06-2483 (SOTB)r�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&'!t44Q"
Application Number: 06-00002483
Property Address: 81805 GOLDEN STAR WY
APN: 764-280-999-80 -300235-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 4000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-----------------------------------------•---------
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.
LicenseClass: C53 C27 License No.: 419309
Aate4-2 Z: p tractor:
0 ER -BUILDER DECLARATION
I hereby affirm under penal of perjury that 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, howevei, 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 as co) licensed
pursuant to the Contractors' State License Law.).
I—) 1 am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING
I hereby affirm under penalty of perjury that there is a construction lending
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERDIIT
performance j toe \
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/22/06
Owner:
PAT & TERRY RYAN
81-805 GOLDEN STAR WAY
LA QUINTA, CA 92253
Contractor:
DESERT PARADISE POOL & SPAS
78005 WILDCAT DRIVE SUITE 104
PALM DESERT, CA 92211
(760)360-7400
Lic. No.: 419309
------------------
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 VIRIGINA SURETY Policy Number WV9001347901
_ 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 b me sub' ct to the workers' compensation provisions of Section
3700 of thj Labor Cad hall f ith comply with those provisions.
WARNING: FAILURE TO URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOY,59TO 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 andemployees 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.
J1 certify that I have read this application and state that the above information is correct. I agree to comply with all
ity and county ordinances and state laws relating to buildin onstructi n, and hereby authorize representatives
of this county to enter upon the above-mentioned prop e or insp n purposes.
-- ignature (Applicant or Ag
Application Number .
. . . . 06-00002483
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
63.00
Plan Check Fee
40.95
Issue Date . . . 'Valuation
. . .
. 4000
Expiration Date
12/19/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
2.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
18.00
PermitELEC-MISCELLANEOUS
` Additional desc .
Permit Fee
17.25
Plan Check Fee
4.31
Issue Date
Valuation . . .
. 0
Expiration Date
12/19/06
Qty Unit Charge
,Per
Extension
BASE -FEE
15.00
3.00 .7500
PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
-------=--------------------------------------------------------------------
Special Notes and Comments
BBQ ONLY PER APPROVED
PLAN
Fee summary Charged
Paid Credited
Due
Permit Fee Total
80.25
.00 .00
80.25
Plan Check Total
45.26
.00 .00
45.26
Grand Total
125.51
.0*0 .'00
125.51
0
LQPERMIT
Bin #
City of La Quinta
Building U Safety Division
P.O: Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.#
Project Address: — �G 3 . ,� VV ,�
Owner's Name: -r f 77722 /2'
A. P. Number:
Address:
Legal Description:
Contractor: Dei--e r-k Ra f Go(, lSe y�
City, ST, Zip: V7A
Telephone:
Address: %c6j5�0,C-� �C� �/'� �/� /0�
Project Description:
,,``�
City, ST, Zip: �q t?7 Ue,50-+
Telephon (,p) 360 - 7V
State Lie. # 0 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add 'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
-/2.2,
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' 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:-
'"' 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
S� `