07-1627 (RPL)P.O. BOX ] 504
78-495 CALLE TAMPICO
LA QUINTA,.CALIFORNIA 92253
Application Number:
07-00001627
Property Address:
78390 CRESTVIEW TER
APN:
643-192-003-35 -2117 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
34000
Applicant:
Tiht 4 4 Q"
Architect or Engineer:
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�Professioals Code, and my License is in full force and effect.
License Class: C53 License No.: 665655
Date: 61'—, 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 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 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.).
(_) 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:
LQPER ITT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/04/07
Owner:
SANDFORD RESIDENCE
78-390 CRESTVIEW TER
LA QUINTA, CA 92253
(
Contractor:
RAMMELL POOL CONSTRUCTION
1800 EXECUTIVE DRIVE i'✓ d
PALM SPRINGS, CA 92262 �n
(760) 320-7010 IJJ'
Lic. No.: 665655 I -L
IN o8 xv
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - "�Fr
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
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier REDWOOD FIRE Policy Number W6A37144
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, if I shout ecome subject to th workers' compensation provisions of Section
3700 of the Labor Co ;hall Co hall f�comp y with those provisioy with those provisions.
Date: �' Applicant:
WARNING: FAILURE TO SE 5UR ORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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.
1 certify that I have read this application and state that the above informp4n is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr n, e y thorize representatives
ofthis county to enter upon the above-mentioned property for in o ur oses.
1
Date: ?Signature (Applicant or Agent):
Application Number
Permit .
Additional desc
Permit Fee
Issue Date
Expiration Date
. . . . 07-00001627
BLDG POOL PERMIT
310.50
12/01/07
Plan Check. Fee 201.83
Valuation 34000
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
12/01/07.
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
12/01/07
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
12/01/0.7
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
LQPERMIT
Application Number . . . . . 07-00001627
>: - -----.------------------------------------------------------------------------
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
Plan Check Total 227.83
.00
.00
227.83
Grand Total 642.33
.00
.00
642.33
LQPERMIT
OEquipment
.0 .vocation 19.5'
11.5'
12'
13.5'
16'
5' S-
P�,
15'
y
33.5'
90'
Raised Bond
Beam
111'
4'
5.25'
5.5'
Equipment - All equip. by
Purex
1. 3/4 -HP circ pump
2. 1 -HP Jet lump
3. 320 Sq. Ft. Fiberglass
cartridge filter
4. 400,000 Btu Propane
Heater
11'
12'
8'
Ckimmer
C)Autofill
14'
33'
Pool - 104 lin. Ft / 660 Sq. Ft.
6'x8' Raised +18" freeform spa
102' Gasline
15' Electric
House
32'
Pool Contractor
Rammell Const.
1800 Executive Dr.
Palm Springs, Ca. 92262
Lic# 665655
760-320-7010
I Covered Patio I
5.5'
Tan
ledas
68'
15.5'
12.5'
Gas
&6W 0 �\
qp��S� QUl1F.
�- ;
o F R 0N�� V �`' �
\ lrl T/n,, .
Homeowner/ Pool location
Larissa Sandford
78390 Crestview Terrace
la Quinta, CA
y
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico'
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit`#
Project Address: 3 9�CiC�s .rye
Owner's Name: i
A. P. Number:
Address:. 3 C r r
(/
-�-
G�YKrn P
Legal Description:
City, ST, Zip: Q 2
Contractor:
Telephone:
mom
Address:
Project Description:
City, ST, Zip: k1la-IMCZA0r
�
00Ab
1A
Telephone:
State Lie. # 4656^
S 5
City Lie. #:1-2624
Arch., Eng., Designer:
Address:
City, ST; Zip:
Telephone:
State Lie
Name of Contact Person:.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Sq. Ft.: # Stories: # Units:
Demo
Telephone # of Contact Person:
gs 1
1 Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# .
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans ticked up
Construction
Flood plain plan
Plans. resubmitted
Mechanical
Grading.plan
2°' Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:=
'r° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
%I