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06-3562 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003562 Property Address: 60584 WHITE SAGE DR APN: 764-270-999-108 -300231- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 30000 Tj,ht 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 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 Prof signals Code, and my License is in full force and effect. License Class: C53 License No.: 867463 are ntractor: 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 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 buildinq 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 _ 1 1, 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: LQPERDIIT Owner: MICHAEL DOYLE 60584 WHITE SAGE DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/06/06 Oc Contractor: 0 ?69 DISCOVERY POOLS C�n'QF ou 7071 RUBIDOUX AVENUE YUCCA VALLEY, CA 92284 'N�CF EpNtA (760)365-6544 Lic. No.: 867463 ------------------ 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. 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 insurance carrier and policy number are: Carrier EX MPT Policy Number EXEMPT 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 becomes 'act to the workers' compensation provisions of Section 3700 oZor Code, hall f h ith comply with those provisions. ate:° WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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. 1 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 tate laws relating to building construction, and hereby authorize representatives of thjvcounty to enter upon above-mentioned property for pecti p rposes. DaDate: %� 'db nature (Applicant or Agent): IN �l r LQPERMIT Application Number . . . . . 06-00003562 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date' Valuation . . . . 30000 Expiration Date 4/04/07 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 32.50 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/04/07 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 4/04/07 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 4/04/07 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, GAS STUB FOR FUTURE Application Number . . . . . 06-00003562 ---------------------------------------------------------------------------- Special Notes and Comments (SEPARATELY PERMITTED) APPROVED APPLIANCE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 388.50 .00 .00 388.50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 599.43 .00 .00 599.43 LQPERMIT Legend �o Lights O Depth P/A Planter area P/L Property line 0 O Gas and electric ® Air conditioning unit location approximate Salt chlorinator OO Auto fill Skimmer Sheer Descent (%oL 6Q ••� P116 -r` r s"C- t..i � - "J l.� ' c f 2,t Aw P/Loyeeqj L ,J :z 5pecificatiorte QJIPµE�c j — Stub for BBQ — Add h000 bib Pool: 3 5' 6" X 17' Spa: 7' Diameter Area: 445 5F Area: 35 5F Perimeter: 10 1 LF Perimeter: 2 2 LF Depth: 3'-5' Depth: 4' max Tile Type: Group 1 or 2 Dam wail: 2 0' LF 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 # ^ / 3 Project Address: o \N P_ Owner's Name: A. P. Number: Address:-� Legal Description: City, ST, Zip: Contractor:1 tSPo,1� (� I�o�t- Telephone: Address: —Il - I (?" &S ow Project Description: QOM s, A Gl-,S S City, ST, Zip:L4 L� Telephone: -1(pp Qt0 32S(, State Lie. # : 069,4-63 City Lie. #: ?iti.o Fvf_ Arch., Engr., Designer: eSE ho 2�C.-rLe p_ Address: 0 City, ST, Zip: CA, qlzcoo Telephone: I I' State Lie. #: S3 6 Name of Contact Person: Construction Type: t�64 Fle�_ Occupancy: Project type (circle one): ew Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: o -32C_G Estimated Value of Project: 4 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd. Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted It4m Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact PersonPlan Check Balance Energy Cates. Plans picked up C*nstruction Flood plain plan Plans resubmitted Atiechanical Grading plan 2"' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up ,S_1-I.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A:I.P.P. Pub. Wks. Appr Date or permit issue School Fees T.Aal Permit Fees CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS (o05e, i- SA -(=,E M PERMIT NUMBER — OWNtR (AICAAGL BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list -must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each aDDlicable trade. all information reauested below must be completed by anDlicant. "On File" is not an acceptable response. ClassificationContractor,, sLicState.ContractTrade 77J. .. ensation CityBusreense`:. . s Licenseor Company Name Classification (e.g. A, B; C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name le.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xxl License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) ' c (o CG 53 �! (q 3 1 3) -a$ STA E (-0�nPEuSncpoa .� - go 1 colfll13 t -1-o, 'o _0000zene -31 zi i CONCRETE (C=8) FRAMING (C-5) STRUCT. STEEL (C-51) 6o 4o &0 �k AM C�ASJa Ar�`l E MASONRY (C-29) - rA�T N`�3 -0 eTl�b000StiBq -d"1 I PLUMBING -1C-36! �iL�,�QMI�� Pct�i..'/� 1 C4� G53 I�A�►Cxf�K i=r�� • Cwsoco (Q,2/0 lti l3-ofo dl -ego �LSS�. la -3l 6edPLASTER (C=35) ,� i t�`��`'��� L- �^�J G53 ��oS�P�� i ?'J�Qb-f� 2,�►.1�ts- () i OL�=�O�Z.?���� [10-1�_ o'� �OD`rJ�j`11� -]-1 -01 DRYWALL (C-9) HVAC (C-20)' ELECTRICAL. (C-10) SHEET METAL (6-431 FLOORING (C=:15). >: GLAZING IC -171` INSULATION -:(C-2) . SEWAGE DISP; (C-42) ` PAINTING (C=33) CERAMIC TILE:(C-54) CABINETS IC -61 FENCING (C-13) LANDSCAPING (C=27:1 POOL IC 53) N, 6o 6o C-,�,��`t� G-53 5 E i�3 A�oVE