09-1262 (RPL)r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-iht 4 4 Q"
Application Number:
09-00001262
Property Address:
61079 DESERT ROSE DR
APN:
764-270-999-129 -300231-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
62500
Applicant:
Architect or Engineer:
�1P
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RIEDER
61079 DESERT ROSE D
LA QUINTA, CA 92253
Contractor:
CLASSIC POOLS & SPAS
79461 AVENUE 40TH
BERMUDA DUNES, CA 92203
(760)413-4867
Lic. No.: 935936
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/11/09
18 n�
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- - - - - - - -r- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - —
I hereby affirm under penalty of perjury that 1 licensed under p vi It
of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine rs a Professionals C e, d my License is in full force and effect.
License Class: 13-053 / Lice seN .: 935936
Date:/ ontractor:� \
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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).:
(_ 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.).
(_ 11, 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. , BAP.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: T `
LQPERMIT
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 insuran�ra, as required by Section 3700 of the Labor
Code, for the performance of the work for which thi permit is issued. My workers' compensation
insurance carrier and poli y number are:
Carrier NATIONAL INS Policy Number / 00090117388
_ I certify that, in the perfoPm�nce of the work for "i this permit is issued, I shall not employ any
person in any manne oras to become subjec o e workers' compensation laws of California,
,rnd agree that, if I sf�y become subject to he orkers' compensation provisions of Section
700 of the Labor C U. l shall forthwith c ply with those provisions. —"
WARNING: FAICURE TO SECUR&WORKERS' C,01MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAITYS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE ST 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 o ssion 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 an void if work is not commenced
within 180 days from date of issuance o such permit, or ss ion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and s to th the above infor atio is correct. I agree to comply with all
city d county o dinances and state laws rel ing t9 building constr ction, nd hereby authorize representatives
of is count to nter upon the above -menti ed r erty for insp tion pu poses.
Date: �%` Sigure (App icant r gent):
Application Number . . . . . 09-00001262
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
450.50
Plan Check Fee
292.83
Issue Date . . . .
Valuation . . .
. 57944
Expiration Date
6/09/10
Qty Unit Charge
Per
Extension
BASE
FEE
414.50
8.00 4.5000
----------------------------------------------------------------------------
THOU BLDG
50,001-100,000
36.00
Permit
MECH POOL
Additional desc
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date .
6/09/10
QtyUnit 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
6/09/10
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
6/09/10
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 . . . . . 09-00001262
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 72.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 4556
Expiration Date . . . 6/09/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 16 L.F. 4' EQUIPMENT ENCLOSURE
& 172 L.F. 6' PRIVACY WALL, 72 L.F. 2'
KNEE WALL ALL CITY STANDARD, 3/4" GAS
LINE FOR BBQ & FIREPIT. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
3.00
Fee summary Charged Paid Credited
-----------------------------------------------
----------
Due
Permit Fee Total 626.50 .00
.00
626.50
Plan Check Total 318.83 .00
.00
318.83
Other Fee Total 3.00 .00
.00
3.00
Grand Total 948.33. .00
.00
948.33
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
CA
Project Address: CD 1-0 C
Owner's Name: e Q
A. P. Number:
Address: / U Z
Legal Description:
City, ST, Zip
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Contractor: C L C�fIS -
y'.CvS�J}bffltC f' -p ✓ ,k ' :tv Cv.
telephone:
Address: �/lvl 'Vo
Project Description: It/
City, ST, Zip:
i, O
Telephone: G'
v `},r,>: w?>....
1
State Lic. # : City Lie. #;
Arch., Engr., Designer:
,/ . LI YI _ IOC14
1(' • > LO
Address:
'A Z2
City, ST, Zip:
Telephone:
4:.
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9.
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..:�::;s:>< :sit:�:'fF:�>;t;.>;;ss:,>},.•<4:ProJect
Construction Type: Occupancy:;
State Lic. #:
tYPa circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: rJU
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Pian Sets
Plan Check submitted
�-' 'a
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2e° 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 correctionsliissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
&.2 500
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