06-2763 (RPL)-44
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: 7/21/06
Application Number: 06-00002763 Owner:
Property Address: 52030 AVENIDA VILLA SMITH SETH B
APN: 773-234-001-22 -000000- 52030 AVENIDA VILLA
Application description: POOL'- RESIDENTIAL LA QUINTA, CA 92253 D
Property Zoning:_ COVE RESIDENTIAL
Application valuation: 17000 ��p Q 2006
Contractor: L c�
Applicant: Architect or Engineer: BLUE HAVEN POOLS CITY - LAgUfN7A
- 2318 S. VINEYARD AVE E' (A)FINANGERE�
ONTA-10, CA 91761
WCC: INS CO OF PA
Lic. No.: C53.
LICENSED C TRACTOR'S DECLARATIO WORKER'S COMPENSATION DECLARATION "
I hereby affirm under penalty of pe5Busine
m lic sed under provisions of Ch ter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 700 of Div ion 3 of the P essionals Co y ense is in full force and effect. _ I have and Will maintain a certificate of consent to self -insure for.workers' compensation, as provided
License Cla - - - - - - --' Li se No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_ �/ issued.
ate: ntractor:�� ' PSI 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 -BUILDER ECLARATION - insurance carrier and policy number are:
hereby affirm under penalty of perjure) am exempt from .%Contractor's State License Law for the Carrier WC3422016 04/29/0Policy Number 618892 i
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to • _ I certify that, in the performan f the ork for which this permit is iss d, 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 ny manners s to ec a subject to the ers' co nsation 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 agr that, if I sh Id bec m subject to the rkers'c m ation provisions of Section -
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3 0 f ab e, I s II orthwith comp) with rhos r visions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by Jr�1(,�
any applicant for a• permit subjects the applicant to a civil penalty of not more than five.hundred dollars ($500).: te: �l/ plicant:
(_ 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 WA ING: F ILURE TO SECURE WOR RS' COMPENSATION COV AGE IS UNLAWFUL, AND SHALL .
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SU JECT AN EMPLOYER TO CRIMINA} PENALTIES AND CIVIL FI 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 COMPEN ATION, 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 I, 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
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. -
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 1 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 da 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 thb nation is orrect. agre o comply with all
work for which this permit is issued (Sec. 3097, Civ. C.): - city and cou ordinances and state laws relating to buildi co coon, a hereby a t e representatives ,
of thi ou t en r on th bove-mentioned prop fofji coon pur oses.
_ Lender's Name:
ate:/ ature (Applicant or Agent):
Lender's Address: � �
LQPERMIT ..
Application Number
06-00002763
Permit
BLDG -POOL PERMIT
Additional desc,
Permit Fee
180.00 Plan Check, -Fee
117."00
Issue Date . .
Valuation . . .
. 16827
'Expiration Date-
1/17/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
15.00 9.0000
------------------------------------------------------------------------------
THOU BLDG 2,001-25,000
135.00
Permit . .
MECH POOL
;
Additional desc .
Permit Fee
24.00 Plan Check Fee,....
6.00
Issue Date:
Valuation ..
0
Expiration Date
1/17/0"
Qty Unit Charge
Per
Extension
BASE FEE
15.00`
1.00 9.0000
EA MECH FURNACE <=100K
9.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc
Permit Fee. .
45.00. Plan Check Fee ..
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration•Date .
1/17/.07
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
1/17/07
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
Permit . . . . . .
WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 06-00002763
Permit . . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation .
. 173
Expiration Date- 1/17/07
Qty Unit Charge Per
Extension
BASE FEE
--------------.--------------------------------------------------------------
15.00
Special Notes and Comments
POOL/SPA, 8 L.F. 5' BLOCK WALL, CITY
STANDARD, GFI & GAS STUB FOR FUTURE BBQ.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
**** THIS PERMIT WAS ISSUED TO REPLACE
EXPIRED PERMIT ;04-6972. NO INSPECTIONS
HAD BEEN DONE SINCE 11/04, THEREFORE
NEW FULL FEE•PERMIT NEEDED TO BE
ISSUED****
--------------------------------------- ------------------------------------
Other Fees . . . . . . . REPLACEMENT
INSP CARD
15.00•
Fee summary Charged Paid
Credited
Due
-------- --- ------
Permit Fee Total 297.00 •.00
---------- ----------
.00
297.00
Plan Check Total 142.50 .00
.00
142.50
Other Fee Total 15.00 .00
.00
15.00
Grand Total 454.50 .00
.00•
454.50
Bin # a��3
Permit. • `
City. of La Quinta
• ' Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
00 La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Q 7kVt
Owner's Name: S e4+'
l SM
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: (V� (,
l 006
s
Telephone:
`
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #: f 8
Construction Type: Occupancy:
Project type (circle one): New Add`i► Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:#Units:
Telephone # of Contact Person:
Estimated Value of Project:
hhP 4
7�1-ICAN`T� 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
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy. Calcs.
Plans picked up
Construction
Flood plain plan
l
Plans resubmitted
Mechanica
Grading, plan
2nd 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:-
d'd Review, ready for corrections/issue
Developer =mpact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
r
Total Perrrit Fees