07-1020 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
3 APN:
Application description
Property Zoning:
Application valuation:
7j Applicant:
I
07=7000_T02Q
78855 LIMA
772-102-003- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
28525
c&ht 4 44"
Architect or Engineer: -
pe
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 Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Cl ps:.C53 �ncenseNo.: 238947
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 _ 1 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.).
(_ 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. , 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
TONI SCHNUG
78855 LIMA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/03/07
Contractor: V --�- —1�
MASTER POOLS AND SPAS
73555 HIGHWAY 111 APR (J; 28o] 1 ,
PALM DESERT, CA 92260 1 1V
(760)346-6115 CIYY®FLAVA
L i c. No.: 238947" F1MA Nt%= rve ...
------------------
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 CLARENDON Policy Number O1KR0033017
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 rkers' compensation provisions of Section
00 of the Labor Code, h !I fort it h comp) ith those provisions.
D kk O A ant:
01`1
WARNING: FAIL 'TO
SECURE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 h by authorize representatives
of this co ty o enter upon the above-mentioned propert oror ins ction purpos
Date. - % Signature (A 'ant or Agentl/
Application Number .
. . . . ,07-00001020
Permit
MECH POOL
Additional desc
,
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
9/30/07
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
_
1.00 11.0000
--------.--------------------------------------------------------------------
EA MECH FURNACE >100K
'11.00
Permit _ ... .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
37.00 Plan Check
Fee
9.25
Issue Date
Valuation
. . .
. 0
Expiration Date
9/30/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 11.0000
-------------------------------------------------'---------------------------
EA ELEC MISC
22.00
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
271.50 Plan Check
Fee*.
176.48
Issue Date . . . .
Valuation
. . .
. 27975
` Expiration Date
9/30/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
19.50
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
39.00 Plan Check
Fee
9.75
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
9/30/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2'.00 6.0000
EA PLB-FIXTURE
12.00
2.00 3.0000
EA PLB WATER INST/ALT/REP
6.00
2.00 3.0000
----------------------------------------------------------------------------
EA PLB GAS PIPE 1-4 OUTLETS
6.00
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
LQPERMIT
Application Number . . . .07-00001020
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee 17.00 Plan Check Fee
.00
Issue Date Valuation
550
Expiration Date 9/30/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .2.0000 HND BLDG 501-2,000
2.00
----------------------------------------------------------------------------
Special Notes and Comments
ADD TANNING LEDGE TO EXISTING POOL, ADD
FIREPIT, RECONFIGURE FOUNTAIN, RELOCATE
ALL FOUNTAIN & POOL EQUIP. 22 L.F. 6'
„ BLOCK WALL, ORCO SYSTEM
Fee summary Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 390.50 .00 .00
390.50
Plan Check Total 201.98 .00 .00
201.98
Grand Total 592.48 .00 .00
592.48
3-22'-07; %1:30PM;Ma=ter Pools ;7607765889. # 7/
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Building Permit Application and Tracking
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Master .Contract: 217348
Certificate: 1355624 Date Issued: 2006/11/08
Project: 1781223
Issued to: Grand Effects
USA
Attention* Kevin IDoud
The products
listed below are eligible to bear the CSA Mark shown
with adjacent indicator US
°t g l oy Issued by: Eligio Trinidad
vs Authorized by: Bret Ekstrand, Project Engineer
CLASS ."LIGHTING (GAS) - Outdoor Decorative Type -Certified to U.S. Standards
Maximum Minimum
input Rating Input Rating
Model Number
For Use With Natural Gas
Illuminating Appliance forputdoor Installation
Trade name: GRAND EFFECTS
t r. NAIL, i.e. Notipnal Recognized Testing Loboratorysis�la s' nation granted by the U.S. Occupetionol Safory and
Tl1c'US' indicator adjacent to tits CSA Murk signifies�that the product 1189 been evaluated to the applicable ANSVUL Standatd', for use in the U.S.. cupation indicator
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Health Administration (OS}IA) to laboratories which hove bccn rdards -
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Date Issued: 2006/11/08
For Use With Propane Gas
illuminating Appliance for Outdoor Installation
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