08-1178 (RPL)tt
P.O. BOX 1504
78-495 CALL TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number' 08-00001178
Property Address: _ 81527 DOVE CANYON CT
APN: 764-280-999-72 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SPILLER RESIDENCE
81-527 DOVE CANYON CT
LA.QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/10/08
Contractor:3��
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280
COACHELLA, CA 9223
(760)398-9222
Ill 11X` Lic. No.: 656128
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I hereby affirm under penalty of perjury that I a lic p visi its of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d r s d my License is in full force and effect.
License Class: C8 C27 C29 �� o
Date: /"-//--0 Contractor:
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 1$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.). '
I—) 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
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 . compensation insurance, as required by Section 3700 of the Labor
Code, for the perfor nce of work for which this permit is issued. My workers' compensation
insurance carrier andlicy numb (are:
Carrier SEABRIGHT Policy Numb BB1080510
I certify that, in the performanc f the Wo or hich this per it is issued, I shall not employ any
person in any manner so as to be sub' ct to or 'compensation laws of California,
and agree that, if I should becom u to th er comps ation provisions of Section
,� 7��the labor Code. I sh o ' h c it ose ns.
Date: Applicant:
WARNING: FAILURE TO SECURE W RKERS' C NSATI WFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE T AND CIVIL FINES UP TO 0 ED THOUSAND
DOLLARS ($100,000). IN ADDITION TO OST OF COMPENSATION, DAMAGES AS P OVIDED 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 it.
2. Any permit issued as a result of this application mss null and void if work is not commenced
within 180 days from date of issuance of such per or cessation of work for 180 s will subject
permit to cancellation.
I certify that I have read this application and state that the above in o t is c gr o comply with all
city and county ordinances and state laws relating to building cc ucti / aut ize representatives
of this count to enter /upon the above-mentioned property fo sp o
Date: - 748 nature (Applicant or -Agent):
i
LQPERMIT
I
Application Number . . . . 08-00001178
Permit BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 207.00 Plan Check Fee 134.55
Issue Date . . . . Valuation . . . . 19760
Expiration Date 1/06/09
Qty Unit Charge Per Extension
BASE FEE 45.00
18.00 .9.0000 THOU BLDG 2,001-25,000 162.00
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Permit MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date Valuation . . . . 0
Expiration Date 1/06%09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
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Permit ELEC'-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 15.75. Plan Check Fee 3.94
Issue Date . . . . Valuation 0
Expiration Date 1/06/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 .75
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Permit ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . : 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/06/09
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
Application Number . . . . . 08-00001178
Permit PLUMBING
Issue Date . . . .
Valuation . . .
. 0
.Expiration Date 1/06/09
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
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GAS PIPE 1-4 OUTLETS
3.00
Permit WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation
240
Expiration Date 1/06/09
Qty Unit Charge Per
Extension
BASE
FEE'
15.00
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Special Notes and Comments
-------------------------------
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
48" X
15' L.F. EQUIPMENT WALL. FIREPIT
PER
APPROVED PLAN.
Fee summary Charged
-----------------
Paid Credited
Due
--------------------
Permit Fee Total 341.75
--------------------
.00 .00
341.75
Plan Check Total 164.49
.00 .00
164.49
Grand Total 506.24
.00 .00
506.24
LQPERMIT
Bin #
City of La Quints
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 #
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Project Address: / /tt !� % j 2 7 Q C C
Owner's Name:
A. P. Number: Z10 7 Z
Address:
Legal Description:
Contractor: ZP--<S—� r2i4
City, ST, Zip: L G(
Telephone: ±
Address: g(�— ( Q0 A y6' s'
Project Description: a�L S
City, ST, Zip: 60 = L CA- ZZ.3 6,e'
� 7L
Telephone:ZL L
State Lie. # 2 Y
City Lic. #:
Arch., Engr., Designer:
L
Address:
1O�
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: R `
7 i
i
Construction Type: p Occupancy:
Project type (circle one): NewAdd'n Alter Repair Demo
Sq. Ft.: 6 # Stories: # Units: /
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
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
tad Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. I
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer'Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees