06-0415 (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:
06-00000415
79719 PARKWAY ESPLANADE
609-590-004- - -
POOL -.RESIDENTIAL
LOW DENSITY RESIDENTIAL
24000
T4tyl °F4Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BOWEN
79-719 PARKWAY
LA QUINTA, CA
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.
License Class: C8 C27 C29' License No.: '656128
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 countythat requires a permit to
construct, alter, improve, demolish, or repair anystructure, prior to its issuance, also requires the applicant -for the
permit to file asigned statement that he or she is licensed pursuant to thepro"visions 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 fora permit subjects'the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 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 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 Coder 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
ESPLANADE
92253
IFORNIA POOLS & SPAS
BOX 1280
CHELL'A, CA 92236
0)398-9222
. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)' 777-7153
Date: 1/26/06
-----------------------------------------------
WORKER'S -COMPENSATION DECLARATION
I hereby affirm under penalty of.perjury one of the following declarations:
I have and will maintain a certificate of c6nsent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor C_ode,'forthe performance of the work for which this permit is ,
issued.
—Al 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.a_nd policy number are:
Carrier HRH INS Policy Number BB1060510
_ 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
�7 3700 of the Labor Code, shall forthwith comply with those provisions.
Date•1•'a0-OO&
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 whoselbehalf this application is made, each person at whose request and for
whose benefit work is performedunder 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 county ordinances and state laws relating to riding construction, and hereby authorize representatives
ofpi.-C.- nty to enter upon the above-mentione roperty for 'nspection purposes.
ate: L -w-coSignature (Applicant or Agent):
Application Number . . . . . 06-00000415
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
. . .
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
1500
1.00 11.0000
----------------------------------------------------------------------------
EA MECH
FURNACE >100K
1T.:00
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit -Fee
45.00
Plan Check Fee
11:25
Issue Date:
Valuation . . .
. 0
Ekpiraton 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
--------------
-------------------------------------
Special Notes and Comments
--------
' POOL & SPA ONLY. ALARMS%BARRIERS
SHALL
LQPERMrr
.Application
Number . . . . . 06-00000415
------------- --------------------------------------------------------------
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 347.00 .00
.00
347.00
Plan Check
Total 183.95 .00
.00
183.95
Grand Total
530.95 .00
.00
530.95
LQPERMIT
Bin #(
Gtv of La Quinta R
a - Building &T Safety Division
Permit #�I P.O. Box 1504, 78-495 Calle Tampico
7.1.) is Quinta, CA 92253 (760).777-7012
U Building Permit Application and Tracking Sheet
Project Address:79 19 Owner's Name:
A. P. Number:
Legal Description:
�p�a SO✓�C`
Address:
IlC WC's.
City, ST, Zip
Contractor
Address:
Telephoner » R�z�r 5�
Project Description:
City, ST, Zip: C/ r7 z
Telephone:76(� '3 D�,G '7�2
l
C�
State Lic. # : 605 -co ( 2 Y
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Co"nstruction Type: Occupancy:
• Project type (circle one): New Add'n Alter Repair Demo
S Ft.:
Sq. # Stories: # Units:
Value of Project. G
Telephone # of Contact Person: tj Q --T 7 S 1/ —��Estimated
# Submittal
Plan Sets
Structural Calcs.
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd Recd TRAC'.QNG PERMIT FEES
Plan Check submitted t 2 Item Amount
Reviewed, ready for corrections Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
'
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" 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:-
Jrd Review, ready for corrections/issue
Developer Impact Fee
A.I.P.P.
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees