07-1065 (RPL)P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001065
Property Address: 61436 TOPAZ DR
APN: 764-280-999-149 -300237-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH 'DENSITY RES
Application valuation: 29000
Applicant:
T4ht 4 4 Q"
Architect or Engineer:
O/A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
License Class: C27-053 1 6icense No.: 847720
Date:1IV 419 ) Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury thatl 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 _) 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.).
(_) 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—) 1 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:
DALLAS & DANELLE BAER
61-436 TOPAZ DR.
LA QUINTA, CA 92253
(760)393-2690
Contractor:
GOLDEN FIREFLY ENDEAVOUF
2876 SPANISH BAY DRIVE
BRENTWOOD, CA 94513
(925)918-0840
Lic. No.: 847720
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/06/07
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 performarice 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 22900033243
I certify that, in theperformanceof 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
eNIO�/7 0 of the Labor Code, f r h i comply with those provisions.
Date: / /a"/ Applicant:
WARNING: FAILURE TO SECUREORKERS' COMPENSATION 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.
Icertify 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 bui d' con truction, and hereby authorize representatives
of this cou 'e')nter upon the above-mentioned pr r on purposes.
Date: O/ Signature (Applicant or Ag
„ Application Number
07-00001065
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
278.00 Plan Check Fee
180.70
Issue Date
Valuation . . .
. 29000 .
Expiration Date
10/03/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
4.00 6.5000
------------------------------------
THOU BLDG 25,001-50,000
:
26.00
. . .
MECH POOL
Additional desc
Permit Fee'
26.00 Plan Check Fee
.6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/03/07
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
10/03/07
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 Fee
33.00 Plan Check Fee
8.25
Issue Date
Valuation
0•
Expiration Date
10/03/07
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
LQPERMIT
Application Number . . . . 07-00001065
Special Notes and Comments
PLACE AT PRE-PLASTER.INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged' Paid Credited Due
----------------- ------- - ----------------------- ----------
Permit Fee Total 382.00 .00 .00 382.00
Plan Check Total 206.70 ..0.0 .00 206.70
Grand Total 588.70 .00 .00 588.70
LQPERMIT -
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: (.' (p 6,2 Q.
Owner's Name:. S 4 e Q er
A. P. Number:
Address: (Q 1 14 3 (a Q Z ►� Y'
Legal Description:
City, ST, Zip: L4 1 i n
Contractor: (106h P(,fTjy &d e4V0Vr3
Telephone: R 3 2(pQ0
Address:A`10- an �' 6h
Project Description:
City, ST, Zip: g f)� ra • b l51
Telephone: -1 ZS g
State Lie. # : i 1 ZQ
City Lie. #: 16
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #: D
Name of Contact Person: 50f) Dodd -s
Construction Type: Occupancy:
Project type (circle one): ew Add'n air Demo .
Sq. Ft.: es: nits:
Telephone # of Contact Person: 47 S Iq 19 U P q0..
Estimated ValueP sect:
APPLICANT: DO NOT WRITE BELOW TH&SMAE
#
Submittal
Req'd
Recd
TRACKING. J PERMIT FEES
Plan Sets
Plan Check submitted Q
Item
Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Floodplain plan
Plans resubmitted Mechanical
Grading plan
2"" Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' Review, ready for correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permi iss
School Fees
e
PT.
pponj
U
FOR Total ermit Fees
DATE9
�, + rY t z , ,...3 .sem`. .•.....
a N�
CL
� , :`. , � x .. a ..... ..........
r 2
Steps 6
POOL S
........................................ / PA /FALLS
...........
t... r
uMlsc rock.�. , r ................. .......... ........
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F.x
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,, ,,. :.:.:.::.:.:.:.:.::.......:.:.,..:.:..:...:.:.:.:.::.:.:.:.:..,:'..'..::..'...:.:.:....'.:':.:.:.:.:.:.:.:..:.:.'':
r
-
AC
DRAINAGE
i
Low Voltage Light
1 -
LV (3)18w & (4)30w
IRRIGATION
Drip Irrigation 2 gph
--------------------------
Drip Irrigation 4 gph
Gas / Electric
Gas 1 Electric Run
Water Supply
�6G
SCALE /4 -1
...... 1
~~ 20
Dallas & DanelleWDING
NT
A
& sAI= EN DEPT.
61-436 Topaz Dr Lot 14
p
APPROVED
Cd
Lauinta Ca. 92253
FOR CONS � -y-
RUCTIO N
209-786-6053 209- 56-3
2
/
7UATE 8Y y
Gas
D n duplicate _ This 0 of to s
P
_
drawing is the property o f
Designed by.
Rock Water fit n_ may not
oc at e and a
Rock
k W r Fir
c ate e
�6G
SCALE /4 -1
...... 1
~~ 20
Dallas & DanelleWDING
NT
A
& sAI= EN DEPT.
61-436 Topaz Dr Lot 14
p
APPROVED
Cd
Lauinta Ca. 92253
FOR CONS � -y-
RUCTIO N
209-786-6053 209- 56-3
2
/
7UATE 8Y y
D n duplicate _ This 0 of to s
P
_
drawing is the property o f
Designed by.
Rock Water fit n_ may not
oc at e and a
Rock
k W r Fir
c ate e
be duplicated.
Lic# 847720
PAGE
1/1
DEPT.
DESIGNER
— V
Jason Dodds Z S ��
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