05-5419 (RPL)'� 41.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
05-00005419--
Property Address:
43541 PARKWAY ESPLANADE E
APN:
609 -380 -999 -69 -2.93234 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
'i5000
Applicant:
Architect or Engineer:
------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm underrpenalty 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 Licee is in full force and effect.
License Class: C53 Li ense No.: ns
7863 4
Df2� Contracto .
OWNER -BU LDE D N -
1 hereby affirm under penalty of pe ury that I am exempt fr m th Contractor's State License Law for the
following reason (Sec. 7031.5, Bu ine and Professions C e: A y city or county that requires a permit to
construct, alter, improve, demolish, repair any structure, prio o 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, 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 improvesthereon,
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.). -
r (_ 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
1 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:
OPATKEWIEZ
43-541 PARKWAY
LA QUINTA, CA.
LA QUINTA, CA
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 .
_ Date: 12/12/05
ESPLANADE
92253
Contractor: .
ALPINE SERVICES
P.O. BOX 4687
PALM DESERT, CA 92261
(760)346-2350
Lic. No.: 786324
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 workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 2290023236
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 orkers' compensation laws of California,
and agree that, if I should become subject to the wor rs' compensation provisions of Section
3700 of the Lab ode, I shall fort omply wi ose provisions.
Date: I 't7 Applica : -1--_�
WARNING: FAILURE TO SECURE ORKERS' COM NSAT N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI I AL PENALTIES ND Cl L FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITI TO THE COST PENSATION, DAMAGES AS PROVIDED FOR.IN -
SECTION3706 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 1 -have read this application and state that the above information is correct. I agree to comply with all
city and c r,ty ordinances and state laws relating to r1Aiag construction, and hereby authorize repr entatives
of thi ounty to enter
upon the above-mentioned pr y for inspection p ores.
Date1Z-��O ).Signature (Applicant or Ag ntl:
}
Application Number. .
. . . . 05-00005419 ,
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
162.00 Plan Check Fee
105.30
Issue Date
Valuation . . .
. 15000
Expiration Date
6/10/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
THOU BLDG 2.001-25,nnn
11-7.00
Permit .. . .
MECH POOL
Additional desc .
Permit Fee .. . . ..26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
' 'Expiration Date
6/10/06
• 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
6/10/06
' 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 ..s. . .
33.00 Plan Check Fee
8.25
Issue Date
Valuation . . .
0
Expiration Date
.6/10/06
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
LQPERMIT ,. -
Application Number 05-00005419
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE'PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT. ENCLOSURE NOT
'INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
Permit Fee Total 266.00 .00 .00• 266.00
Plan Check Total 131.30 .00 .00 131.30
Grand Total 397.30 00 .00 397.30
LQPERMTT
'V11 -
Bin_-
Bin #
City of La. Quinta
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 #
Project Ad4_5LI) P E�_ E
Owner's Name: Kms. w
A. P. Number:
Address: Lf:� �� 1Aw or
Legal Description:
Contractor: `w -
City, ST, Zip: L txw 9;)-P5-,5
Telephone:
Address: 41-`,05- SQ- ,
Project Description: (jGL S
City, ST, Zip: �„r 19; t,
Telephone: 35-v
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
�- '
Construction Type: O,cupancy:
State Lic. #:
Project type (circle one): New Add'® Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person: pts l3Q
Telephone # of Contact Person: 3 Z((,
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
�L
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan'
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer bmpact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Perm t Fees
j
° DRAWN
] CHECKED )
) ]
\ DATE j
) 2-- 0 - o ]
\ SCALE .
)/fie s / � ^ . )
jJoe No. ]
SHEET)
OF . ■MEETS]