07-2090 (RPL)`;Ciiit 4 4 Q
P.O. BOX 1504" VOICE (760)777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/18%07
Application Number: -07-00002090 s Owner:
` Property Address:` .53783 VIA PALACIO JOHN LANE
APN: 772-560-050- -` - 53-783 VIA�PALACIO
Application description: POOL RESIDENTIAL LA QUINTA, CA 92253 0
Property Zoning: LOW DENSITY RESIDENTIAL 6
Application valuation: 32600
Contractor:
Applicant: Architect or Engineer: AZURE POOLS AN SPAS
P.O.- . BOX 10641 Fla 04A OJ
PALM DESERT, CA 92255
(760) 322-7665
Lic. No.: 802919 _7 "
_ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty'of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby ffirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Clas : C53 License No.: 1 802919 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�( h issued.
_
UAV ntrar:tor: _ 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
• OWNER-BUI DECLARATION insurance carrier and policy number are:
• I hereby affirm under penalty of perjury that I am exempt from the'Contractor's State License Law for the Carrier SIRIUS/DELOS Policy Number • ,01DKRM11000814 '
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for.which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, .
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License taw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or /�3C�970 of the Labor de,�y al hwithcomply with those provisions. '
that he or she is exempt therefrom and the basis for the alleged exemption: Any violation of Section 7031.5 by U 1
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ate: Applicant:
(_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
' 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.). APPLICANT ACKNOWLEDGEMENT
(_ ), 1, as owner of the property, am exclusively contracting with licensed contractors to construct the.project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
. -
..7 044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
n property who builds or improves thereon; and who contracts for the projects with.a contractor(s) licensed .1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). , whose benefit work is performed.under or pursuant.to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. ,'B.&P.C. for this reason 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:
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation:
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the _ I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and.state laws relating to buildi construction, and hereby authorize representatives
of thi V our�[y to1p1ncep upon the above-mentioned propert fo in a 'e urposes. +
Lender's Name: I \0[
Date. i Signature (Applicant or Agent):
Lender's Address: -
LQPERAIIT - - -
Application,Number 07-000.02090
Permit BLDG POOL PERMIT
_ Additional desc ..
Permit.•Fee•" 304.00 Plan Check
Fee
197.60
• �- Is„sue Date Valuation
32600
Expiration Date 1/14/08.
Qty.” Unit Charge Per
Extension
BASE-FEE
252.00
8.00. 6'.5000 THOU "BLDG 25,001-50,000
52.00
Permit MECH"POOL ;
Additional desc ... .
" Permit Fee 26,.00 -Plan Check
Fee
6.50
'. Issue Date Valuation
0
Expiration Date 1/14/"08'.
Qty-. Unit Charge Per.
Extension
BASE FEE."
15.00
1.00 11. 0.000 EA MECH FURNACE">100K
11.00 G.
Permit . . ELEC.POOL-PERMIT--RES
Additional desc. `. ..
Permit Fee._ 45.00 Plan,Check
Fee
11.-25
Issue DateValuation
..:. .
p -
Expiration Date 1/14/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000-EA ELEC,PRIVATE SWIMMING.POOL
30.00
Permit PLUMBING
Additional desc e
Permit Fee 33'.00 Plan Check
Fee
8.25
Issue-Date Valuation
0
-.Expiration Date 1/14/08
Qty Unit Charge Per.:
Extension
BASE FEE
15.00
2.00;_ 6.0000 EA PLB FIXTURE
12.00
1.00 3.0000 EP; ' PLB WATER INST/ALT/REP
-3.00 r
1.00 3.0000. EA _ PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments "
POOL/SPA WITH EQUIP VAULT PER
"LQPE%NIIT
Application Number ... . . ." '
07=.00002090
-------------------------------- -------------
.SpecialNotes.and Comments
-
ENGINEERING PLANy
-
Fee"summary Charged
Paid
Credited".
