07-0639 (RPL)t d
Tit* -4
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: 2/28/07
Application Number: R ~07-00000.639 - ;( Owner:
Property Address: 60290 SWEETSHADE LN DARREN NAWAHINE
APN: 764-2.70-999-137.-30023'2-,7" 60290 SWEETSHADE LANE
Application description: POOL _- RESIDENTIAL a ' - _LA_ QUINTA, CA 92253 ; ---�
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 32000
Contractor: n 1 200
Applicant: Architect or Engineer: AMERICAN POOL CON R CTI C 1
P.O. BOX 11996
PALM DESERT, CA 9 25cm(OFLAnUII' A-
(760) 340-.2588 FINANCE REPT
I(� Lic. No.: 518742
LICENSED CONT T 'S EC ATION - WORKER'S COMPENSATION DECLARATION .
I hereby affirm under penalty of p jury that I am license er rovis na of Chapt 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7 00 of Division 3 of t Business and Prof ion s de, a my icen is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licens ss: CS se N 87 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _
_ issued. -
ate: , C ract r: - 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
0 R -BUILDER DECLARAT ON insurance carrier and policy number are: -
• _ I hereby affirm under penalty of perjury t a am exempt from the Contracto s State ense Law for the Carrier STATE FUND Policy Number 0 01 8-2006 ,.
following reason (Sec. 7031.5, Business and Professions Code: Any city or at requires a permit to _ I certify that, in the performance of the work for hich tl 's a it is issued, I shall not tploy any - n
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 o ubje to the k s' compensation la of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agreethat, if,l shoul come s ject to e w ompensation pro ' ions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of t L I shal rt ith co . pl it h e 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).: ate: icant:
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 SECURER COMPENSATION COVERAGE IS U �LAWF L, 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 O DRED THOUSAND
and who doesthework himself or herself through his or her own employees, provided that the - - DOLLARS 1$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 buildsorimproves 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,
(_ 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 v d i work is not commenced
within 180 days from date of issuance of such �rtn' - at n of o r 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 certifythatI have read this application and �t ee that inform do t.• agree to comply all
work for which this permit is issued (Sec. 3097, Civ. C.). - _ city and co my ordina s'5no state laws eratr o building construai an a by thorize repre atives
• of this t to nter u above- ntioned pro y for in w se
Lender's Name:
- ate: nature (Applic t or Agent):
Lender's Address:
. LQPERMIT -
Application. Number 07:00000639`
Permit BLDG"POOL PERMIT,=
- -- -
Additional � desc' .., : _ ;:._ � , .�• :. r - - . -
-
- ,
Permit Fee 297.50 Plan- -Check Fee
193.38
Issue Date Valuation
31697
Expiration Date '8/27/07
Qty Unit,Charge Per
Extension
BASE FEE,
252..00
7.00 -6.5000 THOU BLDG 25,001-50,000
45.50
Permit MECH_ POOL
,
Additional desc ".
Permit 26.:00 Plan Check'.F.ee
6.50
-Fee
Issue Date' Valuation`
0
Expiration Date
Qty',- Unit Charge" Per .
Extension
BASE FEE
15.00'
1-.0'0`, 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 8/27./.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 8/2.7/07
Qty Unit Charge Per
Extension
BASE FEE.
15.00
:. 2.0`0 6.0000.EA- PLB FIXTURE
12.0.0
1.00 3.0000 EA PLB WATER INST/ALT/REP
1.00 3:0000 EA PLB GAS PIPE 1-4 OUTLETS.
3..00
Permit WALL"/FENCE PERMIT
LQPERMIT
Application Number 07-0,0000639
Permit,. WALL/FENCE
PERMIT
Additional desc .
- - Permit Fee.- 15.00
Plan ,Check°.Fee..
.00
Issue Date. _..
Valuation
303
Expiration Date 8/27/07
Qty Unit Charge Per
Exterision
BASE
FEE.
15.00
---------------------------.-----
Special-Notes and Comments
------------------
POOL/SPA; 14;L,:F. 51. EQUIPMENT
`IN
:.
ENCLOSURE.. ALARMS/BARRIERS SHALL
BE
PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged
Paid Credited
Due ;
Permit Fee 'Total 416:50,00
00
416.50`
' Plan Check Total 219.38
00 00 ;
•219=38
Grand, Total, 635:88
.00 .00
•635.88
LQPERMIT
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02/28/2007 07:21 7606749438 AMERICAN POOL CONST PAGE 01
02/26/2007 13:47 7607777011 LA L4UINIA
City of La Quince16
.
Budding 91 SAW Dv&n
P :rntit /�
Sebmlttal
'd •
P.O. PUM 1 SQ4l 78.495 Calk I aMPIVU
T"CwG
PERMIT FEES
La Quina, CA 97253 - (760) 777-7017
• Building Permit Application and Tracking Sh1ee�t,
P rojam Address:,
V
- !
Owner's Nemo:
Structural Calcs
A. P. Number:
Addrws:
1, oW Descrl On:
Plea Cke& Itepoelt
City, ST, Zip:
C aufimotor _PV.
Trail talcs.
ddfeoa:
9 9 C
Project DcwAptlew R& Q L S} —
< lty, ST, 7Jp: % �:
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r t LC ���, �►�; 5-.
t om: Z5 88
Lie.0:
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s ram Lta # : 2rCRY
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7 d&=:
Place rewbmlued
c ►sy. s�, �i,�: �,
U"hantcai
1 elephonc:
Gwiagplac
Cofasavwoft Type: Occupancy:
5 tate Lie. 6;
42t ltevlew, ready foetom'etwnwiwne
Project type (citclo ane): Now Add'n Alter Repair Demo
T ami of Contact Parson
(� _
Sq_ Ft : tl Stories: +� Units
I cUp w # of Contact Felson:
7—
fsaanatcd Value of U0.0
Called Coataet Person
APPIACANT- no run'r wdtTF ora raw Tuic I INC
i
Sebmlttal
'd •
Reed
T"CwG
PERMIT FEES
Pisa Seta
Plo Chtek submitted
Ieem
Amonut
Structural Calcs
RVAIWed, Mh for torteddow
Plea Cke& Itepoelt
Trail talcs.
Plan Check Halaace
Bntav calla.
Placa pfckcd up
cowtrac6"
Flood pleln plan
Place rewbmlued
U"hantcai
Gwiagplac
42t ltevlew, ready foetom'etwnwiwne
>"t 0coical
SabeoAtelor j tat
Called Coataet Person
PIMMblas
Grant bccd
Plans pleltao up
S.y4I
K". '
plana resubmitted
Grading
IN HOMES-
Revtew, ready for correctlona ism
btvdoper Aupact P'te
P Oh'tDDraoal
Called Contact Person
A..I.P.Y.
PMb, Wks. Apr
Rete of perptit Isuac
school Feta
TMaI Retattt
Pets
31 �q 7'