05-5426 (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:
05-00005426
45060 DESERT AIR ST
604-331-016-11 -23935 -
POOL —RESIDENTIAL
LOW DENSITY RESIDENTIAL
26000
c&ty/ 4 4v Q"
Architect or Engineer
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D
DEC 16 2005
CMr OF LA MIKA
FINANCE DEPT.
--------------------------------------------------
ENSE ONTRACTOR'S E RATION
I hereby affirm under penalty of perjury t t m Ii n ed under provi i of CO. ter 9 (commencing with
Section 7000) of Division 3 of the Busin ss a d Pr fe si n nlykcense is in full force and effect.
License Class: A -C- nse 0210
D Cbntra r.
WNER-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.).
(_) 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:
LQPERMIT
Owner:
ALLES PAMELA R
45-060 DESERT'AIR STREET
LA QUINTA, CA 92253
Contractor:
CROCODILE CONSTRUCTION
52121 FILLMORE STREET
THERMAL, CA 92274
(760)360-5895
Lic. No.: 840210
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/15/05
-----------------------------------------------
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.
til 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 numbe aroh
Carrier STATE FUND I
I certify that, in the performance o th whis permit is issued, I shall not employ any
person in any manner s to c eworkers' compensation laws of California,
and agree that, if I sh ul bec me ubyrs' compensation provisions of Section
3700 of the Labor, de, sh I f rthw those provisions.
Dat ' 4 Applic nt:
WARNING: FAILURE TO SECURE WORK 11FISVOMPENSATIO11COVERAGE 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 rel to the work being
formed under or following issuance of this permit.
2. ny permit issued as a result of this application becom null and void if ork is not commenced
1 ���iii ithin 180 days from date of issuance of such permi r cessa 'on of ork r 180 days will subject
permit to cancellation.
IW ify that I have read this application and state that tha ve f rma s cor ct. a ee to comply with all
city and county ordinances and state laws relating to bui din co t ctio a d her b h rize representatives
of this coty to enter upon the above-mentioned p f in ctio ' u oses. I
DaAlSignature (Applicant or Agen
Application Number . . . . . 05-00005426.
Permit
PLUMBING POOL INV FEE
Additional
desc .
Permit Fee
. . . . 66.00
Plan Check
Fee
8.25
Issue Date
. . . .
Valuation
. . .
. 0
Expiration
Date . . 6/13/06
Qty Unit Charge Per
Extension
BASE
FEE
30.00
<� 2.00
12.0000 EA PLB
FIXTURE
24.00
1.00
6.0000 EA PLB
WATER INST/ALT/REP
6.00
1.00
------------- ---------------
6.0000 EA PLB
GAS PIPE 1-4 OUTLETS
6'.00
MECH POOL
Additional
desc . .
Permit Fee
. . . . 26.00
Plan Check
Fee
6.50
Issue Date
. . . .
Valuation
. . .
. 0
Expiration
Date 6/11/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00
11.0000 EA. MECH
FURNACE >100K
11.00
Permit
BLDG POOL PERMIT
INV FEE
Additional
desc..
Permit Fee
. . . . 517.00
Plan Check
Fee
168.03
Issue Date
. . . .
Valuation
. . .
. 26000
Expiration
Date 6/13/06
Qty Unit.Charge Per
Extension
BASE
FEE
504.00
1.00
---------------
13.0000 THOU BLDG
----------------------
25,001-50,000.
------------------
-------
13.00
--------------
~ Permit
ELEC POOL PERMIT
-RES
Additional
desc .
Permit Fee
45.00
Plan Check
Fee ..
11.25
Issue Date
Valuation
. . .
. 0
Expiration
Date 6/11/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00
30.0000 EA ELEC
PRIVATE SWIMMING
POOL
30.00
-----------------------------------------
Special Notes and Comments
-----------------------------------
POOL & SPA
ONLY. ALARMS/BARRIERS
SHALL
LQPERMIT
Application Number
05-00005426
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT. INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM
ADMINISTRATIVE CODE $304.5 FOR WORK
BEGUN WITHOUT BUILDING PERMIT.
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 654.00 .00
.00
654.00
Plan Check Total 194.03 .00
.00
194.03
Grand Total 848.03 .00
.00
848.03
LQPERMIT
7' spa
r, 2 u,
M
5' '
3'
27'7"
., 35'
5'
nch - 18" sunshelf 9"
rn
®r
10'2"
Lex,
Alles residence
45060 Desert Aire 342 sq ft
L
FOR; CONSTRUCTION
ATEBY_—
LaQuinta
80 perimeter
Topaz development
V
CIT`( OF LA C UINTA
BUILDING & SAFETY DEPT.
. APPROVED
L
FOR; CONSTRUCTION
ATEBY_—
Bi" #
City of La Quinta
Building & Safety Division
P.O. Box. 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-7012
Buildin& Permit Application and Tracking Sheet
Permit #
0.f .S 2
Project Address: > -,,w If A ( ie t✓
Owner's Name: .n
e
A. P. Number:
Address: "I J - Q. & Q A{ t A(k e
Legal Description:
Contractor: Crocod f,(6 Com
City, ST, Zip: LA Quik) A '
Telephone: $
Address: �O`�31 <rT� 0�
Project Description:
City, ST, Zip: ITIN j 1,110 C6 &-a D
L z
Telephone: 4-7,57- I
State Lic. # :
City Lic. #:
Lin i� "re -
Arch., Engr., Designer:
l_4k-0 c %e
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: (� �, �� ��
Sq. Ft.:
# Stories:
1. # Units:
Telephone # of Contact Person: .
Estimated Value of Project: 73�& Q a 7 `
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
2
Plan Sets
Plan Check submitted
�Z
Item
Amount
Structural Cates.
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:-
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees