06-0040 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: L6_0L0
Property Address: 79526• DANDELION DR
APN: 604-453-013-12 -29623 -
Application description: POOL , - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Tit!t 4 4v Q"
Applicant: -Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
JAN. 171006
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: C27-053 License No.: 635896
te: jl
1 _ ontra or:
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, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( 1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/05/06
Owner:
BRITTON CHRISTOPHER M
79526 DANDELION DR
LA QUINTA, CA 92253
Contractor:
DUNN'S DESIGNER POOLS
74866 LENNON PL, STE-D
PALM DESERT, CA 92260
(760)773-9177
Lic. No.: 635896
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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
fqvby Section 3700 of the Labor Code, for the performance of the work for which this permit is
sued.
ave 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 CLAREM INS Policy Number 03KR0028724
_ 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, ll forthwith comply with those provisions.
DSC!? — (*—plicanr
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 ($100,000). 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 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 ntyy io enter upon the above-mentioned pro�✓ps ) for in tion purposes. Jam.
If 7 _� ature (Applicant or Age -�L_
Application Number . . . . . 06 - 00000040
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date
Valuation . . .
. 20000
Expiration Date
7/04/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
------------------------------7----------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date ..
7/04/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
--------------------------------
EA MECH FURNACE >100K
----=-----------------------------
11.00
----------
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25 .
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/04/06
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
7/04/06
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
-------------------- --------------------------------------------------------
Special Notes and Comments
POOL &.SPA ONLY. ALARMS/BARRIERS.SHALL
LQPERMIT
Application Number . . . . . 06-00000040
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
Permit Fee Total 311.00 ..00 .00 311.00
Plan Check Total 160.55 .00 .00 160.55
Grand Total 471.55 .00 .00 471.55
LQPERMIT
r�
I
PIanS Prepared By:
Chr15 Britton
79-52G Dandelion Dr.
La Quuinta, Ca 92253
REVISED BY: DATE
Pool Plan
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and all other local codes
and ordinances.
All
Or equal" substitions musty
Lie submitted to, and i [o
approved by the building
Official prior to installation
of the item.
DATE:
12-27-05
SCALE: `
3/3 2" = 1 '-0"
AREA:
Pool Plan
FLK. ALLW.
N A q„
EXTERIORS:
NA
INTERIORS:
NA
DOOR STYLE:
NA
DRAWN DY:
Chris Britton
PAGE:
II 5IGNED APPROVAL: DATE I
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Entry
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CITY OF LA QUINT -r
BUILDING & SAFET' `
APPP� f
FOR CO',—, IuN
DATE—[O � BY fiUl�(
R 1 ,.
A
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All construction shall comply
with the 2001 California
'
5
buiiding,Plumbing,Mechanical,
Electrical and Energy Codes
°
_
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Pool Plan
Q�N�s P�15
Jnr uui P ��.eJ I Y eWve
Vhr,M1cd gruJc / �.rrch r,rx�Ju,a
3 3
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4 _
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s• .
-�3, I .,3.
o�
Rc
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u
and all other local codes
and ordinances.
All
Or equal" substitions musty
Lie submitted to, and i [o
approved by the building
Official prior to installation
of the item.
DATE:
12-27-05
SCALE: `
3/3 2" = 1 '-0"
AREA:
Pool Plan
FLK. ALLW.
N A q„
EXTERIORS:
NA
INTERIORS:
NA
DOOR STYLE:
NA
DRAWN DY:
Chris Britton
PAGE:
II 5IGNED APPROVAL: DATE I
d
m
v
9
u—... . .
II
Entry
II
II
II
3:�
CITY OF LA QUINT -r
BUILDING & SAFET' `
APPP� f
FOR CO',—, IuN
DATE—[O � BY fiUl�(
Lg@ 001/UU1
U�ILSIPUU� IYEU 1'�:U1 FAX
Bin #
w City of La. Quinta
Building a Safety. Division.
P.O. Box 1504, 78-495 Calle Tampico .
Quinca, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
6 7Q
Project Address:
l
Owner's Name: la tj 4+6A.1,
A. P. Number:
'Address:' -7 —'T ;Z d
Legal Description:
City, ,ST, Zip:
Contractor:Ctlcphone:
Address:
Project Description: !, i ;• }
City, ST. Zip:' '
Telephone:
Elam
State Lic. A:
City Lic. N:
Arch., Engr., Designer:
Address:
Citv, ST, Zip:
Telephone.-
Construction n 'vPe: ccuPu c .v :
State Cie. t!
r
Pr o't:c t h' on et� New Add'n Alter RcPat Demoo
J P
Name of Contact Person:
Sq. f-1:216_0.
V Stories:
i Units;
Telephone # of Contact Person: .+
Estimated Value of"Project `QQIO
APPLICANT: DO NOT WRITE BELOW THIS UNE
p
Submittal
Rcq'd
Ree'd
TRACKiNC
PERMIT FEF,S
Z/
P1211 Sets
Plan Check submitted
i
J OL
Itcm Amount
StructurVA Cakes.
Reviewed, ready fur corrections
Plan Check Deposit
Truss Catcs.
Called Contact Person
Plait Check 13rlance
ritto 24 Calcs.
Plans picked up
Coustruetiuu
F1uod plain I+tan
Mans resubmitted
llcchankal
Grading plan
2" Review, read• for eurrections/issue
klcctrical
Subeontaetor List
Called Contaet Person
Plumbing ,
Crant Decd
lions picked up
S"Ni.l.
R.O.A. App'rocal
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, readv for currcetionsiissuc
Developer Intp?ct ree
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total fermi( Fecs
Page 1
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