13-1306 (RPL)I,rte • .,. \ . _.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
Application. Number: 13-00001306
Property Address.: 49080 EISENHOWER DR
APN: 658-2.90-003- -
Application description:, POOL - RESIDENTIAL
Property Zoning: LOW DENS'ITY RESIDENTIAL
Application valuation: 21000
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
l
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I.hereby affirm,under penalty of perjury that I am licensed under provisions of Chapter9:(commencing with
Section 70 of Divisiom3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C53 License No.: 665655
Date: /0—�3 Contractor:
WNER-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 pursuantto 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 orshe;is exemprtherefrom and the basis for the alleged exemption. Any violation of Section 7031..5 by
any applicantfor a permit.subjects the applicant to a civil penalty'of not more than five hundred dollars (8500).:
L_) 4 as owner of the property,.or my employees with wages "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 -build erwill have the burden of proving that he,orshe 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 improves thereon„and who contracts for the projects with a comractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am°exempt under Sec. , B.&P.C. for this reason
.Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury khat 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:
LQPERMrP
Owner:
MICHAEL MCAULIFFE
42100 CAROLINE CT..
PALM DESERT, CA 92211
(
Contractor'
RAMMELL.CONSTRUCTION
1800 EXECUTIVE DRIVE
PALM SPRINGS, CA 92262
(760)320-7010
Lia:. No.: 665655
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/23/13
-------------------------------------------------
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; asrequired bySection3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
Insurance carrier and policy numberare:
Carrier EVEREST NATL Policy Number 7600009850131
_ I certify that, inthe performance of the work for which this. permit is issued, I shell not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that; if l should become.subject to.the workers' compensation provisions of Section
3700.of the Labor Code, I shall forthwith comply with those provisions.
Date: !2 -2-13-17A
WARNING: FAILURE TO SECURE WO (6R ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIONTO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION.3706'OFTHE 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 restrictionsset 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 Quints, 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'appiication 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 county to onII r upon the above-mentioned property for inspection purposes:
Dete:1 Signature (Applicant or Agent):
I A-
I�
LQPERMIT
Application Number 13-00001306
Permit. .. . . ELECTRICAL 2013
Add'tionaldesc .
Permit Fee . . . . 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 4/21/14
Qty Unit Charge Per
Extension
1.00 .23.8300 LS ELEC DEVICES, FIRST 20
23.83
-------
Permit.. . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date . . 4/21/14
Qty Unit Charge Per
Extension
1.00 178.75.00 EA MISC POOL/SPA
178.75
Permit. . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 4/21/14
Qty Unit Charge Per
Extension
1.00 .11..9200 LSPLBG GAS SYS, 1-4 OUTLETS
11.92
----------
-------------------------------------------------------- ----------
--•----- --
Special Notes and Comments
Zpecial
NEW 201 X 4.0' POOL ONLY [NO SPA OR
HEATER].,_ EQUIPMENT SHALL ;BE INSTALLED IN
ACCORDANCE WITH MANUFACTURER
SPECIFICATIONS. ALARMS AND BARRIERS
REQUIRED TO BE, INSTALLED AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
----------------------------------------------
---------------- --..
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
-----------
1.00
PLAN CHECK, POOL
97.24
Fee ;summary Charged Paid Credited
----
Due
----------------- ---------- --
Permit.Fee Total 214.50 .00 .00
214.50
Plan Check Total .00 .00 .00
.00
Other Fee Total 9.8.24 .00 .00.
98.,24
Grand Total 312.74 .00 .0.0
312.74
LQPERMIT
Bin .#
City Of La QUIi1ta
Building as Safety` Division 0 C T 02 .2013
Permit;# P.O. Box 1504, 78-495 Calle Tampico
-- - - —�3 La Qarnta,PA 9.229 (760} 77-7-70.19- . Q
Building Permit Application and Tra DEVELOPMENT
ProjeetAddmw:Owner's Name:
A. P. Number. Address:
.Legal Description: Cm', ST, Zip
Contractor: A (A- %n,. /3'7t � Telephone: -%
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La. Quinta Golf Estates
Community Association
Architectural Committee
P.O. Box 553
La Quinta, CA 92247
(760) 564-0136
September 24, 2013
Mr. Michael McAuliffe
42600 Caroline Court, Suite 102
Palm Desert, CA 92211
Dear Mr. McAuliffe:
The Architectural Committee for the La Quints Golf Estates Community Association has
reviewed the plans that you submitted for the remodel/addition to Mr. and Mrs. David
Michelson home at, 49-080 Eisenhower Drive and we have approved them. I have
stamped the plans indicating our approval so that you can submit them to the City of La
Quints for approval by them.
Please remember that the approval is for these plans only and if you make changes to
them they will have to be resubmitted for approval.
Yours truly,
Jimmie D. Woods
Chairman, Architectural Committee