07-2522 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253
Application Number: 07-00`002522
Property Address: 81890 EAGLE CLAW DR
APN: 764-280-999-29 -300235-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 13000
T-�df 4 4 Qum&
Applicant:. i Architect or
Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby- affirm under penahy+of perjury that I am licensed under provisions of Chapter (commencing with
Section 7000) of Division 3 of thwBusiness and Professionals Code, and my License Is in full forowand effect.
License Cless: A -C -CB License No.: 840210
Date Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the- Contractor's State License haw 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 requiresthe applicant for the
permn'to file a signed statement that he or she islicensed 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 ($600)•:.
(_) 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' 44
(Sec. 70, Business.and Professions Coder The
Contractors' State. License Law does not apply to an owner of property who builds:orimproves thereon_,
and who does the work himself or herself through his or her own employees; provided that the
improvements are not intended oroffered 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 Uo,ense:Law does not.apply town owner of
property who buildsarimproves thereon, and who contracts for the projects with a contractors) licensed_
pursuant to the Contractors' State Ucense.LawJ.
(_) I am exempt under Sec.; _ , B.&P.C. foe 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: 9/12/07
Owner:
TOMCHIN RESIDENCE
81-890 EAGLE CLAW DR.
LA QUINTA, CA 92253
Contractor:
CROCODILE CONSTRUCTION
506,60 EISENHOWER DR, #
LA QUINTA, CA 92253 D 4
(760._)360-589.5
Lic. No.: 840210
SEP 17 2007
----------------------- x1- --—WWI*rA-- — _—
WORKER'S COMPE a+'r�+u•ll; a>�uir�aE DEPT
I hereby affirm under penalty of.perjuy one of the following declarations:
I have and will maimain.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 carrienand policy number are:
Carrier STATE FUND Policy Number 1828832
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,
andegres that, if'1 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, Jshall forthwith comply with those provisions.
Date: (%�� Applicant:
WARNING: FAILURE TO SECURE. WORKERS' COMPENSATION COVERAGE I&UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES, UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). 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 maderto the Directorof'Building and.Safety for 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 Quints, its officers, agents and employees for any actor 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 -that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building cons uction, and hereby authorize representatives_
of this county
too enter uponthe.above-mentioned property for in ion purposes.
Date*�:� Signature (Applicant or Agent):
Application Number 07-00002522
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . .
144.00 Plan Check Fee
93.60
Issue Date
Valuation . . .
. 13000
Expiration Date
3/10/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
11.00 9.0000
--------------------------------------------------------------------------------
THOU BLDG 2,001-25,000
99.00.
PermitMECH
POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
3/10/08
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 . . . .
4.5_.00 Plan Check Fee
11.25
Issue Date . . .
Valuation . . .
. 6
Expiration Date
3/10/08
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
--------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
3.0.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
27.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation . . .
. 0
:Expiration Date
3/10/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.06
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
SPA, ALARMS/BARRIERS
SHALL BE IN PLACE
Application Number . . . . . 07-00002522
-------------------------- -----------------------------------------
Special Notes and Comments
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 242.00 .00 .00 242.00
Plan Check Total 118.10 .00 .00 118.10
Grand Total 360.10 .00 .00 3.60.10
LQPE"W
PLAN KEY NOTES:
Q Concrete Decking - (1050 sq. ft.)
Color shall be Standard Grey with
5alt Finish.
All landscape areas shall recei,
2" min. depth of 315" minus
5outhwest Desert Brown Gravel
approved equal.
PLANTING LEGEND
51rM BOTANICAL NAME COMMON NAME QTY 51ZE
TREE5
is
Acacia smallii
n-Chamaerops humilis
SHRUBS/VINES
444- Vistictis laxiflora
O0 -Hibiscus s. 'President'
0—.lasminum sambas
®—Lantana 'New bold'
Salvia ctevelandii
—Salvta greggn
Acacia
1
24" Box
Mediterranean Fan Palm
5
24" Box
Trumpet Vine
10
5 gallon
Red Hibiscus
5
5 gallon
Arabian .lasmine
5
5 gallon
New bold. Lantana
5
5 gallon
Chaparral Sage
8
5 gallon
Autumn Sage
5
5 gallon
CITY OF LA C uINTA
BUILDING & SAFETY DEPT.
APPROVEID
FO ON
DATE q `� 9Y �L
TOMCHIN RE51DENCE
51-890 EAGLE CLAW DR.
LA GUINTA, CA (TRILOGY) 92255
PH (
DATE: 0q106/07
P911 7
City of La Quanta
Building lA Safety Division.
P.O. Box 1504, 78-495 Calle Tampico
La Quanta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pennit /) .
2yZY
Project Address: — O
Owner's Name:
-rQ.144
A. P. Number
Address: _ q. .4J yez
Legal Description:
City.'STI Zip:
Contractor:o o
Telephone:
Address: S — ( /' 2
Project Description:
77
City, ST, Zip: 2 .7
�'
Telephone: — O
Stdc:Uc. #: p City Lic. #:
Arch.. Env., Designer:
Plan check'Deposit
Address:
Truss Calcs.
City, ST, Zip:
Telephone:•
State Lic. #:
Name •of ContactPerson:Sq.
!!!!!ITelephone
'on Type: Occupancy:
Project type (circle one): Now, Add'n Alter Repair Demo
Ft:
# Stories:
- # Units:
# of Contact Person: _
Estimated Value of Project: Qct
APPLICANT: DO NOT WRITE BELOW THIS LINE
IN
Submittal
Req'd . ,
Rsc'd
TRACM.G .
PERMIT FEES
Plan Sets
Plan Chock submitted
Item Amodnt
structural talcs.
Reviewed, ready-fo 'ons
Plan check'Deposit
Truss Calcs.
Called Contact Person
Plan Check ftlance
Energy Cala.
Plans paw up
Construction
Flood plain plan
Pinus reaabmitted
Mechanical
Grading plan
Review, ready for corrections/: me
Electrical
Sabcoutactor List
Called. Contact Person. �
Ylambing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for.corrections/wae
Developer impact Fee
Planning Approval
Called Contact Person
A-LP.P.
Pub. Wits. Appr
Date of permit issue
School Fees
Total Permit Fees