06-1543 (RPL)P.O. BOX 1504
78;495 CALLE TAMPICO,
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
X06=00001543
78500 AVENIDA-TUJUNGA.
770-091-007-14 -000000-
POOL - RESIDENTIAL
LOW-DENSITY RESIDENTIAL
34000
Architect or Engi
r
A_1A) . .
Tit. 4
BUILDING &-SAFETY DEPARTMENT
BUILDING PERMIT -
Owner:
APPOLITO CYNTHIA KAY
78-500 AVENIDA TUJUNGA
LA QUINTA, CA 92253
Contractor:
CAL-NEV POOL, INC..
P.O. BOX 2222
RANCHO MIRAGE, CA 92270
(760)883-5561
Lic. No.: 777601
VOICE (760) 7.77-7012
FAX (760) 777-7011
INSPECTIONS (760)777-7153
Date: 4/14/06
., LICENSED CONTRACTOR'S DECLARATION
• _ WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
. Section 7000) of Division 3 of the Business and Professionals Code, 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: C53 icense No ` 77601 -
for by Section 3700ofthe Labor Cdde, for the performance of the work for which this permit is -
'/Datejp�'Contractor.�
issued.
x I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
-
/ILDER
Code, for the performance,of the work for which this permit is issued. My workers' compensation
- OWN DECLARATION
insurance carrier and policy number are: '
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 179559605
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, 1 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 as to become subject to the workers' 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 should become subject to the or :cornpensa provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forth 'th with those Prov' ns.
- that he or she is exempt therefromandthe basis for the alleged exemption. Any violation of Section 7031.5 by
- any applicant for a permit subjects theapplicantto a civil penalty of not more than five hundred dollars ($500).:
ate: licant:o`4'�
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CQVERAGE 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. 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 she did not build or
- -
improve for the purpose of sale.). `
APPLICANT ACKNOWLEDGEMENT '
(_ 1 I,- 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,
(_) 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 omissionrelatedto 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 work for 180 days will subject
• `�+ - CONSTRUCTION LENDING AGENCY
permit to cancellation. - - -
. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above informatio iscorre I agree to co ply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to building constructio nd yanthori2e•r sent tives
of this county to enter upon the above-mentioned propgrty for inspecti pu
Lender's Name:-
- -
Date:�ll ' nature (Applicant or Agent):
Lender's Address:
-
LQPERMIT
Application Number 06-00001543
Permit BLDG POOL PERMIT
- - Additional desc .
- Permit -Fee . . 310.50 Plan Check Fee
201.83•
Issue Date Valuation . . . .
34000
Expiration Date 10/11/06
Qty Unit Charge Per
Extension
BASE FEE
252.00
9'.00 6.5000 THOU BLDG 25,001-50,000
----------------------------------------------------------------------------
581.50
Permit MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check Fee
6.50
- Issue Date Valuation
0
Expiration Date 10/11/06
-�
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 '. 10/11/06
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%11/06
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 ONLY.. ALARMS/BARRIERS SHALL
'LQPERMIT -
Bin #
City of La Quinta
Building & Safety Division ?A 01"'
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-7012
a
Building Permit Application and Tracking Sheet Ilk
Permit #
oar �s�
Project Address:' r `_ N� �p Owner's Name:
A. P. Number: Address: <^A
Legal Description: Ci p,
City, ST Zip: t5
Contractor: C ��� Telephone: ?/ao o�
Address: .: �j� Project Description:
City, ST, Zip:
Telephone: Z10
P O 64 TO
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person: Sq. Ft.:
#Stories:
#Units.
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
I
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
q1 j 7
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans ' c ed u
Construction
Flood plain plan.
------------
Plans resubmitted Z
y'Zo10L
Mechanical
Grading. plan
21" Review, ready for corrections/issue
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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FIDELITY NATIONAL TITLE INS. CO.
Recording equeeted gy
AND WHEN RECORDED MAIL THIS DEED AND TAX
MSTATEMENT TO:
A & M Construction
(;Q P.O. Box .366
t?f La Quinta, CA 92253
LL J
ASSESSOR'S PARCEL NO.
ESCROW NO. ` 3137
TITLE ORDER NO.
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SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED
The undersigned grantors) decla s)• M�
Documentary transfer taxis $�/�. 'f=r
(. /k ) computed on full value, of property conveyed, or '
( )computed on full value less value of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( x ) City of La Quints. ,and
By this instrument dated July 11, 1989 , for a1 valuable consideration,.
William A. -Monaghan afid-besda J. Monaghan, Husband and Wife as. Joint Tenants
hereby GRANTS to
A & M Construction A California Corporation
the following described real property in the State of California,. County of Riverside
Lots 12,14,16,29,59 78 and..105 of Desert Club Tract No. 5 a per map recorded
in Book 21 pages 6fand.62'of mapa_intheofftce of the County Recorder of Said County.
STATE OF CALIFORNIA )
'RIVERSIDE
COUNTY ►-
COUNTY OF " 1 . SS.-
'
,= before me, the WILLIAM A. MONAGHAN
undersigned, a Notary Public In and for. said County and State,
personally appeared
WILLIAM A. MONAGHAN ,& DESDA J. MONAGHAN ID
-- DESDA J. MONAGHAN
personally known to me (or proved to me on the basis of satlefactory
evidence) to be the person(s) whose -names) S SARE subscribed
to the within Instrument.and acknowledged that THEY,
executed the same.
OF
NANCY AMA
Signature Q
Notary PUWIc-Gllfomle
- RIVE,OE COUNTY
�� W Ow . F.Im. Am t1. Im
r ,
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway. 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347=8631
4.
Date 5/5/93 1 Type of Permit La Quinta
No.. 112191 Permit #
-
Log
owner Name AM Builders
No. 7850.0 Street Tuiunga
City La Quinta Ztp 92253 Study Area 115
APN # Tract # Lot # 0 Square Footage 11851
Type of Development ISingle.Family, Residence No. of units 1
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential additions under 500 square -feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following . reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to . Government Code 53080
In the amount of 1.65 x 1851 or $ 3,054.15 have been paid to D.S.U.S.D, for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued. ,
Fees Paid By A & M Construction Telephone
Name on the check
By Tames E. Lively
Assistant Superintendent, Business.Services
Fee collected /exempted by Tomi Doebereiner
564-4832
Payment Received
Signature,(. �iP�l p- QJ� .! Check No. 1138
Collector: Attach a copy of county or city plan check application form to district copy for'all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy -Accounting .
51-011
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DIMENSIONit
}
FLOOR PLAN
SCALE 1/411=11.011
CITY OF IA QUINTA
BUILDING & SAFETY DEPT_
SECTION
0
SCALE 1 /4"=1'-0"
CONTRERAS DESIGN ASSOCIATES
Design / Site Planning
Jorge A. Contreras
Principal Designer
41-175 Carter Lane
Bermuda Dunes, California 92203
PHONE (760) 272-9516
FAX (760) 772-9732
contrerasolmos@aol.com
REVISIONS:
Plan check April 19, 2006 1
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DR/WN BY: J. CONTRERAS
DATE
APRIL 2006
SCALE
1/40=11-011
e
70180 Thunder Rd.
Rancho Mirage, California 92270
Fax 760-770-7774
License # 777601 Cell Phone: 760-831-4860
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