13-0612 (RPL)a
a �
r » - P.O. B6x 1�504.� r t ' VOICE (760) 777-70.12. -
73-495 CALLE TAMPICO J 1 FAX (760) 777-7011
LA QUINTA,-CALIFORNIA 92253" BUILDING & SAFETY DEPARTMENT � - INSPECTIONS (760) 777-7153
BUILDINGPERMIT
Date: 5/28/13.'
Application Number: 13-00000612 Owner:
Property Address: 54871 WINGED FOOT DION
APN:. '775-330-016- - 54871 WINGED FOOT
Application description: POOL - RESIDENTIAL LA QUINTA, 'CA 92253
Property Zoning:. LOW DENSITY RESIDENTIAL (S03)440-1598
Application valuation: 36000
Contractor: D A
Applicant- Architect or Engineer: MCRAE POOL & SPAS
79105 DESERT STRE R MAY 282013
LA QUINTA, CA 922.3
(760) 774-6343 CITY OFLAQUINTA
\ Lic. No.: 823017
FINANre mann
- - - - - - - - - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
LICENSED CONTRACTOR'S DECLARATION '
I hereby affirm under penalty of perjury that 1 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.
LicenseClas�s:: C53-1227 LicenseNo.: 823017 -
Dat , � _/ Contractor: ,O-
OWNER -BU DER 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 Iirensed pursuant to the provisions u( 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.).
- (_) I am exempt under Sec. , BAP.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:
LOPERr111T
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
ave and will maintain workerscompensation insurance, as required by Section 3700 of the Labor
TdV Code; for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
4107doI certify that, in the performance of the work for which this permit is issued, I shall not empiny any
person in any manner so as to lreuume subject to the workers' compensation laws of California,
and agree that, if 1 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Date Appiicant: _
rNING: 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). IWADDITION 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 1 i30 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 county to enteruponthe above-mentioned property for inspection pur oses.
Date: __ oLo ignature (Applicant or Age. t)jllll� - +--�---
l
Application Number . . . . . 13-00000612
Permit . . . . . . MECH POOL
Additional desc .
... Permit _Pee'' :.' 26.00 Plan Check
Fee
6.50
Issue::Date Valuation
0
_ Expiration Date 11/24/13
Qty Unit Charge Per
Extension
BASE: FEE
15.00
- 1:00 11.0000 EA MECH.FURNACE >100K
'11.00
P% i iil BILUG PUUL PERMIT
Additional desc .
Permit Fee 323.50 Plan Check
Fee..
210.28
Issue Date Valuation..
. . .
. 36000
Expiration Date 11/24/13. .
Qty. Unit Charge Per
Extension -
_ BASE FEE
252.00
•;11.00 6:5000 THOU BLDG 25,001-50,000
71.50
Permit . . . ... . ELEC POOL PERMIT-RES
Additional desc. .
Permit Fee 75.00 Plan Check
Fee
18:75
Issue Date Valuation
0
Expiration Date 11/24/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 30.0000 EA ELEC PRIVATE SWIMMING
POOL
60.00
Permit . . . PLUMBING
Additional desc .
Permit Fee 3.0.00 Plan Check.Fee
7.50
Issue Date . . . -Valuation
0
Expiration Date 11/24/13-
1/24/13Qty
QtyUnit Charge Per
Extension
BASE FEE
15.00
_ 2.00 6.-0000 EA PLB".FIXTURE
12.00
1.00 3.0000 EA' PLB GAS PIPE 1-4 OUTLETS
3.00
--------------- -
Special Notes and Comments
POOL,. SPA,'AND FIRE PIT EQUIPMENT. SHALL'.
BE INSTALLED IN ACCORDANCE WITH
LOPERMIT
-Application Number
13-00000612
-----
------ ---- Special Notes and Comments
' MANUFACTURER SPECIFICATIONS.
ALARMS AND .,
' -'•BARRIERS REQUIRED TO BE INSTALLED'AT
:-:PRE.- PLASTER INSPECTION.. 2010
CALIFORNIA
BUILDING' CODE..
-- - - - - - -.--- - - - - - - - - - - - -
Other Fees
- -- - -
BLDG STDS ADMIN (SB147.3)'
- ---- - - - - - -
1.00
,--Fee summary Charged
Paid
Credited
Due.
