06-2332 (RPL)P.O. BOX 1504t, 4 Q*4&
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
Date: 6/09/06
Application Number: 0-6-0-6-6-0-2332 ` Owner.
Property Address: 48443—STI-LLWATER DR IVANHOE LA QU COV 6
APN: 658-140-999-123 -29436 - C/O R BARRY M t .0 -
Application description: POOL - RESIDENTIAL 7979 IVANHOE Ay STE 550
Property Zoning: LOW DENSITY RESIDENTIAL LA JOLLA, CA 0 '7 1Ui� 2006
Application valuation: 23000 J
Applicant:
Architect or Engineer:
--------------------------------------------------
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 Rd Professionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
r
Dat �106,ntractor. -
NER-BUILDER DECLARATION
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 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 1, 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 orimproves 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:
LQPERMIT
Contractor: '�
CALIFORNIA POO &_.5�
P.O. BOX 1280
COACHELLA, CA.92216
.(760)398-9222
Lic. No.: 656128
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 beco to subject to the workers' compensation provisions of Section
3700,X the bor Code, -s ith comply with those provisions.
e: plicant: _
WARNING: FAILURE TO SECURE WORKERS' C�VAPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 applicationand state that the above inf mation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildingcon ion, and hereby authorize representatives
of thihis/coo my to enter upon the above-mentioned property fo i purposes.
DOe'.'` • ature (Applicant or Agent):
IL
Application Number
06-00002332
Permit . . .
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
26.00 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 3.0.000.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
Application Number . . 06-00002332
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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2 ::" Buildtn ��Permt ban,
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Estunated Value of Project:. 2
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#, �;iSubm►ttal Req'd Rec'd..T
TRACKING PERMIT FEES —
PIan;Sets PIan:Ciieck submitted "
`Amount'
'Item "
St eti i al 'Wes:. <iteviewed�;"
, ready�for'eorrections-eck
::.-,..z :t.. Plan"Ch Deposit
� Trass Calcs "Confasf ". -
Galled Person ' '
Plan Check Balance
;,Energy Cales. Plans picked up Construetion
Floodrplatn plan Plans resu6mitted
a t„ Mechanical
"
Gu ding plan 2°" Review, ready for correctious�ssue Electrical '
Subcontactor Li Called Contact Person
Plumbing
Grant:D•eed'
Plans picked up
HOA Approval
Plans resubmitted
Grading
r.IPF IIOUSEready
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for correcttons WI a "'
Developer Impact Fee
k Ylamm�g Approval
; Called"Coutact Person
A.IPP'
Pub Wks Appr,
Date of permit issue
'SckoolFees.
:. , .. Total Permit Fees