08-1881 (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:
`08= 0000188fi--__-
80694 HERMITAGE
762-210-024- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
115000
Ti,ht 4 4 a"
Architect or Engineer:
P 1,0
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
NIC ENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Businessan of onals Code, and my License is in full force and effect.
LicenseC ss: C8 C27 C29 LicenseNo.: 656128
ate: ontr.ctor:
OtlitREBUILDER-DEC ATION
I hereby affirm under penalty of perjury th 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 ($5001.:
(_) 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 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_ 1 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/20/08
Owner:
SPELDE
Q
80694 HERMI)TAG
LA QUINTA,
92253
I' ICA
n/ 2(y
O V
Contractor:
�I
CITYOFLAQUINTA
TESERRAFLNNA%10E
0EPT. r___
P.O: BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
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 o Number BB1080510
1 certify that, in the perfor once of thew rk for which this permit is issued, I shall not employ any
person in any manner, o as to become bject to the workers' compensation laws of California,
and agree that, if I sh Id become t the workers' compensation provisions of Section
3700 of Sl�abor Co I
shall wi ,rely with those provisions.
WARNING: FAILURE TO SECURE WOR RS' C PENSATION COVERAGE IS UNLAWF D SHALL
SUBJECT AN EMPLOYER TO CRIMIN PEN IES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND
DOLLARS ($100,000). IN ADDITIO TE 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 applicatiQbeesl and void if work is not commenced
within 180 days from date of issuance of sessation of work for 180 days will subject
permit to cancellation.1 certify that I have read this application and state that thk
ct I agree to comply with all
city and county ordinances d to laws relating to buile authorize representatives
of thi Ayfftyjp 99y�yyg Bove -mentioned propert
(Applicant or Agent):
Application Number . . . 08-00001881
Permit . . .
BLDG POOL PERMIT
` Additional desc .
Permit Fee . . . .
162.00 Plan Check Fee
105.30
Issue Date . . . .
Valuation . . .
. 14920
Expiration Date . .
5/19/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
7 ------------------------------------------------------------------------
THOU BLDG 2,001-25,000
117.00
Permit . . .
MECH POOL
°
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee-.
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
5/19/09
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
5/19/09
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
5/19/09
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
Application Number . . . . . 08-00001881
Permit . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 80
Expiration Date . . 5/19/09
Qty Unit Charge Per
Extension
BASE
----------------------------------------------------------------------------
FEE
15.00
Special Notes and Comments
POOL/SPA, 5 L.F. 4' SCREEN WALL,
CITY
STANDARD. ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged
-----------------
Paid
Credited
Due
--------------------
Permit Fee Total 281.00
----------
.00
----------
.00
281.00
Plan Check Total 131.30
.00
.00
131.30
Grand Total 412.30
.00
.00
412.30
LQPERMIT
PGAIWEST.
FAIRWAYS ASSOCIATION
November 18, 2008
Mel Spelde
80-694 Hermitage
La Quints, CA 92253
Re: Architectural Application - 80-694 Hermitage - APPROVED
Dear Mr. Spelde:
The Architectural Committee reviewed your plans submitted for the new construction of a
Pool an4 Spa.
I am pleased to notify you that the Architectural Committee has approved your application
as submitted.
If you should have any questions in regard to this correspondence please do not hesitate to
contact the Association at any time.
Sincerely,
On Bebalf of the PGA WEST Association
Arrhikewral / La cape Committee
By: Jamie Saldivar
PGA WEST Fairways Operations Manager
For the Architectural Committee
Cc: File
Post Office Box 1690 • La Quinta, California 92247 • Phone (760) 776-5100 • Fax (760) 776-5111
Bin #
City of. La Quints
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 # `
1
Project Address:✓6�
Owner's Name:
A. P. Number.,� y2 s. —
Address: �� 941
Legal Description:
Contractor:i <fe
City, ST, Zip:
Telephone:
Address: b—
Project Description:. L �'
City, ST, Zip:
CnaCne-�t(V�,qZ--236
//
State Lic. # : 5 Z City Lic.
Arch., En -gr., Designer:
Address:
City, ST, Zip:
Telephone:
'�
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): a Add'n Alter. Repair Demo
Name of Contact Person: e
Sq. Ft.: j ('2-
# Stories:
# Units:
Telephone # of Contact Person:(
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIUNG .
PERMIT FEES
Plan Sets
Plan Check submitted
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
Z°" Review, ready for correctionsrissue
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