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06-0835 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-i&t 4 4 Q" Application Number: _06-00000835 Property Address: 81936 DANIEL DR APN: 764-270-999-13 -300232- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 23000 Applicant: Architect or Engineer: 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 -C27 / 23017 ,-(5ate:_1&]&L Contractgo! 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).: (_ ) 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 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.). (•_ 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: LQYERMIT Owner: LUCAS 81-936 DANIEL DRIVE LA QUINTA, CA 92253. Contractor: MCRAE POOL & SPAS 79105 DESERT STREAM DR LA QUINTA, CA 92253 (760)772-2440 Lic. No.: 823017 VOICE (760) 777-7012 FAX (760) 777-7011 ` INSPECTIONS (760) 777-7153 Date: 3/01/06 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 EXEMPT Policy Number EXEMPT 1 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 forthwith comply with those provisions. Applicants 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. 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 ofI/th'hg's county to to enter upon the above-mentioned property for inspection purposes. all te_rs'/'(,/n/„ Signature (Applicant or Application Number . . . . . 06-00000835 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date Valuation . . . . 22776 Expiration Date 8/28/06 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 189.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 -r- Expiration Date ,---• 8/28/06 - -�-� 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 8/28/06 Qty Unit Charge Per' r 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 8/28/06 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT 2 Application Number . . . . . 06-00000835 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 224 Expiration Date 8/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA.. 14 LF 4' EQUIPMENT BLOCK _ WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due --------<--------- Permit Fee -Total ---------- ---------- 353.00 ----------- .00 ---------- .00 353.00 Plan Check Total 178.10 .00 .00 178.10 Grand Total 531.10 .00 .00 531.10 LQPERMIT Bin # City of. La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico /V / _ ��S La Quinta, CA 92253 - (760) 777-7012 (/ l� Building Permit Application and Tracking Sheet Project Address: 1, '36 ��� Owner's Name: RoW. LvcAs A. P. Number: Address:() Legal Description: City, ST, Zip: L4 / Contractor: nC IC /4 Telephone: Address: 79-Z Project Description: City, ST, Zip:64,11. C .4 q 22,93 - ' V p 7`b .z ZV 40 J L ' Tele State Lie. # : 9:Z,301 City Lie. #: �yi Arch., Engr., Designer: Address: ,4 ,S vb L;s T City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: 7 - Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES 2, Plan Sets Plan Cheik submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss C81cs. Called Contact Person Plan Check Balance Energy Calcs. Plans Picked up Construction Flood plain plan Pians 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:- 1rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date otpermit iss e School Fees Total Permit Fees "A CITY OF LA QUINTA SUB -CONTRACTOR LIST_ JOB ADDRESS bol -936 -D&eViEl D12 PERMIT NUMBER 06,- ?.3.5 OWNER Ll>CA_S BUILDER IpG �I-2lS This form shall be posted on the job with the Building nspection 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 requested below must be completed by applicant. "On File" is not an'acceptable response. Trade / Classification Contractor ,. ;:;:..::::,.:::::State:.Contractor.s. License... .;.. Worke[s.C.om ensatiori;Irisurance ' :. City. Busries License:::..:: Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (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/ x) EARTHWORK (C-12) !% X20 S ! / 7 7 81936 Daniel Dr