Permit Fee, Total 454.50
.00
.00
454.50
Plan Chi -k. TuLal 243.03
U'U.
-UU
243.03
Ot-her Fee Total 1.00
.00
.00
1.00
Grand Total 698.53
.00
.00
698.53
Bin. #
Oty 0� !.A Quo:'
uo : 'a
Building a Safety Division
P.O. Box 1504,78-495 Caife Tampico
ia.Quinta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking beet
Permit #
�� l✓
Project Address:514-871
r y S7i l T OwneesName:. A
A. P. Number. Address:� j f .P-1 —4? 7/
Legal Description:. City, ST, Zip:
Contactor. `' Telephone;,
Address: Project Description: s /'cI'P-F P /Y
City, ST, zip: ' Gg, 2
//
Telephone: -d 0 u 7 - 43.
3
'
State Lic. # :
City Lie'. M.
Arch., Engr., Designer.
Address:
City, ST, zip:00 Aukunru-, -
Telephone: ' .� Construction Type: Occupancy:
State Lic. #: M.- »z Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: o Sq. Ft : #Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: 36-000
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
'Ree'd
TRACKING PERMfP FEES
Plan Sets
Plan Check submitted Item Amount
Strtidural Calm
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cates.
Called Contact Person Plan Check Mlance
Title 24 Calci.
Pians picked up Construction
Flood plain plan
Plans resubmitted _ . Mechanical
Grading plan
2a° Review, ready for correctionsfissue Electrical
Subeontaetor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''d Review, ready for corrections/issue Developer Iapact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
IL pTotal
ermit Fees
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FOR=CONSTRUCTION
DAT&.-4�BY
4
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FOR=CONSTRUCTION
DAT&.-4�BY
� CITY OF LA QU[NTA,SU -CONTRACTOR LIST
JOB ADDRESS GDED !' TPERMIT NUMBER OWNER' DID BUILDER S
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 a e 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 ina stoppage of work and/or the voidance
of hiii1dinn nPrmit_ Few Panh annlicahle trade. all information requested below must be c6mDleted by aDDlicant. "On File" is not an acceptable response.
Trade / Classification Contractor
::;: >:':.::.;:;State:.Contractor.s License .
.. .
Workecs.Com ensat�on:Insurance:°` ' :::., .
Cit .. i3usi�ess License'> .;
Company Name
Classification
(e.g. A. B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp, Date
(xx/xx/xx)
EARTHWORK 1C-12) :.:. q N6; ;�
'75 `U0
Ll -3D •�
EST' At4T,T,&s ,
76odo 99 68 / Z I
/0-1-13
JO 7S"9
CONCRETE (C78) ' - �A�ARCPOL6V
VAI
FRAMING ;(C-5)
STRUCT:'STEEL IC -51) N G p( — '
/
9 �% 6So
Jo'� y
S% Z�S
% D000 �! 681 L 1
O" !-l3
1 D 7S 7
/
LLD
MASONRY (C•29)
PLUMBING (C-361
LATH; PLASTER (C=35)
DRYWALL (C-9)..::.
HVAC. (C-20)
ELECTRICAL. (C=10) .
R000INGIC.=39)::;:;
SHEET -METAL
GLAZING (C-171:.:`
INSULATION (C-2)..'.:
SEWAGE DISP- (6-42)
PAINTING (C=33) .
CERAMIC TILE (C-54)
CABINETS IC -6)
FENCING (C-13)
LANDSCAPING (C:-27).'-..
POOL (C-53)
PROP
LIN
EXISTING �►
MEDITERRANEAN
FAN PALM TO BE
RELOCATED HERE
R
PLANTER
EDGE
RIVER ROCK T0=
BE PLACE IN �
PLANTERS I
EXISTING PYGMY
PALMS TO BE �
RELOCATED HERE
PLANTER -
AREA
Je--4'— 71
BBQ WITH MINI
REFRIGERATOR TO BE
INSTALLED
1 \V I N.01 %.f V1 -
WALL TO BE
+41-011"
POOL EQUIPMENT TO BESET 5' AWAY
FROM PROPERTY WALL
RECENED
MAY 15 2013
c1n, OF Ila Ql1INTA
rnMMU%1j"('Y DEVELOPMENT
�..
OWNER:,
DION
RESIDENCE
SHEET TITLE:
CONSTRUC110N
PLAN
NORTH
SCALE: 1/4' - 1'-O"