08-0435 (RPL)P.O. BOX 1504 f
.78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000435
Property Address: 78502 TALKING ROCK TURN
APN: 770-300-015- -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 100000
Applicant:
Architect or Engineer:
P, r
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BUILDING & SAFETY DEPAR MENT
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
ate: l� /Z ' 108F15entractor:
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 70001 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 (5500):
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
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 sate. 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. , 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: 018
LQPERAIIT
Owner.
MOOREHEAD
78502 TALKING ROCK TURN
t" 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: .3/12/08
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
3700 of the Labor Code, I shall forthwith comply with those provisions.
aD te:�—/Z-Dqplicant: 49:f=
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 t is county to enter upon he above-mentioned property for insp ction purp s.
D3 gnature (Applicant or Agentl: kms_
Application Number' 08-00000435
Permit . . BLDG POOL PERMIT•
Additional desc .
Permit Fee: .639.50 Plan Check Fee 415.68
Issue Date . . Valuation 100.000
Expiration Date 9/08/08
Qty Unit Charge Per Extension
BASE FEE 414.50
50.00 4.5000 THOU BLDG 50,001-100,000 225.00
Permit . . MECH POOL
_-, J-
--- BASE FEE
15.00
2.00 11.0000
EA MECH FURNACE>100K
22.00
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee .. . . .
75.0'0 Plan Check. Fee
18.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
9/08/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 30.0000
EA ELEC PRIVATE SWIMMING POOL
60..00
Permit . . .
PLUMBING
Additional desc .
Permit Fee .. . - -
51.00 Plan Check Fee
12.75
Issue.Date. . . . .
-Valuation
0
Expiration Date
9/08/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00'
4.00 6.0000
EA PLB FIXTURE
24.00 "
2.00 3.0000
EA PLB WATER INST/ALT/REP
6.00
2.00 3.0000
EA PLB GAS,PIPE 1-4 OUTLETS
6.00
Special Notes and Comments
POOL & SPA AND 1.'LAP
POOL, 4 WATER
LQPERDIIT
LQPERTIIT
Appli•cation Number . . . . . 08-00000435
--------------------=->------------
Special Notes and Comments
-----------
------------
----------------
FEATURES. ALARMS/BARRIERS SHALL
BE IN
.PLACE AT PRE -PLASTER INSPECTION.
ALL .
..EQUIPMENT ENCLOSURES & WALLS BY
SEPARATE
PERMIT..
Fee summary, Charged
Paid
Credited
Due
Permit Fee Total 802 50
.00
.00
802.50
Plan Check Total 456.43
.00
00
456.43:
Grand Total 1258.93'
.00.
.00
1258.93
LQPERTIIT
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NOTE -
DRAWINGS ARE _
PROVIDED FOR
DESIGN .
DEVELOPMENT
PURPOSES
ONLY. NOT FOR
CONSTRUCTION.
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Bin #
= City of La Ouinta l ~
Building 8t 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: 1 $Q G
Owner's Name: /',
A. P. Number:
Address: ;705'62-
•.
Legal Description:
Contractor: UQS f lrPl lav (S
City, ST, Zip: L q au
Telephone:
Address: 75goi D4rbvd••,
Project Description: AltW flulpy O
City, ST, Zip: err�l� 'IU�t.fLeS L' /T ZZG
5 C
.Telephone:
P 7&a-2100--1116 °
State Lic. # :. City Lic. #:AA"
Arch., Engr., Designer:
M
Address: an alL.nr,
City, ST, Zip: LA i� �e E�. g ZGS
Telephone: - P
Construction Type: ' Occu anc Y:
State Lic. #: NZ -NA
Name of Contact Person: AAFM, ` El ( t kL5
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: 7,60 -,%& 7 — G. q
Estimated Value of Project: J 00 QG
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 Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flodd plain plan
Plans resubmitted
Mechanical
Grading. plan
2"' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing 1
Grant Deed
Plans picked up
S.M.I. I
H.O.A. Approval
Plans resubmitted
Grading I
IN HOUSE:-
'`" Review, ready for corrections/issue
Developer Impact F e
`
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
INT
School Fees
SO LDlNG &
AF D
,.
PP
FOR C
rpttiE 941
Total Permit tees
EE -------BY