06-0506 (RPL)P:O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number. C-06-00000506
Property Address: 52520 AVENIDA VILLA
APN: 773 -304 -001 -2 -000000 -
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 18000
Applicant:
Architect or Engineer:
r.. %f•
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT.
--------------------------=-----------------------
LICENSED CONTRACTOR'S DECLARATION '
1 hereby affirm under penalty of perjury that lic nseQ under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines and rof sidnals Code, and my License is in full force and effect.
License Class: B License No.: 86Z1631.
ontractor.
\aexemptWNER-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that from the Contractor's State License Law r 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. Ariy violation of Section 7031.5 by f
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 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
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, asowner of the property, am exclusivelycontractingwith licensed contractorsto-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.).
(_ 1 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: lb-
Lender's Address:
LQPERMIT -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) .777-7153
Date: 2/02/06
Owner:
BIRDSELL
52-520 AVENIDA VILLA
LA QUINTA, CA 92253
Contractor:
BIRDSELL BUILDERS INC
O BOX 630
QUINTA, CA 92247
%%%(760)409-7070
Lic. No.: 862631
r
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.
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 thispermit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 222Q649105
_ I certify that, in the pert r anc of the work for which this ermit is issued, I shall not employ any
person in any mann r so as.to ecome subject to the wort rs' compensation laws of California,
and agree that, if I sl ou be,
a subject to the workers 'c pensation provisions of Section
3700 of the bai.0 hall ithwith com with ose ovisions.
ate: I�2'Gb pplican 1
WARNING: FAILURE TO SECURE ORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES 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 ofBuilding -.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 officer's, 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 becoes null and void if work is not commenced
within 180 days from date of issuance of mt, or cessation of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state thatFhebov in rmation is correct. I agree to comply with all
city and county ordinances an state laws relating t g onstru ion, and hereby authorize represe atives
of this county to enter upo he above•mentione pro r inspectio purpo s.
to �� G Signature (Applicant or Agent �\ 1/1
Application Number ... . . . 06-00000506
Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . 189.00 Plan Check
Fee
122.85
Issue.Date Valuation
.
. 18000-
Expiration Date 8/01/06
' Qty Unit Charge Per.
Extension
BASE FEE'.
45.00
16.00 9.0000 THOU BLDG 2,001-25,000
144.00
Permit MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check
Fee
6..50
Issue Date Valuation
. . .
0
Expiration Date : 8%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 .. 8/01/06 '
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 8/01/06
Qtlr, Unit, Charge Per
Extension.
BASE FEE
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
LQPERMTc'
Application Number 06-00000506
----------------------------- ----------------------------------------------
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 293.00 .00
.00
• 293.00
Plan Check Total 148.85 .00
:00
148.85
Grand Total 441.85 .00
.00
441.85 -
LQPERMIT. -
..
Bin #
City of La Quints
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permitfl
Project Address: Szs2� ` _ `
Owner's Name: e4
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address:
Project Description:
City, ST, Zip:
Telephone:
MIT
S L .G cm2 G
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
..
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories-
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
p
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Floodplain plan,
Plans resubmitted
Mechanical
Grading,plan',
2"" Review, ready for corrections/issue
Elechical
Subcontactor List
Called Contact Person
Plum-ging
{
Grant Deed
Plans picked up
S•M•p
H.O.A. Approval
Plans resubmitted
Grad ng
IN HOUSE:-
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
Jan 30 06 05:46p Victoria L&W Inc
Bin if
PeM* ir 00— Oo
Project Address:
A. P. Number_
X
Contractor. V1 (i� r� isl
x
Addrus 2. (�5
City. ST. Zip d Ina l0
X
Telephone: ' .7 — 0�
%K
StateLie. 9 j
Occupancy.
Arch., Eng=, Designs.
t Nantc of Contact Person
Address:
--------------
Project type (circle one):
City. ST. Zip:
760-775-9063 p.3
City of La Quilita
Building at Safety Division
P.O. Box 1504, 78-445 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
0 -Ames NamC
�•
Address: J 1--75
u 1
City. ST. Zip: I /I
L+ -vv 1 YIC FTelephone:
ojxt Deseiptioa: Q 1 �-- .
,44 9 2201
�"�=F=
rity Lic
Telephone:
Construction Type:
State Lic- il:
s:.s"ati -ter.
Occupancy.
t Nantc of Contact Person
- `
' /
Project type (circle one):
New Add :n Alta Repair lhrtto
1'
Sq. FI.:*
Stories:
• Tcicphone * of Contact Person: 3
A Units
mated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
*
Submittal I
Req'd
We'd
TRACKING
Plan Sets
PERl1lfT FEES
Plan Check submitted
'Stractural Cales: `•.:
-
•_.: __.
_ ..
Revieiyo`d; read y for corrections
3 f •
Item
Ptao
Amount..
- — -- --._
Truss Calcs.
Cweek Deposit
coiled Contact Person
cocsg7 C'!�
Plan Cheek Balsace
Paan picked up
Flood plain plan
Construction
Plans resubmitted
Grading platy
Mechanical
Y' Review°, ready for corrections/issue
Subeontactor List
Electrical
Called Contact Peron
Grant Deed
Plumbing
Plans picked up
H.O_A. A
Approval
S_ht.l.
Plans resubmitted
IN HOUSE:-
Grading
Review, ready for eorreetionslissue
Planai A
°g Approval
Developer Impact Fee
Called Contact person
Pub.=1A. Appr
A_l P.P_
Date of permit issue
School Fees
Total Permit Fees
CD
LO
X11 Villa
La Quinta, Ca.
rl-
• L �
note equip to be
set in rear yard setback
at rear p/1 POO
5,0-
-covered patio
decking
-- \ - —�J+18
11'6
P/L
CL Victoria Landscapes & Waterfalls
Lh 0 82-365 H�vy.'111, Suite 104
CD Indio, Ca 92201
C) Contractors Lie #801813
CO
CU
STREET
Q
CD
LO
X11 Villa
La Quinta, Ca.
rl-
• L �
note equip to be
set in rear yard setback
at rear p/1 POO
5,0-
-covered patio
decking
-- \ - —�J+18
11'6
P/L
CL Victoria Landscapes & Waterfalls
Lh 0 82-365 H�vy.'111, Suite 104
CD Indio, Ca 92201
C) Contractors Lie #801813
CO
CU
STREET
760-7710429 P.1
z Cl PF LA QUINTA
IL f&� & SAFETY DEPARTMENT
r".Zj w 777-1012
I CTION REQUEST LINE
777-7153
Owner
Permit Number —1G
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 57-570 A,YENMA VILLA
POOL & SPA ONLY. ALARMS/BARRIERS SHALL BE IN
PLACE PRIOR TO PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT.
TYPE OF INSPECTION I DATE I INSP.
SET
U/G
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL)
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING. U
U/G GAS
U/G ELECTRICAL Ob
PRE -PLASTER ALARMS / BARRIERS SCI
FINAL INSPECTIONS
TEMP. USE OF
ELECTRICAL
PLUMBING
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. _>
FINAL / JOB COMPLETED_
i
AI I r:nNrRFTF FI AT WORK. -,HAI I RF PI A(.Fn A