06-2201 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tit!t . aF 4vQ"
Application Number: 06-000.02201
Property Address: 5 319 WHIRLAWAY TR
APN: 767-200-999-45 -312021-
Application description: STRUCTURES OTHER THAN BUILDINGS
ProDerty Zpninq: LOW DENSITY RESIDENTIAL
Application valuation: 11000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DENNY THOMPSON
52-319 WHIRLAWAY TR
LA QUINTA, CA 92253
(760)398-5932
Contractor:
ACE POOLS
42116 PITCHFORK RD
INDIO, CA 92203
(760)578-8780
Lic. No.: 869106
VOICE (760) 777-7012
FAX (760) -777-7011
INSPECTIONS (760) 777-7153
Date: 5/30/06
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION '
' I hereby affirm under penalty of perju that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 70001 of Division 3 of the usiness and Prof ode, and my Licerise is in full force and effect.
-
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -
License Class: C53
.Lic nse No.: 869106
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
/e:Contractor:
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
NER-BU DER DECLARATION
, insurance carrier and policy number are:
I hereby affirm under penalty of perjury t at I am-exe pt rom the Contractor's State License Law for the
Carrier STATE FUND Policy Number 22906
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California, .,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
-
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Lab C de, I shall fo it com ly witl`Mhose provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. -Any violation of Section 7031.5 by
t{ 11. )
any applicant.for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: 31 �� Applicant:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
I r
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO. SECURE WORKERS' CO PENSA ION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property, who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTI D IVIL FINES UP TO ONE HUNDRED THOUSAND.
and who does the work himself or herself through his or her own employees, provided that the -
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
- APPLICANT ACKNOWLEDGEMENT
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed.
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason -
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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:
LQPERDIIT
' 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 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 Aiding construction, and hereby authorize representatives
of yhis county to enter the above-mentioned pr per y for insp i urpos- . r
nate: Q(Q nature (Applicant or Agent
Application Number 06-00002201
Permit. .". . . . BUILDING PERMIT
Additional desc .
Permit Fee . . 126.00 Plan Check Fee
81.90
Issue Date Valuation
11000
Expiration Date 11/26/06
Qty Unit Charge Per
Extension .
BASE FEE
45.00 '
9.00 _ 9,nnnn TxnrT BLDG 2,001-35,000
01.00
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 17.25 Plan Check Fee
4.31
Issue Date Valuation . .
0'
Expiration Date-. 11/26/06
Qty Unit Charge Per
Extension
BASE'FEE
15.00
3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Permit PLUMBING
Additional desc .
Permit Fee . . 18.00 Plan Check Fee
4.50
Issue Date Valuation . . .
. 0
Expiration Date 11/26/06
Qty Unit Charge Per
Extension
BASE. FEE
15.00
1.00 3:0000 EA PLB.GAS PIPE 1-4 OUTLETS'
3.00
-----
-----Special Notes and Comments
BAR -B -Q AND FIREPIT`ONLY PER APPROVED
PLANS
Fee summary Charged Paid. Credited
Due
Permit Fee Total 161.25 .00 .00
161.25
Plan Check Total 90.71 .00 .0.0
90.71
Grand Total 251.96. .00 .00
251.96
LQPERMIT ..
HER,
is
•
2 � .
- JSi L)C40
f'
9
i
N sHuT-tz ir F -,
CITY OF IA QUINTA
DodcZ
BUILDING & SAFETY DEPT.
_
APPROVED
FOR CONSTRUCTION
DA 'S' +Go BY ,5 r
Tc- rk
l`3As C, �GRA•NIE�
�
.
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
O� • z�'° l
Project Address: - �`+� Wq(Z1AW Lj
Owner's Name: Ic) Lesc,-1
A. P. Number:
Address:
Legal Description:
City, ST, Zip: LA �� CA
Contractor: Acl Ru `S
Telephone: 39,p Z
Address: 2 — [� I +c- ti Cb l(t K
Project Description:
T
City, ST, Zip:
Telephone: y',a ^ 2 2-0
State Lic. # : �j(p (� City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: r Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
P
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
2'
Plan Sets
Plan Check submitted
Z
Item
Amount
Structural Calcs.
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
2°" Review, ready for corrections/issue
ElectricalJA
S
Subcontactor. List
Called Contact Person
Plumbing& G
(EZ
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for eorrectionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub: Wks. Appr
Date of permit issue
School Fees
Total Permit Fees