08-1115 (RPL)4
4 Qt
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
Date: '7/09/08
Application Number: 08=,0000-1115 .'Owner:
Property Address: 61582 TORO CANYON WY JONES RESIDENCE
APN:� 764-280-999-90 -300237- 61582 TORO CANYON WAY }
Application description: POOL - RESIDENTIAL- A \ LA QUINTA, CA '92253
Property Zoning: MEDIUM HIGH DENSITY. RES
Application valuation: 19000 '
,\ Contractor:'
Applicant: Architect or Engineer: 10 CROCODILE CONSTRUCTION INC
w 0-� 53080 AVENIDA JUAREZ
CA 92253
. Nle
jJ (760)574-6357
ic. No.:. 890415
----—----------- ----.---—-------- ---------—-- -— — -----------——---------------—----
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am icensed under provisions ofChapter 9 (commencing with hereby affirm under penalty of perjury one of the following declarations: - - -
Section 7000) of Division 3 of the Business an rofessionals_C and my License is in full force and effect. _ _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
• License Class: ABC- 8 _ Li ns o.: 90415 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. '
Date: Contractor.. ' - _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor. r ,
_ Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER-BUI R DECLARATION insurance carrier and policy number are:
hereby affirm under penalty of perjury that 1 am exempt from the Contractor's. State License Law for theCarrier EXEMPT _ •Policy Number EXEMPT - -
.following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performapom
e work for ich)his permit is issued, I shall not employ any '
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person in any manner so sl,
me subie to thew rkers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I s uld ub' ct t the wo ' compensation provisions ofSection
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor o eIh� i omply hose provisions.
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).: - Date: , Applicant: b
1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and Le
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State.License Law does not apply to an owner of property who builds or improves thereon, - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the - _ DOLLARS (5100,000). IN.ADDITION-TO-THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN..-
.: improvements are not intended or offered fors If,.however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or shedidnot build or -
improve for the purpose of sale.). - ' APPLICANT ACKNOWLEDGEMENT .
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec: IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the -
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
-pursuant to the Contractors' State License Law.). - - - whose benefit work is performed under or pursuant to -any permit issued as a result of this application, -
(_ 1 I am exempt under Sec. , B.&P.C. for this reason " 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.
Date: - Owner: - - '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 k for 180 days will subject
CONSTRUCTION LENDING AGENCY' - - - - - permit to cancellation. -othe.ation
-I hereby affirm under penaltyof perjury that there is a construction lending agency for the performance•of the 1 certify that I have read this application and state tion is orrect. I agree to comply with allwork for which this permit is issued (Sec. 3097, Civ. C.L - city and county ordinances and state laws relating , an hereby uthorize representatives
of this county to enter upon the above-mentioned ses. iLender's Name:
Date: Signature (Applicant or-Agen.
Lender's Address:
LQPERMIT '
Application Number 08-•00001115
Permit .. BLDG •POOL PERMIT.
Additional_desc: ... -
-
..
Permit Fee 198;:00 Plan Check
Fee..
128.70
Issue. Date. - Valuation
.1900,0
Expiration Date .. 12/27/08
= Qty.. Unit Charge,.Per,
Extension: `
;BASE -FEE-
45.00
17.00" .9.0000 THOU •- BLDG,2; 0;01-25, 000..
153.00
PermitMECH POOL,.-..,.
Additional desc .
..Permit Fee 26:0.0 Plan Check
Fee
6.50
Issue Date" `• Valuation
0
Expiration Date .' 12/2.7/08
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 (12/27/08
`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 27.00 Plan Check
Fee
6.75
Issue.Date . . . . Valuation,
0
Expiration Date. _: 12/27/-08
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
Special Notes and Comments
SPOOL. ALARMS/BARRIERS, SHALL BE IN PLACE
. LQPER MIT
'.0ity of La Quinta
Building'u Safety Division
jP.O.°Box'1504, 78-495 Calle Tampico
f
.•
mic..#
La Quinta, CA 92253 - (760) 77.7-7012 ; .
