09-0978 (RPL)1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
09-00000978
81910 EAGLE CLAW 'DR
764-280-999-27 -300235-
POOL - RESIDENTIAL
MEDIUM HIGH DENSITY RES
19000
T-vf °f 4 Q"
Architect or Engineer:
0 /pr
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
------------------------------------------------------
!:ED
CONTRACT R'S DECLARATION
1 hereby affirm under penalty olicensed under royisi.ns ofChapter9 (commencing with
Section 7000) of Division,3 ofrofessionals C e,and my Uu ense,is'in full force and effect.
License Cl : C13-053Li No.: 935936' _rac<UILDER DECLARATION
I hereby affirm. under penalty oaxe from the Contractor's State Ucense'Law for the
following reason (Sec. 7031.5, Business and Professi s Coder Any cityor county that requires a permit to
construct, after, improve, demolish, or repair any structure, priorrto its issuance, also requires the applicant for the
permit to filwa 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 Divisiow3"of the Busineag-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 permit subjects the applicant to a civil penalty of not more than five hundred dollars (9500).:
1 _) 1, as owner of the property, or my employees with,wages as their sole compensation, will do the work, and
the structure is not innended or offered for.sele (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does notapplyto 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.).
l _ 1 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 contrsctor(s) licensed
pursuant to the Contractors' State License Law.).
1 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:
L.QPBRMIT
Owner:
JONES
81-910 EAGLE CLAM DRIVE
LA QUINTA, CA 92253 ED
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: 9/15/09
SEP 15 2009 D
----
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty" of perjury of the following declarations:
_ I have and will maintain a certificate of oonsent.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' compensationinsurance, as -required by Section 3700 of the Labor
Code, for the performance of the work for•which this permh.is issued. My workers' compensation
Insurance carrier and policy number are:
Carrier., NATIONAL INS. Policy Number 200090117388
I cartifythat, in the performs of the°work for which -this permit is issued, I shall naremploy any
person in any mannerso as become subject,to the niters' compensation laws' f California,
W
ree that, If 1 sfi (d ome subject to'th work s' compensation provision of Section
of the Labor C e hall hwith comply i .. those rovisions.
Date: licam:
WARTO SECURE ORKERS'"COM TION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE D CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). IN ADDITION TO THE CO OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION.3708'OF THE LABOR CODE, INTEREST; AND ATTORNEY'S FEES.
APPUCANT ACKNOWLEDGEMENT
IMPORTANT Appiicatiomis hereby: madeto the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this.application.
t. 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:ihall defend, indemnify end hoid'harmiess the City
of Le 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 '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.
1 certify that I have read this application and state that the, bov information incorrect I agree to comply with;all
�of
ty and county ordin oes and state Iaws:relatlng to bui 1 nstruction, hereb authorize representatives
thr cos to en upon the bove-mentioned pro - f ns ecti nrpos ats. I re (Applicant or Ag
Application Number . . . . . 09 -00000918 -
Permit. . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 198.00 Plan Check Fee 128.70
Issue Date . . . Valuation . . . . 19000
Expiration Date 3/14/10
Qty Unit Charge Per Extension
BASE FEE 45.00
17.00 9.0000 THOU BLDG 2,001-25,000 153.00
-------------------------------------------------------------------------------
Permit.MECH POOL
Additional desc . .
Permit Fee . . 26.00
Issue Date ' . . .
Expiration Date . . 3/14/10
Plan Check Fee 6.50
Valuation 0
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 . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation
0
Expiration Date
3/14/10
Qty Unit Charge
Per
Extension
BASE FEE
15.'00
1.0.0 30.0000
EA ELEC PRIVATE SWIMMING POOL
10.00
Permit. . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
33.00 Plan Check Fee
8.25
issue Date . . .
Valuation . . . .
0
Expiration Date
3/14/10
.Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.0:0 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
LQHBRMIT
Application Number
Permit. . . .
Additional desc . .
Permit Fee . . .
Issue Date . . . .
Expiration Date . .
. . . . . 09-00000978
WALL/FENCE PERMIT
15.00
3/14/10.
Plan Check Fee . . .00
Valuation . . . . 192
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
POOL/SPA, 12 L.F. 4' EQUIPMENT
ENCLOSURE, CITY STANDARD.ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION. 2007 CODES.
---------------------------------------------------------------------------
Other Fees .. . . . . . . BLDG: SIDS ADMIN (SB1473)
1.0'0
Fee summary Charged, Paid
Credited
----------
Due
-------------------------------------
Permit Fee Total 3,17.00 .00
----------
:00
317.00
Plan Check Total 15.4.70 .00
.00
15.4.70
Other Fee Total 1.00 .00
.00
1.00
Grand Total 472.70 .0.0
.00
472.70
LQeeRMIT
eirt #
CI t}/ Of Qu - t
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 ,
Building Permit.Application and Tracking Sheet
Permit #
0q "
project Address: _
l U
C
Owner's Name: G /IGt�
A. P. Number:
Address: U
Legal Description:
Contractor elassl du J
City, ST, Zip:
Telephone: y
Address: `l lj l
(�'}'�')
Project Description: Ale- �/� S /g
City, ST, Zip:
If
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Tele hone:
fi¢..
w=-'�
y vi nv.;. .v �.-.
Ip
''' :ore
State Lic. # :
City Lie.'#;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
*
1
Construction Type: Occupancy:
State Lic: #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft:
# Stories:
# Units:
Telephone.# of Contact Person:
(,
Estimated Value of
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for correction
Plan Check Deposit
Truss-Cala.
Called Contact Person
Plan Check.Balance
Title 24 Cala.
Plans picked up
Contraction
Flood plain plan
Plans.resubmitted
Mechanical
Grading plan
20' Review, ready for correctionstissue
Electrical
Subcontactor List
Called ContactTerson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN
'"' Review, ready for correction/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
Classic
Pools / Spas
Landscaping
Office: (760) 345-8302
Lic# C 53-935936
7' Dia., +16" Raised
Spa with Stacked Area Drains,
Stone Spillway --I typ. 1
PA
New Concrete
+12 RBB
Decking
PA
08" Broom Finish
Banding - 40 sq. ft)
b -Ll
�'_g•
Pool
(10'X 229
-g
PA
_ S o,^
a
Tanning
Shelf with
Umbrella Sleeve PA
New Concrete Decking (California Edge Finish)
('$50 sq. ft)
Pool/Spa
Equip. with
sound wall
Existing Patio
PA
JONES
ESIDENCE-
RESIDENCE-
CO -i
4 (e( -
CITY OF LA QUINTA
BUILDING & SAFETY D
FOR C DEPT.
AP p�� UCTION
PA
Scale: Va"=l'-O"
JONE5 RE51 DENCE
81-11 O EAGLE CLAW
LA QUINTA, CA 82255
TRILOGY
DATE: 0S/12/0g
REV 15ED : 0S/24/0g