The URL can be used to link to this page

05-4735 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: Architect or Engine V;MW=W=/5 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----+,,,� Owner: ':SOUTHERN HILLS DEVELOPMENT 55161 SOUTHERN HILLS ,LA QUINTA, CA 92253 OCT 27 2005 VOICE (760) 777-7012 FAX (760) 777-7011 r INSPECTIONS (760) 777-7153 Date: 10/20/05 Contractor:„ TOPMAN BUILDERS ` WCC: CLARENDON WC: 01KR-0030-842 03/23/06 CSLB: 455121 06/30/06 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines a d Pro ionals Code, and my License is in full force and effect. . License Class: � license No.: ate:�'�'2 antra . • ` - ' OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perj y t)anProfessions am exempt from the Contractor's 'State License Law for the following reason (Sec. 7031.5, Busin Code: Any city or county that requires a permit to construct, alter, improve, demolish, or'reny 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.). (_ 1 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 1 I am exempt under Sec. B.&P.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: ' 1. Lender's Address: LQPERMIT 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 performanceofthe 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 B C29 C53 Policy Number - - - - - - - - -- --'= 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'=,d om u ject to the workers' compensation provisions of Section . L 3700 of the Labor Code; s II f rth ith comply with those provisions. _ D�t¢��Z�p•J'�plicanC . WARNING: FAILURE TO SE URE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD TION TO T E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR -IN SECTION 3706 OF THE LABOR,C EREST, 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 abov . ormation is correct. I agree to comply with all city and county ordinances and state laws relating to.building co tr tion, hereby authorize representatives of this county7 to enter upon the above-mentioned property for ins) c n r osas. D �GsOSSnature (Applicant or Agent)✓ lel Application Number: 05-00004735 Property Address: U57750rTROON—WY APN: 762-360-006- - - Application description: POOL - RESIDENTIAL, Property Zoning: LOW DENSITY RESIDENTIAL. Application valuation: 41000 Applicant: Architect or Engine V;MW=W=/5 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----+,,,� Owner: ':SOUTHERN HILLS DEVELOPMENT 55161 SOUTHERN HILLS ,LA QUINTA, CA 92253 OCT 27 2005 VOICE (760) 777-7012 FAX (760) 777-7011 r INSPECTIONS (760) 777-7153 Date: 10/20/05 Contractor:„ TOPMAN BUILDERS ` WCC: CLARENDON WC: 01KR-0030-842 03/23/06 CSLB: 455121 06/30/06 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines a d Pro ionals Code, and my License is in full force and effect. . License Class: � license No.: ate:�'�'2 antra . • ` - ' OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perj y t)anProfessions am exempt from the Contractor's 'State License Law for the following reason (Sec. 7031.5, Busin Code: Any city or county that requires a permit to construct, alter, improve, demolish, or'reny 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.). (_ 1 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 1 I am exempt under Sec. B.&P.