08-0576 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,: CALIFORNIA 92253
Application Number:
Property Address: 0
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
Nfi-�000
08-00000576
78662 TALKING ROCK TURN"
770-300-023- -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
125000
Architect or Engineer:
S
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: C53 License No.: 348768
Date: .17.8. Contractor: ��✓�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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).:
(_) 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
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.).
( 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 performanceofthe
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
SKJONSBY RESIDENCE
78662 TALKING ROCK TURN
LA QUINTA, CA 92253
Contractor:
WESTERN POOLS
P.O. BOX 5328
LA QUINTA, CA 92248
(760)200-1110
Lic. No-_ 348768
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/08/08
R 7 20JJ
C11V0F1AQ1j1N�,�. .
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 performance 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 1270996-2008
I certify that, in the performance of 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
337700 of the Labor Code, I shall forthwith comply with those provisions.
Date:�17yi Applicant: Li lli/2/�L�
WARNING: FAILURE TO SECURE WORKERS' 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.
I certify 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspectio purposes.
Date: '/T'(/ Signature (Applicant or Agent): C%�.f%dl�a/__.
Application Number
. . . . 08-00000576
• Permit ,.
BLDG POOL PERMIT
Additional desc .
Permit :Fee
727.00 Plan Check
Fee
472.55
Issue Date
Valuation
. . . .
125000
Expiration Date
10/05/08
Qty Unit Charge
Per
Extension
BASE FEE
639.50.
25.00 3.5000
- ----------------------------------------------------------------------------
THOU BLDG 100,001 -UP
87.50
Permit
MECH POOL.
Additional desc .'
` Permit -Fee
26.00 Plan Check
Fee-.-;
6.50.
Issue -Date
Valuation
. . . .
0.
Expiration Date
10/05/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K
11.00
Permit . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
195.00 Plan Check
Fee
48:75
Issue Date
Valuation
. . .
0
Expiration Date
.10/05/08
,
• Qty Unit Charge
Per
Extension
"
BASE -FEE
15.00, ,
4:00 45.0000
----------------------------------------------------------------------------
EA ELEC PWR APP >100
•180.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check
Fee
11.25
Issue Date . . . .
Valuation
. . . .
_
0
Expiration Date
10/05/08
" Qty •Unit Charge
Per
Extension
t
BASE FEE
15.00
1.00 30.0000
------- -----------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit . . .
PLUMBING
.,. Additional desc .
Permit Fee
51.00 Plan Check
Fee
12.75
LQPERMIT .
-
Application Number "08-00000576"
Permit . . . . . . PLUMBING
Issue Date ...
Valuation
0
Expiration Date 10/05/08
,
Qty Unit Charge Per
Extension
BASE
FEE
15.00
6.00 6.0000 EA PLB.FIXTURE
36.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
(4)
WATER FEATURE/FOUNTAINS PER APPROVED
PLANS.
Fee summary Charged
Paid Credited
Due
------ ----------
Permit Fee Total 1044.00
----------
.00 .00
----------
1044.00
Plan Check Total 551.80
.00 .00
551.80
Grand Total 1595.80
.00 .00
1595.80
LQPERINIIT
1Y'OVERALL
, I 1 1 1C-21 _-- -__ - 32:53• -_------------
S A4 8'-82• 22"-74 j 4 10'-0•
1 a 12, I - B'S, 15''•8• 78 14'.44 13'•48 @ 18 17 0 r3' r-0 r-0• ._.-._-_
I---_ -_
I ,,,Ijljljf
Ii i i ------------ ----- _
V. _
I�
w,e ; I I I I
w, WINDOW -il
oE IFv
I I
I 4150
TOIL I �_ 91
—
tirt CLO�� I i!i•1 oEeB ill i r4Zi
------ ------------------- -
---------------- =- ------ --- +—
I
i
` NICHE HIS BATH R SU 4 1 �• O 2 1 I
m !'S a0 _X VOL, CLc110
L. aG
STUDYftcLG
Wt3 VEST.
TOIL
i I
=) �1p
SHAMPOO
NICHE -VERIFY rrrrrrtt
W/ OWNER FOR i HCRBATH ;
LOCATION • 1 I 1�3FUTCLG I HAL -
D40
MRELVLT
4'd.11' 1,:•11. 1-8. 1'-G• 1'-0• 14- r
DRESSI M-
10l F,ATCLB
I� M _ 1
.W,2 D IFUT ,'.e• -.10'1
Dater l - --1 �= ------ -�
/�
I I I REAR HALL
91 FLAT CLG
WINDOW HEAD.--� C1V10 79 ii
W -W MOVE.
52.72 ELEV � X'
--C 1-.
