12-0250 (RPL)Cr r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12r_ 00 00:0250�,�
Property Address: 0 SKYWARD WY
APN:
609-470-010-29 -23773
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
25000
• �W
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
JONES -PRINCE TRUST
43750 SKYWARD WAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/19/12
D MAR z n 201 72[
Contractor.I CITY OF ILA QUINTA
Applicant:. Architect or Engineer: VACATION POOLS INC FIN!INpT
PO BOX 10940
INDIO, CA 92202
(760)775-0468
Lic. No.: 856835
--------------------------------------------------------------------------------------------------
U SED NTRACTOR'S DECLARATION
I'hereby affirm under penalty of perjury th am li n ed under provisions of Chapter 9 (commencing with
Section.7000) of Division 3 of the Bus i s and of sionals Code, and my License is in full force and effect. .
License Class: C53 License No.: 856835
OWNER -BUILDER DECLARATION
I hereby affirm under penalty oferjury 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 (55001.:
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 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
Iimprove 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 I am exempt under Sec. - , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 hereby a rm Npenalty 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
Code,
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 1948584-2016
I certify that, in the performance of tog work for which this permit is issued, I shall not employ any
person in any manner sons to b c d me s j t to a workers' compensation laws of California,
and agree that, if I hp ld 6ec e�subj t th w rkers' compensation". provisions of Section
3700 of the Labor Pode/I s II brth i o ly ith those provisions.
orfs e:icant: /
WARNING: FAILURE TO S E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYE 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 p it, or celiorrect.
work for 180 days will subject
permit to cancellation. .
I certify that 1 have read this application and state that the o e inf I agree to comply with all
city and county ordinances and state laws relating to bu' ing ons uc ' nby authorize representativesof��this c unty to enter upon the above-mentioned pr in ec ' n
Date2G `l/ Si ture (Applicant or Ag 1 -
LQPERMIT
Application Number .
. . . . 12-00000250
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
252.00 Plan Check Fee '.
163:80
Issue Date
Valuation
25000
Expiration Date
9/15/12
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
9/15/12
Qty Unit Charge
Per
Extension,
BASE FEE,
15.00
1.00- 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K
11.OD
Permit
ELEC POOL PERMIT -RES.
Additional desc .
Permit Fee
45:00 Plan Check Fee
11.25
Issue Date
Valuation
0.
Expiration Date
9/15/12
Qty .Unit Charge
Per
Extension.
BASE FEE
15.0,0
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
9/15/12
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
LQPERMIT
LQPERMIT
Application Number . . . . . 12-00000250
--------------------------_---------
Special Notes and Comments
---------------------
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED. 2010
CODES.-
-------------------------------------- - -------------------------------.Other Fees BLDG STDS ADMIN .(SB1473)
•1.00
Fee summary Charged Paid
Credited
Due
Permit Fee Total 356.00 .00.
.00
356.00
Plan Check Total .189.80 .00
.00
189.80
Other Fee Total 1.00 .00
.00
1.00
Grand Total 546.80 .00
.00
546.80
LQPERMIT
Existing "Palm �.
to remain ~.-r; /Z
.Existing Citrus
to remain
:Existing Citrus
to remain
PA
Pool
Bench
Pool
X 329
'Existing
Concrete
Decking
+G�
i
+o"
R
New Concrete
Decking: '°`/G
i H
i
pool
F Equipment
� P
E Existing Electrical
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR GCONSTRUCTION
DAT / / /X13Y P
I
LEE AND. KIM
• . RES I DENGE
OPTION "B"
t
I
i
�i
VACATION POOLS, INC.
83900 Avenue 45, Suite C
a _ Indio, CA 92201_..
Ph..(760) 775-0468, Fax(760) 775-0469
License # C-53-856835
t
NOTE: )
Landscape elements (Trees, Shrubs, Vines and
.Lawn) and Patio .Furniture shown for
illustration only.
Unless by 5eparate bid.
CONTRACTOR cannot assume- responsibility for
damage to curbs, sidewalks, driveways, cement
slabs," sewers, lawns, trees, fences, retaining
walls, sprinklers, wires, valves, telephone or
shrubs.
When access is made through. a neighbor's
property it is understood that you, the owner,
have that neighbor's permission and assume full
responsibility.
DATE
DATE REVI5ED
)5/06/11: I 03/Oq/12
NAME: LEE AND KIM RESIDENCE
ADDRE55: 43-750 SKYWARD WAY
CITY: LA QUINTA, GA 42253
TRACT:
LOT: PHA5E:
516NATURE
Scale: I/8"=1' -O"
Bin. #
Qut�t ta
Buikrtpg a Safety Division .=
P.O. Box 1504,78-495 Catte Tampico.
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application• and Tracki g Sheet
Permit #
n ,a
1
Project Address: 3 7-�� S Q
Owner's Name:. V �, J" )IU C
A P.'Number
Address: �/ et
Legal Description:
Contractor
City, ST, Zip: i0w
Telephone: / `�/S�T U3s$BA y
Tel hone:
Address: O �� L 2�
Project Description:
City, ST, Zip: /l(hC' 7a�C
J
Telephone: 0 -27- —C
Y /d4
City Lie.. #; $..t_P8_3T
State Lia # : �j
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: v .Y N
State Lic. #: "'
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT:'DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
S"dural Cates.
Reviewed, ready for corrections
Pian Check Deposit. .
!fuss Cafes.
Called Contact Person
Pian Check Balance
Tide 24 Cafes.
Pians picked up
Construction
Flood plata plan
Plans resubmitted..
Mechanical
Grading plan
2' Review, ready for correctionsrissue
Electrical
Subcontador List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H•O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7i° Review, ready for correctionsrissuc
Developer Impact Fee
Planning Approval.
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees