07-0199 (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 -
_ Date: 1/19/07
Application Number: 07-0:0000199 Owner:
Property Address: 45120 SUNBERRY CT CHAROS ERIC.
APN: 604-412-009-18 -23995 - 45120 SUNBERRY COURT
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 a
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4.0000 -
�..---"—fit
INC' � t
Contractor:
Applicant: Architect or Engineer: AMERICAN POOL CONSTRUCTI C
P:O. BOX 11996
PALM DESERT, CA 92255 Irk 1 200`
af (760)340-2588of
l� , Lic. No.: .518742
C11 I
it CIE��
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed der provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 700 ) of Division 3 of the Businass and Profe ionals 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
Licen a Clas : C53 % license No.: 518742 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
++ �.���t - issued.
Date l �ctactor- '=_y( V " �"'� X 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
(6.6Zliuness
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of that I am exempt from the Contractor's State License Law for the Carrier STATE FUND .Policy Number 0001188-2006following reason (Sec. 7031.5, 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, I 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 an agree that, if I should bec to 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 3 00 of the Labor Cod ,� sh forthwith cg pFq with those provisions.
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).: te: icant:'
(_ 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 WARNIN : F LURE TO SECURE VOR RS' 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 CRIM 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 toany 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 y
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 e read this application and state tha tt.\e above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.1. city and c ty _di
and st a lawsrelating t butling constructi nd hereby authorize representatives
of this u ty t enter upon t bove-mentioned pr erty for in ion purposes.
Lender's Name:
at
�I • S' ature (Applicant orA n�L.�/�
Lender's Address
Pr
LQPERTIIT
Application Number
'07-00000199
Permit . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . .
349.50 Plan Check Fee
227.18
Issue Date
Valuation . . .
. 39824
Expiration Date..
7/18/07
Qty. Unit Charge
Per
Extension
BASE FEE
252.00
15.00 6.5000
THOU BLDG 25,001-50,000
97.50
Permit ... .
MECH POOL
Additional desc .
Permit Fee . . . .
26_.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date
7/18/07
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
7/18/07
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
7/18/07
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
Permit . . . . WALL/FENCE PERMIT
LQPEINIIT
01/17/2007 07:48
7606749438 AMERICAN POOL CONST PAGE 01/03
Bin f/
Qty .ofla Quinta
Building er Safety Division
Permit # (�
P.C: Box.1 Soo, 78.495 Calle Tampico
r
La Quinta, CA 92253 -.(760)777-7012
Building Permit Application and Tracking Sheet
Project Address: S /2-0 —!�,/,t/16Plen
Owners Name:
A_ P. Number.
Lcgal Destxiptioa:
Contractor:
V 1�C
Ci ST,
ty• Zip:
�� • f37�'�i�'tlG�--
Telephone: �`�. � ��
Address:
'
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Project Description:l' d
City, ST, Zip:
. c� zz-SS
• Telephone: r
.S
L'
State Lic. # :
Chy Lfic. #:.
Arelt., mgr., Dosign":
'
Address:
City, ST, Zip:
Telephone:
Construction Typo; Occu pmcY'
State Lic: #:
�
�j typo (circle one) e' Add'n Alter Repair Demo
Name of Contac Person:
Sq. Ft-:
# Stories:
# Units.
Tetephoae # of Contact Person:
Estimated Value of Project:
APKJCANT:
Ud NOT WW'
TE-, O THIS UNE
#
Submittal
Rey'd -
Ru!d
TRACM(;
Pi:RNIIT FEES
Plan Seta
Plan Check rnbatltbd
item
Amount
Strueturai Calea,
Reviewed, ready for corrections
No Chedt Deposit
Truss Cater.
Called Contact Pecan
Plan Check Balance
Enerzy Cale&
Plaw•picked up
Construction
Flood plata plan
Plana resubmitted
Mechanical
Grading plea'
2'r Review, ready for torrecdownsrne
Eieetrical
Subcontactor ><,atrt
Called Contict Ferran'
Plumbing.
Grant Deed
puna picked up
S.M.i:
H.O.A. Approval '
Phar resubmitted
Grading
IN HOUSE:.
r" Review, re6dy for correettonWinUe
Developer impact Fee
Planning Approval
Called Coataet Ferran
A.I.P.P.
Pub. Wks. Anpr
Date of permit Issue
School Fees
---------------
Total Permit Fees
�1fo
Arf'tW,x
t64 -re 1-
Wi
-oe t O
kpen .
'HOMES:
.K yo'
SPA Spat;
54% CAISM its' w� raucs
�t u.� i . a aRRrz:rr6 fOicE 'o"
QUA�r7aTE 10 UMEr.'f1E'66I.E
1 1�K / uer�RcorC Fi. tO,, 61.204= Fi�-:ER,
?"p, Ltoo.mc
Sant Srsm $ASA i,au�e�a14
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E AREA U uE� �+
ter i�MP an -
ef
Ss',a
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XL
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-�-®- OVEg1EJ►o-TELE. = SVWCH P mw c Pt#.P .(760) 340-2.388
ES ELEG r9MTAL ACCESSC:�> o T=EPTACLE --3 STUB b 00 POW SEE NOTES
IRE
A RE -INSPECTION FEE OF $30
TA WILL BE CHARGED IF THE APPROVED
EPT. PLANS AND JOB CARD ARE NOT ON
THE SITE FOR A SCHEDULED
N INSPECTION.
NO EXCEPTIONS!