05-3694 (RPL)f P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: -i
Property Address: 78362 TALKING ROCK TURN
APN: 770-300-002- -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:. 50000
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/19/05
Owner:
SAPORITO CHARLES J
Y 99 BRIARWOOD CR
OAK BROOK, IL 60523
Architect or Engineer: "D
a U
0
AUG 2 2 2005
of LA ®UI!�TA
CITY r%r-pl
-------------------------------------- - ----------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: 9- ZZ J2 ntractor:
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 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.). '
(_ I I am exempt under Sec. ' , BAP.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.).
Lender's Name:
Lender's Address: A
LQPERMIT
Contractor:
WESTERN POOLS
P.O. BOX 1047
INDIO, CA 92201
(760)200-1110
Lic. No.: 348768
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
4 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 1270996-2005
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
3700 of the Labor Code, I s all f omply with those provisions.
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 hereb authorize representatives
of thiscountyto enteypon the above-mentioned property for ins e i n pur s —
te:1i ��SrS nature (Applicant or Agent):
LQPERMIT
4Y
Application Number
05-00003694
Permit . . .
BLDG POOL PERMIT
_ - Additional desc .
Permit Fee. . . . .
414.50 Plan Check Fee
269.43
Issue Date . . . .
Valuation . . .
. 50000
Expiration Date..
2/15/06
Qty Unit Charge.
Per
Extension
BASE FEE
252.00
25.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25;001-50,000
162.50
Permit . .
MECH POOL
Additional desc'.
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation,
0
Expiration Date
2/15/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00' 11.0000
EA MECH FURNACE >100K
11.00
----------------------------
------------------------------------------------
i
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . .
0
Expiration Date
2/15/06
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
2/15/06
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. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
J
'_Application Number 05-00003694
Special Notes and Comments
PLACE AT PRE=PLASTER INSPECTION•.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
Permit Fee Total 518.50 .00 .00 518.50
Plan Check Total 295.43 .00 .00 295.43
Grand Total 813.93 .00 .00 813.93
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