The URL can be used to link to this page

05-2527 (RPL)P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002527 Property Address: 78270 DESERT FALL WY APN: 770-032-005-44 -28019 - Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM DENSITY RES Application valuation: Z,bQd. 1-6� T-i&t 4 4 Q" Applicant: ArchitW�r Engineer: I.pNTRPGTo D JUN 28 20U5 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT NSED 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 341 the Business and Professionals Code, and y License,J'S,m fuGll force and effect. License.Class: C- S � / License N .: 6 (/ � / �7 ate:ry��Contract��iGGt �l�C.. (�j�.{��ir„� OWNER -BUILDER DECLARATION 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 subj�Its 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'tate License Law does not apply to an owner of property who builds or improves thereon, and who doethe work himself or herself through his or her own employees, provided that the improvementsare 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 riot 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: 6/22/05 Owner: FOX MICHAEL, S 78-270 DESERT FALL WAY LA QUINTA, CA 92253 Contractor: LEE CONSTRUCTION, MICHAEL WCC: EXEMPT WC: EXEMPT 06/30/05 CSLB: 602947 02/28/07 ------------------------------------------------ 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 per it is issued. My workers' compensation insurance carrier and policy number are: amer C53/ Policy Number - - - - - - - - - - - - -- Icertify 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' co enation• laws of California, and agree that, if I should become��yybject to the workers' co a anon provisions of Section / 3700 of the LaZ'shi 'F[hwith comply with tho pr isions. �: '2�Appl 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 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 cessaZhauthorize 0 days will subject permit to cancellation. I certify that I have read this application and state that the abov nformation to comply with all city and co 't ordinances and state laws relating to buildin nstructLon, arepresentatives of this my to enterupon the above-mentioned grope r inspection ur D e: Zp Signature (Applicant or Agent Application Number . . . 05-00002527 Permit .. . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date Valuation . . . . 23355 Expiration Date'. 12/19/05 ' Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 198.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/19/05 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 3.75 Issue Date . . . . Valuation 0 Expiration Date 12/19/05 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 12/19/05 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 Application Number . . . . . 05-00002527 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 39.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 1645 Expiration Date 12/19/05 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 2.0000 HND BLDG 501-2,000 24.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. 76 L.F. 5- BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT .INCLUDED IN PERMIT. Fee summary Charged Paid Credited ---------- Due -----------------------I------------------------ Permit Fee Total 386.00 .00 .00 386.00 Plan Check Total 176.45 .00 .00 176.45 Grand Total 562.45 .00 .00 562.45 LQPE"11T I CITY OF LA QUINTA SUB-CONTRA,,F�T R ISTT' / JOB ADDRESS -7 - 2 O / Q PERMIT NUMBER 0 5 2!;2, OWNER �"'`r-�� l A BUILDER Ad l -e- Zed G�� "` 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/:Classificati6n'-C6ntractof ::. St. ate'. License. ;:Workers Compen§ationansurance �City.Business:License' Company Name Classification (e.g. A, B, C-8) License Number , (xxxxxx) Exp. Date (xx/xx/xx) Carrier NamePolicy (e.g. State Fund, CalComp) Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C.7`1-2)� l�/ rto G Jai ��,,, A Sogg96 6-30.04 s�a�4�- ��.,►,� 17&tit /o-ot- os /3 � �-,24-04 . CONCRETE:(C-.8.)'<;',•<; FRAMING.(C=5);:>:;'.'';_. ' .................................... ... STRUCT STEEL (C 5 G b �..C - 5 32 1 `- 3 1 OG / S14 -�- H d . D 0 6 19 ' OS /- 0/- b6 06912 MASONRY (C 29) :` -%. C: - z`1 SZ. 6 7 ail !0- 31-� S�A w� / -1 c4gSoy-.2 °°Y /0_ y -os b 3 Sr �/- �- t3 6 PLUMBING (C -36j` '`'.,, :' C e 0. c �4�t! oe aC A G -36 S 3 �.Z f �%-37 /�-3/-b a�a O q0& !.T -/3-6- tib 1 ? �'".78•ZZ LATH- PLASTER (C,35):::..' DRYWALL (C-9►•,,:'::. HVAC IC=26y.. ,.'-;;' IC 1, a oo 3 ( �/'OELECTRICAL 7a 44- t•�d�l�%D� t?-/3-bl s'DO �? -: ROOFING (C'39)"" :SHEET METAL (C-431:>` FLOORING GLAZING IC17) > INSULATION;IC 2) ` SEWAGE,DISP (C;42) PAINTING::(C33).;.: CERAMIC TILE IC -54) s0 bd4S G-21 262 / /d-J1� oS" a.t<-y 17W9oy- zooN io-t-os- CABINETS (C.61. FENCING.IC'.131..:. .. LANDSCAPING (C=27).. ' tt POOL IC 531' �Gr l �t ►� S3 60 �0y it'��'07 % 7��(-b