06-2672 (RPL)- -Atyl 4
• ��
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00002672, : Owner:
Property Address:
78735 CALLE TAMPICO
LA QUINTA BUILDERS
APN:
770-144-004-126 -000000-
79785 TANGELO
Application description:
POOL - RESIDENTIAL
LA QUINTA, CA 92253
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation: ,
30000 -
Contractor:'
Applicant:
Architect or Engineer:
RIPARIAN ENVIRONMENTS
`P.O. BOX 13990
PALM DESERT, CA 92255
(760)398-9997
Lic. No.: 839002
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.
Licens Class: A/B,//C8,27, LicenseNo.: 839002
Date: ,� l/UCo raaor. .
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 oenalty of not more than five hundred dollars ($500).:
1 _ 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 offeredfor.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
A
Date: llcMdG Owner: A LCQ., ,ll..- L, .
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:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1.0%02/06
OCT 04 2606
CITY OF LA QUINTA
FINANCE DEPT.
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.
t 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Y'� 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 1769754-2006
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 subject to the workers' compensation provisions of Section •
3700 of the Labor Cope, I shall forthwith comply with those provisions.
pace/�
6 -1 : plicant:
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 ATTORNEWS 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 Ouinta, 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 information is correct. I agree to comply with all
city and ounty ordinances nd state laws relating to building construction, and hereby authorize representatives
of this �-tur
n the above-mentioned. propertfor inspection purposes.
te: e (Applicant or Agent):
elll
r1
Application Number .
. . . 06-00002672
Permit. . . ...
BLDG POOL PERMIT
Additional desc..
Permit Fee . . .
284.50 Plan Check
Fee
184.93
Issue Date
Valuation
. . .
30000
Expiration Date
3/31/07 ,
Qty Unit.Charge
Per
Extension .
BASE FEE
252.00
5.00 6.5000
THOU BLDG 25,001-50,000
--------------------
32.50
..Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
0
Exp ration Date
3/31/07
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
3/31/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
------------------------------------------
EA ELEC PRIVATE SWIMMING
-------------•---------------------
POOL
30.00
Permit . . .
PLUMBING
_.
Additional desc
2
Permit Fee . . . .
33.00 Plan Check
Fee
8:25
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
3•/31/07
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
LQPERDIIT
Application Number 06-00002672
Special Notes and Comments
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------=-----
Permit Fee Total 388.50 .00 .00 388.50
Plan Check Total 210.93 .00 .00 210.93
Grand Total 599.43 .00 _ .00 599,.43
r
r
J
EXISTING
.CONCRETE
3LOCK WALL
97.0"
is -11"
17-T'
EP&A
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a
Job Addrees:
78-735 Tampico
La Quinta, CA 92253
Owner
La Quinta Builders
79-785 Tangelo
La Quinta CA 92253
POOL & SPA
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a�
I , �da;c�aipe
� � �� . - .. ,
�( ('
" e, n u i ' r� o o,fr e n t s
69-730 Hwy, 111 - Ste 113b
} Palm Desert, CA 92255
Office (760) 324.0560
FAX (760) 324.0630
. CA LICENSE 839002
DATE: 08-31-06
SCALE: 3/32"=1
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
6o Building Permit Application and Tracking ng Sheet
Permit #
01� r,,
Project Address: �j —�3 -'Gyp,\
Owner's Name: �n
A. P. Number: C•(225
Address:n
8 S �C �" tD
Legal Description:
Contractor:
City, ST, Zip: Z3
Telephone:
Address: (� G] (�
Project Description:
City, ST, Zip: A—V'
r
Y J
Telephone: 92111 bS6 (3
State Lic. # : UoZ
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: �(
Constru.ction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: g . 4 �
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 Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
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