06-0015 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
6_0.0000015= —
Property Address:
52195 AVENIDA VELASCO
APN:
773-224-021-10 -000000-
Application description:
POOL - RESIDENTIAL
Property Zoning:.
COVE RESIDENTIAL
Application valuation:.
20000
T4ht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
i' BUILDING P
h.. 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 Business and Professionals Code, and my License is in full force and effect.
License Class:' D A License No.: 816725
ate: r ! "� Contr' tor:
OWNER -BUILDER CLARATION
I hereby affirm under penalty of perjury that 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 Is 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
�j 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:
LQPERMIT
VOICE (760) 777-7012
FAX (7.60) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/04/06
Owner: _
LAN
EVENEL
5 55 AVENIDA RUBIO.
LA QUINTA, CA 92253
Contractor:
GK CONSULTING GROUP INC
P. O BOX 1014
LA QUINTA, CA 92247
(760)322-2522
Lic. No.: 816725
WORKER'S COMPENSATION DECLARATION
1 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
t— 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 1828069-2005
_ 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 should become sub' ct to the workers' compensation provisions of Section
x' 3700 of the Labor
orr CoCod a' fo ' h comply with those provisions.
Dat J - ApplicanC -
WARNING: FAILURE TO SECURE WORKE ' COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). If .ADDITION TO E 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 state that the above information is correct. I agree to comply with all
city and county ordinances and _state laws relatinto building construction, and hereby authorize representatives
ooff/tWs�, untty to enter upon the above-menteent):
r i s ect purposes.
a'D te: f - (J Signature (Applicant o
Application Number . . . . 06-00000015
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . .
207.00
Plan Check
Fee
134.55
Issue Date. . . . .
Valuation.
20000 -
Expiration Date
7/03/06
Qty Unit Charge
Per
Extension
'
BASE
FEE
45'.00
18.00 9.0000
-----------------------------------
THOU BLDG
-----------------------------------------
2,001-25,000
162.0.0
Permit . . .
MECH POOL
Additional desc .
Permit .
26.00
Plan Check
Fee..
6.150 -
.Fee .
Issue Date
Valuation-
0
Expiration Date
7/03/06
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
7/03/06
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
33.00
Plan Check.
Fee
8.25
Issue Date
Valuation
0
Expiration Date
7/03/06
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 ONLY. ALARMS/BARRIERS
SHALL
LQPERMIT
Application Number 06-00000015
------------------------------------------------------'----------------------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
Permit Fee Total 311.00 .00 .00 311.00 .
Plan Check Total 160.55 .00 .00 160.55
Grand Total 471.55 •.00 .00 .471.55
ci
40'-0"
SETBA
SETBA .. a
�. 6 HIGH POINT
`
a'-m• Wra -- — —e— — a'4r Wr.W
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TTP. \ •
Ar- CONDENSER GET
w TOP OF PAD TO BE
d) NO LE88 THAN 3' 4 y
•' "� `' Iq------- ABOVE GRADE y
4 e
II l m?m II
•"'Y• I I I I II � II I ® �
I I
PAIS . I
I%
CuTy OF LA QUINTI I
BUILDING & SAFETY DEPT.
APPROVED
w! FOR CONS-i RUCTION •
DATE BY Dc
DINM Rom a
:Z RE-INSPECT I -
ION FEE OF $30
WILL BE CHARGED LQ� � I
IF THE APPROVED
�.
PLANS AND JOS CARD ARE N - - -
I --
1.
THE SITE FOR A SCH E D NOT
L EIS
I i �� 2112229=INSPECTION. �' ' ;I �, •
v. NO EXCEPTIONS! I -
V I I 4
rssra.a+-a.rr
I o
0 4X4 •
• - CON
P
N •
5'-0• NIGH
1 BLOCK WALL
II -- !Nffi �r------------------�
GATE
- I
��1 I I
I I 5'-0•
ELOC
---------------
S-1 GARDENI
• N INOIDE6 9'11.6TERY) LLUMINAT 0 STREET NFROM GRASS
k. :. • "SIB L1E�AEPiTD LEGIBLE FROM •
xr, -:. ;.� • social,
4 0 • I (1) 24' BOX RCIDIU1 FLORIDiIi 1 • 60' DE
9 Q GRA66 i (BLUE PAL VERDE) 1'-Ia' l
r m 3'•3• Wi
Y 314 LEM
ul
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'IT • • i• .� • •
D VEWAY RECUIRE6 A
(U 24' BOX ACACIA 6TENOPWLI PERATE T AND INSPECTION
(SHOESTERBNG ACACIA) CI A CUINTA PUBLIC
ly - ARTMENT.
5'-0"
SETBA ARr
a 8 ATUl POINT 'm 5.
LPN D07
t>,r
V AL�'� V EXCURB
G AND0 GUTTER
PROPOSED NOOSE FOOTPRINT
^ -7 PINISN FLCOR ELEVATION 101W
�� I V� l,%•-+Lz2 bZ� PAD ELEVATION 101.0'
l (FINI6NED FLOOR f0 dE U•
_ ADOVE DATUM POINT At TOP OP
CURB AT CENTERLINE OF LOT.)
f.14 C
-
Bin #
City of La Quinta
Building U Safety Division
P.O. Box. 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-76412
Building Permit Application and Tracking Sheet
Pe'rmit #
,f 00 /S"
Project Address: /95 ALASCO LAQwPTA
Owner's Name: EVF?vC-%-
A. P. Number: is
Address: e,
Legal Description:_
Contractor: G Co K; f> U LT k FJ O(L 0 c-
-3
City, ST, Zip: Qv t A..,T(4 G-1 Izu
Telephone: r7& c? cr 6- 5-t 4 W =1
Address: ?0 Do 't- 41 YZ z.1,5-3
-1m.
Project Description:
City, ST, Zip: k ,-r 4 C)4 4 v_.5-
9 w t Wt PK t V 0) LOOL 3 r? A
Telephone: e7t, 21 et'l 630
City Lic. #:
%-km, Se A -r (41ct5
State Lic. #:
I/A%- L\ C Q A
Arch., Engr., Designer:
lad 2n
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,.of Contact Person: 766 - *Z 11.48 5 0
Estimated Value of Project*
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec.1d
TRACEING.
PERMIT FEES
Plan Sets
Plan Check submitted
item
In
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance
Energy Cales.
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 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
";. .. V !�, .