07-2031 (RPL)-J
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07- -0.002-031
Property Address:
52940 DEL GATO DR
APN:
770-330-022- -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
34000
Applicant:
V
Architect or Engineer:
WA_
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Busin and r �nseNo.:
ense is in full force and effect.
License Class: C�53 670
Date: V �;2 Co .
OWNER -BUILDER DECLARATION
I hereby affirm under penalty perjury t t I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, 1 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 (5500).:
(_) 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.).
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:
LQPERn11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/02/07
Owner:
STRASZHEIM DONALD H
52940 DEL GATO DRIVE
LA QUINTA, CA 92253
Contractor: Q
PLATINUM POOL PAS
77564 COUNTRY B D�Jf6108
PALM DESERT, A 221 II((JJ200
(760) 772 -42 7 city
Lic. No.: 89' 0
OF LA Q1j
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 STATE FUND Policy Number 1863573-2007
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 a o become subject to the workers' compensation laws of California,
and agree that, if I should telome u ject'to a workers' compensation provisions of Section
g �1 .3,77000 of the Labor Code, I all fo ith c ply with those provisions.
Date:yl� '1::I ( Applicant
WARNING: FAILURE TO SE URE WORK RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AD TION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR , 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 the abov eion,
is co t. I agree to comply with all
city and county ordinances and state laws relating to building ns ud reb authorize representatives
of thiscounty to center upon the above-mentioned property for pecos s.
❑ain�) R' V�Sinnati irn IAnnlirani nr Anantl•
Application Number . . . . . 07-00002031
Permit .. . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
310.50
Plan Check Fee..
201.83
Issue Date . . .
Valuation
34000
Expiration Date
1/29/08
Qty Unit Charge
Per
Extension
BASE 'FEE
252.00
9.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
58.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration.Date
1/29/08
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
1/29/08
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
PlanCheckFee
8.25
Issue Date . . . .
Valuation
0
Expiration Date
1/29/08
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. ALARMS/BARRIERS
SHALL BE IN
LQPFRMIT
Application Number . . . . . 07-00002031
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary. Charged Paid Credited Due
--------------- ----------
Permit Fee Total 414.50 .00 .00 414.50
P1an.Check Total 227.83 .00 .00 227.83
Grand Total 642.33 .00 .00 642.33
I.QPERMIT
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Bin #
Permit #k
. OP 1.
City of La QuInta
Building ez-Safety Division
P.O. Box 1504, 78495 CaUe Tampico
!a Quinta, CA 92253 - (760) 777-7012
Building Pennit Application and Tracking Sheet
p.1
Project Ad'dress:' 5 . $v !r ATI) —0i?_
Owner's Name:
RWd •-
A P. Number:
Address: 1/0 eL
Legal Description:
Contractors In tlV S
z
Cfit ity, ST, Zap: LA �v)1�(i � �2i5/
Telephone:
Address: 1175& l o l_LllRs' t
ProjcctNseiiptioa:
City, ST, Zip: JAM' _� CA 11
Reviewtd> reldy IOC corrections
Telephonct e.o=>: 772. �f27.
PIaR Clrsek Deposit
State Lic. a' : PJ l o tQ,0 City Lic. #:
Arch,.F'x' Designer.
'[Pass Calcs.
Efieriy Cala.
ArAddress:
City, ST,ip:
ivy
Telephone) NOWConstruction
State Lic.
Type: Oocnpancy:
project. type (circle one): New ' Add'n Alter Repair Dano
Name of tact Person �OFlts C jZ�#}}
Sq. Ft.: •'
Stories:
# units.
Telephone # of Contact Person: Estimated value of Project: • (� U
APMCAUT: DO NOT WPITF'RFI riw Ttwz i torr
q
Submittal
I
Plan Sets
RWd •-
Redd '
TR&MiXG
Plan Creek submitted 0
PERMIT FM
TWO, Amount
Stradaril Calcs.
Reviewtd> reldy IOC corrections
PIaR Clrsek Deposit
'[Pass Calcs.
Efieriy Cala.
card Contact-Peraou
Plaas Pkked,up
-
Plan CktCk Balance
Constraettou
Flood plain plan
Plans resubmitted
mechanical
Grading•pliin•
2-' Revue, ready for correcOoaAMt
Electrical
SabcoMactor List
Called ContactPersoa
Plumbing
GraatDccd
Plans Picked up
S.M.L
i
tlLO.d. Approval
Plan resubinitted
Grading
IN ROUSE:-'
' "Review, ready for-correctionsPissae
Developer Impact Fe!
Planning Approval
Called .Contact Person
A.I.P.P.
i
P®b. VV UL Appr
Dateorpermit hsoe
Sehn� Fees
• l
-
Total Permit Fees