05-5509 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning: .
Application valuation:
Applicant:
05-00005509
47660 WIND SPIRIT DR
658-140-999-45 -29436 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Td4t 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
NSED CONTRACTOR'S DECLARATION
I he,eb affi m under penalty of perjur t I am licensed under provisions of Chapter 9 (commencing with
Section 00 1 of ivision 3 of the Bu ' es and Professionals Code, and my License is in full force and effect.
License 53-HIC LicenseNo.: 658996
/Date: Contr. or: IRA
OWNER -BUILDER DECLARATION
I hereby affir under penalty of perjury t t I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5., Business a 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).:
(_) 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.).
(_ 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:
LQPERMFT
Owner:
HARRIS
47-660 WIND SPIRIT DRIVE
LA QUINTA, CA 92253
Contractor:
FAMILY POOL CONSTRU
P O BOX 283
LA QUINTA, CA 92247
(760)564-3655
Lic. No.: 658996
VOICE (760) 777-7012
FAX (760) 777=7011
INSPECTIONS (760) 777-7153
Date: 12/20/05
e
JAN 0 � 2G06 0
Orgy ®r LA
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 poky number are:
Carrier STATE FUND icy Number 1344032-2005
I certify that, in the perfor a of the work for which this permit is issued, I shall not employ any
person in any manner to become subject to the workers' compensation laws of California,
and agree that, if lidbecome subject to the workers' compensation provisions of Section
700 of the Labor C all forthwith comply with those provisions.
Dat . Applicant.
WARNI ILURE TO SECURE WOR ERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJEC AN EMPLOYER TO CRIMINAL ENALTI AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 applicatio comes null and void if work is not commenced
within 180 days from date of issuance of suc p mit, oDodossation of work for 180 days will subject
permit to cancellation.
I certify hat have read this application and state t*ainformation is correct. I agree to comply with all
C, and Dun rdinances and state laws relating tn, and hereby authorize representatives
of thisF ty Ater upon the above-mentioned ppurposes.
DSignature (Applicant or Agent)
Application Number . . . . . 05-00005509
Permit
. . . BLDG POOL PERMIT
Additional
desc .
Permit Fee
207.00 Plan Check Fee
134.55
Issue Date
. . . . Valuation . . .
. 20000
Expiration
Date 6/18/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
18.00
----------------------------------7--------------------------------=--------
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 . . 6/18/06
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 6/18/06
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 6/18/06
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
ONLY. ALARMS/BARRIERS SHALL
LQPERMIT'
Application Number . . . . . 05-00005509
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
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
LQPERMTT
1/8'
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATEA •011'o4(Y C -5
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Pools 5pag rounloln5
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J -/c, #658996
Bin #
Qty of LQ Quetta
Building 8z Safety DMslon
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet '
Permit #
r_
s�o n
7
Project Address:/
Owner's Name: k ` Z�u .
A. P. Number:
Address:
Legal Description:City,
Contractor:`j
ST, Zip:
Telephone:
Project Description: 1, j
Address: 11114/�
City, ST, Zip: 41U_194 ;74
Telephone:
State Lic. # 69rt
2& City Lic. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: �. y Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: (�Q�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
t2ho
Item
Amount
Structural Vs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked op
S M L
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 of permit issue
School Fees
Total Permit Fees