Z
Ace'>� •' -ptm�k ¢ni ua Imtrrn I N� tntt
Hill HHK
36 W20 021
b
21. I 4.82 { M 14'-0' 1'3• I 5-1• I 8'- -w -1 5'-0' 4'3'' S' _ 8'-titu M3 8' !q
j ;-----_ LOGGIATOWER I IA
BATH ,2:FurcL �I � i 1 va.CLG I I
IY') B'd'tFUT aB � I
_... ._............
a.. -_..._
_____ ._______..._.............. _ ...._..__... _....
® CIL
......_.........
�__ ------"--'— -- r BATH 2
I I 6'E'!FLAT aG ; GSI r.r ,�,5' I 8'.2' 0•_8' ..._. I 8`2'
f WIN
EDR M2 ; j i — — --�4 ...___—._..__. ..__._.._.--._ ..-----_..--
I �.
32 fo Iq I
I I
- — SI GYM
173FUTCLG ;
BATH 4 31 ; D2
! X4rt FLAT as
J --
rr I I 1_.._......... __.._. ..____•.PO L P I TFORM j
c 7S P OTHERS D I
L- ---- ---- I_
ro I
4'•72 �2 ._.—�.. F. B-9___ - 10'4r
IIIIIIII IIIIIIIIIIIIIIIII IIIIIiIIIIGGIIVi 111111 I': 1 �®� � �_
a�� � • iinrrriirrvivravioiiii vviionvoia:+iiaiozoiioov iiv r�=
III► '�I �=
Iii •�
111e.ese a,ee se F. �Ill ulnnululnmmHIM uunuuminnmluuulnuuIll
-
► _ a
� I-
li'
Itl I IIII III . __e.11lllllllllllllllllll � _
III 1111111 IIII I� L _� -
R _
��� Y1Y • • 1 ' Y l
�;�/..�1 ® �;1�II��11t19� I!IIIIIIIIIIIIIIIIII11111IIIIIII�_ I • e _
•// , O
O
��IlllllllllllllllltlllllllllllllllllllllllllIlllllllllllllllllllllllllllllllllllllllilllllllllllllWIIIIIIIIIIIIIIIIIIIII!illlllllllllll IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII!I'111111111illllllllll!II!IIIIIIIIIIIIIII'����!Illllllllllllllllllll4dllll � IIIIIII. IIIIIIII=
Illllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllilll.11lllllll.--,::..:::.: :: ��.:. 11111111111 = —
•�
MAN,
SII_ �,..� ����®■�■ ��k--���
11111111111111111111111111111111111111111111111111111111111IIIIIIII�.'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII �ljllllllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II II III:IIIIIIIIIIII���I'IIIIIIIIIIIIII IIIIIIIIIIIIII"IIII IIIIIIIIIIIIIIIIIIII'illlllllll IIIIIIIIIIIIIIIIIII IIIIIIII IIIIIIIIIIIYII �IJIIIIIIIIIIIII -
I
2114 4'-� 8'-8•
112 2+ -02� 8'-0• 4'-0' 4'-2"
—;— -� .I' – d
2--2ee �
20'32
GARAGE II
10laG •. `��'
poop., - -�—;-
�f it
ASI #6
SKJONSBY RE IDENCE -
JOB NO 05 06
DATE: 08-2 -07
Revised: 11 1 7
FLOOR P IN
SCALE: W 1'- "
�❑ i
7CJ (O �Z IRI/1
i
Bin #
City.of La Q Uinta
Building & Safety Division
P.O. Boz 1504, 78-495 Calle Tampico
U Quihta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permi #
/ tv
Project Address:' 7 t (p�j Z
�/ �`, /fad- ��
Owner.'s Name• ri tMna J)(V0A15B
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:We re rpt POO
Address:1�PGf �a� b.
Telephone:
Telephone:
Project Description:
City, ST, Zip:e/-`yldGi/L{
Telephone: 7�d7p IIIO
5 '�
SP�
State Lie. #: 3 760
city Lie. #:
Arch., Engr., Designer:
Address:
City,' ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
# Stories,._ • _.. ....
#Units: _ __ _
Telephone # of Contact Person:
__
Estimated Value .ofProject: 2 S OOO
APPLICANT: DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd
Recd
TRACKING _
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caid.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan,
Grading. plan
Plans resubmitted
r' Review, ready for corrections/issue
Mechanical
Electrical /
St'tNK6
Subcontactor. List
Grant Deed
Called Contact Person
Plan§, picked up
Plumbing
S.M.I.
ma�fL. s/P•
H O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
Review, ready for correctionsrssue
Developer Impact Fee.
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees