06-2331 (RPL)`:eityoo, 4
P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA'92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
f Date: 6/09/06
Application Number: 06-000002331_ Owner:
Property Address: 48392 STILLWATER DR IVANHOE LA QUINTA COVE .
APN: 658-140-999-155 -29436 - C/O R BARRY MCCOMIC
Application description: POOL - RESIDENTIAL 7979 IVANHOE AVE STE 550
Property Zoning: LOW DENSITY RESIDENTIAL LA JOLLA, CA 92037 D p
Application valuation: 23000
Contractor: juN 1 2006
Applicant: Architect or Engineer: CALIFORNIA POOLS, & SPAS.
P.O. BOX 1280 CITY OF (QUINTA►
COACFRLLA, CA 92236 FINl1N�I®SPT
(760)398.-9222
!� Lic. No.: 656128
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury tI t I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busi t- and Professionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
ate �jZontractor:
WNER-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, orrepair 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 1$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.)-
(_) 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
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:
LQPERNIIT
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 SEABRIGHT Policy Number BB1060510
_ 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 bec a subject to the workers' compensation provisions of Section
3700 of the Labor Code, al fo with comply with those provisions.
klsR icanr. -
WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES 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 abov information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi struction, and hereby authorize representatives
of thi co ty to enter upon the above-mentioned prope p ion purposes.
t y/L ature (Applicant or Agent):
Application'Number .
. . . . 06-00002331
.
Permit . .
r
BLDG POOL PERMIT
Additional desc
-
Permit .Fee
234.00 Plan Check Fee
.152.10
Issue Date
Valuation
23000
Expiration Date
12/06/06
Qty Unit Charge
-Per
Extension
-
BASE FEE
45'.00
21.00 9.0000
THOU BLDG 2,001-25,000
189.00
Permit . . .,
MECH POOL
Additional desc .
Permit Fee
2.6.00 Plan Check Fee
6.50
Issue Date
Valuation
0
Expiration Date
12/06/06
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
12/06/06
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
12/06/06
' 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
LQPERMII
,.
.
Application Number . . . 06-00002331
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION. -
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---- -- ------ ---------- ----------
Permit Fee Total 338.00 .00 .00 338.00
Plan'Check Total 178.10 .00 .00 178.10
Grand Total 516.10 .00 .'00 516.10
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La Qu nta
Bul[drng 8t Safety �IVIsIOn
Rermlt #
P O Box 15Q`4, 78 495 Calle Tampico
La ta, C 2253
6 77 A 9 (7 Q).7 7012
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Building Permit Applleation acid Tracking Sheet
Owner's Name.
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PERMIT FEES
Plan ,::... ..
PIan.Cbeck submitted ;
StructuraLCalcs.
corrections
Item
Amount
Plan Check Deposit
Tivss'Calcs
Called Contact Person
Plan
Check Balance
Energy Calcs.
Plans picked up -
Construction
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plain`plan
Plans resubmitted
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Mechanical
Grad►ng plan
2°" Renew, ready for corrections�ssue
Electrical.'
;, :.....
,`Subcontactor List'�
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Called -Contact Person
Plumbing
Grant Deed:Plans
picked up
HOA Approval
S:M.I.
Plans resubmitted
Grading
'l�F IIODSE
'ro Review, ready [or correctioris/issue
Developer Impact Fee ;
Planning Approval
Called Contact Person
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A:LP.P. ,
Pub Wks Appr,.
Date of permii issue
;School Fees;...
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Total Permit Fees