06-4333 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA,QUINTA, CALIFORNIA 92253
Application Number: 06-00004333
Property Address: 81940 GOLDEN STAR WY
APN: 764-280-999-99 -300235-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1500
Applicant: Architect or Engineer:
000VtOz e�
L
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C EFF MCQUEEN
N GAINEY CENTER 350
S SDALE, AZ 85258
pont actor:
TA CAL FORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/20/06
--------------------*r--------------------------------------------------------------------- - - - - --
LICENS CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I arroj�Zs.on.lsd
ad nerprovisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d Code, and my License is in full force and effect.
LicenseClass: C8 C27 C29 Licensallo.: 656128
Date: /. % 61 Contractor:
NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I are empt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Pro essions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any tructure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is 'censed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for he alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a a it 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.).
(_ 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.).
( ) 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 forthe performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
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 carrierApolicyumberber are:
Carrier SEA 3RIGHTPolicy Number BB1060510
I certify that, in the the work for which this permit is issued, I shall not employ any
person in any mome subject to the workers' compensation laws of California,
and agree that, ie ubject to the workers' compensation provisions of Section
3700 of the Labfort with comply with those provisions.
Datt L Applicant:
.WARN NG: FAILURE TO SECURE WC
SUBJECT AN EMPLOYER TO CRIMIN
DOLLARS ($100,0001. IN ADDITION
'SECTION 3706 OF THE LABOR CODI
KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
- PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
O THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby ma a 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 orpursuant o any permit issued as a result of this application,
the owner, and the applicant, each agrees to, ands "defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for ity act or omission related to the work being
performed under or following issuance of this perm
2. Any permit issued as a result of this application bec II and void if work is not commenced
• within 180 days from date of issuance of suc(bove
*irmation
sation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the 's correct. I agree to comply with all
city and county ordinances and state laws relating to buildin an hereby authorize representatives
of this cou ty to ter pon the above-mentioned propertyp rp ses.
Date ignature (Applicant or Agent):
.Application Number .
. . . . 06-00004333
Permit BUILDING PERMIT
Additional desc .
Permit Fee
35.00
Plan Check
Fee
22.75
Issue Date
Valuation
. . .
. 1500
Expiration Date
6/18/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
10.00 2.0000
----------------------------------------------------------------------------
HND BLDG
501-2,000
20.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . .
18.00
Plan Check
Fee
4.50
Issue Date
Valuation
. . .
. 0
_Expiration Date
6/18/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1'.00 3.0000
EA PLB
GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes -and Comments.
FIREPIT- PER APPROVED
PLAN
Fee summary Charged
---------------------------
----------
Paid Credited
----------
----------
Due
Permit Fee Total
53.00
.00
.00
53.00.,
Plan Check Total
27.25
.00
.00
27.25
Grand Total
80.25
.00
.00
80.25
LQPERMIT
Bin #
City Of. LQ 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
Perm! #
WM
Project Address:, 1) l_ � C] Cn v Lq(�o
Owner'sName:��A.
P. Number:Address��Legal
Description:
City, ST, Zip:
Contractor \;
Telephone:
Address,-ZProject
Description:
City, ST, Zip• C/� . Z
Telephone: 76q39�-yzz �--
State Lic. # : % City Lic. #:
!!!!
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
'
Construction Type: Occupancy:
Project type (circle one): Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated value of Project: o O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING . PERMIT FEES
Plan.Check submitted Item Amount
Structural Ca1cs.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Galled Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plari
V Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing 1.14 p GTS
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issu
Developer Impact Fee
N A.I.P.P.
Planning Approval
Calledo ls-o F LA QU
Pub. Wks. Appr
Date 4peNi l'ssu�elNG &SASE
School Fees
XI \
n RY otal Permit Fees
F. S..:,.
METAL GAS RISER
2" DRAIN OIR'PROVIDE 12" DIA
mi
OPENING IN FOOTING
GAS LINES: SHALL: BE INSTALLED
`DEPTH;
-WATER PROOF
PER L.VEPME, AND, PLACEMENT.
COVERAGE,
MEMBRANE.
STONE CAP
#4 TIE STEEL
#4 BAR VERT. AT. 32" O.C.
8x8x8 CMU; SOLID GROUT
'-3°
CLR
GRAVEL SUMP
3-,,QU. FT.
CRUSHED ROCK
OUTDOOR FIRE RING - STONE CAP
0'4- 71 E s -r5_5 L -.,A -r
Tam coL1�S�
WAT F_ K P K,00P::7'
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INSIDE �IMEIJSID�J
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