07-2410 (RPL)P::s." BOj- 1504
78=495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
'Application Number: 07-00002410
Property'Address: 5 2 4 2 5 -AVENIDA HERRERA
APN: 773-263-020-9 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 15000
Applicant:
Architect or Engineer:
WA_
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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.
License Class: C53 C27 i1-_ _✓ License No.: 419309
Date:r5�24�at� Contrac Chi �iQi•QL�IhG ��Ois+5S
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 ($5001.:
(_ 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.).
( 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
tet-
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:
ORTEGA RESIDENCE
52-425 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
DESERT PARADISE POOL
78005 WILDCAT DRIVE
PALM DESERT, CA 9221
(760)360-7400
Lic. No.: 419309
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/27/07
INC
1 T 10AUG 2 9 2007
CITY OF LA QUINTA
FINANCE DEPT.
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 ENDURANCE WORK Policy Number WVS001347901
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 me s 'ect to the workers' compensation provisions of Section
3700 of the Labor C all f with comply with those provisions.
Date: -19- `Applica
WARNING: FAILURE TE
E WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYE CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001 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 c struction, and hereby authorize representatives
of this county to enter upon the above-mentioned property f nspection rl�poses.
Date• —Z 'OL Signature (Applicant or Agent):
Application Number . . 07-00002410
0
Permit
BLDG POOL PERMIT
Additional
desc
Permit Fee
. . . . 162.00 Plan Check
Fee
105.30
Issue Date
Valuation
. . . .
14675
Expiration
Date 2/23/08
Qty
Unit Charge Per
Extension
BASE FEE
45.00
13.00
----------------------------------------------------------------------=-----
9.0000 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 2/23/08
_
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 2/23/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00
--------------------7-------------------------------------------------------
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 2/23/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00
6.0000 EA PLB FIXTURE
12.00
1.00
13.0000 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
0
LQPERMIT
' Application Number . . . . . 07-00002410
Permit . . . WALL/FENCE PERMIT
.
Additional desc .
Permit Fee 15.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 325
Expiration Date 2/23/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE-PLASTER'INSPECTION.
15 L.F
X 5' HIGH CITY STANDARD WALL.
Fee summary Charged
-----------------
Paid
Credited
Due
---------- -7
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
0
LQPERMIT