07-0713 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00000713
Property Address: 81790 GOLDEN STAR WY
APN: 764-280-999-114 -300235-
Application description: POOL.- RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 30000
Applicant: rV Architect or Engineer:
P 1
--------------------------------------------------
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 Professionals Code, and my License is in full force and effect.
License Class: C53 C27 License No.: 419309
'0% Contractor: ��-4—�)'ikAd>lsu6
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 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.).
(_) 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 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:
LQPERMTT
Owner:
MCDONALD
81790 GOLDEN STAR WAY
LA QUINTA, CA 92253
Contractor:
DESERT PARADISE POOL/SPA
78005 WILDCAT DRIVE SUIT
PALM DESERT, CA 92211
(760)360-7400
Lic. No.: 419309
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/08/07
--------------------------------------- - - - -
=ti
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
or 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 ENDURANCE WORK Poticy Number WVS001347901
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' compensation provisions of Section
3700 of tho Labor Opo, I shjll forthwith comply, with those provisions.
—Fs -C7
WARNING: FAILURE TO URE WOIifiERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYFTO 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.
I . 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 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 +county to enter upopKe above-mentioned propert r inspe "on purposes.
ate: ignature (Applicant or Agent):
� r .
Application Number . . . . . 07-00000713
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . .
284.50
Plan Check
Fee
184.93
Issue Date . . . .
Valuation
. . .
. 29675
Expiration Date
9/04/07
Qty Unit Charge'
Per
Extension
BASE
FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG
25,001-50,000
32.50
Permit . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date
Valuation
. . . .
0
Expiration Date
9/04/07
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
9/04/07
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 . . . .
36:00
Plan Check
Fee
9.00
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
9/04/07
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
8.00 .7500
--------------------------
EA PLB GAS PIPE >=5
:- -----------------------------------------------
6.00
Permit . . . . . WALL/FENCE PERMIT
LQPERMIT
E
LQPERMIT
Application Number
Permit . . .
Additional desc . .
Permit*Fee . . . .
Issue Date . . . .
Expiration Date .
. . . . 07-00000713
WALL/FENCE PERMIT
15.00 Plan Check Fee .
Valuation .
9/04/07
.00
325
Qty Unit Charge Per Extension
BASE FEE 15.00
-------------------------- :
Notes and Comments
POOL/SPA, WATERFALL, 8 OUTLETS FOR
TORCHES, 15 L.F. 5' EQUIPMENT
ENCLOSURE, ORCO SYSTEM. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION
Fee summary Charged Paid. Credited Due
----------------- ---------- - ------ ---------- ----------
Permit Fee Total 406.50 .00 .00 406.50
Plan Check Total 211.68 .00 .00 211.68
Grand Total 618.18 .00 .00 618.18
#
Submittal
Plan Sets
#
City of La QUinta
iBin
Stract+ral Calcs.
Building a Safety Division
•iPermit #
P.O. Box 1504, 78-495 Calle Tampico
Truss Cala.
La Quinta, CA 92253 - (760) 777-7012
Called Contact Person
Building Permit Application and Tracking Sheet
Project Address:
5 A-_ Owner's Namo: I a d _ 1 Pf1kQF,
A. P. Number:
Address:
Legal Description:
City, ST, Zip: LA U) lir`
Contractor. iF -PAA D)S-c fbr-+&�:soo5 Telephone:
Address: 7'9005
Project Dmeription:
City, ST, Zip: u .e
SRikG C
Telephoner(� J?
State Lie. # :
City Lie. #..
Arch., Engc., Designer.
5 t
Address:
-154
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Projed type (circle one): New Add'n Alta Repair Demo .
' Name of ContactPerson: S 6 W A14
, 5-�ecj)" P /J Sq. Ft: # Stories: # units:
Telephone # of Contad Perso
- Estimated Value of Projed: QO
Grading
APPLICANT! nO NOT wrtrrF Etri rlw Tutt s imv
#
Submittal
Plan Sets
Req'd "_
Ree'd TRACKMG PERMIT FEES
PLa Ckeck submitted 2 Item Amount
Stract+ral Calcs.
Reviewed, reidy for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Energy Calm
Plans j Icked.ap
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plim'
2`` Revim, ready for eorrectionslissue
Electrical
Subcontxetor Ust
Called Contact Person
Plumbing Lw 8 vT
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE-
'"' Roview, ready for eorrectionstissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
.Date, o[ permit issue
School Fees
Total Permit Fees
30J 000
X75