06-3314 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:06-00-0-0'3314'
Property Address:
4379 PYyARKWAESPliANADE W
APN:
609-590-028- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
750
.c&tyl 4 4-QaA&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
--7---------------- -------- ------------------
LICENSED ONTRACTOR'S DECLARATION _
I hereby affirm under penalty of perjury that 1 a li sed under provisions of C pter 9 (commencing with'
Section 7000) of Division 3 of the Busine an Pro ssionals Code, and my Li se is in full force and effect.
License ass: 53 Ucense,No.2 692 59
-7777—
Date Contractor.
• OWNER -BUILDER DECLARATION'
I hereby affirm under penalty of peijury tha 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 sheis licensed pursuant to the provisions 6f -the Contractor's State
License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business'and Professions Code) or
that: he or she is exempt therefrom and the basis for the allegedexemption. Any violation. of Section 7031.5 by
any applicant for a'permit subjects the applicant to civil penalty of not more than five hundred dollars 155001.:
(_) 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,aI3,to an owner of property who builds or improves thereon, ly
and who does the work himself or herself through his or her own, employees, provided that the .x
improvements are not intendea,or. offered for sale. If, however, the building or improvement is sold within
one year of comp letion;-tha 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.
ry 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—) 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:
J HANOUSEK
43790 PARKWAY ESPLA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/13/06
SEP
Contractor:
CAHUILLA POOL CONSTRUCTION
P 0 BOX 2569
PALM DESERT, CA 92261
(760)360-6602
Lic. No.: 692059
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 0010153
I certify that, in the performance of the work for which this permit is issued; I shall not employ any
person in any man�L,
r so as to become's bject to the workers' compensation laws of California,
and agree that, if•hould bac a dbje to the workers' compensation provisi ns of Section
700 of the Labosh fo, wit comply:uyith those provisions.
Applicant, --k&—
WARNING: FAILURE TOSECUREWORKERS'MPENSAT[ON COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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 performedunderor 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 dateof 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 thfi�onju e ormation is correct. I agree to comp)yxXY.� with all
city and county ordinances and state laws relating to builction, and hereby authorize represeQ{atives
of this co4ty >)o enter upon the above-mentioned propernsction purposes. /J
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REVISIONS BY
POOL &
SPA SPECS,
POOL 5ET: :
19' X321
POOL 5A:
"528 50. K
POOL Pyrr,
100 PT
PEPTH5 15'-6" TO I`0"
POOL PUMP
1,5 H,P:
HMV
400,000 M
PILTEV
CCP 420
I.IGN1"5
i ;r
1100./,ATT
2-400 INATT
CONTROLLER P7-4
5PA 51 _7E
T X -7'
5VA M.
27 FT
5PA 5.A,
47 50,PT
5PA I?FPTH
12"
JET5'
S
IT PUMP
1,5 HP
CONC. PSA
O 50 PT.
PMTV5 APPA
700 50. PT
W.F.
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DATE: 011 26106
SCALE:
I
DRAWN BY:
1 i
JOB: MEF
SHEET
OF
"SHEETS
Application Number . . . . . 06-00003314
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 21.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 750
Expiration Date 3/12/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 2.0000 HND BLDG 501-2,000
6.00
----------------------------------------------------------------------------
Special Notes and Comments
ADD ONE COURSE TO EXISTING WALL TO
PORTION OF EXISTING SIDE YARD & ALL
REAR YARD WALLS
Fee summary Charged Paid Credited
Due
Permit Fee Total 21.00. .00
.00
21.00
Plan Check Total .00 .00
.00
.00
Grand Total 21.00 .00
.00
21.00
N
LQPERMIT
Bin #
City ofla nuinta
�-C
Building `U Safety"Division
P.O: Box 1504, 78-495'Calle Tampico
La Quinta, CA 92253 - (Z60) 777;-7012
Building ferinit Application and Tracking Sheet
Permit # -
Project Address: w
wner's Name: w►�
A. P. Number:
Address: 4�
Legal Description:Ci
Contractor: r� l , �n�� s 1C w����
G ;� � �✓�'1.Q1_ � 1
;`ST; Zip:
'Teleph_one:
Address: 25
'Troject Description:A Ci)
City, ST, Zip:
K J
—rye •ri '
1 iav ll
Telephone. A o t.� --'2.-7--
-
r
State Lic. # : (p City°Lic'. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
` d
Construction Type: Occupancy:.
State Lic. #:
Project type (circle one): ' New _ Add'n _ Alter Repair Demo
Name of Contact Person:
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: , l7�
APPLICANT: DO. NOT~WRITE BELOW THIS.LINE
#
Submittal.
Req'd
Rec'd
TRACKING .
PERMIT.FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
`
.':Reviewed;*ready for corrections
Plan Check Deposit
Truss Calcs.
Called -Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
`Tlans.resubmitted
Mechanical
Grading plan
2"' Review, ready foe correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
'Plans resubmitted.
Grading
IN IIOUSE:-
Review; ready for, corrections issue
Developer Impact Fee .
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees .
15