10-0162 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'(t °f e Qum&
Application Number: 10-00000162
Property Address: 60656 JUNIPER LN
APN: 764-270-999-111 -300232-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 28000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-----------------------------------=--------------
CENSED CONTRAC[se
'S DECLARATION
I hereby affirm under penalty of perjury t t I am licensed undervisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu ' e s and Professionals Cand my License is in full force and effect.
License Class: C13-053 Lice o.: 935936
ate: ♦ ontractor:
OWNEILDER DECLARATION
I hereby affirm under penalty of perjury that I am exam t rom the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professio 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 is licensed 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):
(_ 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 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.).
( 1 I am exempt under Sec. , BAP.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: 3/04/10
Owner:
DAVID TOWLE
60-656 JUNIPER LANE
LA QUINTA, CA 92253
D 6
Contractor: p
CLASSIC POOLS & SPAS 1►lfi O 210 /
79461 AVENUE 40TH /tl
BERMUDA DUNES, CA 92203
L'jT
(760) 413-4867 �fi�
� QIIF
Lic. No.: 935936 L•lCnr..N'�
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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.
YL 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 NATIONAL INS Policy Number 200090117388
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any maAume subjec to the workers' compensation laws of California,
and agree that, iubject to he workers' compensation provisions of Section
/'3700 of t abthwit csions.
V Applicant:WARN NG: FAILURE TO SECURPENSATION 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 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 this permit.
2. Any permit issued as a result of this application becomes null and void if wor is not commenced
within 180 days from date of issuance of such permit, or cessation of work or 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the ab a information is cor ct. agree to comply with. all
city and county ordinances an state laws relating to building onstruction, and h eby thorize representatives
of thisco ty t enter up the above-mentioned prope y f inspection purpos
Date; 0 �Vt ignature (Applicant or Agent): If A
Application Number .. . . . . 10-00000162
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
271.50 Plan Check Fee
176.48
Issue Date . . . .
Valuation . . .
. 28000
Expiration Date
8/31/10
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
19.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date . .
8/31/10
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
8/31/10
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
8/31/10
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
7
i
LQPERMIT
Application Number 10-00000162
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 256
Expiration Date 8/31/10
• Qty Unit Charge Per
( Extension
BASE FEE
15.00
----------------------7-----------------------------------------------------
Special Notes and Comments
POOL/SPA, 16 L.F. 4' EQUIPMENT
ENCLOSURE, CITY STANDARD, 10 L.F. 3/4"
GAS LINE FOR FIREPIT & 5 L.F. 3/4" GAS
LINE FOR BBQ. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION. 2007
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 39.0.50 .00 .00
390.50
Plan Check Total 202.48 .00 .00
202.48
Other Fee Total 2.00 .00 .00
2.00
Grand Total 594.98 .00 .00
594.98
LQPERMIT
Bin #
Permit #
Project Address: S
City of La Quinta
Mding a Safety Msion
P.O. Box 1504, 78-495 Calle Tampko
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
t)11 Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Le`
Contractor:L S 5
Address: p
Telephone:U
Project Description:
Nem POO its /pl
City, ST, Zip: `
2� `
('O '
Telephone:
State Lic. # :
City Lie. C
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; T#
#Units:
Telephone # of Contact Person:
Q 'L4 ( :5 T g(V
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Rec'd T1tACMG PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cala.
Reviewed, ready for corrections Plan Check Deposit
Truss Cala.
Called Contact Person' Plan Check Balance
Tldc 24 Cala.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2•! Review, ready for correctionsAssue Electrical
Subeontactor 1A at
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' Review, ready for correctionslissue Developer Impact Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
LA
-771
Total Permit Fees