Due
Permit Fee Total 408.00
00
.00-
408.Q0
Plan Check Total 223.60
.00
.00
223.60
Grand Total 6131.60
.00
.00
631.60.._
- LQPERDIIT .. .. ..
_
.moi :.• - _ .,
r
Bin # �.. �.�- •
City of LaQ Uinta •
x
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Q
Project Address,5 V l A ���
Owner's Name: ;
A. P. Number.
Address: G 2j v-�> V1\0, ua U,6
Legal Description:
City, ST, Zip: ul.
Contractor:
Address: P.0 °BOX .l Od4l`
Telephone:s��
Project Description:, 00DI
City, ST, zip: Palm`pi! e% ;-CA..225,
�L
Telephone:Z2� 1 lX LA'S a. .:e _
State Lic. # : l City Lic. #:
Arch., Engr., Designer: '
� USI •
Address:
City, ST; Zip:
�- �� • ;tom.;
Telephone: s 4j'
State Lic. #: d =
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): ew Add'n . Alter . Repair Demo
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: - S
Estimated Value of Project: Z
APPLICANT: DO NOT WRITE BELOW. THIS LINE
#
Submittal.
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
7/ /•
Plan'Check Deposit
Truss Calcs.
Called Contact Person
7/
Plan Check Balance
Energy Calcs. -
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 up
S.M.I.
H.O.A. Approval
Plans resubmitted .
Grading
IN HOUSE:-
'rd Review, ready for correct' issue
�
Developer Impact Fee .
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
.School Fees
TotaUPermit Fees .
City '& La •Quints
Plan Check Corrections
Date:.7-11-2007; ;
Project Address: 53-783 VIA PALACIO
Project Description: POOL.ERQUIPMENTYVAULT
Applicant: AZURE POOLS
Status: First Review t
• Plan Checked by:Steve Traxel (760) 777-7018
Respond ;in writing to each correction below, noting.where correction can be found.,Retum this y ,
list and all red -marked -plans with next submittal Revise plans as necessary, reprint and
resubmit two complete'sets of plans, wet -signed by the person --who prepared them. ,
1: :PROVIDE STRUCTURE CALCULATIONS FOR VAULT
2. ..SHOW ON PLANS THE LOCATION OF- VAULT' . '
3. PROVIDE FLOOR PLAN FOR EQUIP LOCATION IN VAULT
{' 4. PROVIDE LOCATION WITH PROPER CLEARANCES FOR ELECTRICAL PANEL y;
5. SHOW ON VAULT PLANS ACCESS (LADDER) LOCATION AND ALL REQUIRED
VENTING FOR HEATERS INSTALLED
As further information is, provided and reviewed,•additional corrections maybe required.
Returned,for correction: Required for resubmittal:
2 -REVISED SETS PLANS
2-STRUCT CALC'
END CORRECTION LIST
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J _ i
Pity^ofauinta
V
Plan Check Corrections
Date: 7-11-2007
Project Address: 53=783 VIA PALACIO
Project Description: POOL ERQUIPMENT VAULT
Applicant:. AZURE POOLS.
Status: First Review
Plan Checked. by :Steve Traxel (760) 777-7018
Respond in writing to each-correction below, noting where correction can be found. Return this '
list and all red-marked,plans with next submittal. Revise plans as necessary, reprint and
resubmittwo complete sets of plans, wet-signed by the person who prepared them.
1. PROVIDE STRUCTURE CALCULATIONS FOR VAULT
2. SHOW ON PLANS THE LOCATION OF VAULT
3. PROVIDE FLOOR PLAN FOR EQUIP LOCATION IN VAULT
4. PROVIDE LOCATION WITH PROPER CLEARANCES FOR ELECTRICAL. PANEL
5. SHOW ON. VAULT PLANS ACCESS (LADDER) LOCATION AND ALL REQUIRED
VENTING FOR HEATERS INSTALLED
As further.information is provided and reviewed, additional corrections may be required.
Returned for correction: Required for resubmittal:.
2-REVISED. SETS PLANS
2-STRUCT CALC'
END CORRECTION.LIST
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