�i�
' Building Permit Application' and Tracking Sheet
if
ect Address:"'. I�y
Z,
Owner's Name:
} +
'. Number:
Address l� �- .� 2� ' /01^O:
�,.
al Description:
�
City,;ST, Zip:
, J�
tractor: pfJt�'� 41�.
Telephone.
tress:'
:Project Description:
1.
ST, Zip: �` Iv •A L
!2,�j1�
;phone:., UINS
e LiC. #.: U..
City Lic."#:
h., Engr., Designer:. •
i
r
ST, Zip:
;phone:
Construction Type Occupancy:
f v
e-Lic. #:
; Project type (circle one): New yAdd'n Alter . Repair. Demo
ne'of Contact Person:
' Sq Ft.'' 1
#Stories <
#Units: '
;phone # of Contact Person: �b O 9 (p .
;Estimated Yalue of Project171
APPLICANT: DO NOT WRITE BELOW THIS LINE
r.
Submittal' i
•Req'd
Recd
TRACKING,.,. A
PERMIT FEES
Plan Sets x i i'
Plan Check submitted
Item, ',
a Amount
Structural Calcs.
Reviewed, ready for co'r'rections
,
Plan Check Deposit
Truss Calcs.'
r :
Called Contact Verso d
Plan Check Balance
Energy Calcs..
Plans picked up,
Construction n
Floodplain plan
Plans resubmitted"'
r,. " i '
Mechanical
;r
Grading plan
2"Review, ready for corrections/issue
Electrical
Subcontacto� List
;� "'
Called Contact Person ' :.
: -.,
'Plumbing'.
Grant Deed "
Plans picked'up '
Ir
S.M.I. '
H.O.A. Approval
,, ` '.
.Plims'r6tibmitted
a .
+Grading e+
w
IN HOUSE:-,
',H Review, ready for corrections/issue'
Developer Impact Fee.
F
Planning Approval .
,
Called Contact Person „t':
A.I.P.P.
Pub. Wks .Appy,
Date of permit issue
t
School Fees .
Total Permit Fees
71 t.
;
CITY OF LA Q'UINTAJSUB-CONTR CTOR LIST
JOB ADDRESS - g 7L / k PERMIT NUMBER . OWNER r'r� SOY(P S BUILDER 0,&6-0r-:(1'(e um S?
This form shall tiosied on theob with the Build ng 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
of building permit. For: each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade /Classification
Contractor.License...
;... W..orkecs.Corr1 `ensetlon:ansura''nee'•.%' `.»:'; '><?`Cit ,.'Busineys License ��• ::
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date C
(xx/xx/xx) le. .State Fund, ICompl
Poficy Number
(Format Varies)
Exp. Date License Number
IxxJxx/xxl Ixxxxl
Exp. Date
Ixx/xx/xx)
EARTHWORK (C712) ;.,;
l llAca(�
G S
o 6 17q 2W7
41-69
C.ONCREfE
L 0
FRAMING '.lC 5) ;.; ` .
1 l
l +
STRUCT. STEEL (C.51)
/ A-ci.
TELP
MASONRY'(C-29) `
PLUMBING (C-36)
L
f (
L 1 ,
DRYWALL (C-9), .
HVAC. IC720Y
ELECTRICAL. (C=101' :.
f
GLAZING
INSULATION'(C-21.
SEWAGE DISP; IG-�32)
PAINTING (C=33)
CERAMIC TILE IC-54) "
CABINETS IC-6)
FENCING IC-13)
C llc
LANDSCAPING
POOL IC-53)
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Chuck Cooper Environmental Planning + Design
81720 Daniel Drive La Quinta CA 92253
LANDSCAPE PLAN + DESIGN
Jones Residence
61582 Toro Canyon
tr Trilogy / La Quinta, Ca.
a cnuck Cooper -Enwromnamal uesrgn I-Gu-
ED-) nwrves all sights in and to this lardsrupe
plan and design. The plan and design are not to' 0.
be reproduced, changed, copied or tnrnsferred in rrTT7�
any form or mannerwhatsoever without finrt - W
obtaining the a:press written permission of CC- rn C �-
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