12-0213 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
Application Number:
12-00000213
Property Address:
81305 GOLF VIEW DR
APN:
762-410-030- - -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
3500
Applicant: Architect or Engineer:
�/A
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 700 0) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C27-053 License No.: 859417
/Date:
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.). "
(_ 1 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 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
PAT MCAULEY
81305 GOLF VIEW DRIVE
LA QUINTA, CA 92253
Contractor:
AMERICAN LANSCAPE/POOLS
85265 DAMASCUS AVENUE
COACHELLA, CA 92236
(760)880-1173
LiC. No.: 859417
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 3/08/12
I� r
o PA [yar! ii 2012
UNT
rYC
iA
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
1�[[ issued.
II 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 NORGUARD INS Policy Number ROWC242502
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 the Labor Co e, I shall forthwith comply with those provisions.
Date! t� pplicant:
WARNING: FAILURE 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 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 construction, and hereby authorize representatives
of this cougtyjto enter upo the above-mentioned propert for inspection purposes.
I /L ignature (Applicant or Agent): _ _
Application Number . . . . . 12-00000213
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
63.00 Plan Check Fee
00
Issue Date . . . .
Valuation . . .
. 3500
Expiration Date
9/04/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
2.00 9.0000
----------------------------------------------------
THOU BLDG 2,001-25,000
------------------------
18.00
Permit . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
15.75 Plan Check Fee
3.94
Issue Date
Valuation . . .
. 0
Expiration mate
9/04/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
.75
.Permit
PLUMBING
Additional.desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
'Expiration Date
9/04/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 174 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
BBQ ISLAND, INCLUDES.GAS
& ELECTRIC
HOOK-UPS, NO SINK. 2010
CODES.
------------------------------------------------------7---------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
-----------------------------------------------
Due
Permit Fee Total
----------
96.75 .00 .00
96.75
Plan Check Total
8.44 .00 .00
8.44
Other Fee Total
1.50 .00 .00
1.50
Grand Total
106.69 ..00 .00
106.69
LQPERMIT
BBQ DESIGN
UMBRELLA SLEEVE
9'
\ REFRIGERATOR`
SINGLE LANDSCAPE
DOOR
7" cantilever edge
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT �Z BY
GOLF iCOURSE GOLF COURSE GOLF COURSE
I existing grass 1
5V 51 existing grass
QP QP
BENCH
.1 KIVA
CONCRETEis QP
QP CONCRETE
+1211
N.
31
maintain 5"' SPILLWAY
eTANNING, ,
... POOL I3 6
p
26'6
X' L 5! SHELF
i A
s N 0
t T
i E planters P eX
n BENCH
H STEP L
A'
9 Ns
�Y,0— B Tt
BEi
CONCRETE
Qdiamond ctit------------------------- --------------------- * ---------------------- 11.10 Rn
......................... .............................................. D
ASA A design 11 g
planters
PATIO'
AREA
PATIO
AREA
NOTE:ALL E3(ISTING;PERIMEfER:LANDSCA1PE
TO REMAIN, EXISTING PALMS: TO REMAIN
IRRIGATION SYSTEM ALREADY INSTALLED AND. WILL
REMAIN..
McAULEY RESIDENCE
QP existing palm 81306 GOLF VIEW DR.
LA QUINTA, CA.
—a u -
EQ —5
, ........ . ...,
Bin. #
• • f
QUif1 .. ..
Btfifing 8T Safety Division
PerrNc.# .;
P.O. Box. 1504,78-49S.Cafe Tampico'
4.Qulnta, CA 92253 •:(760) 777-7012
Building Pennit Application and Tracking Sheet
ProjectAddtess: C-OLF Ill, .99 Ownct`sName . CI
A P. Number. �-- Address: g%NQS 6pL /E/� D�
Legal Description: -- City, ST, Zap:- C�
Contractor.�,i//��(� i Telephone: %
Address: �� j� /�r� % J //� Project Description:
City, ST, Zip: �Q Z % 2 0&3 I
Telephone:
.
State Lie. #: r-5941 7City Lic. #;
Arch, Bag., Desipea
Address: ,
City., ST, Zap:
Telephone: Construction Type:. Occupancy:
State Lie. C Project type (circle one): , New Add'n After Repair Demo
Name of Contact Person: Sq. FL: # Stories: # Units:
Telephone # of Coated Person: EstimaW Value of Projekt
APPLICANT: DO NOT WRITE BELOW THIS. LINE
q
Submittal
Req'd
Recd
TRACKMG I . PERKrr Mn -
Plan Sets
Pian Cheek submitted Item Amount
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit. .
Trust t Cales.
Called Contact Person Plan Cheek Balance.
Title 24 Cates.
Pians picked tip Construction
Flood plain plan
Plans resubmitted.'. Mechanical
Grading plan
2" Review, ready for correetionskssue FAeetrital
Subeontactor List Called Contact Person Plumbing * 7
Grant Deed Plans picked up I S1►I,I.
H.O.A. Approval Plans resubmitted + Grading ` t
IN HOUSE:- ''' Review; ready for corrections/issue Developer Impset Fe e:5
Planning Approval. Called Contact Person A.I.P.P.
Pub. Wks. Appr Date of permit issue .
School Fen
Total Permit Fees