Loading...
06-2599 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant:ell ' 06-000.02599' {, 7 8 4`6 1DEACON+ DR W 770-210-021- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 24000 Titv/ " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: pip LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 01 of ivision 3 of the Business and Professionals Code, and my License is in full force and effect. License C ss 53 ,��cense No.: 518742 Date: C tractor: 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 ($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 1, 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.l. (_ 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: GRAYSTONE CONSTRUCTION CO. 78401 DEACON DRIVE WEST LA QUINTA, CA 92253 Contractor: AMERICAN POOL CONSTRU P.O. BOX 11996 PALM DESERT, CA 92255 (760)340-2588 Lic. No.: 518742 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/07/06 -°D =g�g� 07 2006 j51—Ty-OF LA 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 STATE FUND Policy Number 0001188-2005 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' dompensation provisions of Section 700 of the Labor Code, hall forthwith comply with those provisions. Date: Applicant: WARNING: AILURE 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 arid 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.' 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building nstruction, and hereby authorize representatives of this cou y t enter upon the above-mentioned property f spection Date: ipnature (Applicant or Agen 4 LQPERMIT Application Number . . . . . 06-00002599 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 THOU BLDG 2,001-25,000 198.00 ---------------------------------------------------------------------------- Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . MECH POOL 26.00 1/03/07 Plan Check Fee . . 6.50 Valuation . . . . 0 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 . . ADDN CHG. TO BASE FOR SUP PMP Permit Fee . . . . 48.00 Plan Check Fee . Issue Date. Valuation Expiration Date 1/03/07 11.25 0 Qty Unit Charge Per Extension BASE FEE 18.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . PLUMBING 27.00 1/03/07 Plan Check Fee . . 6.75 Valuation . . . . 0 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 ---------------------------------------------------------------------------- Special Notes and Comments SPA, WATER FEATURE & PONDS. Application Number . . . . 06-00002599 ---------------------------------------------------------------------------- Special Notes and Comments ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -.PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due ------------------ ---------- ---------- ---------- -=-------- Permit Fee Total 344.00 .00 .00 344.00 Plan Check Total 182.45 .00 .00 182.45 Grand Total 526.45 -.00 .00 526.45 LQPERMIT ' 'Aa Ql1lNTA — CITY OF ° BUL-7. & SAFETY DEPT. , ROVED ONSTRUCTION = DAO.� -Dc- M iA S, R r D iWAtk— Ab to FD c -Sh11 ® -Ad SPA — �--•_ MOPEft Y •LrE OU UnLITY POLEJQ JA TM BOX ® NOSE .8atT � SIGMER �• �KO� •-- -- W- LITY EASEWNT © 0 EC AVEL ® BtDWM --- FLL "LfE —/ LIGHT AREA DRAN - -- fQrCE •TYPE! � GAS METER 0 WMM OF FL4U �� DR RETLM PNC GRAN '�-�-- tMERCIAM0 GAS BENCH AN11<�C RATE WLYE QH HEATER-+ TTf�tAPY GRAB RAJL.S �-� OVERHEAD ELEC ® VATER DEPTH . e) GATE WLVE Op "IN GRAN AERATOR � LADDER �- OVERHEAD. TELE. tWfU $ SWITCH © P TRAP o PL W ❑ GAS GRILL - ® ELEC. PEDESTAL AfJCESSC* 0 RE)CEPTACL.E --3 STUB b CLP ANa ',& SEE NOTES SCALE :ice_.11-0. I . AKtA MAY MY&W NO. U 1M6i� LIC. # 51874 • BLOCK IDOOL c'cN%Y"W'TlcN INC.0i • PALM DESERT, •1 340-2588 Bin # City of La Quinta Building & Safety Division Permit #P.O. Box. 1504, 78-495 Calle Tampico 50 � La Quinta, CA 92253 -.(760) 777-7012 Building Permit Application and Tracking Sheet Project Address: ,¢Cpy( Ja.(LV<10'�S Owner's Name: 6 S� S a A. P. Number: '1 �- L� Q Address: 515 —Vl Legal Description: City, ST, Zip:�f _ �(Jl� �2—Z,S3 Contractor:p� Telephone: Address: P4, �l ��� Project Description: QA W/7 l U^Ll!�i%/ City, ST, Zip: F,*-�1'i' e Telephone: . ZS iS }S State Lic. # : j j!� CityLic. - ��. Arch., Engr., Designer: CO�d ? ? Address: T to IWO City, ST, Zip: Telephone: ConstructionType: 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: APPLICANT: DO NOT WRITE•BELOW THIS LINE il Submittal Plan Sets Req'd Recd TRACIONG . PERMIT FEES Plan Check submitted Item Amount Structural Cities. Reviewed, ready for corrections plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Coles. Plans.picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing - Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3`' 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 5cu - . 5