06-1633 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00001633
Property Address:
81795 GOLDEN STAR WY
APN:
764-280-999-79 -300235-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
23000
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 a d Professionals Code, and my License is in full force and effect.
License Class:Cr8�C'27 C29 License No.: 656128
sate: —1` Contwftor:
WNER-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).:
(_) 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.).
( ) I am exempt under Sec. , BAP.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.I.
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
WHITE
81-795 GOLDEN
LA QUINTA, CA
STARWAY
92253
Contractor:
CALIFORNIA POOLS &
P.O. BOX 1280
COACHELLA, -A 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/25/06
----------------------------------------------—
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 SEABRIGHT Policy Number BB1060510
_ 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 s4§ject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall rt omply with those provisions. .
Def"e• 0461PPlicanto'
WARNING: FAILURE TO SECURE WORKERS' COM ENSATION 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to build' i ction, and hereby authorize representatives
ofthis county to- enter upon the above-mentioned prop or i pecu purposes.
aII te: 4/ G �`�'TSignature (Applicant or Ageet) ):
Application Number . . . . 06-00001633
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
234.00 Plan Check Fee
152.10
Issue Date . . . .
Valuation . . .
. 22760
Expiration Date
10/22/06.
Qty Unit Charge
Per
Extension
BASE FEE
45.00
21:00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
"189.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/22/06
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
10/22/06
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 Fee33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date ...
10/22/06
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
Permit . . . .. . .
WALL/FENCE PERMIT
LQPERMIT
r
J
LQPERMIT
Application Number
06-00001633
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 15.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 240
Expiration Date
10/22/06
Qty Unit Charge
Per
Extension
BASE FEE
15-00
------------------------------------------------------------
Special Notes and
Comments
-------------
POOL & SPA. 15 LF
4' EQUIPMENT BLOCK
WALL, CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary
Charged Paid
Credited
Due
Permit Fee Total
353.00
00
.00
353.00
Plan Check Total
178.10
.00
.00
178.10
Grand Total
531.10
.00
.00
531.10
r
S.
'. #
City of La C?uinta:
ty
P O Box 1.504, 78=495 Calle Taitipico .
Permit #
L:a:.Qunta;'CA922<53°- (760)'7:77=70.:12.
•B:uildtng•-Permit App�lrcation and Tracking Sheet
Projectr;;Owner's,Narie:,
A: P. Number:
Address:.
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„Address•.:,,::Pro•ectDescci;`tion:
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pioii:;`Engc.; Designer:
cit`.;'ST, Zip:
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Tele `hone:.
Add''n : Altec `Re air ``Demo.
. .'. •Name of Contaet,Person. , . .:
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le hone.#•of:Coiitact'Rerson:
`Te ';�?Bstiiriated Yalue.of.Pro'ect .
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A :PLICANT:!DO;:NO.T:.WRITE.BELOW THIS�UNE:
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ec`d•: - `PEIZMTT
=:TRACKING: ;
'
Plan'Sets
1'Ian.C.h submitted ti �p Item Ariiaunt'
Structural_ Caics.
Review,ed;.ready foraorrections Plan Cticck;Deposit
Truss'Calcs.
r`.Called'Coutatt`PSeisou:``.: ,Plan-Ghetk Balance
rEnergy :Calcs.
Rlaus.piekedup : Gon§tructog.. .
Floodr lain lan
P... ,
`Rlaris'resufimitted.:.:.::.::.:'. ' a1VI echanical' �' - •'
Gradin la
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'god:Iteyievd�read:;tor:currectiousfissue :�E.lectrical '.
Subcontactor List, ,,,
<:
,Galled ContacG;Person.•:: , "` ::r aRlumtiirig
....
Grant Deed
Plans picked.up...
Ii[O:A. Appiroval
Plans resubmitted ,Grading
IN FIOUSE:-.
for,corrections/issue . Develo .er.Impact Fce
P .,.. •,
Planinng ApprovalOR
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Pub Wks: Appi
::. vr
�te " ; ► s e
School Fees
O
yo
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o �ON
Total'Permit`T ees
y�
7
GAS SHUTOFF
VALVE GRAVEL
LOCATED
WITHIN 36" GAS LOG
OF UNIT LIGHTER
(TYP.)
mliwJ
N F.S. I [ - -1 1
C
a
COURSE -
SAND .
OURSESAND.
GAS LINES. SHALL BE INSTALLED
PER CPC FOR DEPTH,
WATER PROOF COVERAGE, AND PLACEMENT.
MEMBRANE
STONE CAP
#4 TIE STEEL
#4 BAR VERT. AT. 32" O.C.
8x8x8 CMU; SOLID GROUT
a .d A
F.S.
1 311
.1 �~
■
METAL GAS RISER
4, - GRAVEL SUMP
,�1'A1'PROVIDE1ACRUSHED.1
CK
1'NG IN FOOTING
OUTDOOR FIRE RING - STONE CAP
_ 3& SQUAIzE
iwsim c)IMEIJSIDIJ
i
it 4 TI E St�-=E t_ Ai
WATE K f=P::7
MESKhNr-- �-Typ
5UIZFA �.5
.GAS f=IRE
ANSI. _
ro
� ° u CDC)
i�4 VERT 5AR
GIXB1.,X60.0h, 6ItY\0i`Y,g5t,
GMu SOLI® C ROUT
<�DLITCDOO F'I RE Rl N G
SCALL