07-0069 (RPL)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
_ _
• Application Number: " 07-00000069' t v
Property Address: 78565 TORINO DR
APN:, 609-551-001-5 -28458
-Application description: POOL - RESIDENTIAL.
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: ' 25000 -
ate.
Owner:
TODD LONO -
78-565'TORINO DRIVE
LA QUINTA, CA 92253
(760)360-1992
Contractor:
Applicant: Architect or Engineer:
VACATION POOLS INC
^ - - - - -
83900 AVE. 45 STE C' - -
•
INDIO, CA 92201
f
(760)775-0468
Lic. No.: 856835
LICENSED CONTRACTOR'S DECLARATION -
- WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that.) 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.
1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C53 Li nse No.: -856835
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_ -
issued.
ate: I / fj 0tractor: - .
I have and will maintain workers' compensaiion 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
-OWNER-BUILDER 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 1795938-2006
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 workers' compensation provisions of Section -
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
700 of the Labor Code, I shall forthwi Com with those provisions. ,
J/�
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 1$5001.: -
,
ate: plicant:-
1 _ 1 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 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 15100,0001 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, -INTERES_ T, 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, 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 _ 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 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 information is correct..I agree to comply with all
work'for which this permit is issued (Sec. 3097., Civ. C.). - _
city and county ordinances and state laws relating to building construction, and hereby authorize representatives.
of this co ty to ter upon the above-mentioned grope y for inspection pl dose '
Lender's Name:
-
/�
te: I or Agent):
,• _ . •
Lender's Address: _ p►
`ature.(Applicant
-"_' - `
LQPERMIT
Application Number .
. . . . 07-00000069
Permit . . .
BLDG POOL" PERMIT -_
Additional desc .
Permit Fee
252.00 Plan Check Fee
163.80
Issue Date . :
Valuation
25000
Expiration Date
7/08/07
Qty Unit Charge
Per
Extension r
BASE FEE
45.00
23.00 9.0000
THOU BLDG 2,001-25,000
207.00
Permit
MECH POOL
Additional desc
Permit Fee
26..00 Plan _Check Fee, .,".-
6.50
Issue Date
Valuation
0
Expiration Date
7/08/07
Qty Unit 'Change
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
7/08/07
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
7/08/07
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 . . . . . 07-00000069
------- --------------
Special Notes and Comments
------------------
PLACE AT.PRE_7�PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED..
Fee summary Charged
Paid.
Credited
Due
-- - - - - - - -- - --- -
Permit Fee Total 356.00
- - - --
.00
-- -------
.00
3.56.00
Plan Check Total 189.80
.00
.00
189.80
Grand Total 545.80
.00
.00
545.80
L•QPERMIT .. - .,.
VII
CD
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TY. OF LA QUI
NTA
BUILDING & SAF z
APP P � DEPT. �
D o
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CONSTRUCTION
DATEJ
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41
LA
CONTRA T R cannot assume responsibility for. DATEdare Sege 't� c rbs, sidewalks, driveways, cernent 10"16 - c/
slabs; s we. s; lawns, trees, fences, retaining
walls, spoin Mars, wires, valves, telephone or NAME: b \.
shrubs.
When a -.e s., is made through a neighbor's ADDRESS — o' 1'it)-a
property if is ynderstood that you, the owner, .have
that neicghb is permission and assume full A
responsibtli .
TRACT:
/01t
'( �7 LOT: PHASE:
ZDATE NATURE 45F
- 1 vel
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. rACATIO OO..'
8 90;0. Avbnue. 45.�.:.$u•i�te
'
dio; CA 922Q1'_
(760) 775.0468'..e. (760) 77.5446+9 Fax
Lic.enso #Q-83-856836.
GtM E . SPECIFICATION
2.8 6" X 1 ,
AREA , 3 $ _ PEfIM :TR
, ' �_..;. TILE. -.CHOICE.:
oi
.
POOL-CAPA
MOTOR HP�
FT: It
A f-
TU _
8U ION. LIFE.
`
.Q
�•"
RETURNLINES-Zf
,
� '. - SKIMMER MODEL �;•�'
/
� -
WEEKVALVE,
SO
P006 LIGHT--. /h ;
DCiiLI rJ
TIMER S
ECTRICAL BY.:.1,4:Z
AUTO'CLEANER. a T y
-
SAI T SYST .M.-.. E:
PdpL: I?AA MT'., - PLASTER GOLOF3 E; 1
s
I
. - DECC . 8Y
.
DEGK.TYPF - .' -
I
-STEP M-6 , -
'
SIZE, .: .,. Xw
LITE ' _. JET A S
$ACK . LEG.
DUAL LEVEL .SEATS, ' -
UAMWALL,
_ DAMWALL TOP
SPILLWAY SIZE ' Lx WIDE
f
SPILLWAY • 1 dL)V- -
CONTRA T R cannot assume responsibility for. DATEdare Sege 't� c rbs, sidewalks, driveways, cernent 10"16 - c/
slabs; s we. s; lawns, trees, fences, retaining
walls, spoin Mars, wires, valves, telephone or NAME: b \.
shrubs.
When a -.e s., is made through a neighbor's ADDRESS — o' 1'it)-a
property if is ynderstood that you, the owner, .have
that neicghb is permission and assume full A
responsibtli .
TRACT:
/01t
'( �7 LOT: PHASE:
ZDATE NATURE 45F
- 1 vel
2TT21226:01 69bOS;aO9LT ONI S_100d N0I1U3UA :W08J dLS:SO 2 -002 -a -NUE
Din #
City of La Quinta
Building ex 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: -73S65 Tori h o D rt V e—
Owner's Namc: 40A)D
A. P. Number: 60 953- 001' 3
I
Address: 8'5-6 S (," r/I't. D ) /'T✓e—
Legal Description:
Contractor: IIA -CAT -1 01V P0�06 Ar—
Address: tpo J4 -./e -f s' S G
City; ST, Zip: L.q- a u r k,.,La G - .
Telephone:(760) 360 -1 q4
Project Description: s
City, ST, Zip:
Telephone '7(rC) 7
State Lic. # : �O �7
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type. 11W uNZ Occupancy:
Project type (circle one). a Add'n Alter Repair Demo
Sq. Ft.: # Stori : # Units:
Telephone # of Contact Person: 5 79- l u
m
Estimated Value of Project: -.q2,2 &—go
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Energy Coles.
Plans ticked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE;
7id 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
5,
ti'd 2ZS21216:Ol 69b0S2209Zti ONI S -100d N0IiU3UA:l40dJ d92:SO 1002 -8 -NUE