06-1986 (RPL)P.O. BOX 1504 c&ht 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
0.6_0.0_6.0.1986
`
Owner:
Property Address:
51205 CALLE
PALOMA
DEES
APN:
770-142-009-98
-000000-
� (
51-205 CALLE PALOMA
Application description:
POOL - RESIDENTIAL D
Lr'ta
LA QUINTA, CA 92253
Property Zoning:
LOW DENSITY
RESIDENTIAL
Application valuation:
2000.0
'1
MAY 16 21
Contractor:
Applicant:
Architect or Enginee :
FPD SERVICES INC
OEM.
43653 PARKWAY ESPLANADE EAST
LA QUINTA, !Lk 92253
(760)324-7946
L K/
Lic_ No.: 820132
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*'ness and Profe ionals Code, and my License is in full force and effect.
LicenseClass: C53 i hse No.: 820132
83[e:7lf(,p Contractor: '
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 andthebasis 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 doesthework 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.).
(_) 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.).
1 1 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
Date: 5/12/06
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.
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 EXEMPT Policy Number EXEMPT
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, i hould become subject to the workers' compensation provisions of Section
3700 of the L.6__ ode, I shall f h fh omply with those provisions.
D , u Applicant:
WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM AL 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 staItuil
ove information is correct. I agree to comply with all
city and ednty ordinances and state laws relaticonstr d he by authorize representatives
oft ' county to enter upon the above-mentionor inspects ur eDate: Signature (Applicant or Ag _
Application Number . . . . . 06-00001986
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
207.00
Plan Check
Fee
134.55
Issue Date . . . .
Valuation
. . .
. 20000
Expiration Date
11/08/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
11/08/06
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
11/08/06
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 . . . .
27.00
Plan Check
Fee
6.75
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
11/08/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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
FIBERGLASS POOL ONLY.
ALARMS/BARRIERS
LQPERMIT
Application Number . . . . . 06-00001986
----------------------------------------------------------------------------
Special Notes and Comments
SHALL BE IN
PLACE PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
Charged Paid
--------------------
Credited
--------------------
Due
-----------------
Permit Fee
Total 305.00 .00
.00
305.00
Plan Check
Total 159.05 .00
.00
159.05
Grand Total
464.05 .00
.00
464.05
LQPERMIT
Bin
City. of La Q:uinta
Building & Safety Division
P.O: Box 1504, 7&495 Calle Tampico
la Quinta, CA 92253.- (760) 777-7012
Building Permit Application a'n'd Tracking Sheet
Permit.#
0�-
Project Address:*
Owner's Name: L p�
A. P. Number:
Address: S 1 ,)c,!; 1a -
Legal Description:
Contractor:. pp seev I C'E-5 ) ^1C. _
City, ST, Zip: Q v;
Telephone: . v u (
Address: 353 SPe�F�r
Project Description:
City, ST, Zip: (� P,
.Telephone:t{
State Lie. #: !& DIOl L� 2- City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:.
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: J /hspn ST! tom_
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: DO Opa
APPLICANT: DO NOT WRITE BELOW THIS.LINE
#
Submittal
Req'd
Recd
TRACKIN
PERMIT FEES
Z
Plan Sets
Plan Check submitted
(� 6 t
Item
Amount
ra a
b
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°" 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 correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CITY OF LA QUINTA SUB-CONTRACTOR LIST
JOB ADDRESS f:� L S u-c Fftx :rn a PERMIT NUMBER Ob " I Cis (o OWNERVA"--(,t._ V_)�e�S BUILDER 'iFPp 5€C11CZS. I -XI
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this. list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of-building permit. For each. applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
*,ad. / Class f t n
Contractor
t r
;:...:;::: State::Contractor s License .: ::..::;
< ..:.
:: ensat' 'r.:.:..;.0 :>
Workers Comp io Ins ranee ": '' .< :.
City Biisiriess License` .
Company Name
Classification
(e.g. A, B,, C-8)
License Number
(xxxxxx) :'
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(zx/xx/xx)
EARTHWORK• 1C7121
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43�3�
0. :
P;un {�
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oma% �3
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CONCRETE (C-8)
CGt�VW7A,7- rr✓( vL�
_?q
3�j
CSP
y Ut "7 0Q)
FRAMING (C-5) .:. .
-STRUCT.`STEEL (C-51)
MASONRY, (C-29)
PLUMBING(C-36),�J�`---
LATH: PLASTER (C-35)
HVAC'`(C 20)
-
ELECTRICAL:YCA 0)-:..:..�
ROOFING'(C 39)
SHEET METAL (C-43)
i
FLOORING (C:=15).
;
GLAZING (CA7).
•INSULATION (C-2)
"
SEWAGE DISP- (C-42)
PAINTING (C=33)
.
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (.0-13)
LANDSCAPING (C-27)
POOL (C-53)`x-
aj
PREPARED
FIBERGLASS POOLS of the DESERT
44-2G7 MONTEREY AVE 5TE C
PALM DE5ERT, CA. 92260
760.324.7946. fax 760.773.2778
NOTES:
1. All doors from house anthaccess to the pool
shall be equipped with an audible alarm.
2. All gates with access to the pool shall be self
closing, self latchmg, and open out.
3. 5ee ICBG report #PPC -3608
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATES//
LQ13Y__L4_
A RE -INSPECTION FEE OF W -
WILL BE CHARGED IF THE APPROVE
PLANS AND JOB CARD ARE NOT O1'
THE SITE FOR A SCHEDULE[
INSPECTION.
NO EXCEPTION;;!
- Property Line
v
A NEW FIBERGLASS POOL FOR: SHEET:
Mr. * Mrs. Darryl Dees
5 1205 Carlle Paloma., La Quinta, Ca. 92253