06-3361 (RPL)P.Q. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Apptication Number: 06-00003361
Property Address: 77619 CALLE ENSENADA
APN: 773-293-001-2 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 14000
Tuyl 4 4a 4"
Applicant: Architect or Engineer:
a� 0
n
V-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
-------------- ` -----------------------------------
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 P fessionals Code, and my License is in full force and effect.
License Class: C53 Li No.: 818149
Date: Uf✓ Contractor: _ `
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: 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. 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 155001.:
(_ 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca
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(sl licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec. , B.&P.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 ISec. 3097, Civ. C.).
Lender's Name: —
Lender's Address:
LQPERMIT
Owner:
REDMON PEGGY
77619 CALLE ENSENADA
LA QUINTA, CA 92253
(
VOICE (760).777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/18/06
Contractor: 00,Q1 \
LAGUNA FALLS CUSTOM P / PAS
81730 HIGHWAY 111, ST #
INDIO, CA 92202
(760)347-8977 EP 20 ?006
Lic. No.: 818149®F
--------------------------------------!"------
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 this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier CALIF. INS Policy Number 46001785-0101
_ 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 be co a subject to the workers' compensation laws of California,
and agree that, if I should become s b'ect to the workers' compensation provisions of Section
3700 of the Labor Code, I shall fo with visions.
Dater Applicant:
WARNING: 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). 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 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 180 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 i mation is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr ction, an representatives
of this county to enter upon the above-mentioned property for in cu r as.
Date: �/Is ignature (Applicant or Agent):
Application Number . . . . . 06-00003361
i
Permit . . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
153.00
Plan Check Fee
99.45
Issue Date . . . .
Valuation . . .
. 13671
Expiration Date
3/17/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
12.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000•
108.00
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
3/17/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
-----------------------------------------------------------------------------
EA MECH
FURNACE >100K
11.00
i
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . .
45.00
Plan Check Fee ..
11.25
Issue Date . . .
Valuation
0
--• --= Expiration Date
3/17/07
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
27.00
Plan Check Fee
6.75
Issue Date
Valuation
0
Expiration Date
3/17/07
Qty Unit Charge
Per
Extension
--• -
BASE
FEE
15.00
1.00 6.0000
EA PLB
FIXTURE
6.00
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 . . . . . 06-00003361
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 329
Expiration Date . . 3/17/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 43L.F X 5' WROUGHT IRON
FENCE, ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid
-------------------------------------
Credited
----------
----------
Due
Permit Fee Total 266.00
.00
.00
266.00
Plan Check Total 123.95
.00
.00
123.95
Grand Total 389.95
.00
.00
389.95
LQPERMIT
Septic
Tank
5' Rod iron fence with
Self closing
self latchine Bate
Main
cr_ f
panel
4
Equipment—/
Existing Residence
Property line 5' Existing block
Tree
Iron gate
welded shut
no entry
no entry
SCALE: 3/32" = VI IN E C T 10 N,
WILL LRE CHARcrD IF
PLANS AND jo
01-r,y OF LA OUINTA B CARD
0 F_ LA
AF"E-TY Dr-
EPT. E SITE FOR A SM
INSPECTION,
t� T 11;
FOR CT P"O EXCEPTIOINS!
Property line / 5' Existing block wa'P
— — —Calle Ensenada—
Laguna Falls Pools Phone: (760) 347-8977 Designed by: LFP6-815 The Redmon Residence
81-730 Hwy 111, ste 2 J. Mantilla Designed 77-619 Calle Ensenada
Indio CA 92201 Fax: (760) 347-8975 9/13/2006 for: La Ouinta CA 92253
Rd
Bin #
City of La Quinta
Building S Safety Division
P.O. Box 1504, 78-495 Calle Tampico `
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
' ��b`
Project Address: 71 - 6 1 q Cj /If 61 x.144-
Owner's Name: P� i edvnm
A. P. Number:
Address: '7 7 - `I
Legal Description:
OCCity, ST, Zip: 1 Cf 2 2 d- 3
Contractor: La,4yl%lk F,I,IS Peas
FTelephone:
Address: O -i3p ifiv /if siy 2
Project Description: POO L C#,I$AeKe�IT�d
City, ST, Zip: /04(a 9270/
Strw Irv,, PNC$
Telephone: ' %%
Ton 3ale
State Lic. # :
City Lic. #: t?
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
_
Construction Type: Occupancy:
State L'ic. #:
type (circle one): New Add'n Alter Repair Demo
`Project
Name of Contact Person: J 0tik 1'2'
Sq. Ft.: ZTx--/A 7
# Stories:
# Units:
Telephone # of Contact Person:
stimated Value of Project: 0e0
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
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 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for torrectionsfissue
Electrical
Subcontactor List
Caped Contact Person
Plumbing
Grant Deed
Plans picked up
SAI.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'' Review. ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
;W
1'