06-0414 (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:
060,.00000414
7� 9738=PARKWAY ESPLANADE S
609-590-033- - -
POOL-.RESIDENTI'AL
LOW DENSITY RESIDENTIAL
22000
Ti&t 4 4 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
Owner:
TAVARES
79-738 PARKWAY ESPLANADE
LA QUINTA, CA 92253
ontractor:
ALIFORNIA POOLS & SPAS'
JAN- 3 2006.O. BOX 1280
a COACHELLA, CA 92236
(760)398_922.2
rP�f L i C.' No .: 656128
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 _ LicenseNo.: 656128
IpAle Contr
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 islicensed 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).:
F _ 1 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 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 improvementis 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, 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—) 1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/26/06
WORKER'S COMPENSATION DECLARATION
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.
have and will maintain workers'. compensationinsurance, 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 HRH INS - P' 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 subjectto the workers' compensation provisions of Section
37,00 of the Labor Code I shall forthwith comply with those provisions.
e: �/'0 Applicarl4� t
WARNING: FAILURE TO SECURE WORK RS' COMPENSATION COVERAGE IS.UNLAVN/FUL, 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 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 ouinta, 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 c/10 `to enter upon the above-mentioned property for ins eC n purposes.
Date: 63� O � ignature (Applicant or Agent): tv
Application Number . . . . . 06-00000414
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
225.00
.Plan Check Fee
1.46.25
Issue Date . . . .
Valuation . .
. 21920
Expiration Date-.
7/25/06
Qty Unit Charge
Per
BASE
FEE
_Extension
45.00
,20.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
180.00
Permit . . . •MECH POOL
Additional desc .
Permi.t'Fee'
26.,00'
Plan Check Fee
6.50
Issue Date
Valuation
01.
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
"Aldi Tonal` desc
Permit Fee .' . . .
45.00
Plan Check Fee
_ 11.2.5
Issue Date.
Valuation
0
Expiration.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
Application Number
. . . . . 06-00000414
Permit . .
. WALL/FENCE PERMIT
Additional desc .
.
Permit Fee . . .
. 15.00
Plan Check
Fee
:00
Issue Date . . .
.
Valuation
. . .
. 80
Expiration Date .
. 7/25/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and
Comments
POOL & SPA. 5 L.F.
4- EQUIPMENT BLOCK
WALL, CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary
Charged Paid
--------------------
Credited
----------
----------
Due
-----------------
Permit Fee Total
344.00
.00
.00
344.00
Plan Check Total
172.25
.00
.00
172.25
Grand Total
516.25
.00
.00
516.25
LQPERMIT
Bin ff
Gty ®f La Quinta
—6��—
Building u Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
(g --/
/ �'
La Quinta, CA 92253 - (760) 777-7012
Building
Permit Application and Trackirg Sheet
Project Address: 79 $
C.:70. Owner's Name:,
A. P. Number: oe�X-0^)k4e '
Address:
Legal Description:
City, ST, Zip:
Contractor,
�`�
��..
Telephone:
Address: -0
Project Description:
City, ST, Zip:
C
/`�-'`:—Jk`
Tele hone. ��,G
JI D'7��2"
- 'es,
ME
NX
State Lie. # : 605 -co 1 2 T
City Lie. #: '•
,
N
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
WE
ff 0dristruction Type: Occu anc
P Y:
State Lie. #:
gProject type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
lJe `S
�G�� /
Ft.:
4 # Stories: # Units:
Telephone# of Contact Person: 26-x' 72S275_02/ Estimated Value of Project: 0-
APPLIGANT: DO NOT WRITE BELOW THIS LINE
# Submittal
TRACKING q'd Rec'
Re , d PERMIT FEES
Plan Sets
Plan Check submitted
Q
Item
Plan Check Deposit
Plan Check Balance
Amount
Structural Cales.
Reviewed, ready for corrections
Truss Calcs.
Called Contact Person
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
S.M.I.
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
Developer Impact Fee
IN HOUSE:-
3`d Review, ready for corrections/issue
Planning Approval
Called Contact Person
A.I. P.P.
Pub. Wks. Appr
—:::Date
of permit issue
School Fees
I.Total Permit Fees I