09-0871 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,• CALIFORNIA 92253
Application Number:,
09-00000871
Property Address:
52910 AVENIDA VELASCO
APN:
773-326-009-18. -000000-
Application description:
POOL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
15500
T&�/ 4 4 Q"
Architect or Engineer:
�(A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/17/09
Owner:
-LARRY BAILEY
52910 AVENIDA VELASCO
LA QUINTA, CA 92253
a
D
¢{t3� i- [ 2iJ�J
Contractor:
BACKYARD RESORTS
53930 AVENIDA MADERO
1:LAQUINTA
CIT 1:
rt
LA QUINTA, CA 92253
r.)�� `rr�
(760)777-9838
Lic. No.: 602947
---------------------------------------------------
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 Co , and my License is in full force and effect.
License Class: C53 Li seNo.: 602947
ate: „ It/G ontrac r
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).:
(_) 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 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
----------------------------------------------—
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 E�EMPTPolicy Number EXEMPT
1 certify that, in the performance of the work for which this permit ' issued, I shall not employ any
person in any manner so as to become subject to the workers' ompensation laws of California,
and agree that, if I should becom ubject to the workers' pensation provisions of Section
700 of the Labor Code, I s orthwith comply with t e provisions.
WARNING( FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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.
I certify that I have read this application and state that the above inf ation is correct. I agree t mply with all
city and county ordinances and state laws relating to building c uction, and hereby author; representatives
of this,X9 G ty t enter upon the bove-mentioned propert r ' spection purposes.
te: v f Sig re (Applicant o nt):
Application Number
. . . . 09-00000871
Permit . . ..
BLDG -POOL PERMIT
Additional desc .
Permit Fee
162.00 Plan Check Fee
105.30
Issue Date
Valuation . . .
. 14613
Expiration Date
2/13/10 .
Qty . Unit Charge
Per
Extension
BASE .FEE
45.00
13.00 9.0000
----------------------------------
THOU BLDG 2,001-25,000
------------------------------------------
117.00
Permit . . . .
MECH POOL
Additional desc . .
Permit Fee
2.6.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
2/13/10
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
2/13/10
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 . .
27.00 Plan Check.Fee
6.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date,.
2/13/10
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
1.00 3.0000
----------------------------------------------------------------------------..
EA PLB GAS PIPE.1-4 OUTLETS
3.00.
Permit . . . . . .
WALL/FENCE PERMIT
LQPERMIT
r Application Number . . . . . 09-00000871
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . 23.00 Plan Check
Fee
.00
Issue Date Valuation
. _ .
. 887
Expiration Date 2/13/10
Qty Unit Charge Per
Extension
BASE FEE.
15.00
•4.00 2.0000 HND BLDG 501-2,000
8.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL ONLY. 38 L.F. 5' GARDEN WALL & 8
L.F. 4- EQUIPMENT WALL, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. 2007 CODES.
- --------------------------
Other Fees' . . . . . ... . . BLDG STDS ADMIN. (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 283.00 .00
.00
283.00
Plan Check Total 129.80 .00
.00
129.80
Other Fee Total 1.00- .00
.00
1.00
Grand Total 413.80 .00
.00
413.80
LQPE"IIT
CITY- OF LA QUINTA SUB -CONTRACTOR LIST /
JOB ADDRESS J.2 �l� %I Ueda Ike%a acv PERMIT NUMBER OWNER -r BUILDER . �C d �e �✓
Jhis form shall be posted on the job with the Building Insnection'Card at all times in a conspicuous place. Only p rsons appeari g on this list or their employe.es are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade / Classifi n
Contractor ::. ::
::.::::;::: ;:: <.::.::;:.Stata::Contractor.s. lacet�se... ;....: ::.-.;::.
:.: :.:°; : Workers.Corrl eAsatlon:InsuFanbe:::::" .:>::::...::::::.::
City Bus t►egs licensg
Company Name
1p roKtAh
Classification
(e.g. A. B, C-8)
License Number
(xxxxxx) '
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number -
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp, Date
fxx/xx/xx)
EARTHWORK IC -121 : ;...
O.
14. gaIII
911 %
1
3 CJI Q
CONCRETE (C-81
FRAMING :fC-51
STRUCT::STEEL IC -5a1
e_ 5 3
72 /2 .3
WA Vcs�« INS
C ou7 a�6 3L D
(C-29)
w��wn-ft C r.
9'MASONRY
9 r 33
0 -oo
r 09-610055-)
'
PLUMBING (C-361
LATH; PLASTER (C=.355)
DRYWALL (C-9)..'..
ELECTRICAL. (C-10) .:
W\'tLin 4(l ee 1Yw�
C' 5.3
602, 7��e/
10 21-11
SHEET.METAL (C=43)
FLOORING (Cs15);.
GLAZING (C -1:7i.:::::
INSULA TION'IC-2):
SEWAGE DISK (0-421 .
\
PAINTING (C=33)
CERAMIC TILE (C-84)
CA6INETS IC -6)
FENCING (C713)
LANDSCAPING (C=27) ."
1
•
PO'OL lC-S3)
'
Mone
Ko
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Bin #
City of La Quinta
-Building &r Safety Division
-Calle T P.O. Box 1504, 78-495 Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Address: blp- 4. &C_ C;.
'Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: L -I\ Ard \�o_ Q o -r
Telephone:
iK
Address: .404
Project Description:
City, ST, Zip: A 52 2 C- I
CO 44 Ae
Telephone: L76 D) �?77 - 9q 3C
State Lic. #
City Lic
Arch., Engr., Designer:.
Address:
City., ST, Zip:
Telephone:
......
Construction Type: Occupancy:
State Lic. #
Project type'(circle one): New Add'n Alter Repair Demo
Name of Contact Person:-
\AA ir-L
A-0— Lige-
Sq. Ft.:
-----
# Stories:
# T Units:
Telephone # of Contact Person:
p t)
Estimated Value of Project: S.5 co
.4/
APPLICANT: DO .NOT WRITE. BELOW THIS LINE
N
Submittal
Reqld
RWd
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.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
'Plumbing
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
7rd Reyiew,readylor corrections/issue
Developer impact Fee
Planning Approval
Called Contact Person
A.L.P.P.
Pub. Wks. Appr.
Date of permit issue
School Fees
Total Permit Fees