06-1549 (SOTB)Jr
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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
Application Number: 06-00001549.
Property Address: -"Q40- STILLWATER DR 46—'/ 7 to
APN: 658-140-999-158 -29436 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 10000
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 and Pr fessionaI Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
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�( ete: Contracto : - -
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 Division3 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, 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 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
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:
MAIZE
48-308 STILLWATER DRIVE
LA QUINTA,.CA 92253"
Contractor:
CALIFORNIA POOLS &
P.O. BOX 1280
COACHE�,GA, CA 9223
(760)398-9222
Lic. No.: 656128
Date: 4/17/06
-------------------------------------- �:�/------
. 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. -
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 becom uiect to the workers' compensation provisions of Section
3700 of the Labor Code, I s, ohwi comply with those provisions.
Byte: Applicant: \ .
WARNING: FAILURE TO SECURE WORKERS' C MPENSATION 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. -
I certify that I have read this application and state thatthe above info ation is correct. I agree to comply with all
cityandcounty ordinances and state laws relating tout
and hereby authorize representatives
of this county to enter upon the above-mentioned property f r' pe n p poses.
Date: L� Signature (Applicant or Agent): /
Application Number . . . . . 06-00001549
Permit . . BUILDING PERMIT
Additional desc.
Permit Fee . .' .117.00
Plan Check Fee
76.05
Issue Date . . . .
Valuation
•10000
Expiration Date 10/14/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
8.00 9.0000 THOU BLDG_2,001-25,000
72.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc ..
Permit Fee 17.25
Plan Check Fee
4.31
Issue Date . . . .
Valuation
0
Expiration Date 10/14/06 -�-
-�
Qty Unit Charge Per
Extension
BASE
FEE
15.00
3.00 .7500 PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
r
_
Permit. PLUMBING
Additional desc .
Permit Fee . . . 18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . .
. 0
-Expiration Date_ 10/14/06
Qty Unit Charge, Per
Extension
BASE
FEE
15.00 .
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS,.
3.00
Special Notes and Comments
BARBEQUE (Z21-58-1995) AND KIVA
FIREPLACE.
Other Fees . . . . . . . . . ENERGY REVIEW FEE
7.61
Fee summary Charged.
Paid Credited
Due
Permit.Fee Total 152.25
.00 .00
152.25
Plan Check Total 84.86
.00 .00
84..86
Other Fee Total 7.61
.00 .00
7.61
Grand Total 244.72
.00 .00
244.72
LQPERMrr
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P.O: BOX 1504
BUILDING & SAFETY DEPARTMENT
OF
78-495. CALL.E TAMPICO
(760); 777-7012
LA QUINTA, CALIFIORNIA-92253
FAX (760),777-7011
August 14, 2006
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114 .
Palm Springs, CA 92262-6962
Dear Ms. Sanchez,
Please•be advised of an address change for the following permits. Permit # 06-
1098 and 06-1549, issued to 48-308 Stillwater Drive, should. be corrected to 48-
476 Stillwater Drive.: Enclosed please find corrected copies•of the previously
issued permits:'
Please note this change and contact me directly at '(760) 777-708.4 if. I may be of
further assistance.
Sincerely,
Kay Hensel .
Counter Technician
VA1_IMRNIA Dnnl_.t x RPAQ.
86-100 Ave. 54, P.O. Box 1280 Coachella, CA 92236 • (760).398-9222 • •Fax (760) 398-9255 • Ca. Lic. No. "656128
r ,
June 29,.2006 • Y _
City -'ofia'Q:aititu 9•— �t .+++ •'^ :�=:'a _ y _w.'',: r� - _ _
Building Department
78-495 Calle Tampico
La Qitinta, CA 92253 �'•' i:� F �� l�f {��
. � \ 'may ^S -. •! -! �W7t•+C -
To'Whom It May Concern:
The following is a request to change the address on Permit# 06-00001098 and Permit#
06-00001549, from 48-308 to the correct address 48-476 Stillwater Dr, Amdahnia
Lot. 152.
If you have any questions please call the office at 398-9222.
Thank you,
California Po pas
- i
Robert K. SV-'
,u
• k
President
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OFFICES
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I i 1 1 1 - GUNITE GATE REVERSAL "..----� _,
j 1 i i E _.._..... REMOVE & RENANG ..=-•,----"
1 r; 1 i _ I 1 ( DEEP END RAMP
EXTENDED 2nd STEP
1 I ' 1 1 I I LOVESEAT
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OTHER
OWNER :RESPONSIBILITIES
ti.:..% L*
_ _ _ _ - - ! OWNER 1 DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
-------€
------ '-- () TAKE NOTICE THAT PODL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
_........ I;, (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
i I 1- 1 I I ( J (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE T'0 CURBS,`SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS ARE..A
(S) SEE THAT ALL FENCING, GATES," AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
ems.
PRIOR TO PREPLA5Tt3t INSPECTION .
I1 (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
L _ r; i - - - - - - - -i - - - - ' ' 4 i �r (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE .PROPERTY OF CALIFORNIA POOLS AND THAT ANY
[----- ---- USE WTHOUT W IT O PERMISSION OF CALIFORNIA POOLS, INC. IS PRORIBI70 BY LAW.
OWNER APPROVES PLAN, POOL. AND EQUIPMENT LOCATIONS AND HAS READ THE RE5PCN51BILITIES AND NOTICES ABOVE.
� a•
-�- SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME
IE E I DEi�E
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STREET
JOB ADEJR SS Fa:t� CITY L.4 0n�:.:•�4
' } PHONE `OFFICE RES
LOT i TRACT PAGE BOOK
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MxJ � MAP BOOK PAGE N0. CITY
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01 OF
QUINTA
BUVLDING & 3
FEW DEPT.
APP
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- — FOR CONE
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