06-2525 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002525
Property Address:
47885 WHITE FOX CT
APN:
658-140-999-82 -29436 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
20000
Ti,ht - 4 XP Q"
Applicant: Architect or Engineer:
1
VIPX* P
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
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 force and effect.
License CI ss: 53 License No.:: 614611
e: ractor:.r
T�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law 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 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 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 ($500).:
1 _ 1 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 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.).
(_) 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 contractor(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
1 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: l
Lender's Address: i )
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-71.53
Date: 6/27/06
Owner:
WALTERS
47885 WHITE FOX COURT
LA QUINTA, CA 92253
D;FINANCEDgEPT.
Contractor:0
6MCINTYRE
POOLS & SPAS,
INC
83695 AVENUE 45
INDIO, CA Q2201
LA
(760)342-3612
LiC. No.: 614611
----------------------------------- -----------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one 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.
AI 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 HRH INS Policy Number C20060333601
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,
and agree that, if I should become subject to the workers' compensation provisions of Section
�701 Labor C er I shall forthwith comply with those provisions.
0-
SUBJECT
ant.
G: FAILURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a 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 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 applic 'on and state that the above information is correct. I agree to comply with all
city and county ordinances an ate laws relating to b ' g construction, and hereby authorize representatives
of t ' n to mer upo eabove-mentioned pro erty o pection purpose
Date: nature (Applicant or Agent):
I
Application Number . . . . . 06-00002525
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. 20000
Expiration Date
12/24/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date . .
12/24/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .11.0000
----------------7-----------------------------------------------------------
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 . .
12/24/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 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 . .
12/24/06
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
Application Number . . . . . 06-00002525
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
----------------------------------------------------------
Permit Fee Total 311.00 .00 .00 311.00
Plan Check Total 160.55 .00 .00 160.55
Grand Total 471.55 .00 .00 471.55
LQPERMIT
viol a
Permit # 0
X
Project Address: —55g
A. P. Number.
Legal Description:
x
Contractor. M
Address:
7
City, ST, Zip:
TI
e ephonv. � C{2. '6 a
State Lic. # : !
Arch., Engr., Designer:
Address:
City. ST. Zip.
Telephone:
State Lic. #:
"ENa=e of Contact Person:
Xphone # of Contact Person: i
# Submittal
Retia
Plan Sets
Structural Coles.
Truss GICs.
Energy Cala,
Flood plain plan
Grading plan
Subeoataetor List d
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. WkL Appr
School Fees
Q
b tY of La Quinta
Building a Safety Dftlon
�C P-0. Box 1 SO4, 78.49S Calle Ta
nVICO
\ , La Quinta, G 922S3 - (760) 7777012
u Building Permit Application and Trackin Sheet
et
O�rer's Name: � LTe dC � r -
S
Lic. #:
City. ST, Zip: .Lk
f Telephone:
Project Description:
ConmctionType:
,... "_ «. _� • . ,;: Occupancy:
Project type (circle one): New
Add'n Alter Repair Demo
Sq. Ft.:SO # Stories:
# Units:
_ stimated Value of Project:
ArrLIt,ANT: DO NOT WRITE BELOW THIS LINE
Reed
TRACKING
Plan Check submitted
Reviewed. ready for corrections
Called Contact Person
Plans (►irked up
Plans resubmitted
2" Review. ready for eorrectionstissue
Called Contact Person
Plans picked up
Plans resubmitted
Review, ready for eorreetionSAMe
Calle�Copt&ctft
Date
PER1tiT FEES
Item
Amount
Plan Check Deposit
Pian Cheek Balance
Construction
hteeha.oical
Electrical
Plumbing
S.M.1.
Gradin;
A
eveloptr Impact Fee.I.P.P.
Total Permit Fees
• Personalized property Management
68950 Adelina Road
Cathedral City, CA 92324
::.::..
(760)325-9500
.. -. ..:.•: . () 2 9300 fax
'dot
June 12, 2006
Dennis Walters
41885 White Fox Ct.
La eta, CA 92253
Dear Dennis:
Your application to install a pool and spa in your rear yard along with landsca in a f
hole putting course has been approved by the Architectural Committee with the following a fur A o� n�;
block watt must be restored to it's original Condition.i please ensure your contractor keeps the area in
Property- Also please ensure the electrical a ui
and around your property in a good condition dtuin
nt is
g the work and does not display anal signs on the
project is complete so we can inspect the work-pmeTank sufficiently buffered Let us know when the
you for your cooperation.
For the Board of Directors
eyton Die y
Communi Manager
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