The URL can be used to link to this page

05-1922 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA�QUJNTA, CALIFORNIA 92253 Application Number: Q5-'-0b00i922\ Prope'rty Address: S3340-AVENIDA VELASCO APN: 774-08S-005-5 _000000 - Application description: POOL RESIDENTIAL - Property Zoning: COV Application I o nw 8 0 0 k T41tt 4 4 Q" Applicant: IM rchitect or Engineer: jj� I MAy 2 4 2005 1 .ITy OF �LA QtLIIITA I ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT -'BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 icommencing with x'Section 7000) of Division 3 of the Business and Professionals Code, andwrIllicense is in full force and effect. V License Class: C- rL License Nkr.4" 02 6!t 0 L,,O<�e Minh %el, Contractor. fA& 0 e" &IWALA.4 *.f2..0,V 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 requi res 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, 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 JSec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, an 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 ov�ner-builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I 1, 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 contractoris) 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 ISec. 3097, Civ. C.). Lender's Name: W Lender's Address: LQPERA11T If VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/18/05 Owner: POWER FINANCE Contractor: PICAZO POOLS & SPAS WCC: EXEMPT WC: EXEMPT 05/31/06 CSLB:. 836906 04/30/06 ------------------------------------------------- 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 h performance of the work for which this permit is issued. My workers' compensation /11, insurance tc:rier and policy number are: Qarrier C53 . Policy Number I" ----- - - - - - - - - - - - - - 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 becorTle subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith compi y with those provisitins. Ddf'e: . Jlrzlfit_�pplicant: 6,::� r__r7__r" AV, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO 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 io, 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 be.ing 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 relating to building construction, and hereby authorize representatives of this c ty-to enter upon the above-mentioned pr party f -inspection purposes. D.. Zo V/ .Z Signature (Applicant or Agen - r�r , 01 WO Application Number 05-000019,22 Permit . . . . . . BLDG POOL PERMIT ,-Additional desc Permit Fee . . . . 180woo Plan�Check Fee 117.00 Issue Date . . . . . Valuation . . . . 16800 Expiration Date 11/14/05 Qty Unit. Charge Per Extension *BASE FEE 45.00 15.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 Permit . . . . . . MECH'POOL Additional desc Permit Fee' I . ... 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation 0 Expiration Date 11/14/05 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 11/14/05 .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 11/14/05 Qty Unit Charge Per Extension BASE FEE 15:00 2.ob 6.0000 EA PLB FIXTURE 12.00 1.00. 3.0000 EA PLE 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 BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT LQPERMrT Application Number 05-00001922- ------------------------------------------------------------------ Special No.tes and Comments INCLUDED IN PERMIT. Fee summary -7 --------------- Charged ---------- Paid ---------- Credited --- ------- ---------- Due PermitFee Total .284.00 .00 .00 284.00 Plan Check Total 143.00 .00 .0 , 0, 143 ' 00 Grand Total 427.00 .00 .00 427.00 CITY OF LA QUINTA SUB-CONWACTOR LIST JAJ -- - BUILDER JOB ADDRESS 613-340 AJDA"'SC� PERMIT NUMBER OWNEA&064- G% This form shall be posted on the job with the Building Inspection Card at all times in a co"s. . Only persons appea his list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. F��om I will result in a stoppage of work and/orthe voidance of building permit. For eabh applicable trade, all information requested below must be completed by applicant. n File" is not an acceptable resp'onse.� Trade / Classification Contractor T—State Contractor's License �Vor�-� �Sc�ompensation Insurance city Business License Company Name 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 (xxxi) Exp. Date (xx/xx/xx) EARTHWORK (C-12) 0 C- - !S7-:�, CONCRETE (C-8) FRAMING (C-5) STRUCT. STEEL (C-51) 1=3 (o9 ocn -q-aO -1) E-,L�PT MASONRY (C-29) PLUMBING (C-36) V(C-A7-Qb0STQA-- cli C C -'63 'Oar.501n 10!�= e 4 LATH, PLASTER (C-35) -"-T DRYWALL (C-9) .V HVAC IC -20) ELECTRICAL (C-10) ROOFING (C-39) SHEET METAL (C-43) FLOORING (C-15) GLAZING (C-17). INSULATION (C-2) SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) �P-0'0-L (C-53) Ve- r- e) 0 X3 I -rf;—: q'92�6Ztig, -3p - 07V �Z-> TA, -r I— 4117 1 15