07-1707 (RPL)P.O. BOX 1504.1 T..
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application,NdFnbe r-----5i.07-�7-.O:OOA,1.7.07,
"-
Property Address:
52345 SHINING STAR LN
APN:
767-200-999-17 -312022-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL"
Application valuation:
2500.0
Applicant:
TA
BUILDING & SAFETY DEPARTMENT'
Architect or Engineer:
Nle
• 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 Business and Professionals Code, and my License is in full force and effect.
License Clas v CS License No.: 777601�t
Date ; . Co' fry actoG
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 _ 1 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 (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.).
(_ 1 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 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.I.
Lender's Name:
Lender's Address:
LQPERMrT
Owner:
SCHERPF RESIDENCE
52-345 SHINING STAR LN.
LA QUINTA, CA 92253
(650)642-5819
Contractor:
CAL -NEVADA POOLS INC
.P.O. BOX 2222
RANCHO MIRAGE, CA 92270
(760)831-0860
Lic. No.: 777601
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/12/07
JUIN 1 ���1.1 .
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 STATE FUND Policy Number 1795596
I certify that, in.the performance of the work for which this permit is issued, 1 shall not employ any
person in any manner so as to become bject the workers' ompensation laws of California,
and agree that, if I should becomes ct e -workers= pensation provisions of Section
37 0 of the Labor Code, h I f mply wit,
it s ions.
Date�� Apptic— nt: '
WARNING: FAILURE TO SECURE WORKERS' COMPENSA ON 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 informatiyyn is correctI agree t comply with all
city and county ordinances and state laws relating to building constru ' tf,_a , iereby -auho ' representatives
of this.county�to enyer upon the above-mentioned property for ' oses.
Application Number
07-00001707
.Permit . . . . .
BLDG POOL PERMIT
Additional desc .
Permit. -Fee
252.00 Plan Check
Fee
163.80
. Issue Date
Valuation
25000
Expiration Date
12/09/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23."00 9.0000
THOU BLDG'.2,001-25,000
207.00 .
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee-.
6.50
Issue.Date
Valuation
. . .
. 0.
Expiration Date
.12/09/07-
12/09/07Qty
QtyUnit 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
12/09/07
_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
12/09/07
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 SHALL.BE IN
LQPERAIIT
Application Number . . . 07-00001707
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
Permit Fee Total 356.00 .00- :00 356.00
Plan Check Total 189.80 .00 .00 189:80
Grand Total'. 545.80 .00 00 545.80
LQPERAIIT
181-211
461-411 151-011
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1-011
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REVISIONS
S .
. V N
KEYNOTES
1.
NEW 31/2" THK. NEW COLORED CONCRETE
2.
CONCRETE STEPS
3,
POOL EQUIPMENT
4.
ELECTRICAL PANEL
5.
EXISTING GATE
6.
GAS METER
7.
EXISTING BLOCK WALL
8.
SKIMMER
9.
UNDERWATER LIGHT FIXTURE
10.
EXISTING CONCRETE PAD
11.
WATER METER
12.
INTERIOR BENCH
13.
UMBRELLA SLEVE
14.
INTERIOR STEPS
15.
SPILLWAY
16.
PLANTER
17.
STACKED STONE WATERFALL
18. `
10" DEEP TANING SPACE
19.
24" HT. LOW WALL W/ STONE ON TOP
20.
MAIN DRAIN
21
STONE TOP
Bin #
City. of La Quinta
Building U Safety Division
P.O-. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�j
i
-Project Address:
—
!y ---r
Owner's Name: f � �/Li �i3 $Gjf/�
A. P. Number:
Address: �_
Legal Description:
Contractor:
�n
City, ST, Zip: �—' 9�� / !'{�
Telephone:
Project Description.
Address: U N •.EZ
City, ST, Zip:
4
4 /
Telephone:
r
State Lic. # :
Arch., Engr., Designer:
City Lid. #:
Address:
City, ST, Zip:
Telephone:
f
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:
Estimated Value of Project: 4 �—
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG .
PERMIT FEES
Plan Sets
Plan Check submitted
bl V
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°a 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:-
3'd 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
T�c