06-4408 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00004408
Property Address: 61063 FIRE BARREL DR
APN: 764-280-999-67 -300235-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 29000
Applicant:
Tj,ht 4 4 Q"
. . BUILDING & SAFETY DEPARTMENT
Architect or Engineer:
BUILDING PERMIT
Owner:
STEVE BALMUTH
61063 FIRE BARREL DRIVE
LA QUINTA, CA 92
Contractor:
GARY & SONS
67657 CLUBHOUSE
DESERT HOT SPRIN
(760)251-8945
Lic. No.: 866518
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/02/07
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U NSED CONTPC OR'S DECLARATION
I hereby affirm under penalty of perjury th am licensed de provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin d Professio als de, and my License is in full force and effect.
License CI'ss: C53 Lice se No.: 866518
ate: � ® ractor.
0,WNER-BUILDER DMLARATION
I hereby affirm under penalty of perjury that I a,r)fexempt 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 IChepter 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 1, 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:
LQPERAI[T
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 num11e' are:
Carrier STATE FUND Policy Num r 1837911-06
_ I certify that, in the perfo a 'e of the workgg'tj.
' "ch
this permit is issued, I shall not employ any
person in any manner a to become sutheworkers' compensation laws of California,
and agree that, if I sho come subjectworkers' compensation provisions of'Section
3700 of the Labor Co , I s all forthwithy with those provisions.
WARNING: FAILURE TO SECtffke ArORKERS' COP PEN SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL -YES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO THE OST 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 w se request and for
whose benefit work is performed under or pursuant to any permit issued a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnif and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omissio related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application be omLvoii if work is not commenced
within 180 days from date of issuance of such rmitf work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the ove infrrect. I agree to comply with all
city and county ordinances and state laws relating to buil 1constreby authorize representatives
of this my o�-e7nter upon a above-mentioned prope r inspe
teal 2 P nature (Applicant o
Application Number . . . . . 06-00004408'
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . 278.00 Plan Check Fee .. 180.70
-Issue Date . . . . Valuation . . . . 29000
Expiration Date 6/27/07
Qty Unit Charge Per Extension
BASE FEE 252.00
4.00 6.5000 THOU BLDG 25,001-50,000 .26.00
----------------------------------------------------------------------------
Permit MECH POOL
Additional desc .
Permit Fee .26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 6/27/07
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 6/27/07
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 6/27/07
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERAI IT
Application Number . . . . . 06-00004408
Special Notes and Comments
PLACE AT PRE-PLASTER•INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged 'Paid'' Credited Due
---------------------------------------------------------
Permit Fee Total 382.00 .00 .00 382.00
Plan Check Total 206.70 .00 .00 206.70
Grand Total 588.70: .00 .00 588.70
LQPERMIT -
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1.504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.
�' `_%
"C
Project Address: �' 1'C r��
Owner's Name: v U
A. P. Number:
Address: A063 rizie 62L1--e-z.
Legal Description:
City, ST, Zip:lai!Aa4 C17 *J—
Contractor:
Telephone;.
Address: Ub S �� .
Project Description:���! ! ��
City, ST, Zip: S av
1 . v
Telephon 7
State Lic. # : S g
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
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: qEstimated
Value of Project: 09 009. Ov
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd :.
Reed
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready tor' `ifrections
Plan Check Deposit
Truss Cafes.
Called Contact Person..
Plan Check Balance
Energy Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plau
2" Review, ready for corrections/issue
Electrical
Subiontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.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
er F• _
i,
�, ��h'��► � �� �,'1J� � � fit;
O'� �/ C
: Ci
LANDSCAPE PLAN + DESIGN Chuck Cooper
STEVE & MARLA BALMUTH Environmental Planning,. Design
81720 Daniel Drive
61063 FIRE BARREL TRILOGY La Quinta CA 92253
LOT 67 949 492 1668 QDD=ems-Envft erdej Plerpting. Dealg e,
EP.D'� reserves ell rigMs b e to Ws WM pe Plan and
design. Tne plan e d design ere mt to De reproduced.
RICHARD RODRIGUEZ LANDSCAPE =n=. -pi"
nneM edlnenTMm
wnmeoever ,.hZ Pop olrtelNng lna exp— carmen
/- P—M.sion o/ CCEP.D.