07-1026 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINT'A, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: �,Q'QOT10%2T Owner:
Property Address: 56588 PALMS DR LOM
APN: 764-020-007- - - 56588 PALMS DRIVE
.Application description: POOL - RESIDENTIAL LA QUINTA, CA ;92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application'valuation: 20000
VOICE. (760) 777-7012
FAX (760) .777-7011
INSPECTIONS (760) 777-7153
Date: 4/03/07
Contractor:
Applicant: Architect or Engineer: MCINTYRE POO SP RI is
83695 AVENUE 45 R 'c-2 l 1
..' INDIO, CA 92 O1. .,CIT1':,OFLq
(760)342-* 361 PaIAl�1IC�B@
pt -
a Lic.. No.': 61461.
-LICENSED CONTRACTOR'S DECLARATION - .WORKER'S,,COMPENSATION DECLARATION , -
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 70 0) of.Division 3 of the Business and Professionals 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' s: C53 - License No:; .614.611 for'by Section 3700 of the Labor Code, for the performance of the work for which this permit is
i. _
� /1 > • ' issued.
at ontractor�/� - - - 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 MAJESTIC INS -CO Policy Number' C20060333602
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 the 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 become 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 subject to the workers' compensation provisions of Section
License Law.(Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor e,I, shall forthwithi com[ply1oL-ith those provisions.
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 ihtendedor. offered for sale-ISec: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 himselforherself'throughi his or her own employees,, provided that the DOLLARS ($100,000):, IN ADDITION TO THE'COST OF.COMPENSATION, DAMAGES'AS PROVIDED FOR IN
imprdvements 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, eachperson 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,
(._ 1 I am exempt under, Sec. , B.&P.C. for this reason the owner, and the applicant, each:agree's 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 thispermit.
Date: Owner: .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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued ISec. 3097, Civ. C.). city and cou y o dinances and state laws relating to build g.� struction, and hereby authorize representatives
of thi c y t enter upon the above-mentioned pro ty fW ns ection purposes
Lender's Name: � :-
e: Si lure (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number . . 07-00001026
Permit ... . BLDG POOL PERMIT
`
Additional desc .
Permit Fee 207.00 Plan Check Fee
134.55
Issue Date Valuation
20000
Expiration Date 9/30/07
Qty Unit Charge Per
Extension
_ BASE'.:FEE
45.00
18,.00.' 9.0000 THOU BLDG 2,'001-25,000,
162.00
Permi=t.. MECH:POOL.
'Additional` desc
Permit Fee 2,6.00 Plan Check Fee
6.50
Issue Date,Valuation
0
Expiration Date .. 9/30/07 .
Qty. Unit Charge Per
' Extension
BASE :FEE
15-.00_
7.00. a `11•.`0000- EA MECH . FURNACE >100K.-
- - - - - - - - - - --.-------------.------------------
.11-.00-
11-.00•--------------
--------- - - - - -.
'Permit POOL PERMIT -RES
,_ELEC
Ad`ditiona•l desc
Permit,Fee 45.00. Plan Check Fee,
11..25,
Issue Date Valuation
"Expiration Date, 9/30/..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:
Issue Date: Valuation
0
Expiration Date 9/30/07
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
3.60
--------------------------------------------
' Special Notes and Comments .
POOL/SPA. ALARMS/BARRIERS.SHALL BE IN
LQPERMIT
Application Number . . . . . 07-00001026
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
----------------- ----- ----- ---------- ---------- ----------
Permit Fee Total 311.00 .00 .00 311.00
Plan Check Total 160.55 .00 .00 160.55
Grand Total 471.55 .00 .00 471.55
LQPERMIT
.E
Bin
City �f La; Quints
Building &t Safety,Division
Permit P•O: Box 1504; 78.495. Calle. Tampico
1 (0 La..Qulnta; CA.92253'-'(760).777-7012
Building Permlt_'Applcation and Tracking Sheet
1f Project Address: PALins 1 ✓J'Add
,s Name:
A. P. Number: ss:
Legal Description: T. Zip:
x / - u l t� • Z7�S
Contractor: c, '
i JtTelcph
one: ..
x Address: _ S ! Pr
oject Description:
X Cit} . ST. Zip:' L.
Telephone: 2 �''" - • . -
t..
State Lic. tY : Citv Lic. ss:
Arch., Engr., Designer:
Address:
City. ST. Zip:
Telephone:
Construction Tyk.. Occupancy:
State Lic. #: Pro ect
1 .typc (circle one): NeN Add'n Alter Repair Demo
!C Name of Contact Person: �M
Sq. Ft.: 1 #'Stories: N Units:
.,
X Telephone >Y of Contact Person: D— � 3, stimatcd value"of Project: ;
APPLICANT: DO=NOT-YMME,.BELOW.THIS LINE
Submittal Req'd- °Reed TkkCK G
PERMIT FEES
Plan Sets
Plan Check submitted I
Item Amount '
Structural Cala. Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs Called Contact Person
Plan Check Balance
Energy Cafes. Plans'picked:up -
Constroction �
Flood plain plan Plans resubmitted
'Mt ch3nii 2l
Grading plan 2'' Review, ready for corrections/issue'
Electrical
SubcOnt2Ctor List 'Called Contact Person -
Plumbing
Grant Deed Plans picked up
S:I►1.1.. •
H.O.A. Approval Plans resubmitted
Grading
ITV HOUSE:- Review, read. for corrcctionstissue
.Developer Impact Fee
Planning Approval Called Contact Person
A.1.P.P.
Pub. H'kc Appr Date of permit issue.
School Fees
i
i
Total Permit Fees
JUN 05,2005 09:22 760-771-9658 page 1
MONARCH MANAGEMENT
VILLA CY-RT .THW PALMS
March 26, 2007
ROBERT LOM
C/O ROSEBEN INC
615 GARLAND WAY
BRENTWOOD CA '94513
Re: Architectural Request; 56-588. PALMS DRIVE
Dear ROBERT LOM:
The Architectural/Landscape Committee of _ the Village at The Palms
Homeowners' Association have reviewed the plans for your pool installation. The
committee is pleased to inform you that it has approved .the plans as submitted.
Thank you for your patience. and understanding, during this approval .process. If
there are any questions please contact me at (760) 776-5100 ext. 344.
Sincerely,
FOR THE BOARD OF DIRECTORS
Village at The Palms Homeowner's Association
C.C. Board of Directors
Homeowner File
42.600 Caroline Court, Suite 101, Palm Desert, CA 92211 • Tel:' (160) 776-5100 • Fax: (760) 776-5111
9d/ ,--:Memgez of gf. --)�onazcf; !9z0u# o`",/fcri ied �om�iareies •