06-4259 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00004259
79853 DANDELION DR
604-481-004-4 -24197 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
30000
T4hf 4 aCP Qu&&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
PIP
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License ass: C27 C53 License No.: 801813
OWNER-BUILDE&Cont,.ctoc,!s
ON
I hereby affirm under penalty of perjury that I am exempt from State License Law for the
following reason (Sec. 7031.5, Business and Professions Code:ounty 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 _ 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.l.
(_ 1 1 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. 3697, Civ. C.).
Lender's Name:
Lender's Address:
LQPERAIIT
Owner:
,MONTALVO JOEL
79853 DANDELION DRIVE
LA QUINTA, CA 92253
Contractor:
VICTORIA LANDSCAPES/WA
82365 HIGHWAY 111, SUI
INDIO, CA 92201
(760)775-0449
Lic. No.: 801813
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/14/06
p u
e
4 DEC 15 20a�
CITY OF_ LA
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 EXEMPT Policy Number EXEMPT
certify that, in the performance of the work for which this permit is issued, I shall not employ any
tom" I 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-Qgde, 1 ^11 fort' hxomply uyith those provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION AGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILWQNES LJP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPEN N, 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 county to enter upon the above- boned pr for pectin rposes.
D 0� Sign (Applicant or Agent):
L%
Application Number. . . . . . 06-00004259
Permit. . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
284.50
Plan Check
Fee
184.93
Issue Date
Valuation
. . .
. 30000
Expiration Date
6/12/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU. BLDG 25,001-50,000
32.50.
Permit
MECH POOL
Additional desc .
Permit Fee
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
6/12/07
,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
6/12/07
Qty Unit Charge
Per
Extension
BASE FEE
1.5:00
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
6/12/07
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 3.0.000
EA PLB GAS PIPE
1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS
SHALL BE IN
LQPERMiT
k
Application Number . . . . . 06-00004259
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 388.50 .00 .00 388.50
Plan Check Total 210.93 00 .00 210.93
Grand Total 599.43 .00 .00 599.43
LQPERMIT
Ta
CCU r ggO.117 3
CITY OF LA QUINTA SUB -CONTRACTOR LIST 2oEL_
JOB ADDRESS �Ani1�OLron/ PERMIT NUMBER OWNER dV\0t,31-A(AO1JJ BUILDER �SI
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list .or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information reaueste.d below must be completed by applicant. "On File" is not an acceptable response.
Trade-/ Classification
Tra ! Classr tion
Contractor _-_
State..Contractors Lrcerse..
'..:: :. :.... :..::.:.;::::.;::.:.;;;:::::; . ;:::....:.:.... • .
Workers Com egsatton::(nsurance:``•"^: ;; ::':;: •.
C777
Biisi Lir: sg'...
it , nets ense"
Company Name
Classification
(e.g. A. B, C-8)
License Number
(kxxxxx)
Exp. Dat
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12) :.;
C u\
C 3
U6_514
JD
DRYWALL (C-9) . <..:
ELECTRICAL.(C-10) ::.":
vj
O%
�X
C.G(,O3
513 I
ROOFING IC=39)'.;;
:SHEET METAL (C -4J) '
FkOORING 10:151:. '.`
GLAZING (C-.17)
INSULATION: (C721.
SEWAGE plsP; (6-42)
PAINTING (C-'33)`:.
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13) `
LANDSCAPING (C=27.1
POOL (C_53)L
A P e_ P Z t,4 `71 Oc)"
-r� Fk JD
07
Fl/- 8-0
3b a?
4 terrace
jscre n
wall
elawn o spa p
w area
nn firepit t 6'6 10'8 13'9
20'4 \�12'3-- 5 n
a/c EXISTING PATIO / pool \ .-
a/c COVER /
TAN s:18'6
bbq 18'4
i
existing decking fb�
RESIDENCE —
JOEL AND LUZ MONTALVO
79-853 DANDELIONS€-E� OF LA C�UINTA
LA QUINTA,CA. 92253 BU D NG' & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 11 14 BY 6
6.1
k_
w N;
Bi" #
'
City of La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
la Quinta, CA 92253 - (760) 777-7012 .
Building Permit Application and Tracking Sheet
Permit # (n
IAC
Project Address: "79-8s73
Owner's Name: Joel- + L-LiZ mbo
A. P. Number:
Address:
Legal Description:
Contractor: V 0--
City, ST, Zip: L Com,
Telephone:
Address: 3 7"2
Project Description: L
City, ST, Zip:'
Telephone: W 0 x'77 / 11 `7
State Lic. # : O j r j
City Lic. #:
Arch., Engr., Designer:
IVU
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:. -0el— 5,pr..t1C4_e7 �.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: F# Units:
Telephone # of Contact Person: 7Nco 9vO
Estimated Value of Project: `3dt �00-
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
. Req'd
Rec'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
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
IN HOUSE:-
3rd 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
✓ -t -t