13-0299 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000299
Property Address: 48499 STILLWATER DR
APN: 623 -5i0 -017 -
Application description: POOL - RESIDENTIAL.'
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 67952
Applicant:
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
l 16
'BUILDING & SAFETY DEPARTMENT \v,
BUILDING PERMIT
Owner:
HOFMAN HEINZ U & JOAN E
48499 STILLWATER DR
LA QUINTA, CA 92253,
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 'cense No.: 841585
Date: . AV13 Contractor:
OWNER- LD ECLARATION
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 licensedpursuant 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).:
(_) I, ac 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.).
(_ 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
Contractor:
AZUL POOLS
48934 BUENA VISTA DRIVE.
MORONGO VALLEY, CA 92256
(760)40870245
Lic. No.: 841585
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/19/13
19 2013 Tj
CITY OF LA
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION '
I herebxffirm under penalty of perjury one of the following declarations:
i 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
_ 1 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,
Y and agree'that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Co 1sha forthwit mply with those provisions..
r
Date: 3/19A3 Applicant:
IW—
WARNIN FAILURE TO SECURE WORKERS' COMPEINVATIVN COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,000). 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned pr ope ori ection p1Z. Date:tl�Signature (Applicant or Agent):'
Application.Number
13-00000299
Permit
MECH POOL
Additional desc .
Permit Fee
24.00 Plan Check Fee
6.00
Issue -Date
Valuation
0
Expiration -Date
9/15/13
Qty •Unit,Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
----------------------------------------------------------------------------
EA MECH FURNACE <=100K
9.00
- Permit . . .
BLDG. POOL PERMIT
Additional desc .
Permit Fee . . .
495.50 Plan Check Fee
322.08
Issue Date . . . .
Valuation
67952
Expiration Date
9/15/13
Qty Unit Charge
Per
Extension.
BASE FEE
414.50
18.00 4.5000
THOU BLDG 50,001-100,000.
81.0,0
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
45.00 Plan Check Fee
11.25
Issue Date . . . :
Valuation
0
-Expiration Date
9/15/13
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" . .
27.00 Plan Check,Fee
6.7.5
Issue Date
Valuation
0
Expiration Date
9/15/13
Qty Unit Charge
Per
Extension
"
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE.
6.00
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
" Permit
WALL/FENCE PERMIT
LQPERMIT
RECEIVED
Brn.#
§ S}/ 12 013 'MAR
BullOg &I SAO Division
P.O. Box 1'504,78-495 Calle Tampico CITY OF LA'. UI
1.a.Quinta, CA 92253 - (760) 777-7012 cOMMU"NITY D El.
Building Permit -Application and Tracking Sheet
Permit #
Project Address: 8 e{'q S 'f'Owner's Name:. we� 1 z-ooa O v,ila�f �
A P. Number. Address:
Legal Description: City, ST, Zip:
Contractor. 'Lv 00 Telephone: 6o S6 y " Zq
�( Pro'ect
Address: 8 q 3� " oe,n oma" U. S"E"o� . r • J Description: Cav, C Poo t7\ "
5-�r�
�+
City, ST, Zip: ti 0 a a �� C� Q11 �.ap.-fi£( r C e- w el
Telephone:(40) qo 'OZqS �r, f"". , QstrPre
v
State Lie. #: 8q 159 5" City Lic, #;
Arch., Engr., Designer. � 5�'0. W p
Address:
City., ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �e. n ; e �o- L a Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 0 8 = O i� S Estimated Value of Project; 8 000
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMTFFEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Cheek Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Pians resubmitted.'.
Meebanical
Grading plan
Z`` Review, ready for correctionskssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Graut Deed
Plans picked up
SMI.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'i° Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
::.
..
o !Permit Fees
• — ---...
