06-0687 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 .
Application Number: -06-00000687
Property Address: 53390 AVENIDA' NAVARRO
APN: 774 -095 -008 -17 -000000 -
Application description: POOL - RESIDENTIAL
' Property Zoning: COVE RESIDENTIAL
Application vaivatloi)2 - 16b00
as
76�_
Applicant:
I hereby Iffirm Tder penalty of perjury that I
Section 7 00) ol Division 3 of the Business a
c&ty/ 1 4-44"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
1, BUILDING PERMIT
Owner:
,EY-/ ZANGER
AVENIDA NAVARRO
ITA, CA 92253
I-
------------------------
rOR'S DECLARATION
provisions of Chapter 9 (commencing with
)de, and my License is in full force and effect.
sqNo.: 658996
!' 1' O E .BUILDER DECLARATION
I hereby a"Im under penalty of perjury that I am ex t from the Contractor's' State License Law for the
following reason (Sec. 7031.5, Business and Profs"
Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any struct e, 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 ($500).:
(_) 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.).
() 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 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
r:
POOL CONSTRUCTION
C 283
ITA, CA 92247
(760)564-3655
Lic: No.: 658996
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/15/06
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury one of the following declarations:
(.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
T Code, for the performance of the work fo ich this permit is issued. My workers' compensation
insurance carrier ankpolicr�mber a .
Carrier STATE FUNDcyNumber .1344032-2005
I certify that, in the pework for which this permit is issued, I shall not employ any
person in any mannme subject to the workers' compensation laws of California,
JIand agree that, if I subject to the workers' compensation provisions of Section
37�0 of the Labor Crwith comply with those provisions.
"1 V
WARNING: .AI RE TO SECURE WOR COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT ANE LOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
.DOLLARS ($100,000). IN ADDITION TO THE ST 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 employee or ,any'act or mission related to the work being
performed under or following issuance of thi a it
2. Any permit issued as a result of this applicat n b com null and void if work is not commenced
within 180 days from date of issuance of s ch p it, or cessation of work for 180 days will subject
permit to cancellation.
I 4thatread this application and state that tab a information is correct. I agree to comply -with all
cnances and state laws relating t g- bnstructio and hereby authorize representatives
oter upon the above-mentioned o aspect n p rposes.
DSignature (Applicant or Agent):
M
Application, Number
` 06-00000687
Permit . .
BLDG POOL PERMLT
Additional de sc .
Permit Fee
171.00 Phan Check Fee
111.15
Issue Date
Valuation
16000
Expiration Date
8/14/:06
r" Qty Unit Charge
Per
Extension
BASE FEE
.45.00
.14.00 9.0000
THOU BLDG 2,001-25,000,
126.00 -
�• -----------------------.-----=----------------------------------------------
Permit ' . . . . .MECH
POOL
Additional desc .
• Permit Fee . . . .
26.00 Plan Check Fee
.
Issue Date . . . .
Valuation . . .
.6.50
0
Expiration Date
8/14/06
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
8/14/06
Qty Unit Charge
Per
Extension
BASE ,FEE
15.00
` 1.00 30.0000
EA . ELEC PRIVATE SWIMMING POOL
30.00
-------------------------------------------------------------
-------------------
---------- ..Permit
Permit. .
PLUMBING
Additional desc
Permit Fee. .
27.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation
'— 0
Expiration Date'
8/14/06
' 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
.140 3.0000
EA PLB GAS PIPE i-4 OUTLETS
3.00
------------- ---------------
Special Notes and Comments
POOL ONLY. ALARMS/BARRIERS SHALL BE IN
LQPERMIT -
-
Cr
. . 06-000006.87
E:
--------------------------------------------------------
Special Notes and Comments
LQPERMIT
Application Number
. . 06-000006.87
--------------------------------------------------------
Special Notes and Comments
PLACE PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE
NOT INCLUDED IN
PERMIT.
Fee summary
Charged Paid
Credited
Due
Permit -Fee Total
269.00 .00
.00
269.00
Plan Check Total
135.65 _ nn
nn
135.65 -• -
Grand Total -
404.65 .00
.00
404.65
o
L -a Quid a Cove
771-400 f
1 .
t
4
1
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
/ 1�
DATE �I / I q/�4 BY
1
t
,
L -a Quid a Cove
771-400 f
1 .
t
4
1
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
/ 1�
DATE �I / I q/�4 BY
1/8" x01'
6� Cons'truction
Pool -,5 fOUnfAins
... C7GO�G4-3G5�
Lic, #6558996
ti
1
1/8" x01'
6� Cons'truction
Pool -,5 fOUnfAins
... C7GO�G4-3G5�
Lic, #6558996
ti
City of La QuInta
Building ar Safety DMdw
pan*#
P.O. Box 1504, 78495 Calle TampkD
La QtAta, CA 92253 - (760) 777-7012
Building Pern* Application and Tracking Sheet
Prod AM=
Owner's Name - &
A. P. Numbs:
Log* Desmiptim'
City, ST, Zip: J
Omracwr.
Telephone. 77 41)
Address:
Project Demription
C*, ST, Zip: L
%A iA-
2—as —3
Telephone:
Issa
W:
1:
Soft Lie, 0:Lie.
eeLuq-,
C
co Ctty#;-.
AmL. EW.. Desigaw.
Addrcs&
Telephone:
Conshuction Type: Occupancy:
Stems Lic. #:
Project type (circle one): New Addn Alter Repair Demo
Name of Contact Pas=
Sq. Ft. t# stwies: # Units:
lEstimate
Telephone 0 of Cbmact Prion:
Value of Project -I ) (0
APK=Pff.- EM NOT VVMn MOW THIS UNE
0
sdxkftw
RWd
RaV
TMCMG
PERMUFM
7
MR Seb
Man Cbwk submitted
HUM
Amount
541miaral %In
Reviewed, ready for correeftus
Man Cheek Deposit
Trow CdOL
Called Conftet Pam
Man Cheek Bakeice.
MUCdc&
Mus pidmd up
CO=b=ftn
a
Flood phlinpin
Him resubmitted
bleehanks!
Gradkgp"
20! Review, ready for correedows4sm
EkIchical
Subcoutecto UA
Clued CoNtset rems
Numbing
Grant Dad
Pk= picked up
SAL
JLOJAL Approval
Pfau rmbmftd
Gmftg
IIP ROUS&I-
&MIM, ready for curraftwiftue
Dewdoper Lojoet Fee
Called Contact Person
AXP.P.
Pub. Wks. Aper
Daft of permit issue
."W Fen
Total Permit Few