07-2396 (RPL)f=
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00002396
Property Address:
47880 WHITE FOX CT
APN:
658-140-999-79 -29436 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
34000
Ti,ht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRACTOR'S DECLARATION '
I hereby affirm under penalty of perjury tha I amdI' sed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine a ro ssion Code, and my License is in full force and effect.
License Class: C53 cense No.: 890670
e: =demolish,
OWNER-BUILDER DECLARATION
I hereby affirm undeh t I am exempt from the Contractor's State Linense Law for the
following reason (Send Professions Code: Any city or county that requires a permit to
construct, alter, imppair 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:
(_ 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 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.).
(_ 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 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
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
Owner:
WADE ZARELLA
47880 WHITE FOX COURT
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/07
Da
Contractor:
PLATINUM POOLS & SP
77564 COUNTRY CLUB I E # 04200
PALM DESERT, CA 922 1 J
(760)772-4274 C1I
Lic. No.: 890670 FNAfvQU1NTe
-----------------------------------------------
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.
ylI 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 STATE FUND Policy Number lOG3573-2007
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 bec a subject to the workers' compensation laws of California,
and agree that, if I sho eco ubject to the he
compensation provisions of Section
3700 of theeOR
Labor Cod shall tthwith mply with those provisions.
WARNING: FAILUR ERS' COMPENSATION COVERAGE ISUNLAWFUL, AND SHALL
SUBJECT AN EMPL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS(S 100,00THE COST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF 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 application and state that the a ove i for atio is c ct. I agree to comply with all
city and county ordinances and state laws relating to buildi co stru tion and by authorize representatives
of this co my to enter upon the above-mentioned property nspec on urp s.
ate: � � JI � gnature (Applicant _
Application Number . . . . . 07-00002.396
Permit . . : BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 310.50 Plan Check .Fee 201.83
Issue Date . . . . Valuation . . . . 34000
Expiration Date . . 2/20/08
Qty Unit Charge Per Extension
BASE FEE 252.00
9.00 6.5000 THOU BLDG 25,001-50,000 98.90
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Permit MECH POOL
Additional desc ,.
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/20/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
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Permit. . . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . 0
Expiration Date 2/20/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date . 2/20/08
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
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Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
l�
Application Number . . . . . 07-00002396
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Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Grand Total
LQPSRMIT
Charged Paid Credited Due
---------- ---------- ------- --- ----------
414.50 .00 .00 414.50
227.83 .00 .00 227.83
642.33 .06 .00 642.33
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
EXISTIN�ATE-jC �-O) BY��
RESIDENCE
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POOL I Z
EQUIP.
FIRE
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Aug 21 07 04:08p
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B'" #
City of La Quinta
Building a. Safety Division
Box 1504, 78-495 Caife Tampico
La QLdnta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address: O { { 1`J J
Owner's Name: 2
A- P. Number.
Address: O
Legal Description:
Contractor: �a 1 l U �c�L
City, ST, Zip: 1 Zv7 / 25
" z la�i'tTZ4
Telephone: (� � � �a�:
Address: 775(PY .W i j^. -"iots
Project Description:
City, ST, Zip: A I ESt✓ i 4 . ' 1201
1 V E4lJ Cpl_ �
Telephone:? 777' 7-31517
:. ?
State Lic. # : L% !2 1
City Lie. #:
Arch., Engr., Designcr:
Address:
City, ST, Zip:
,
Telephone:
.;:. �Fa v V ,`,A2��3,.)..:Hw>•
State Lia #: :w x•�'`'>= "a M s 4 """
Name of Contact Person: 1�1
Construction Type Co Occupancy:
Type: Ocpanc
ect type (circle one): New Add'n Alter Repair DemoproJ
Sq. Ft: # Stories: #Units:
Telephone of Contact Person:?pr-'�• ;0-5-'7--,,,5c*Estimated
Value ofProject. pry
APPLICANT: DO NOT WHITE BELOW THIS UNE
tl
Submittal
Req'd
Reed
TRACKIPIVG
PERWF FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cale
Reviewed, ready for corrections
Plan Check Deposit
Tr oss Cales.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmttted
Mechanical
Grading plan
2'd Review, ready for correctiooslissue
Electrical
Subcontactor Last
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.OA. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A,yP,p,
Pub. Wks. Appr
Date of perm it issue
School Fees
Total Permit Fees
MR