06-2378 (RPL)P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00002378
Property Address: 48308 STILLWATER DR
APN: 658-140-999-158 -29436 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 49500
Applicant:
PAP
Architect or Engineer:
alp
BUILDING & SAFETY DEPARTMENT
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 Class: C53 License No.: 238947
atetractor
ZloOWNER-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 (65001.:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 10
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.). -
_ (_) 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 contractors) 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
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:
C
DAVID SMOLEY
48308 STILLWATER
DRIV
LA QUINTA, CA 92253/M010"
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CContractor:c
MASTER POOLS AND
SP
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73555
73555 HIGHWAY 111
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PALM DESERT, CA 92
(760)346-6115
Lic. No.: 238947
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
0
Date: 6/26/06
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.
All 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 0014573-2005
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
i 3700 of the Labor Code, I shall forthwith comply with those provisions.
WARNING: FAILURE TO SEPICIRE 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 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
nd count
ay ordinaa ate laws relating to building construction, and hereby authorize representatives
of thi unty to enter nces u the nabove-mentioned property for inspection purposes.
Dater Signature (Applicant or AggytY.�
LQPERMIT
i
Application Number . . . . 06-00002378 .
Permit . . BLDG POOL PERMIT
Additional desc .
Permit Fee 414.50 Plan Check
Fee..
269.43,
Issue Date' Valuation
49500
Expiration Date 12/11/06
Qty Unit.Charge Per
Extension
BASE FEE
252.00
25.00 6.5000 THOU .BLDG 25,001750,000_
----------------------------------------------------------------=-----------
162.50
Permit. . . . MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check
Fee..'.
6.50
Issue Date Valuation
. . . .
0
Expiration Date 12/11/06
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 12/11/06
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 12/11/06
„ 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 ALARMS/BARRIERS SHALL BE IN
LQPERMIT
i
LQPERMIT -
'Application Number .. 06-00002378
--------------------------------------- -
Special'Notes and Comments
- - - - - - - - 7
- --- - - - - - -
- - - - - - - - - --- ----
:". PLACE AT PRE-PLASTER INSPECTION
EQUIPMENT ENCLOSURES. NOT INCLUDED.
' Fee `summary Charged
Paid
Credited:
Due'
Permit Fee-Total 518:50
'.00
.00
518.50
Plan Check Total 295:.43
.00
.00-;
295.43.:
Grand'Total 813.93
.00
'00
813.93
LQPERMIT -
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I Pool AREA: 523 SP.
POOL PER:108 L.P.
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A RE -INSPECTION FEE OF V 0
SPA PER. 28 L.F.
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BASIN ARBA: 0 L.P. B.P.
BASIN PER: ZWILL BE CHARGED IF THE APPROV D
ORI6NAL DMIf.
CANTI FM, 240 LF.
1 VWXAREoL 1612 OF. 5M0Lr=Y'PLANS AND JOB CARD ARE NOT N
1IMM
' RSiaexc THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
LNOImIM1N1m.
I P= pffa 10027-0 CITY OF LA QUINTA
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Mnb ' 000441 eo BUILDING & SAFETY DEPT.
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Prnperby Addrsne, 18180 5PY6LA95 HILL LA QUMTAPPROVED
it
1 FOR CONSTRUCTION !
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LOT 69 149 =VO30 TR 23384-1
DATE vl Rv
STO DATE
VICINITY MAP:
yrs.
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