05-4429 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00004429
Property Address:
47900 WIND SPIRIT DR
APN:
658-140-999-37 -29436
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
30000
Applicant: Architect or Engi
T,4u4t °F
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
N
OCT 1. 0 2Q05
U
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 ' ' ion 3 fb Business and Professionals Code, and and effect.
License Class: License No.:
ontractor,
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 1$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.).
(_ I 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.)
(_) 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:
LQPERMrT
VOICE (760) 777-7012
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
Date: 10/03/05
Owner:
MC LENDON
47-900 WINDSPIRIT DR
LA QUINTA, CA 92253
Contractor:
COCHRAN'S POOL CONSTR,
RICK
WCC: EXEMPT
WC: EXEMPT
10/31/06
CSLB: 312674
02/28/06
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.
X_ 1 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 128-1253 Policy Number - - - - - - - - - - - - - - -
I certify that, in the performance of the work for which this permit is issued, 1 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
3700 of the Labor Code, I/spelt with comply with those provisions.
O�L Applicartt'� /��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT 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 application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this coun yy to enter upon the above-mentionedproperty fo p urposes.
Signature (Applicant or Agent 1
Application Number . . . . . 05-00004429
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
284.50 Plan Check
Fee
184.93
Issue Date .'. . .
Valuation
. . .
. 30000
Expiration Date
4/01/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
32.50
Permit . . .
MELh YUUL
Additional desc .
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . . .
0
Expiration.Date
4/01/06
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
4/01/06
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
4/01/06
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 . . . . . 05-00004429
----------------------------------------------------------------------------
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
388.50 .00
.00
388.50
Plan Check
Total
210.93 .00
.00
210.93
Grand Total
599.43 .00
.00
599.43
LQPERMIT
Bin #
City of La Quinta
Building 81; Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7C 12
Building Permit Application and Tracking Sheet
Permit #
ds� y�'2%
Project Address:14)
Owner's Name:
A. P. Number:
Address:
Legal Descript' n:
Contractor: ��
City, ST, Zip:
Telephone
Address:�/'/
Project Description: U ►
e
City, ST, Zip:
Telephone:
State Lic. # :City
Arch., Engr., Designer:
Lin. #:
Address: G
City, ST; Zip: 4!�
A
Telephone: S
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter. Repair
Demo
Name of Contact Person:L C
G
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
P
�—'
Estimated Value of Project: Q�G
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
/p
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecha.nical
Grading plan
2"d Review, ready for corrections/issue
Electr.cal
Subcontactor List
Called Contact Person
Plumting
Grant Deed
Plans picked up
S.M.1_
H.O.A. Approval
Plans resubmitted
Gradi-ig
IN HOUSE:-
7rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P?.
Pub. Wks. Appr
Date of permit issue
School Fees
Total _permit Fees
FROM : RC P00L CONST
PHONE NO. : 760 322 3680 OCT. 03 2005 01:33PM P1
4511 E. Sunny Dunes Road • Suke A - Palm Springs, CA 92264
SQ4thwatpon(76(J) 320-2030 - Lic. No. 312674
DATE x� % / TnuE • 60
P
eLl—
PAGES BEING SENT, INCLUDING THIS COVER SHEET
PLEASE ^r'' "'""" ...u.I- T1 A %0
NAME
COMP)
DEPAR
THIS FAX HAS BEEN SENT
NAME
PHONE
FAX NUMBER (W)
REGARDING:
"When Quality and Scheduling Counts"
III tII llt
I
i
MORINATOR
G
BOARD
SIS
BOARD SUPPORTS
LADDER
MODEL
SLDE *
COLOR
GRADING
l e 41'
el:l
A RE -INSPECTION FEE OF
',711.1_ ESE CH,,IRGED IF THE At PR
I'I-ANS AIND JOB CARD ARE NC
THE SITE FOR A SCHEDI
INSPECTION.
NO EXCEPTIONS!
CITY OF LACUIN�TA
BUILDING & SAFETY DEPT.
APPROVED
- . .. ... _ _ Whtrt Qtratilr do SeludirfiAg CoitatMJ]MM
—
FOR CONSTRUCTION • -
la OS �� Q D 1 COMPLETE RENOVATION & SPA ADD
DATE;_,,.... � � 'r . , ,.,/ � .
CUSTOM CONCRETE WORK
:..�.. :�.. r - c,na�.c+,r,ikx0.3iu��ca�,ca
Bus: (760) 320-2030 Faa (760) 32
MU E. SUMff nvx&s M sib. A,PM M sl7 MC CA
_ -
,. 1TY OF LA QUINTA.SUB-CONTRACT R LIST?44z _
— ARMIT
M JOB ADDRESS NUMBER OWNER BUILDER
This form shall be osted o the •lot witi tgRouilding Inspection Card at all times in a cons icuous lace. Only persons appearing on this list or their employees are authorized to work
on this job. Any. changes to ibis 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
Ln
CD of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
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