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: ' 1. Lender's Address: LQPERMIT 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 performanceofthe 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 B C29 C53 Policy Number - - - - - - - - -- --'= 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'=,d om u ject to the workers' compensation provisions of Section . L 3700 of the Labor Code; s II f rth ith comply with those provisions. _ D�t¢��Z�p•J'�plicanC . WARNING: FAILURE TO SE URE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD TION TO T E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR -IN SECTION 3706 OF THE LABOR,C EREST, 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 abov . ormation is correct. I agree to comply with all city and county ordinances and state laws relating to.building co tr tion, hereby authorize representatives of this county7 to enter upon the above-mentioned property for ins) c n r osas. D �GsOSSnature (Applicant or Agent)✓ lel Application Number . . . 05.-00064735 Permit ' BLDG POOL PERMIT Additional desc . Permit Fee 356.00 Plan Check Fee'. 231.40 Issue Date Valuation . . . . 41000-= Expiration Date -4/18/06 .. Qty. Unit Charge Per Extension BASE FEE 252.00 16.0.0 6:5000 THOU BLDG 25,001-5.0,000 104.00 Permit . . : MECH POOL Additional desc _ Permit 26-00 _ Plan Check Fee 6,50 .,Fee - Issue Date Valuation 0. Expiration Date.. 4/18/06 Qty Unit Charge, Per Extension BASE FEE 15.00- 1.00 -11.0000 EA MECH FURNACE '>100K 11.0,0 Permit 'ELEC POOL PERMIT-RES Additional desc Permit Fee A5. 00 Plan Check Fee 11.25 Issue Date Valuation 0 Expiration Date 4/18/06 Qty Unit. Charge Per. :.. Extension BASE FEE :15.00 1.00 30.0000 EA ELEC.PRIVATE SWIMMING POOL 30.0.0 ------------- Permit PLUMBING Additional desc .` . Permit Fee '33.00 Plan Check Fee 8.25 Issue Date Valuation 0 _..Expiration Date _ -- 4/18/06 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 ONLY. ALARMS/BARRIERS SHALL LQPERMTT .. - Bin 11City of La Q uinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �s Project Address: �j7. 7�jo i �o� W� Owner's Name: A. P. Number: Address: Legal Description: Contractor: (ylA'r-J 13 V City, ST, Zip: L,* �A 9 uS3 Telephone: (.pc •'Z—(S� �' V Project Description: Address: 77. C1 u,4tyq Pe � \o" City, ST, Zip: Telephone: �-'27715 ' % `J`� RSEK X ``• �:' 4 State Lic. # 1-i�s 12� city Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone:"� � °'� ` Y. .' State Lic. Name of Contact Person: p Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo . Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: — 7 P---) ' 2�1,. �� Estimated Value of Project: C;a* APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING n f PERMIT FEES Plan Sets Plan Check submitted 10 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked ul S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees • e w s w • • • • w ♦ P • r e r y�♦��i i, w � r r . . r li I aPl lilt, ��_ � "�'� • / P lie .• I - • � • • s seg " • r - ��JWA •'�' ys I �:6Cs x.11' ' r t'TomA VAr • • �� '!s;'lUl�'�f1 'fit � r // � ' f�,' ��/ � � ,�- • 74' • w �+I • , • • • WW%1.. Y �04 VA Al . �► fowl lop i Lkw%W - s Vf �E!! �: i � i .- , � .��` �� rc � �► rte. � .'�.__I�! .. • �, ��r,'il r /i. '�• ■tr' sr�`/rr rr�i �� - � ., `�lli�i� �,-'_.:..�,. �,. -� �. °Iti �,i��:�.v� >•yi�� f `� f 1f 11�l�1W1 �� 'r` `n:! �� 11��'� • • ' '�_ .1� ►�.". �7 ��: ilrlil ��'�i �f , *�.U�s' r �I r� �� '111, ire r` ► �) • - rr Oft AN 40 MA a 4 "'FAM MEMO IP-Fg IVIVIJ PE In L L w ME& Ed R.4"k, im NZ, IL k-A 1, .*ym i VEml PAl ♦ MOM � �1 • .;7 ' \ � � .� �., ` �•liryP�l. "��'.7, ��'. Imo`, il� � �i �Ij � ■ \ rL. •. n w _•�._ � �,`� ►+'. 04 MP 7 /r' %► `.`aye''�, . , ',►a►.�.•�•''� 'r !1 •flolo • ♦ IWO ALMIA � • ` • � � w "'� , � s is a r♦ , ♦ �„��,,.1+�t��Y 'A � � ♦ ►i` : � . S `• ♦ �`� • • ! /' .�.� - - ` +..71►7, :.�' _ .�►-�+'.'�,i!*,►`!0.+.i+ il ��' .®♦ ' S �' �.) • �� • • - 1 w ♦ r • ,�I*I- ; '`ii`T-��:S�► v1,'iih a1� � � �►'�► 0•��♦ _ .�.-�,,�_'� / � � ,i � � , � �� / j� . �•� • � / I �_..''*��r–'ice I/i� fi �� , ,,��1��,►...,a►,,. ��I�iru�i�,.11llll/t�f�-lllll�l�ll11,/,�� /' 1 , ��I MINER ffl ,,�A _ =1 ►��.�.��.!.�1�� I llllll �•��-. _.��_' ,