07-0265 (RPL)_ r-
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Appljcation Number:
07-00000265
Property Address:
79800 JOEY CT
APN:
602-390-041- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
24000
Applicant:
�Pnvt'r
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
WEAVER RESIDENCE
79-800 JOEY CT.
LA QUINTA,' CA 92253
Contractor:
TESERRA
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: 1/24/07
— - — — — — — — — — — — — — — — — A — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
ICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe ury I t I art licens under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of th Busine and Professi naIs Code, and my License is in full force and effect.
License Class: C8 C27 C i �) License No.: 656128
' .t WNER-BUILDER DECLARATION
I hereby affirm under penalty of per,,Ij'ury th I exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, BusT Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repa any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or he is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with ection 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the b sis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applic t to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my emp gees with wages as their sole compensation, will do the work, and
the structure is not intended or offer d 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 _ 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 (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of conspt t to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, wwA the performance of the work for which this permit is
issued. '
I have and will maintain workers' compens tion insurance, as required by Section 3700 of the Labor
Code, for the performance of the work or which this permit is issued. My workers' compensation
insurance carrier and policy number ar
Carrier SEABRIGHT Polic umber BB1070510
I certify that, in the performance of th rk for Which this permit is issued, I shall not employ any
person in any manner so as to be me ubject the workers' compensation laws of California,
and agree that, if I should beco subj c to th workers' compensation provisions of Section
0 of the Labor Code, I shall orthw h com with those provisions.
Q!�EE
plicant: TO SECURE WORKERS' OMPE SA ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES A/CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE C661.04 COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND TTORNEY'S FEES.
IMPORTANT Application is hereby made to the Director q Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this applicatio is
whose benefit work is performed under or pursua
the owner, and the applicant, each agrees to, and
of La Quinta, its officers, agents and employees fi
performed under or following issuance of this pen
2. Any permit issued as a result of this application
within 180 days from date of issuance of s p
permit to cancellation.
I certify that I have read this application and state that he abo
city and county ordinances and state laws relating to ilding t
of this couo`eDter upon the above-mentioned prop rty for
Dat ! �V A Signature (Applicant or Agentl:
ade, each person at whose request and for
to any permit issued as a result of this application,
tall defend, indemnify and hold harmless the City
any act or omission related to the work being
void if work is not commenced
on of work for 180 days will subject
is correct. I agree to comply with all
td hereby authorize representatives
Application Number . . . . 07-00000265
Permit
. . . BLDG POOL'PERMIT
Additional
desc .
Permit Fee
. . . . 243.00 Plan Check Fee
157.95
Issue Date
. . . . Valuation
24000
Expiration
Date 7/23/07
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 7/23/07
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
7/23/07
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 7/23/07
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
----------------------------------------------------------------------------
T Special Notes and Comments
POOL, SPA,
ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 07-00000265
Special.Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED..
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
Bin #
City of. La Quinta
Building U Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: JM C- Owner's Name: W��v QHS
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address:
L 2.
Project Description:
City, ST, Zip: C-Dp,C 1, l /� CJS C1 Z ,7
Telephone: ,3� g / ZZ Z 1
City Lic. #:
State Lic. # : t'p S6 Z FS i
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: !
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft,:
# Stories:
#Units:
Telephone # of Contact Person: 02 Sd _Y
C1,2- s-
Estimated Value of Project: NZ 0c9 O
.; APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan.Check submitted
, %,
em
Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
i
Called Contact Person
Plan Check Balance
Energy Calcs.
+
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan'
j .
2°" Review, ready for correctionsrssue
Electrical
Subcontactor List
j
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O:A. Approval
Plans resubmitted
Grading
IN HOUSE:-
M Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees