06-3656 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiitt 4 1w 4"
Application Number: 06-00003656
Property Address: 78815 VIA CARMEL
APN: 646-430-031- - -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: = 22500
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
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 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Licens -I ss77 C 3 - Gc'e__nse No.: 518742
ateI, - ontrac r. vv
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State license Law for the
following reason (Sec. 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).:
(_ 1 I, as owner of Elie 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 _ 11, 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec. B.&P.C. for this reason
w
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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
SANDY YOUN
78815 VIA
LA QUINTA,
Contractor: -
AMERICAN P
P.O. BOX •1
PALM DESER
(760)340-2588
Lic. No.: 518742
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/12/06 �.
------------------
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 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 on
compensation
insurance carrier and policy number are:
Carrier STATE FUND ' Policy Number 0001188-2006
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 bece subject to the workers' compensation provisions of Section
3/00 of the Labor Code, I (li forthwith c Ly,with those provisions. -
e, plica
WARNING:' FAILURE TO SE - URE PIKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO ERIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION To THE COST OF COMPENSATION, 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 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this co myy t 'enter upon the bove-mentioned property f r inspection ur es. -
e: 3 nature (Applicant or Age
Application Number
06-00003656
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
234.00 Plan Check
Fee
152.10
Issue Date . . . .
_ Valuation
22500
Expiration Date
4/10/07
Qty Unit Charge,
Per
Extension
BASE FEE
45.00
21.00 9.0000
THOU BLDG,2,001-25,000
189.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
.33.50 Plan Check
Fee
8.38
Issue Date . . . .
Valuation
0
Expiration Date
4/10/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 18.5000
----------------------------------------------------------------------------
EA ELEC SVC <=600V/<=200A
18.50
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
24.00 Plan Check
Fee
6.00
Issue Date
Valuation
0
Expiration Date
4/10/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00 '
1.00 6.0000
EA. PLB FIXTURE
6.00
1.00 3.0000
EA - PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
.
PONDS,WATER FEATURE,
FIREPIT & BENCH
--------------------------------
Other Fees .
. . . . ENERGY REVIEW FEE
15.21
Fee summary. Charged
Paid Credited
Due
Permit Fee'Total
291..50 .00
.00
291.50
Plan Check Total
166.48 .00
.00
166.48
Other Fee Total
15.21 .00
.00
15.21
Grand Total
473.19. .00
00
473.19
LQPERMIT
I �
10/10/2006 12:20 7606749438 AMERICAN POOL CONST PAGE 03/04
CITY OF. LA QUINTA-
BUILDING $ SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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10/10/2006 12:20
7606749438 AMERICAN POOL CONST
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FIRE RING TO BE SIZED BY OTHERS.
GAS RISER TO BE PER CPC SPECS.
3Q ISLAND - SIDE ELEV.
112"= 1 1 -OII
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TOP COURSE'
GAS FIRE RING:
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LENGTH OF GAS PIPE
DIAM. OF GAS PIPE' '
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b PLACEMENT.
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36" DIAM. •
NSIDE DIMENSION
WATERPROOF
MEMBRANE
(TYP. INTERIOR
SURFACES)
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VERT: AT
32" O.C.
(TYP.)
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•OUTDOOR FIRE RING
SID GROUTou
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10/09/2006 11:50 7606749438 AMERICAN POOL CONST
Bin
PAGE 01/03
City Qf• La Qu'inta ..
Permit # 0•
Building a Safety Division
P,O: BOX. 1504, 78-495
J
�5
Calle Tampico.
La Qulnta, CA 92 2-5 3 -.(760) 777-7012
Building Permit Application and TTacicin Sheet.
l?rojcct Address: , �/
.
� 7 . g
Owner's Name: S
A• P. Number:
Address:. ��� �,,% t,"
Legal Description:
6
City, ST, Zip;�7j�.
Contractor:
Telephone: '�
Address:Project
:��S
Zip:
Des4iption:
I AJ! V t fa O
City. ST,
`
�4
Tcicpbonc: Q •_ z S
State Lit. # : �.
City Uc,1:
Arch.,l3ngr., Designer:
.
Address:
✓Q r 6S7 e_
City, ST, zap:
Telephone:
State Lic: #:
Constzuction rYAo: Occupancy:
Name oEContact Person:
�j typo (circle one): a Add'n Alto Repair Dano
r
Telephone#otContact Pc Mon:
Sq• l^t.: # Stories: Units:
�ZS•
Estimated Value of Project: ; 2:Z.
APPLICANT: DO NOT Wf2rmaELOW THIS UNE
K Submittal Rey'd
Rc4d TRACKING
Plan 5ety
_ PF.Rl1aTREFS
pian Check ■ubmtttcd• id
Calcs.
Item Amount
Reviewed, ready for corredonns •
Fuss Cala'
PUt C beck Acposlt
Celled Contact Petaon Plau. Check Balance
)anergy Cala.
PlaaOicked up
t'lvod plain plan
Construction
Plans resubmitted
Mt:chaoial '
Grading pt4n,
2" Review, ready for,eorrectionslissuc /Eleetrcal
Subcont2ctor[.f9t
_
.Called Contact Person .'�2q�w►
Plambigg.
Grat ccd
0-r lE
ed
O.DpprovalLA. A
IN ROCJSE:-
a'
Grading
Plannl4g Approval
9 rrcctlo Issue Percloper Impact Fee
FOR
Pub. ti'kx. Appr
Date of permit Issue
School Fess
, '
Total Permit Fccs
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