07-0914 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00000914
Property Address: 61348 TOPAZ DR`
APN: 764-280-999-153 -300237-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 24000
Applicant:
Ct>
T4ht 4 4 Q"
Architect or Engineer:
?l P
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-------------------------------------------------
. LICENSED CONTRACTOR'S DECLARATION
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.
Licens Class A -C -CS F ofLicense No.: 840210
ate: :) ntractor:
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 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, 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
r. 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 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/27/07
Owner:
PAUL & PENNY ARMATO
61348 TOPAZ DRIVE
LA QUINTA, CA 92253
D a
Contractor: R � 9
CROCODILE CONSTRUCTION MAA2007
50660 EISENHOWER DR, #91
LA QUINTA, CA 92253 C#TYOFIA
(760)360-5895 F1 eC� �
Lic. No.: 840210
------------------
WORKER'S COMPENSATION DECLARATION
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 STATE FUND Policy'Number 1828832-2006
_ 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
3700 of the Labor Code, I shall forthwith comply with those provisions.
ate: V pplicant�WORKERS'COMPENSATION
WARNING: FAILURE TO SEC COVERAGE IS UNLAWFUL, AND SHALL
' SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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 my to enter upon a above-mentioned property for inspection purposes.
,1`6ate: ' nature (Applicant or Agent):
Application Number . . . . . 07-00000914
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 243.00 Plan Check Fee 157.95
Issue Date . . . . Valuation . . . . 24000
Expiration Date 9/23/07
Qty Unit Charge Per Extension
BASE FEE 45.00
22.00 9.0000 THOU BLDG 2,001-25,000198.00
----------------------------=-----------------------------------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 9/23/0.7
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 9/23/07
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 Fee33.00 Plan Check Fee 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 9/23/07
Qty Unit Charge Per Extension
BASE FEE 15.00
2.0.0 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
rui
1
LQPERMIT
Application Number . . . . . 07-00000914
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 347.00 .00 .00 347.00
Plan Check Total 183.95 .00 .00 183.95
Grand Total 530.95 .00 .00 530.95
Bin #
City Of La Quinta
Building u Safety Division
Permit #1, \ P.O. Box 1504, 78-495 Calle Tampico
vl t� La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 0 PA1.t7Owner's Name:
CALL' 04XA(.( n
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A. P. Number:
. Address: � � Z
Legal Description: ' ,A
City, ST, Zip: lwC lcl��CA
Contractor:��y(� oc`• JL (e, �S I{
f Lcc ecrv( Telephone:
Address: �J AI { I I W wv S& Project Description:
City, ST, Zip: T /n
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Telephone: q&o1 &7 -q 4o ., S
State Lic. # City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: Construction Type:�� ( S Occupancy:
State Lic. #:
�
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: U" LI -e �►� C- J i ` . Sq. Ft
35 0. # Stories: # Units:
Telephone # of Contact Person:
# Submittal
?j Plan Sets
Structural Calcs.
Truss Cales.
Energy Cala.
Flood plain plan
Grading, plan
Subcoutactor List .
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
Total Permit Fees
Estimated Value of Project: 7:�pk!) 00 d
APPLICANT:
DO NOT WRITE BELOW THIS UNE
Reed
TRAClONC . PERMIT FEES
Plan Check submitted (� Item
Amount
Reviewed, ready for corrections Plan Check Deposit
Called Contact Person Plan Check Balance
Plans ticked up Construction
Plans resubmitted Mechanical
2" Review, ready for correctionsAssue Electrical
Called Contact Person Plumbing
Plans picked up S.M.I.
Plans resubmitted Grading
Review, ready for. corrections/issue Developer Impact Fee
Called Contact Person A.I.P.P.
Date of permit issue
Total Permit Fees
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