Atpau
FORcF
NTA
.PMENT
cl
D%G
"�ae^ _C�6TY- OF LA QUINTA'SUB-CONTRACTOR LIST
JOB ADDRESS y 8 °� Sf;�� w fe( PERMIT NUMBER OWNER b o � m afln BUILDER L" I ?aO 15
This form shall be posted'on the job with the Building Inspection Card at all times in a conspicuous 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
-f hi ailriinn narmit Gar nnnh nnnrr-nhla traria n11 infnrmntinn rPnuesterf helow must be comnleted by aDDlicant. "On File" is not an acceDtable response.
rte-
Trade / Classification
err• -• -
Contractor ::.:
-- - - ,--- -- - - -
:;.:.:>:::;:..:;:>:..:;::.:5 a ;:Contractors License . :....:...::..
::::..:.:::. tat
:. W.orkers.Com ensation';Insurance: '::':::' ..:':;;,.•.'.:':::.::
City mess License:;::;
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 (C.12).:.';
r
p�vo;tro � Ae:I
AI�t7
q r5b
H/30J
/ l
cow e a & I,,��
Eve<e5
360060996911-(
(0/1/13
1� S93
C0NCFiETE (C-'8)'::.''' :.
�w �e I)CC
G�5 -I
8 � v1 1 0
2ve
91 3%
V c, rt 44 T5, J
� Z UJ E,-' Dt 3 o3 9
3915
2-/2-q/13
FRAMING :(C-5) `-
STRUCT.:STEEL'(C-S1)
AJoLrlo
946SO�
y/30/1L{.
o�- 'e �. A IE-' b,'I`b0000
Eye e• ,
9�681Z1
Ib/I/l3
1®59 3
6/30113
MASONRY -(C-29) `
PLUMBING (C-36; )
-
S
&
/V A
(P=35
FZvt �'Pool
.53
ns; Ce.
?�r-QW3 0331)-
5/WO
10
`569PLASTER
1/30/13
��a)G.(v'n;
ZIP, %/0- r a
A
5o $
H/30/A
car, -S+ /U+1.
W000221 6S) Z 1
lo/�t13
1 0�5q 3
6
/ /13
0VAC.(C720):::`:::.:':.
ELECTRICAL.(C=10Y ' .:
I
2-01 . Dols.
G` �3
Q Q
U Is U.5.
I r
5�6 �" /VIA
/V/A
1 /
6 D536
Q
3/1 1/1q
'SHEET METAL (C-431`
F-00tRING (C=1611:.'--.......
GLAZING (C-171::°`
INSULATION `(C-2).
SEWAGE DIST!;' (C-42)•
PAINTING (C=33)x' :
CERAMIC TILE (C-54)
Z v
I iLoo I S
(_- s3
8 q 1' 585
N/A
Se l A11A
ti
3111/1 Y
CABINETS IC -61
FENCING (C-13)
LANDSCAPING (C=27) .;
POOL (C-53)
Lul ( a
Oo1s
c,- S3
S `� l 5S 5
sem[
N A•
l0•o536
3/I /14
,
a, Four sukns 0101rox
prop
er�man acre e :t
March 6;'2013. • i
Heinz and Joan Hofmann +'
48499 Stillwater Drive, '
La Quinta, CA 92253 R
RE: Architectural Request Approval, '
Dear Heinz,and Joan Hofmann, '1 .
The Architectural Committee at Hidden Canyon has approved your ARC'request for• your
home located at48-499 Stillwate_r.Drive. �. .
" Please note the following:
All necessary City requirements must be met arid'any permits must be obtained.-
Common
btained:Common area cannot be used for equipment or material storage
Damage caused to common area is your responsibility.:
The Board asks that your contractor honors the Rules and Regulation of the association'
while performing the work. r Should you require a hard copy; of thepertinent information,
Please do not hesitate to call our office. „ • , .
Sincerely, . -
Nancy H61t y. '
_ F e
Avail Property Management ,
service@dvailhoa.com -
511350 Desert Club Di., Suite 4, La Quinta,`CA 92253
;., Tel: (760) 771-9546 Fax: (760) 771-1655 - ;