06-0828 (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:
006-00000828
78230 VIA'PAVION
604-032-999-8 -305.212-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTI
20000
Architect r ErV
c&t�v 4 4 w
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
BAR ��•�0�6
------------------------------------------------7--
--- - - 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 Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C8 C27 'C29 License No.: 656128
Cont ctor. \ .
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: Anycity 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.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
7044, BusinessandProfessions 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—) I am exempt under Sec. B.&P.C. for this reason
Dater Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirmunder*penalty of perjury that there is a construction lending agency for the performance of the
. ,work for which this permit is issued ISec. 3097, Civ. C.). ,.
Lender's Name: '
.Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/28/06 .
Owner:
VAN SLEET."
78-230 VIA PAVION
LA QUINTA, CA
LA QUINTA, CA 92253
Contractor: .
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, 'CA 92236 ,
(760)398-9222
Lic.- No.: 656128
WORKER'S COMPENSATION DECLARATION
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 ofthe 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 HRH INS Policy Number BB1060510
I 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 becomesubject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700ofthe Labor Code, I 1 II forthwith comply with those provisions.
B�5_19_000Applic na t:
WARNING: FAILURE TO SECURE WORKER '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 it; 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 peimit, or cessation of work for 180 days will subject.
permit to cancellation.
I -certify that 1 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 con;;tpn �,�on, and hereby authorize representatives
of thiscountyto enter
upon the above-mentioned property for i c;pec ion ur_posas.
Dafe: 'Z_ Signature (Applicant or Agent):
L
Application Number 06-00000828
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee. 207.00, Plan Check
Fee
134.55
Issue Date . . . . Valuation
20000
Expiration Date 8/27/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
18:00 9.0000 THOU BLDG 2,001-25,000
------------------------------------------------------------------------------
162.0-0
Permit . . . MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check.Fee
6.50
Issue Date . . . . Valuation
.
. 0
- Expiration -Date 8/27/06
-
Qty Unit Charge Per-
Extension 7
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 8/27/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING
POOL
30.00.
----------------------=-------------------=--=------------------------------
f
Permit .. PLUMBING.
Additional desc .
Permit Fee 33.:00 Plan Check
Fee
8.25
Issue Date Valuation-
0
Expiration Date 8/27/06
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
_ j
Application Number .. 06-00000828
-------------------------------------------------------
Special Notes and Comments
BE IN PLACE :PRIOR TO PRE-PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
.Fee summary, •Charged "Paid
Credited
Due'
y 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
LQPERMIT
`Bin # \
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
PeIrl-La
U
Project Address: V c,,VNov,\
Owner's Name:
A. P. Number:
Address:
Legal Description:
\•
Contractor:Qo S
City, ST, Zip:
;
Telephone:
Address: b2
PPr—oj�ecctt Description:
City, ST, Zip:(�paC�\la CA. . Ci22.3 G
T j�
Telephone: 760) S9 V% 9 Z Z Z—
t
State Lic. #: G56 12. S
City Lic. #:
Arch., Engr., Designer:
Called Contact Person
Address:
A.I.P.P.
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo.
Name of Contact Person: 3"e
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2 6-0- q OZ Y y
Estimated Value of Project: 2:& ®v
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted2.810%
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Total Permit Fees
Truss Calcs.
Called Contact Person
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:-
7nd 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