlowr W DECIONG EXCAVATION STEEL cwm� mffa Taman lois lum bias. ur sw a"— iml Tart a ow own was lum =A ro�nr MASONRY Coir IR gum"" a PWNBDlGfm mv m -w — g aotws — a aat war — e eOhl ... TM ""'• Ipr�llrnlriri wmwwn_wM vow— mmm RAM mu afmr MY Iam ,io„ n" ,a,e um de WA niM raw FENCING /TQM GMTE@ os. m rrr UNWT ani area lerr i Isar MOID e) aarMliilorwe rllrrl armaMAT 410 BOW= MTwn Al 1KW MUM Ra W ID 110�Q C1 {CCs. A7 aID M= laisersmirirearramMaswnir pp �earaaMrwalnwnnamluaaanlinsurMwlm Is. rin Cwaa ' -,-saki Cwrs r m mw a a q carr awaloli 0 rr rr Hwa n W NQ 9 er MW lis O eiO M w M i0M i1 � ri lrTawn7a iCRmwlra DOM Y'D ldelC®wl iwS laMR wn rwOlra ir6Y 09 wawnimar valwra Rwwiirenr—mmot rtsllraq m Ta �iaMTgamrrMaawlwelTv alarea®Iwrurr WTrn vwirrrnmwnovuiirMuwierri■waalnew a®I wiiM ww1 welt m mriav mean wr wr s s Isaslo r mm rrr. SM'BIYMG POOL PLAN FOR: NAtg SANTA ROSA TRAILS LLC STRFTT swim OR F10#0 IC1YY- LA GUWA A SANTA NO PHM OFFICE S LOT TRACT BOOK jwm Vu "� ICITY CMCr PHONE NM 1/�.rlr DATE DRAWN BY MLD BY CHECKED BY REVISIONS DATE 1 2 3 4� 511KIM 11 . SELECTI❑NS . zT TILE BOULDERS DECK caLaR JANDY COTISTJLTANT lir PEBBJPLAS SIGNATIDB: MAENAGE NOTA Dralnape Dna tr►I 1Ion for enters and pots. by 4 Hill # Permit # ar— Project Address: S? `p A i A. P. Number: Legal Description: Contractor:;. CASO X Address: — U X City. ST. Zip: X Telephon -� State Lic. # : C/f-c/ Arch.. Engr.. Designer: Address: Cin. ST. Zip: Telephone: State Lit, 4: A Name of Contact Person: A Telephone # of Contact Person: -M, City of La Quints Building er Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Ski IVI LS Owner's Name: 19 ��� ;�D /1 / n L� dress: Ie a-j�-�i' t� . ST. Zip: C /l/ —I'V ► CA gaOay ✓i���F�phon7ect Description: eOO d. E/'.7J 9 City Lic. ay: Construction Type: Occupancy: !l Project type (circle one): New Add -n Alter Repair Demo QV M 1 S Sq. Ft.: aLQO a) IN Stories: It Units: stimated Value of Project: Q�� v(� o A 1101 ld�A►1T. n.. . # Submittal Req'd Recd -W WV I FIFO UFMC TRACKING PER;►trr FEES Plan Sets Pian Check submitted Item Plan Check Deposit Plan Check Ralance Amount Structural C,Ics. Reviewed. ready for corrections Truss Caics. Called Contact Person Energy Calcs• Plans picked up Construction Mechanical Flood plain plan Plans resubmitted Grading plan Y' Review. ready for correcilons/issue Electrical Plumbing S.1 LL Suheontaetor List Called Contact Person Grant Deed Plans picked up ILO.A.'Approval Plans resubmitied Grading Developer impact Fee IN HOUSE:- "' Review. ready for correetions9ssue Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Tueal Permit Fees Zoe •