The URL can be used to link to this page

05-2874 (RPL)J P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002874 Property Address: 57773 SANTA ROSA TR APN: 762-240-013-7 -30487 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation:. 17000 .T44t 4 4Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SANTA ROSA DEV . 40847 SANDPIPER CT PALM DESERT, CA 92260 Applicant: Architect or Engineer: •� �A O� T�-.Q-7-0f2 D° JUL 25 2005 CI OF QUINTA '�_o� 080T LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaltyof perjury that I am i ed under provisions of Chapter 9 (commencing with Section 7000) of Di ' n}� a Busing s and7nals Code, and my Wc¢as/s i f� and effect. License Class: �J License No.: VJ (j!Cy Dates Z 6ntractor. •/ O -B ILDER DECLARATION hereby affirm under penalty of perjury that I am,e rom 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 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 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.). (_) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 Date: 7/11/05 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 C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - - - I certify that, in the performance of the w for which this permit is issued, I shall not employ any person in any manner so as to become u ct to the workers' compensation laws of California, and agree that, if Ishout become subj t to a workers' compensation provisions of Section 37,00 of 7 0of the Labor Cod shall fo wit co p with those provisions. ate: (Z (/ C7c�pplicant: WARNING: FAILURE TO SECURE WORK RS' COMPENS]2(�ATION, TR FrIiNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDCUP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF 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 essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab ve inform t n is rrect. I agree to comply with all city and county ordinances and state laws rgAting to build' g onstructi n, d ereby authorize representatives of this unty o'?7ntar^ the above -m tinned grope for inspe io pur ses. Date: 2!!�l/i` ature (Applicant or Agent): LQPERMIT Application Number . . . . . 05-00002874 a - Permit LQPERMIT Application Number . . . . . 05-00002874 Permit BLDG POOL PERMIT Additional desc . Permit Fee 180.00 Plan Check Fee 117.00 Issue Date Valuation... 17000 Expiration Date.. 1/07/06 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 Permit . . . MECH 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 . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . Valuation 0 Expiration Date 1/07/06 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 ONLY. ALARMS/BARRIER SHALL LQPERMTT Bin # # Stories: City of La Qu1nta Telephone # of Contact Person: , �� Estimated Value of Project:- APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted '71,, �p Item Amount Structural Cates. Reviewed, ready for corrections Plan- Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I � I_.__. _.��_ _.i_ - -- ._� —....� s K