06-3848 (RPL)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-70.11
.— LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT. 'INSPECTIONS (760) 777-7153
BUILDING PERMIT -
Date: 10/30/06
Application Number: 06-00003848 Owner:
f } Property Address: 57317 ST ANDREWS WY, STEVE MOWE
"APN: 762-210-014- - - 57317 ST. ANDREWS WAY
V Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 '
Property Zoning: LOW DENSITY RESIDENTIAL D n n
' Application valuation: 24000
r - Contractor: CT 2n06
Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS 6!
. P .0. BOX -1280 CITY OF LA QUINTA
COACHELLA, CA 92236 FINANCE13Epr
(760)398-9222
Lic. No.: 656128
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
• I hereby affirm under penalty of perjury that I Im licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) of Division 3of the Business d Professionals Code. and my Lirensr. is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C8 "`l.%' C29 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: �� " contractor: 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
OWNER -BUILDER DECLARATION 'insurance carrier and polic*sb
I hereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the Carrier SEABRIGHT Pollmber BB1060510'
following reason (Sec. 7031 .5, Business and rofessions Code: Any city or county that requires a permit to _ I certify that, in the performafor which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair a y structure, prior to its issuance, also requires the applicant for the _ person in any manner so abject to the workers' compensation laws of California,
. permit to file a signed statement that he or she is licensed pursuant tothe .provisions of the Contractor's State - and agree that, if I should o theworkers' compensation provisions of SectionLicense'Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37 0 of the Labor Code, Ico ply 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 ($500).: Date!3�. 4Applicant:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,, provided that the DOLLARS 1$ 100,000). IN ADDITION TO THE COST F COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offeredfor sale. If, however, the building or improvement is sold within - SECTION 3706 OF THE LABOR CODE, INTEREST, AN 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, 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, eac person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any it issued as a result of this application,
(_) I am exempt under Sec. , 8.&P.C. for this reason the owner, and the applicant, each agrees to, and shall def indemnify and hold harmless the City
t. of La Quinta, its officers, agents and employees for any ac o . ion 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 becom II and void work is not commenced
within 180 days from date of issuance of such per c ssation of ork for 180 days will subject
r 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 have read this application and state that the abo inf r ti I agree to comply with all
work'for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to'building nstr ti n and hereby authorize representatives
ofthis county to t upon the above-mentioned property for nspec rposes.
Lender's Name: � '
Date: 1" ��Signature (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number 06-00003848
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
243.00
Plan Check
Fee
157.95
Issue Date
Valuation
. . .
. 23892
Expiration Date
4/28/07
Qty Unit Charge
•Per
Extension
BASE
FEE
45.00
22.00 9.0000
----------------- ----------------------------------------------------------
THOU BLDG
2,001-25,000
198.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00
Plan Check.Fee
6.50'
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
4/28/07
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
4/28/07'
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
4/28/07_
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
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. Special Notes and Comments
POOL,'SPA ALARMS, BARRIERS
SHALL
BE IN
LQPERMIT
Application Number . . . 06-00003848
----------------- ------------ _
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION. -5 L.F
X 60" HIGH CITY STANDARD EQUIPMENT WALL.
Fee summary Charged Paid Credited Due
----------------- ----------
Permit Fee Total 347.00 .00 .00 347.00
Plan Check Total 183.95 .00 .00 183.95
Grand Total 530.95 .00 .00 530.95
LQPERMIT
Bin #
Perml lltt # ..
Project Address: S - 31- S;
A. P. Number.
•Ci_ty, ST, Zip
CIN
TelephoJZZ. '
ft
State Lie. #: Z
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:- ..
•State Lip. #:
Name of rContact Person
O
Telephottie. # df -Contact. Perso.7
# Submittal R q'd y
e9 Rec, d
•Plan Sets
Structural Cales.
Truss Cales.
Enemy Cales.
Flood plain plan
Grading, plan'
Subcontactor List
Grant Deed
E.O:A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
77
'':S.u((d11190:-Safety Divi;
-P. IOX I -N 78-.495 Calle Tampico
La, CA`92253.= (7¢0) 777-701.2
Building Permit Ap:p(ic%ataon and Tracking �Sh —
et
..: mer's Namee-.:.:..:...: : :...`T� F-,
.N Ew�S `Ownv
Address: 5 -3.1 7-
:pity, ST, Zip:
7-7
`•�. Qv �� SCS
=:Telephone:
..Projed Description: p
•C ic• x
C N G'r%.e -T
ity Lic. # 5
77r r777�7
y Construction Type: Occupancy:..
Pet type (circle. one): Add'n . Alter Repair Demo
Sg. Ft : #.Stories• #units .
Estimated Value.of Pro'ect !. ZY: o .77
..1.-,:..... .
PRLIQA,N A.O;•NO .W*, RITE,p LOW.THI$ LI E.
G.:
. •..•, ; PE�tMiT^FEES
elan CAeck sgbmitted, a�
77
tem Amount
Reviewed; ready for corrections
Called Contact Person .
-777
Pians resubmitted
2-! Review, ready for corrections/issue
Called Contact.Person
Pians picked up
Plans resubmitted
.Review, ready for corrections/issue
Called Contact Person
Date of permit issue
Plan Check Deposit
Plan Cheek Balance
Construction
Mechanical
Electrical
S.M,L
Grading
Developer Impact Fee
A.LP.P.
Total Permit Fees