06-3039 (SOTB)P.O. BOX 1504
78-495 CALLE T
MP'
`�O
LA QUINTA, CALIFORNIA 92253
T,iht 4 4 4" -
Application Number: 06-00003039
Property Address: 60988 DESERT ROSE DR
APN: 764-270-999-191 -300233-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 8000
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 an Professionals Code, and my License is in full force and effect.
License Clas C8 g,27,1229 License No.: 656128
Date:- G' ontractor.
WNER-BUILDER DECLARATION
I'hereby affirm under penalty of perjury that I a 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 70001 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 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.).
( ) 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:
SHEA LA QUINTA
/0 JEFF MCQUEEN
00 N GAINEY CENTER 350
qq®®� SC TTSDALE, AZ 85258
�y
ontractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/21/06
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 SEABRIGHT Policy Number
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
37_00hof e Labo shall forthwith comply with those provisions.
2" V )
Date: Applicant:
WARNING: FAILURE TO SECURE W RKERS' 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 tha a information is correct. I agree to comply with all
city and county ordinances and state laws relating t ui i c nstruction, and hereby authorize representatives
of thisccounty toe9ter u on the above-mentioned o r in pection purposes.
Dates tgnature (Applicant or Agent):
Application Number 06-00003039
Permit . . . BUILDING PERMIT
r
Additional desc .
Permit Fee 99.00
Plan Check Fee
64.35
Issue Date . . . .
Valuation . . .
. 8000
Expiration Date 2/17/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
6.00 9.0000 THOU BLDG
----------------------------------------------------------------------------
2,001-25,000
54.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
.Expiration Date 2/17/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
4.00. .7500 PER ELEC
DEVICE/FIXTURE 1ST 20
3.00
---=-------------------------------------------------------------------------
Special Notes and Comments
KIVA & BBQ ONLY. PERMIT DOES NOT
INCLUDE EQUIPMENT ENCLOSURE
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total 117.00
.00 .00
117.00
Plan Check Total 68.85
.00 .00
68.85
Grand Total 185.85
..00 .00
185.85
1
LQPERDIIT
APPLICANT:
DO NOT WRITE BELOW THIS LINE
Bin #
Submittal
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 #
Project Address: (oo- 9 $$
za a- t>, Name:
A P. Number:
Address: -5-W
Legal Description:
City, ST, Zip:
Contractor `` Y -N
k Telephone:
Address: (Z
CP Project Description:
City, ST, Zip•
Q
Telephone: %(0)39'(�-f y Z Z 2---
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State Lie. # : Z
State
City Lia #:
Arch., Engr., Designer:
Plan Check Balance
Address:
Energy Cates.
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): Add'n Alter Repair Demo
\/, C Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: �. Estimated Value of Project:. 4' d oc-,
Construction 5�
Flood plain plan
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction 5�
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2'' Review, ready for correctionslissue
Electrical A4
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of trmitfss , A
School Fees
I t v v
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L% L' r' i
+QIvS f Rul;
To 1 Permit Fees