08-0360 (RPL)P.O. BOX 1504 y
78-495 CALLE TAMPICO
LA QUINTA; .CALIFORNIA 92253
Application Number: 08-00000360 '
1.. Property Address: , 61567 TORO CANYON WY
APN: 764 -280 -999 -119 -300237 -
Application description: .POOL: - .RESIDENTIAL
'Property Zoning: MEDIUM HIGH DENSITY RES '
'Application valuation: 40000 ,
'Ceii
444
BUILDING & SAFETY DEPARTMENT
-BUILDING PERMIT
Applicant: Architect or Engineer:
ry
~ 4anfessionals
ONTR 'S DECLARATION
1 hereby affirm under penalty of perjury under provisions of Chapter 9 (commencing with
Section 700 ) of ivision 3 of the BusiCode, and my License is in full force and effect.
License Cla License No.: '658996
ate. Factor:
WNER- ILDER DECLARATION -
I hereby affirm under penalty of perjury that I a exempt from the Contractor's State License Law for the
following reason (Sec:7031 .5, Business and Pro ssions 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 (5500).:
( -) I, as owner of the property; or my employees with wages as their sole compensation, willdo 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 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.1.
' Y
Lender's Name:.
Lender's Address:.
LQPERDIIT - -
Owner:
MOE DAVIDOWITZ
61567 TORO CANYON WAY
LA`QUINTA, CA 92253.
u
Contractor:
FAMILY POOLS CONSTRUCT ON
P O BOX 283
LA QUINTA, CA 92247
(760)564-3655
Lic. No.: 658996
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/.27/08
I n'
FEB 2 71008
C1TD PD -P.
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. -
1l I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
'tom Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance.carn and policy n mber are:
Carrier STATE FUND Policy Number 1344032-06
_ I certify that, in the performa a of the work for which this permit is issued, I shall not employ any
. personin any manner so a t become subject t he workers' compensation laws of California,
'and agree'that, if I should a orae subject to a workers' compensation provisions of Section
0 of the Labor Coo s forthwith mply with those provisions.
WARNINL: FAILURE TO SECURE WORK�EISIALI?IE
' CPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT'AN EMPLOYER TO CRIMINAL AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS.($ 100,000). IN ADDITION TOHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, IEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT. Application is hereby made to the.Director of Building and Safety fora permit.subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, ea arson at whose request and for
whose benefit work is performed under or pursuant t y'permit issued as a result of this application,
the owner, and the applicant, each agrees to, an all defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and emplo for any act or omission related to the work.being
performed under or following issuance. is permit. t
2. Any permit issued as a result of this a licati becomes null and void if work is not commenced
within 180 days from date of issuanc f cli permit, or cessation of work, for 180 days will subject
permit to cancellation. - - -
I certifyth t I have read this application and state th above information is correct. I agree to comply with all
city and c0 my o dinances an ,state laws relating �gsstruction, and hereby authorize representatives
of thig.gou LytQ er upo he above-mentioned! to
sp tion purposes. '
(Applicant or
Application Number 08-00000360
Permit. BLDG POOL,PERMIT
Additional desc_-
Permit Fee; .. .. 349.50 Plan Check Fee
227.18
Issue Date Valuation
.40000
Expiration Date 8/25/08
Qty Unit Charge Per
Extension
BASE FEE
252.00
.15.00 6.5000 THOU BLDG.25,001-50,0'00
----------------------------------------------------------------------------
97.50
Permit MECH POOL.
Additional desc
Permit�,Fee 26:00 Plan Check Fee
`6.50:
Issue Date Valuation
0
Expiration. Date 8/25/08:.. .
. Qty Unit Charge Per
Extension
BASEFEE
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 8/25/08
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 - 8/25/08
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
3.0.0 .
' 1..00 X3.0000 EA PLB, GAS ;PIPE 174 OUTLETS
3.00
Special Notes and Comments
_
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERDIIT
v Applicati6n Number . . . . . 08-00000360.
-- -----------
Special Notes and Comments
-----------------------------------
PLACE AT PRE -PLASTER INSPECTION.—
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary" Charged
Paid
Credited
Due.
Permit Fee Total .. 453;.50
00
00
453.50
Plan Check Total 253.18
00
.00
253.18
Grand Total 706.68,:
.00
.00
706.68
LQPEILIIIT
-
-
"mss OF L,QUINTA
M'a
bu t DHNIG & SAFETY DEPT:
APPROVED
FOR CONSTRUCTION
DAT vl Vo,
Construction
pools Spas FourrLains
C X60) 56�-3655
Lis , # 6 58996
Bin #
i
;.City =ofa Quints...,-
`
" x�; Building 8Z Safety Division
t `
,,`. P.O. Box, 1504, 78-495 Calle Tampico
Permit # ';
La,,Quinta,.CA 92253 - (760)•777-7012'
Building Permit Application, andFTracking Sheet
Project Address y ! • 1 3
♦.Owner's Name:,
A. P. -Nu rnber'
Address:
Legal Description:
City, ST, Zip:
Contractor:. „`� S t ��
' Telephone: �. �. . ' " ;. ',�` ''"
Address:•Aak
Project Description:
City,'ST, Zip: " s%%�.7"
4,•
"
Telephone: r
State Lic: # -
City Lie. .#:
Arch., Engr.;-Degner: , •
'.
Address:
City, ST; Zip:.
Telephone: r - µ~,.
Construction Type: Occupancy:. .
Project type'(circle one): New Add'n • Alter. Repair Demo
State Lic. #:• `
Name of Contact. Person: `
Sq Ff: # St ' s:' #Units:' „
,. ,
Telephone # of Contact Person: o`er
Estimai, d •Value of Projec
,.APPLICANT: DO NOT WRITE `BELOW �THIS LINE ', •; ..
#
Submittal ?
Req'd
Rec'd
TRACKING '.
PERMIT FEES
Plan Sets"
Plan Check submitted
Item, j
Amount
Structural Calcs.
r
Reviewed, ready for corrections
Plan Check Deposit
Truss CaICS.
f :
Called Contact Person '_
Plan Check Balance
y
Energy Calcs.t
�..
Plans ic'ked u
P P
Construction'
'
+
Flood plain plan,'
Plans, resubmitted". 4 ""
Mechanical
,'Grading, plan' , "
`t ..,
: "d Review, ready for'corrections/issue
Electrical
.r
Subcontaetor List,. ,
Called ContactPerson
Plumbing .
Grant Deed, s
Plans picked up
S:M:I. '
H.O.A. Approval
`
Plans resubmittedz'
-;
Gradin g
IN HOUSE -, .+ .-
`.
°I
?'" Review, ready forcorrections/issue
Y
Developer,Impact Fee
!4
Planning Approval
f'
",,
Called Contact Person r
A.LP.P. r
Pub. Wks. Appr
x .
Date of permit issue•'
r
School Fees
Total Permit Fees
'