06-0032 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Applicatiori Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
C__
06"—
00000032
___ _ _ -.
48800 LEGACY DR
658-130-011-1 -31379
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
5000
Architect or E
A-,!
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------
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: C53 Lice se N .: 856835
te: I�-Contractbr/_:
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 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.).
(_) 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—) 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:
LQPERMTT
Owner:
CENTEX HOMES
2275 CORPORATE CIR #230
HENDERSON, NV 89074
Contractor:
VACATION POOLS INC
83900 AVE 45 STE C'
INDIO, CA.92201
(760)775-0468
Lic. No.: 856835
e
VOICE (760) 77.7-7012
FAX (760) 777,-7011.
INSPECTIONS (760) 777-7153
Date: 1/05/06
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of 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 and policy number are:
Carrier STATE FUND Policy Number 1795938-05
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
3700 of the Labor Code, I shall ith y with thos�ons.
Applicant"..—
Cl
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 ($100,0001. 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 actor 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 bui ing construction, and herebl authorize representatives
of this co ty to enter upon the above-mentioned pro rty for ' trion�/.p�u\rposes F
Da �ignature (Applicant or Agentl: v� t,J
Application Number .
. . . . 06-00000032
'
Permit . . . . . '
'
BLDG POOL PERMIT
.
Additional deoc . .
Permit Fee . . . .
72.00 Plan Check
Fee .
. 46.80
Issue Date . . . .
Valuation.
. . .
. 5.000
Expiration oate� . ,
7/04/06
Qty ' Unit.Charge
Per
Extension
BASE FEE
45.00
3.00 9.0000
--------------------------------------------~----------------------_--------
THOU BLDG 2'001-25,000
27.0.0
Permit . . ... . .
ELEC POOL PERMIT -RES
Additional deac . .
Permit Fee . . . .
45.00, eIao Check
Fee .
. I1.25
zoone Date . . . .
, Valuation
. . .
. O
Bxpiratioo'Date . .
7/04/06
Qty - Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
---------------------------------------------------------------_------------
Eu oLEC gazneors SwIMmzxns
POOL
30.00'
Permit . ' . . . .
PLUMBING
'
Additional deoc . .
Permit Fee . . . .
27.00 Plan Check
Fee
6.75
zaone Date * . . . .
Valuation
. . .
. o
Expiration Date . .
7/04/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00. 6.0000
.EA eLB FIXTURE
6.00
1.00 3.0000
EA rLB WATER zNGT/ALr/aoe
3.00
1.00 3.0000
EA rLB GAG PIPE 1-4 OUTLETS'
3.00
-------------------------------------------------------_-
apeoial Notes and Comments
-----
--------------
FOomoAzm #33 WITH UNDERGROUND
VAULT;
PER APPROVED PLAN. POWER COMES FROM
48-575 CLASSIC DRIVE.
Fee summary Charged
----------------- ----------
raid Credited
---------- ---------- ----------
one
Permit Fee Total
144.00 .00
.00
144.00
Plan Check Total
64.80 .00
.00
64.80
Grand -Total
208.80 .00
.00
208.80.
LQPEmMIT
kar
-2, City of La Quinta
J 11 19 2 Building 8z Safety Division
P.O. Box. 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-7012
Building Per_mit�AppI !cation and Tracking Sheet
Per'rlit #
Project Address:
Owner's Name:
A. P. Number:
Address: 7 5,
Legal Description:
City, ST, Zip:
Telephone:
Contractor: LS
Address:
City, ST, Zip:
Project Description:
Telephone:
�C-9
State Lie. # City Lie. #:
Arch., Engr., Designer:
C
I
Address:
-------------
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: S;t4
Construction Type: _54a f C'4' Vec u p a �y
Project type (circle one): New Add'n Alter Repair Demo
-Sq. Ft.:
# Stories:
# Units:
Telephone #.of Contact Person: 77_ 0
Estimated Value of Project: oc? a
APPLICANT: DO NOT WRITE -BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up'Pvd-1
Construction
5 ift
Flood plain plan —
Plans resubmitted
Mechanical
Grading.plan
Subcontactor List.
2" Review, ready for
Called Contact Person
Electrical
Plumbing
J)XA
Grant Deed
Plans picked up
S.M.I.*
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" 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
BU I LD11\I6
3'
� I t�9Tl
c p OF
�E�u N
owner
k QUINTA
DEPARTMENT
ti 2
:QUEST LINE
153
;ontractor 3,TA-CA1ION POOT iNC
'ermit Number 06-0032
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
106 ADDRESS 4R-800 T,TGACY DRIVE
FOUNTAIN 933 WITH UNDERGROUND VAULT PER
APPROVED PLAN. POWER COMES FROM 48-575
CLASSIC DRIVE.
TYPE OF INSPECTION I DATE I INSP.
EMPORARY POWER I
IjG PLUMBING / WASTE
I/G ELECTRICAL/ GROUNDING
'OOTINGS / STEEL
:ONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED.
-KAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMgINr,
COVER NO WORK UNTIL ABOVE SIGNED
ITERIOR GYP. BD. DRYWALL
:XTERIOR LATH
'AS TEST
;EPTIC ABANDONMENT
EWER CONNECTION
;EPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
OOTINGS / STEEL
:OND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
'RE-GUNITE / SETBACKS
I/G PLUMBING
I/G GAS
I/G ELECTRICAL
RE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
EMP. USE OF PERMANENT POWER
LECTRICAL
'LUMBING
IECHANICAL
'UBLIC WORKS DEPARTMENT
:OMMUNITY DEVELOPMENT DEPT.
INAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING