07-0064 (RPL)-s
T.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00000064
Property Address: 80265 VIA CAPRI + '
APN: 772-4407054- - -
Application description:. POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL.
Application valuation: 20000
Applicant:
v
V
Tdy 4
BUILDING & SAFETY DEPARTMENT
Architect or Engineer:
NIS
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.
Licens Class`: B C29 C53 License No.: 455121
Date: �'\ Cdntraaor.
OWNER -B ER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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 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 1, as owner of.the property, or my employees with wages as their solecompensation.w ill do the work, and
the structure is not intended or offeied for sa!e (Sec. 7044, Business and ProfessionCode: 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 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:
Lender's Address:
LQPERMIT
Owner:
RICK BRYSON
80-265 VIA CAPRI
LA QUINTA, CA 92253
(760:)497-7654
Contractor:
TOPMAN BUILDERS
P.O. BOX 10202
PALM DESERT, CA 92255
(760)772-7296
Lic. No.: 455121
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS .(760) 777-7153
Date: 1/09/07
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
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 CLARENDON Policy Number OIKR-0030-842
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, shall forthwith comply with those provisions.
`Date: ��pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMP TION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN IL, FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF CO NSATION; 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 permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf thisapplication is made, each person at whose request and for
Itwhose benefit work is performed under or pursuant to any permit issued as a result of this application,
owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quint., its officers, agents and employees for any act or omission related to the work being
, performed under or following issuance of this permit. _
11 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 c6unty ordinances and state laws relating to building construction, and hereby authorize representatives
oft ' cmity to enter upon the above-mentioned p tion purposes.
Date\ W Signature (Applicant or Agent)7zfo
spec
Application Number 07-00000064
` Permit . . .
BLDG POOL PERMIT
Additional. desc ...
Permit Fee
207.00 Plan Check Fee
134.55
Issue -Date . . . .
Valuation
20000
Expiration Date
7/08/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
------------------------------------------------
THOU BLDG 2.,001-25,000
----------------------------
162.00
Permit• . . .
MECH POOL
Additional'desc .. .
Permit Fee . . . .
26.00 Plan Check Fee6.50
Issue Date . . . .
Valuation . . .
. 0 .
Expiration Date
7/08/07
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
7/08/07
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
.7/08/07
-
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
-------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Bin #
City of La Quinta -
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
4La
Project Address: .� C LD 1-t
Owner's Name: VI LK Yj y SO A •
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: 2?fqA&f p L 25 1 NC,
Telephone: 6O 97^ U,§14
Address:� 02o2
Project Description:
p
City, ST, Zip: 9 Q r S j C�Z2��j
OOL -t-
Telephone: 60 76 ?& 96
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: Lfl. YK
Construction Type: Occupancy:
P c7':
Project type (circle one): New. Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed read for�iFrecGons
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Cheek Balance
Energy Cates.
Plans picked up
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading. plan
2" Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person,
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
''' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
, ��