06-0351 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
00000-351
4379'0—PARKWAY ESPLANADE W
609-590-028- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
25000
Architect or Engineer
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
.LICENSED CONTRACTOR'S DECLARATION _
I hereby affirm under penalty of perjury that I am li 'ensed under. provisions of Chapter 9 (commencing with
Section 7000) of Divisiohn3'bf the Business Pr fess`ionals Code, and my License is in full forceand effect.
License lass. C53: License No.: 692059- - -
V ?7 db - h
9atE Co
- OWNER=BUILDER DECLARATION
I hereby affirm under penalty.of'perjury that I amexempt from the Contractor's State License Law -for: the
following reason (Sec. 7037:5, 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:(Chapie[9.(cornmencing with Sectiori7000),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 toacivil penalty of.not more than five hundred dollars ($500).:
(_ 1 I, as owner of the property, or my employees1with wages as their solem
copensation, will do -the work, and
the structure is not'intended or offeredfor.sa(e (Sec. 7044, Business and Professions,Code:�-The
Contractors' State License Law` does notapply to an owner -of property'whe builds!or improves thereon, .
and who doesthe"work himself or herself through hisorher'own emp(oyees,,provided,'that the-
improvements are not iniended.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 amexenipt 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
VOICE (760) 777-7012.
FAX (760)777-701 i„
INSPECTIONS (760) 777-7153
Date: 1/26/06
Owner:
HANOUSEK
43-790 PARKWAY ESPLANADE W
LA QUINTA, CA 92253
Contractor:
CAHOILLA POOL CONSTRUCTION INC
P -O BOX 2569
PALM -DESERT, CA 92261
(760)360-6602
Lic: No.: 692059
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations: - t
_ I have and`will maintain a certificate of consent to self -insure for workers' compensation,, as provided .,
.,for bVSection 3706 of the Labor Code, for the performance of the work for which'this.permit is
'issued.
have and. 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: E
.Carrier STATE. FUND Policy Number 0010153
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 becomeNsubject to the workers' compensation laws of California,
and agree that, if I should becme bjectto the workers' compensation provisions of Section
3700 of the Labor Code, ha .fo iwithcomply with those provisions..
`�l7Appli
WARNING: FAILURE Top SECURE WOR ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
.ION
UP To ONE�HUNDRED THOUSAND
DOLLARS:(s100,006). 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 ofBuilding 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. Anyipermit 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.
1 certify that 1 have read this application and state that the above inf rmation is correct. I agree to comply with all
city and c ty"ordinances and state laws relating to buildi g c str ction, and hereby authorize representatives
of this c t�upon the above-mentioned Prope � or spy ion purposes.
Date: gnature (Applicant o
471
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Application Number.
06-00000351
Permit
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
243.00 Plan Check Fee
157.95
Issue Date . . . .
Valuation . . .
. 24000
Expiration Date ..
7/25/06
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:.'.
7/25/06
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 . . . .
45.0.0 Plan Check•.,Fee
11.25
.Issues=Date
Valuation .
0 .
Ekp'-ration Date
7/25/,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.,. . . .
33.00. Plan Check Fee..
8.25
Issue Date
Valuation
0
Expiration Date,
7/25/.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.
Permit . ... . . .
WALL/FENCE PERMIT
LQPERMIT
LQPERMIT
Application Number . . . . . 06-00000351
1 Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 25.00 Plan Check Fee
00
Issue Date . . . Valuation . . .
. 1000
Expiration Date 7/25/06
'
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 FIND BLDG 501-2,000:
10.00
--------------------------------------------------
Special Notes and Comments
POOL '& SPA: t 404,1'.-F-. -6' ..BLOCK WALL; .=CI:Ty ..
_.. .
STANDARD: ALARMS/.BARRIERS.-'SHALL,; BE IN
PIiACE;PRIOR'tO PR$-PLASTER'INSPECTION.,_
SEE .EXPIRED PERMTT 0.5-0350 (3)
-
INSPECTIONS ..
_
rt Fee- summary Charged Paid: Credited
Due
- - -- - - - - - =- -- - --
-----.00'
- -,
Permit -.Fee Total 3,72 00' >- -0b
--372.00
LQPERMIT
Bin #
'
City of La Quinta-
Permit
Building u Safety Division
#
: P.O. Box.1504, 78-495 Calle Tampico
O G 63S_1
La Quinta, CA 922.53 -:(760) 777-.7012
Building Permit Application and Tracking. Sheet
Project Address:' 4-:�)
n P -w L�
F lt-'
Owner's Name:
A. P. Number:
Address: 4,:!,q ,o v,
Legal Description:
City, ST, Zip:
Contractor:O
•
Telephone 'iIQO . �pQ '��.
f.
Q
fAL4-L
Project Description:ip:
�o�
Mrch.,
�•City,Lic.
Designer:
#:
SVi4/.,
'
Address:
_ fy.
• �/YwI �s� cis
City, ST, Zip:
C� S
Telephone:
MM
Construction Type: Occupancy;
State Lic. #:
.,Name of Contact Person:�_=
Project type (circle one): New. Add; ri Alter Repair Demo
Telephone #9f Contact Person: 4 _ re—�
Sq. Ft.:#Stories:
#Units:
.. Estimated Value of Project:
APPLICANT: DO NOT WRITE-BELOW THIS UNE
#
Submittal
Req'd
Recd.
TRACIQIYG
Plan Sets
PERMIT FEES
Plan Check submitted
z3Item
Amount
Structural Calcs.
Reviewed, ready for corrections
rues Calcs.
Plan Check Deposit
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans• picked. up
Flood plain plan
Plans resubmitted
Construction
Grading, plan' .
'
2°° Review, ready for correctios/iss'
Mechanical
Subcontactor List
Called Contact Person
Electrical
Grant Deed
Plans picked up
Plumbing'
H.O:A. Approval
Plans resubmitted
S.M.I.
IN Ii0i1SE:
'rd Review, ready for correctionslissue
Grading
•
Planning Approval
•
Developer Impact Fee
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue'
School Fees
100,
Total Permit Fees
4
PREPARED 1/24/06, 9:20:55
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM BP521L
0/00/00 THRU 0/00/00'
CITY OF LA QUINTA
-
-----------------------------------------------------------------------------------------------------------------------------
_ APPLICATION PROPERTY ADDRESS
APN
Alternate ID
STRUCTR PERMIT
-------------------------------
--------------
INSPECTION
---------------------------------------------
RESULT DATE/STATUS
----------- ----- ----------
INSPECTOR
--- ------- -- -- --
..
05 00000150 43790 PARKWAY ESPLANADE W
609-590-028- - -
000 000 P001 00 BLDG POOL
PERMIT
170 0001 PRE-GUNITE
2/03/05 APPROVED
TM
'
000 000 P001 00 BLDG POOL
PERMIT
305 0001 UNDERGROUND ELECTRICAL
2/03/05 APPROVED .'
TM
000 000 P001 00 BLDG POOL
PERMIT
200 0001 UNDERGROUND PLUMBING
2/03/.05 APPROVED'
TM
000 000 P001 00 BLDG POOL
PERMIT
205 0001 UNDERGROUND GAS -
2/03'/05 APPROVED _
TM
.7' '