06-2849 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA-QUINTA, CALIFORNIA 92253
Application Number:
06-00002849
Property Address:
81795' EAGLE CLAW DR
APN:
764-280-999-117 -300235-
Application description:
POOL - RESIDENTIAL
Property. Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
23000
T-v4t 4 4 Q"
Applicant: � ,i r, ArchitectorEngineer.
V
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 and Professionals Code, and my, License is in full forceand effect.
License Class: C8 C27 C29 License_ No.: 656128
Dater C Contractor:
Tamxem:pt
-BUILDER' DECLARATION
I hereby affirm under penalty of perjury thafrom�ths Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: 'Any city or county tha ,requires a Permit.to.
construct, after, 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 forthe 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 (8500)::
(_) 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 ere not intended•or offered for said. If; however„the building or improvement is sold within
one year of completion, the owner -b Wider will have the burden of proving that he, or she did not build or
improve for the purpose:of'sale.l.
( _J
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 town owner of
property, who builds orimproves thereon, and who:contr_acts for the,projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ I 1 am exempt under Sec. , BAP.C. for this:reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I herebyaffirm 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:
LQPERMff
Owner:
HARTFORD
81-795 EAGLE CLAW DR.
LA QUINTA, CA 92253 Fro,
VOICE (760) 777-70.12.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Data: 7/31/06
Contractor: ” U
CALIFORNIA POOLS & SPAS JUL 3 1 2006
P.O. BOX 1280
COACHELLA, CA 92236 CF q� � QUfNT
(760)398-9222 CFDEpr A
LiC. No.: 656128
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjuryone 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 permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier SEABRIGHT Policy Number BB1060510
1 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
3.700 of the Labor'Co , I;.shall forthwith complywith those provisions.
Date:??' Applicant:
kF
WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYERTor CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($.100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES'AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and'Safety fora 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 e.result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quints, 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 nulPand void if work isnot commenced
within 180 days from date of issuance of`such.permit, or cessation of work:for 180 days will subject
permit Yo cancellation.
I certify that I have read this application and state that the above information is correct. I agrewto comply with all
city and county ordinanoss'and state laws'relating to building cc st and hereby. authorize representatives
of this county to teruponthe above-mentioned property for sp ion purp� es.
Date: i �� G Signature (Applicant or Agent):
Application Number
Permit . . ..
Additional desc .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
. . . . 06-00002849
BLDG POOL PERMIT
234.00 Plan Check Fee . . 152.10
Valuation . . . . 2300.0
1/27/07
Qty Unit Charge Per Extension
BASE FEE 45.00
21.00 9.0000 THOU BLDG 2,001-25,000 .189.00
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . - Valuation 0
Expiration Date 1/27/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.000-0 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 . . 1/27/07
Qty Unit Charge Per Extension
BASE FEE 15..00
1.0-0 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 1/27/07
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
--------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA.ALARMS/BARRIERS SHALL BE IN
LQPERMIT
i
Application Number . . . . . 06=00002849
Special Notes and Comments.
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
----------------- ----------- ------ ----------- ----------
Permit Fee Total 338.00 .00 .00 338.00
Plan Check Total 178.10 .00 .0.0 178.10
Grand Total 516.10 .00 .00 516.10
LQPERMIT
Bin #
Permit. �Q
C� ,�f • .Ld Qutnta
tding BT:Safey Division '
P.O. 'Box 1:504, 78-495 Calle Tampico
La (?Lints, CA 92253 ;(760) 777 70.12
BuddingPermit;App(ication.a -d Tracking Sheet
Project Address _
_ .Owner's Name: ` `j e
A. P..Number.
Address:
Legal Description: 'City. ST, Zip:
Contractor`: ' 1 .: Telephone:
Addtess:�,
Z Project Description:
City, ST, ZipLoaLL^e
k ka 2CN
Telephone: 7�O 39
State Lie, # :
Z2 2-
City uc. #:
Ari., Engr.,.Designer:
Address: '
City, ST, Zip:
-Telephone:
State
Cotistrudton ape: Occupanayc
`.Project type (cMe.oae): AddMn Alter-Repair Demo
Name of Contact Person:
-
... , Sq Ft.:
#Stories•
# Units: .
Telephone # of Contact Person: ; .:,Estimated Value. of Pmjec :.
'
' APPLICANT DO NOT WRITE:PKOW THIS LINE
#
Submittal :
Req'd
Ra.'d : '
; : TRACING.. PELtM1T FEES
Plan Seta:
Plan..Cheek'su*Iwo
Item Amount
Structural Cates,
Reviewed,• ready.for.eorrections
Plan Check Deposit
Truss Calla.
Called Contact Person
Plan Cheek Balance
Energy Cala.
Plans blcked up
Construction
Flood plain plan
Plans resubmitted
Mechanled
GradtngQlan '
Voeview,ready for eoriectiondissae
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O:A.:Approval
Plans resubmitted
Grading
INHOUSE--
Review, ready for correctionsAssue
Developer Impaet'Fee -
Plannigg Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permlt issue
School Fees
Total Permit Fees V
1