09-0429 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ty/ 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 09-00000429
Property Address: 60988 FIRE BARREL DR
APN: 764-280-999-50 -300235-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 12500
Applicant: Architect or Engineer:
/ +�•1 � 1 1
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I m licensed and provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin ss rd Profession s ode, and my License is in full force and effect.
Licen".-
i nse No.: 866518
O�ER-BUILDER DECLARATION
I herI ampt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Prons 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 ($500).:
1 _ 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 I, as owner of the property, am exclusively contracting with licensed contractors to 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. , 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
RON OTTE
60988 FIRE BARREL DRIVE
LA QUINTA, CA 92253
Contractor:
GARY & SONS
676\21 CACTUS APPLE
Dk'RT HOT SPRINGS, CA 92241
f +A)251-8945
a. No.: 866518
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/08/09
-- --------- - - - - --
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 fo/bIt
this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier DELOS INS CO Policy Nu02DKRM220010101
_ I certify that, in the performance of the workich this permit is issued, I shall not employ any
person in any manner so a o become suthe workers' compensation laws of California,
an¢(agree that, if I sh e,i ecome subjecworkers' compensation provisions of Section
3f 00 of the Labor C e, shall forthwith with those provisions.
WAR NG• FAILURE TO SECt•1RE WORK S' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUB CT AN EMPLOYER TO CRIMINA ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CORfE, 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 i not commenced
within 180 days from date of issuance of such permit, or cessation of work f r 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov information is correc . agree to comply with all
city and county r ' ances and state laws relating to building c struction, and her y thorize representatives
of this c unt o ter upon the above-mentioned propert for n pection purpose
Sig ure (Applicant or Agent): —
+- T
Application Number . . . . . 09-00000429
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
144.00 Plan Check Fee
93.60
Issue Date . . . .
Valuation . . .
. 12500
Expiration Date . .
11/04/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
11.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
99.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
11/04/09
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 . .
I
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/04/09
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
11/04/09
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 . . . . . 09-00000429
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 160
Expiration Date . . 11/04/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SPA & 10 L.F. 4' EQUIPMENT WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
------------------------------ ----------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee.summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 257.00
.00 .00
257.00
Plan Check Total 118.10
.00 .00
118.10
Other Fee Total 1.00
.00. .00
1..00
Grand Total 376.10
.00 .00
376.10
LQPERMIT
Bin # Qty of La Quinta
Building &r Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Ok Building Permit Application and Tracking Sheet
Project Address:(609 W9 ik 1j-Vq lj�teOwner's Name: •
A. P. Number:
Address: (P oij
Legal Description:
City, ST, Zip. _Z_
Contractor:
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Telephoner
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Address: tP1Le 2L(141.
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Project Description:
City, ST, Zip:
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State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:
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Construction Type: Occupancy:
Project type (circle one): New .. Add'n Alter Repair Demo
Name of Contact Person-
Sq. Ft.:
# Stories: # Units:
Telephone # of Contact Person:
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Estimated Value of Project:' '
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING J
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction -
Flood plain plan
Plans resubmitted
Mechanical
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:-
'"' Reylew,.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
1
Total Permit Fees
Boot-," MOM
Chuck Cooper Environmental Planning + Design
81720 Daniel Drive La Quinta CA 92253
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RON VICKI OTTE
60988 FIREBARREL
LOT 50 /907336 36 3 314
RICHARD RODRIGUEZ
LANDSCAPE & LIGHTING
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Chuck Cooper Environmental Planning + Design
81720 Daniel Drive La Quinta CA 92253
-e.N-
RON VICKI OTTE
60988 FIREBARREL
LOT 50 /907336 36 3 314
RICHARD RODRIGUEZ
LANDSCAPE & LIGHTING