06-3995 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00003995
Property Address:
79786 JOEY CT
APN:
602-390-042- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
23000
Ta�v 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------- - - - - -- -------------------------------
I ENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th t I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine s and Professionals Code, and my License is in full force and effect.
License Cl ss/: C8 C27 C29 License No.: 656128
ate: r ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury tha I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business an Professions Code: Any cityor county that requires a permit to
construct, alter, improve, demolish, or repair ny structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or sh is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Se tion 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 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 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 '
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 ISec. 3097, Civ. C.).
Lender's Name: - l
Lender's Address:
LQPERMIT
Owner:
KIMBALL ROBERT
79786 JOEY CT
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS &
P.O. BOX 1280 -
COACHELLA, CA 92236
(760)398-9222
Lic. No.:•656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/16/06
--------------—--------——---——----7--------—---
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 hrmance
ber are:
Carrier SEA13RIGHTPolicy Number BB1060510 -
I certify that, in the the work for which this permit is issued, I shallnot employ any
person in any macome subject to the workers' compensation laws of California,
and agree that, if e subject to the workers' compensation provisions of Section
3700 of the�,aboorthwith comply with those provisions;
WARNING: FAILURE TO SECU KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI L 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 COD 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 i permit.
2. Any permit issued as a result of this appli ti n becomes null and void if work is not commenced
within 180 days from date of issuance ofisuthmermit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this applicatio nd state hat a above info tion is correct. I agree to comply with all
city and county ordinances and stat aws re,
bu Idi construction and hereby authorize representatives
of this co ty to enter ton th ove-mention p inspection rposes.
t
D �/'11 Siure IApplicant or Ag tl:
Application Number . . . . . 06-00003995
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 234.00 Plan Check Fee 152.10
Issue Date Valuation . . . 23000
Expiration Date 5/15/07
Qty Unit Charge Per Extension
BASE FEE 45.00
21.00 9.0000 THOU BLDG 2,001-25,000 189.00
----=-----------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc . .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/15/07
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 5/15/07
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 . . 5/1.5/07
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. ALARMS/BARRIERS SHALL BE IN
9
1
LQMMIT _
Application Number . . . . . 06-00003995
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid
Credited
Due
-------------------------------------
Permit Fee Total 338.00 .00
--------------------
:00
338.00
Plan Check Total 178.10 .00
.00
178.10
Grand Total 516.10 .00
.00
516.10
LQPERMIT
Bin #
City of. La Quinta
Building u Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinti, CA 92253 - (760) 777-7012
Building Permit Application and TrackingSheet
Project Address: —"�
�_�� Owner's Name: 'C�\��f�l-L. Z •�S
A. P. Number:
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Address: 0 �
Legal Description:
City, ST, Zip:
Contractor:` AUC Y-\. ^
`C �y-,l� 4' C Telephone:IV .�1~ .
Address:
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Project Description: O Q�
City, ST, Zip ' CA.
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Telephone: �(arj 394g�-JZZ a—
State Lie. # : Z
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lie. #:
_
Project type (circle one):
Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: p� -`�j0—
L C '�
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Estimated Value of Project.,4
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APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMff FEES
Plan Sets
Plan.Check submitted
Item
Structural Calcs.
Reviewed, ready for corrections
Amount
Plan Check Deposit
Truss Cales.
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
INHOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees I
n