06-2023 (RPL)N
P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-0,0002023 Owner:
Property Address:, 52530 DEL .GATO DR MR' MORELY JR'
APN: 770-2,90-003- - - 52,530 DEL GATO DR
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property. Zoning: LOWDENSITY RESIDENTIAL
Application valuation: 10000
Dntractor:
Applicant: Architect or Engineer:UNN' S DESIGNER POOLS
MAYii 48.66 LENNON'PL, STE-D
1 ALM DESERT, CA 92260
(760)773-9177
No. 635896
�if'!!4.aC� fncor
LICENSED CONTRACTOR'S DECLARATION
Thereby affirm under penalty of perjury that ham licensed under provisions of Chapter'9 (commencing -with
Section7000)'of'Division 3 of the Business'and.Qrofessionals Code, and my License is in full force; and effect;
License Class: C27-053 Licensa No;: 635896
Date: 5_ ( O&+Contractor; 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty ;of perjury that 1am exemptfrom:the Contractor's State License Law for the
following reason (Sec. 7031.5. Business and Professions:Cods: Any city or county that requires a permtt,to
construct,:alter„improve, demollsh,orrepair anyrstructure,.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 Contractorls.Stete
License Law (Chapter. 9' (commencing with, Section 7000) of Division 3 of "the'Business and Professions Code) or
that he or she' is axempttherefrom�and the.basis for the alleged'exemption. Any violation of Section 7031:5 by
any applicant fora perrnit:subjects the applicant to a civil penalty of not more than five hundred dollars (9500)::
(_) 1, as owner oUthe property,.or,my employees with wages astheir=sole compensation; will do the
,work; and
the structure is not intended or offered for said (Sec. 7044; Business and Professions Code:' The
Contractors' State License Law,does not apply to an owner of property who builds, or improvesthereon,
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-builderwill have the burden of proving that he or she did'not build or
improve for the purpose of saleJ..
(_) I, as.owner of the property, am exciusively 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 improyes.thereon, and who contracts for the;projects with a contractors) licensed
pursuant -to the Contractors' State License Law:);.
I am.exempt.under Sec. ,;B.&P.C. for this reason
Data: � tS-per Owner:
CONSTRUCTION LENDINO.AGENCY
I herebyaffirm 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. CJ.
Lender's Name:
Lender's. Address:
I�Q:�I��IYIi
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS .(760) 777-7153
Date: 5/15/06
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-t6self-insure for workers' compensation, as provided
forby 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-CLAREM. INS 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 wthe workers' compensation laws of California,
and agree that, if l;shoutd become subject to the'workers' compensation provisions of Section
3700'of the',LaborCode, II,shall forthwith comply with those provisions.
Date:=CGApplicam:
WARNING: 'FAILURE TO-SECUMWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL _FINES 'UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND 'ATTORNEy'8 FEES:
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to,the Directorof'Building and' Safety fora permit subject to the
conditions and restrictions am 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 pursuam;to any permit issued as a result of this application,
the owner, and the applicant; each agrees to; and shall defend, indemnify and hold harrntm, the City
of: La Ouinta, its officers; agents°and employees for any actor omission' related to the work being
,performed under or following issuance of this permit.
2. Any permit issuedl 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 160 days will,subject
permit to cancellation.
I certify that I have read this epplication,and;state that the above informationis.correct. I agree to comply with;all
city°and county ordinances and state laws relating to building cohstruction;.and;hereby authorize representatives
or this county to enter upon the above-mentioned property for inspection. purposes.
Dates I51 0 Signature (Applicantor'Agent): OG —
Application Number . . . . . 06-0000.2023
Permit . . . BLDG POOL PERMIT
Additional.desc .
Permit Fee 111.00
Plan Check
Fee ..
76.05
Issue Date
Valuation
10000,
Expiration -Date 11/11/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
8.00 9.0000 THOU BLDG 2,001-25.,000
72..00
Permit . . ELEC POOL PERMIT -RES
-Additional debc .
!� Permit_ Fee. . . . 15_.0.0
.Plan Check
Fee
3._75
Issue Date
Valuation
. . .
. 0
Expiration Date 11/11/06
Qty Unit Charge Per
Extension
BASE FEE
15..00
PermitPLUMBING
Addt-onaldesc .
Permit Fee 15.00
Plan Check
Fee
3.75
Issue Date . .
Valuation_
0
Expiraton.Date 11/11/06
Qty Unit Charge Per
Extension
'BASE FEE
15.00
--------------- -- ------------------------------------------------
Special Notes and Comments
WATER FEATURE IN 'INTERIOR COURTYARD.
EQUIPMENT LOCATION SAME AS POOL
EQUIPMENT.
Fee summary Charged Paid
--- ----------
Credited
Due
- ----------
Permit Fee Total 147.00
----------
.00
----------
.00
147.00
Plan Check Total 83.55
.00
.00
83.55
Grand Total -230.55
.00
.00
230.55•
LQPERMff
Bln l
City of La Quints
Building 81 Safety Division
Me Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 = (760) 777-7012
-Building Permit Application and Tracking Sheet
Permits#
Project Addtess: ��. QiLu
Owuer's Name:
A P. Number:
Address:
Legal Description:.
City, ST,.Zip: Vc /lm
Contractor: ..r!
Telephone:
Address::
Project ption A.TA(
City, ST, Zip: t/4, v
�✓ i
Telephone: , 7 t
State Lie. # City Lie. #s
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:'
State Lie. #:
Construction .Type: Occupancy:
Project type (circle pne): New Add'n Alter Repair Demo
Name of Contact. Person:
Sq. Ft::
# Stories:
#' nits:
Telephone # of Contact Person:' L. (em.
Estimated Value of Project-
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIMG -
PERMIT FEES
Plan Sets
Plan Check submitted •
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact -Person
Pian Cheek Balance
Energy Cales.
Planvoicked up
Construction.
Flood plain plan
Plans resubmitted
Mechanical
Grading plan;
2" Review, ready for'eorrections/uuue
Electrical
Subeontector:List. -
Calted Contact, Person.
Plumbing
Grant Deed
'Plans picked up
S.M.L•
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for eorrections/Issue
Developer Impact Fee
Planning Approval
Called GontactPerson
AXP.P.
Pub. Wks. Appr
Date of permit issue
School"Fees
Total Permit Fees