05-4579 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
,'05-00004579
`81410 GOLF VIEW DR
762-410-020- - -
POOL - RESIDENTIAL .
LOW DENSITY RESIDENTIAL
20000
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 D'vision 3 of the usi ess and Professionals Code, and myucense is in fullrce and effect.
License Class: �� License No.: I 3 Y
/late: i�'O Contractor:
OWNER-BUILDE1 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, 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 improvesthereon, and who contracts for the projects with a coritractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
UCKER,
NED
81-410
GOLF VIEW DRIVE
LA QUINTA, CA 92253
Contractor:
DESERT
PARADISE POOL &
SPAS
WCC:
STATE FUND
WC:
614360-2004
11/
CSLB:
419309
12/
VOICE (760) 777-7012 '
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/12/05
VlNin0 tii,10 "o
5002 111JU
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:jj��
Carrier C53 C27 Policy Number o -i -153-L - -0
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 shouldbecome subject to the workers' compensation provisions of Section
a 3700 of the Labor
Code, I shall forthwith comply with those provisions.
�y �y APPlicauY!
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 c unty to enter upon the above-mentioned property for spection urposes.
Dete^Signature (Applicant or Agent):
Application Number . . 05-00004579
Permit
BLDG POOL PERMIT
Additional
desc . .
Permit Fee
. . . . 207.00 Plan Check
Fee
134.55
Issue Date
. . . . Valuation
. . .
. 20000
Expiration
Date 4/10/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
18.00
--------------------------------------------------------'---------=----------
9.0000 THOU BLDG 2,001-25,000
162.00
Permit
. . . MECH POOL
Additional
desc .
Permit Fee
. . . . 26.00 Plan Check
Fee
6.50
Issue Date
. . . . Valuation
. . . .
0
Expiration
Date 4/10/06
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 . . 4/10/06
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 Fee
. . . . 33.00 Plan Check
Fee
8.25
Issue Date
Valuation
. . . .
0
Expiration
Date 4/10/06
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA
ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
Application Number . . . . . 05-00004579
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged
----------------- ----------
Permit Fee Total 311.00
Plan Check Total 160.55
Grand Total 471.55
LQPERMIT
Paid Credited
00 .00
00 .00
00 .00
Due
311.00
160.55
471.55
M
Bin #
City Of La Qu Enta
Building 8E Safety Dhdsion
P.O. Box 15041 78-495 Cate Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
.Project Address: O) _4110 CO -1 L 60 J
Owner's -Name: u e- c C
A.Y. Number:
Address:
Legal Description:
City. ST. Zip- it,au,/,Om f
Contractor.,O,qS
$TetephonO/
Address: `� -Cl ([E o
i ' t e ' we
Project Description:
City, ST, Zip: I
E .2 d
C i £
Telephone: GO Sf
_ ( x
State Lic. # : I T34fac:
City Lic. #:401/0
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:::.�-^
a,
}: s. _
ConstruCtioti Type: Occupancy:
Pwjecctype.(circleone):. New• Add'n Alter Repaid: Demo
State Lic. #:
Name of Contact Person:'
D
Sq. Ft:
# Steries:
# Units:
Telephone # of Contact Person: / /
mated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal Req'd
Rec'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
0, ;Z/05 Item
Amount
Structural Cafes.
Reviewed, read} for corrections
Plan CheckDeposit
Truss Cales.
Called Contact Person
. Plan Check Batawce
Energy Cales.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
bleehaaical
Grading plan
2" Review, ready for correctionsfissue
Electrical
Subcoutactor List
EaNedCentact Person
Plumbtag•
Grant Deed -
Plans picked up
S.M.
H.O.A. Approval
Plans resubmitted
Grading.
IN HOUSE:-
'"' Review, readv for corrections/issue
Drveloper Impact Fre
Planning Approval
Called Contact Person
A_I.P.P.
Pub. Wks. Appy
Date of permit issue
School Fees
-
Totali'er�it-Fees
t
PVAESK
FAIRWAYS ASSOCIATION
October 6, 2005
Mx. & Mrs. Ned Ucket
16190 Rimini Lane
Huntington Reach CA 92649
Re: 81-410 Golf View Drive
Architectural Application
Dear Mr. & Mrs. Ucket:
At the September 19", 2005, Architectural Committee meeting the committee reviewed the
submitted plans and has given approval with the following conditions:
• What is the color of the pool deck?
• 'I'he Queen palms must be 5' from the property linen
Tf you should have any questions please do not hesitate to contact me.
Sincerely, 1
N CCAM
Nancy C son , CMCA
Operations Manager
For the Ambitectural Committee
Cc: Desert Paradise Pools & Spas
Fax: 360-7422
Post Office Box 1690 • La Quinta, California 92247• Phone (760) 776-5100 • Fax (760) 776-5111