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06-1532 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00001532 78935 SKYWARD WY 609-470-020-39 -23773 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 1- 29000 �U Architect or Engi 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT APR 1 R 206 01'" -------------------------------------------------- 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 Class: C53 tense No.: 602947 te: - // -Contractor. 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 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.).. (_ 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.). (_) I am exempt under Sec. , B.&P.C. for this ieason - 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 Owner: SITKO DAVID H 78-935 SKYWARD WAY LA QUINTA, CA 92253 Contractor: LEE CONSTRUCTION, MICHAEL 53930 AVENIDA MADERO LA QUINTA, CA 92253 (760)777-9838 Lic. No.: 602947 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: . 4/17/06 -----------7----------------------------------- 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 EXEMPT Policy Number EXEMPT 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 work compensation provisions of Section 3700 of the Labor Code, I s If forthith comply w'�17t ose provisions. _C Applican .- 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 andvoid 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. gree to comply with all city and county ordinances and state laws relating to building construction, and hereb thorize representatives of this county to enter upon the above-mentioned proper i ection pprpo rty fo Dale- !/LI _ X Signature (Applicant or Agent) Application Number 06-00001532'-- 6-00001532•-Permit Permit. . . BLDG POOL PERMIT Additional'desc . Permit Fee 278.00 Plan Check Fee 180.70 Issue Date Valuation . . . . 29000 Expiration Date 10/14/06 Qty Unit Charge Per Extension BASE _FEE. - ', - _ 252:00" 4.00 6.5000 THOU BLDG 25,001-50,000 26.00 Permit . . . MECH POOL - Additional desc . Permit.Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation ... 0 Exp ration Date 10/14/06 c 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 45.0b Plan Check.Fee 11.25 Issue Date . . . Valuation 0 Expiration Date 10/14/06 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 10/14/06 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 ONLY. ALARMS/BARRIERS SHALL LQPERMIT _. Application Number 06-00001532 ---------------------------------------------------------- Special Notes and Comments' BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary. Charged Paid Credited Due --- - - - - -- - -- - -- --- Permit Fee Total_ _ ,-. 3.82...0.0 00 -- _ _ . 00 -- 382:00 Plan Check Total' 206.70 .00 .00 206.70 Grand Total 588.70 - .00 .00 588.70 r� LQkRMIT 1 CITY OF LA .QUINTA SUB -CONTRACTOR LIST / JOB ADDRESS - 9 3 9- 5 ��'� A/ PERMIT NUMBER 0 ( — 15321 0WNE13 �1-S� 51 -o -. BUILDER %yIrGG�A/ �� e C©� Wy This form shall be posted on the job wi h he. Buildin Ins c io Card at all times in a cons is ous place. .Only persons appearing on this 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. 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 / Classification. Cont recto . ::`.;.: r ::::':>:>:;<<:::::<:::::::;: :. ; :..; .....:: State..Contractor.s. License . ... a sat ionInsurance:.:',, .' : ,• Wo�kes.Com . t! :::... :..Cit . Bust ess License . . y n 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' (xxxx) Exp. Date (xx/xx/xx) EARTHWORK 1C-121 ; ;. l%/s-4-/'0 �} �l g -7 i. 6 Jp'.'cG wre ��` �l 7gS7 !� .�i a` l3-3 �Q '. CONCRETE (C-8) .. 9 -3D -o`6 oo �� f �0 e/ s L O FRAMING :IC -5). CT. STEEL•G- O b .L__.. " 6c 15? MASONRY 29T 8 ro `� .. 'C -2 9 6 2 �.[ /' !0- 3-177 -� y�� VO C� . /b i lot 635 PLUMBING1C-36) �.l ��I 6 Def. << 6 f76 �of L&kr1 .�v�s, CI�JC 14"M7 d -b [Z 1 d6 loo�� —AR -0% . WTH; PLASTER (C-35 - 4 (0 - l� l �,Z`3%7 DRYWALL (C-9) . ;.. • : ¢ 614 HVAC. ELECTRICAL. (C-10)' AM RQQFING'(Cr391::;:,' .SHEET METAL (G 43) . ` GLAZING (C-17)'' '.:::.:..;: INSULATION:(C-21:: .::. SEWAGE.DISPr Id -42). PAINTING (C-33) CERAMIC TILE (C-54) �rp� p G , �.� Z ! i ! p -J��� 6l 7 Yy CABINETS IC -6) FENCING (C713) ` LANDSCAPING (C' -27). - POOL (C-53) B L O C K W A L L tii6ek,waii Fred Waring Ave. Access t Fred Waring f BLOCK WALL - 4 -deck jets B L O C K W A L L P L - Skimmer Auto -fill "BACKYARD RESORTS" By Michael Lee Construction Office (760)777-9838 1 fax (760)771-9676 Licensed since 1990 0 ° o- C53-602947 Name: Teresa Sitko Street:78-935 Skyward Way City: La uinta Job Address: Same Phone Office: Res. Lot Tract Page Book Scale 1/8"=1' Date Spa spec. Size 7' x 7' Area 38' Per. 22' Spa dam wall width No. Jets 5 • No. Lights 1 Spa raised 18" Spillway Type stack Special notes Pool spec. Size 16'6"x 27' Area 335' Per. 77' Depth Min. 316" Max. 5' R.B.B. Love seat per plan Extra steps Tanning Ledge Rock pockets no Excavation: Type Bobcat Elev. Deep ram -end Removal: Fall Sod none Plumbing: Hayward Equipment Size: Filter 3020 c Heater 400,000 Pump 2 hp 2nd pump 3rd pump Type of controls - - " Time clock Fountains/s ra heads none No. of Skimmers 1 Lights' 1 Decking: 410' Finish Salt Color Color Deck drains Steps Notes Tile: Type Masonar : Coping type Cantalever Access wall Equip wall Fire pit BBQ length no Pebble TBD Plaster Color Size Bin # City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 ..Building Permit Application and Tracking Sheet Permit # A— Project Address: ) 3 s W 4-r N Owner's Name. 2; 4-4 A t ko A. P. Number: Address: — 9,3 Sr - Legal Legal Description: City, ST, Zip: w� Contractor: AMC � �N w� � a � Telephone: W Project Description: o S e' Address: 5-3 _ o Ave 1&d e-rC;, City, ST, Zip: N Telephone: 7 c3 8 State Lic. # : C 5 S - 6 ;2 cl. City Lic. #: Arch., Engr., Designer: Address:Ad s City, ST, Zip: Telephone: 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: e, s 79 - 98.3 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMTT FEES Plan Sets Plan Check submitted/j j� 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