08-0379 (BLCK)µ
4 P: 0. BOX 1504,
78-495 CALLE TAMPICO
LA QUINTA" CALIFORNIA 92253
Application Number:
:Property Address:
APR:
Application description:
Property Zoning:
Application valuation:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner.
REGAN RESIDENCE
52-3.20 WHIRLAWAY TR
LA QUINTA, CA 92253
08-0000037 9�
52,320 WHIRLAWAY TR'' 3'
767-200-999-40 -312021- :
WALL/FENCE
LOW DENSITY RESIDENTIAL y.
'311
Applicant: J6Z_ ,
Cp
Architect or Engineer:
[
Contractor:
AZURE POOLS AND SPAS
P.O. BOX 10641
PALM DESERT, CA 9225`-
(760)322-7665
Lic. No.: 802919
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 -
Date: 3/04:/08
------------I-------------------------------------------
- LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty..of perjury one of the following declarations:
Section 7000) of Division 3 o the Business and Professionals Code, and my License is in full force and effect.-
I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided
Lice. lass: C53 License No.: 602919 -
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier DELOS INS CO Policy Number 01DKRM12002794
' 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
3700of the Labor Code, I a thwith comply with those provisions..
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
6-'
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (55001.:
/�
y..Date: F APpplicant
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
WARNING'. FAILURE TO SECURE WORKERS' COMPENSATION 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 PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
-
DOLLARS IS 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 contractsfor the, projectswith a contractor(s) licensed.
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant tozhe Contractors' State License Law.). - -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,.
(_) I am exempt under Sec. , B.&P.C. for this reason
the owner, and theapplicant, each agrees to, and shall defend, indemnify and hold harmless the City.
of to Quinta, its.officers, agents and employees for any act or omission related to the work being
-
performed under or following issuance of this permit.
Date:, Owner:
.. 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
. CONSTRUCTION LENDING AGENCY '
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct.. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.1:
city and
ounty ordinances and state laws�Iating to building construction, and hereby authorize representatives
•of
th' c
u t to enter upon the above- er forinspection purposes.
Lender'sName:'Dater
.v'Signature(Applican - ):-
Lender's Address:
,�`�•-� `" "-" `- �- -- f - ,
LQPERN1IT
Applidation Number 08700000379
Permit WALL/FENCE PERMIT
- Additional desc .
Permit Fee 15.00." Plan Check
Fee'`:
.00
Issue Date,,, Valuation..
311
a y8/E p ration Date 31/08
Qty Unit Charge Per
Extension
BASE FEE
•15.00
Special Notes and Comments
14LN •FT.4FT HT EQUIPMENT SCREENING BLOCK
WALL & 4 LN FT X 5 HT A/C BLOCK WALL TO
CITY STANDADS AND APPROVED PLANS
Fee summary, Charged Paid' Credited
Due
Permit Fee Total 15.00 .00
.00
15.00
Plan Check Total :00 .00
.00
.00
Grand Total 15.00 .00
.00
15.00 -
.. _ .`.;1 a .,� .';.- i '. �3. - � i•
Bin #
La..Qui.
CityJoft'a
f
Building & Safety Division �
4" r P:O. Boz •1504, 78-495 Calle Tamplco
Permit.# . -
La Quinta, CA 92253 - (760),777-7012 '
Building Permit Application and, •racking-Sheet'
- Project. Address:
Owner's Name:
A. P. Number: k
Address. S L= •�. (N/ J/�
r
Legal Description:
City, ST, Zip;
Contractor' AIL(S S
Telephone:`
MEN=
Address: "
Project Description:
City, ST Zips.
Telephone: - Z -- 7
s
City Lic. #:
T C AW
State L'ic:'#UZ�
Arch., Engr:;"Designer:..
Address:..
/
City, ST, Zip
Telephone:p•
Construction Type: ,Occupancy:
State ' . #:'
Project type'(circle one): - Niw, Add 'n Altera = Repair Demo
Sq..Ft.: �' I.# Sbries: # Units:
,Name of Contact Person:
Telephone # of Contact Person: " '?j - Q .
Estimated Value of Project: '- z
APPLICANT: DO NOT- WRITE BELOW THIS LINE
#
Submittal .
Req'd
Rec'd
TRACKING 6
PERMIT FEES
-
Plan Sets '
1r
Plan Check submitted
Item
Amount
-
Structural Calcs.
Reviewed, ready for corrections
Llan Check Deposit
Truss Calcs. ' .
`'
Called Contact Person r
)r1an,Check Balance
`
Energy Calcs. i
Plans picked up. .:
Construction
Flood plain plan.
Plans resubmitted .,
Mechanical.
Y -
Grading, plan
2"" Review, ready for correctionsrissue ;
Electrical `
Subcontactor List
Called Contact Person
Dumbing
Grant Deed '
Plans picked up
H.O.A. Approval
Plans resubmitted
C radia _
IN HOUSE:- s
'"' Review, ready for corrections7i§sue
Developer Impact Fee; ,'
t
Planning Approval
Called Contact Person
A, I,p,p,
u ,
Pub. Wks. Appr
Date of permit issue
r^'
School Fees
T)tal Permit Fees:,
e
LA4"
jw."r 609s.dc
P.O. Box 10641 _
Palm Desert, CA 92255
CITY OF LA QUI
NTA
BUILDING & SAFETY DEPT. •�
PROPERTY LINES � ;
ALL PROP ."APPROVED.
uc# a -ss, 8o2919`FOR CONSTRUCTION
HAVE EXISTING 5' / i r
POOL SPECS r s 2 oA e
POOL SIZE: 14 X 30
POOL -AREA:. 346 SF. p -
11 '.. M _ + 1 81 .
SPA
POOL PER " 80 FT. B " .. RBB +.1:$ WITH STACKED _ -
Y WITH 3-18 WIDE .TONE SPILLWAY
POOL DEPTH: _ CASCADE -
SPA SPECS X• � -
SPA SIZE: 7' �:. + 3. _�N R
SPA AREA: 38 SF'(-P/L
' ` t /
TT
SPA PER: 22 FT. PLL 'h/
..,
EQUIPMENT
R