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06-0182 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: Architect or Engineer: /^+; ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. LicenseClassss: C53 '> tt����LicenseNo.: 573948 _ Dat��l�Y��tractor:\� J L- gGZ r; 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 1$500).: (_) 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.). (_) 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 Owner: GANTZ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/25/07 Contractor: D d l' RAZO POOLS U 81018 JAMIE WAY MAY INDIO, CA 92201 5 2007 (760)347-1617 Lic. No.: 573948 CITYOFLA�IlIAi F1INIANnr TA ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT 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 workers' compensation provisions of Section 3700 of the Lab Code, I shalLfort with c`ply with those provisions. D�r ��� PPlicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOr OVERAGE 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 1 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, an hereby authorize representatives of t1]ls�o�r�y tp.enter upq! above-mentioned grope or pection burp es. �aT*J� /%y�5 ��lL D e: Signature (Applicant or Agent): Application Number . . . . . 06-00000182 • Permit . . . .MECH POOL - Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . 1/27/06. Valuation . . . . 0 Expiration Date 7/26/06 Qty Unit Charge Per Extension BASE FEE -15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . .317.00 Plan Check Fee 206.05 Issue Date . . . . 1/27/06 Valuation . . . . -35000 Expiration Date 7/26/06• Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 65.00 Permit . . . ELEC POOL.PERMIT-RES Additional desc-. Permit Fee . . . . 45.00 Plan Check Fee 11.25 Iccue Data 1/27/0G Valuation 0 Expiration Date 7/26/06 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 . . . . 1/27/06 Valuation . . . . 0 Expiration Date 7/26/06 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 LQPERAIIT Application Number 06-00000182 ------------------------------------------- Special Notes and Comments -------------- ------------------- BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. -------------------------------------------------------------------------- Other Fees . . . . . . CHANGE OF CONTRACTOR 4.50 REPLACEMENT INSP CARD 15.00 , Fee summary Charged Paid Credited Due Permit Fee Total 421.00 421.00 00 .00 Plan Check Total, 232.05. 232.05• .00 .00 Other Fee Total 19.50 15.00 .00 4..50 Grand Total 672.55 668.05 .00 4.50 LQPERM[T Bin # # I Submittal Plan Sets Structural Calcs. Truss Cates. Energy Cates. Flood plain plan Grading. plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Estimated Value of Project: ;rj obD APPLICANT: DO NOT WRITE BELOW THIS UNE Recd TRACKING. Plan Check submitted City of La Quinta PERMIT FEES Item Amount Building & Safety Division Reviewed, ready for corrections Permit # P.O. Box. 1504, 78-495 Calle Tampico Called Contact Person Plans, picked up Plans resubmitted OG dlPz Plan Check Balance La Quinta, CA 92253 -.(760) 777-7012 . Construction Building Permit Application and Tracking Sheet Mechanical Project Address: V9 61:� L % Owner's Name: r II GAIL A. P. Number: 7Z .,10 _ QQ Z Address: Called Contact Person Legal Description: L Q.G 2 -Y$9t7 _ City, ST, Zip: Contractor:T2,. 5 Telephone: .. S.M.I. Address:$ • G A// Project Description: 5 C City, ST, Zip: 3" Review, ready for correctionslissue Called Contact Person Telephone: 760 Z Developer Impact Fee A.I.P.P. State Lic. # : Q r'J City LTc. #: �$ 3 Q � n B LCGAvS42 Arch., Engr., Designer: C�h Address: City, ST, Zip: Telephone: 760 _2 2 :1 Construction Type: pp Occupancy: ` State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: t q �S p Sq. Ft.: \. # Stories: # Units: Telephone # of Contact Person: %n . YA -I h h- # I Submittal Plan Sets Structural Calcs. Truss Cates. Energy Cates. Flood plain plan Grading. plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Estimated Value of Project: ;rj obD APPLICANT: DO NOT WRITE BELOW THIS UNE Recd TRACKING. Plan Check submitted I / PERMIT FEES Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plans, picked up Plans resubmitted Plan Check Balance Construction Mechanical --------------- 2°' Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading 3" Review, ready for correctionslissue Called Contact Person � Developer Impact Fee A.I.P.P. Date of permit issue Total Permit Fees. t/2 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000182 Property Address: 78865`I;IMA APN: 772-102-004- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 c&t!t'44Q" Applicant: 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 Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B855505 855505 Dat .GContractor: /!`/— ✓ , a� 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 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.). ( ) 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: 1/13/06 Owner: GANTZ 3558 BENDIGO DRIVE RCH PALOS VERDES, CA 90275 k Contractor: - U --- - IL DESERT STAR BUINC74854 VELIE WA1Z2'� 1006 PALM DESERT, C (760) 340-2112 CITYOFLAIMTA► LiC . No.: 855SUS _....:.or- w"sa. WORKER'S COMPENSATION DECLARATION 1 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 Xissued. 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 STATE FUND Policy Number 22930168 _ 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 workers' compensation provisions of Section 3700 of the Labor Code, I sshh�1/�jythwMct*w' ose rovisions. D6te: Applicant:// 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 aufr prize representatives of this Founty to enter upon the above-mentioned property for ' ction pur Date :. Signature (Applicant or Agentl:/JL�` Application Number . . . . . 06-00000182 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 65.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/12/06 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 . . 7/12/06 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 7/12/06 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 LQPERNIIT Application -Number . . . . . 06-00000182 ---------------------------------- Special Notes and Comments --------------------- BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid ------------------------------------- Credited -------------------- Due Permit Fee Total 421.00 .00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 .00 .00 653.05 LQPERMIT DIMENSlu"N FLOOR PLAN SCALE 1/811=11-011 d CITY OF LA QUINT,'-\ BUILDING & SAFE -TY Dr-EP1-. e , APPR OWED 170FI, CONSTAIUC-F101"I t L CONTRERAS DESIGN ASSOCIATES Design / Site Planning Jorge A. Contreras Principal Designer 41-175 Carter Lane Bermuda Dunes, California 92203 PHONE (760) 272-9516 FAX (760) 772-9732 contrerasolmos@ya(noo.com REVISIONS Z� Z� Z� INSTRUMENTS Or SERVICE: These drawings ore (an instrument of service and remain the property of Contreras Design Associates. They are not to be reproduced or offered to any third party without the express written permission of Contreras Design Associates, DRAWN BY: I CC)NTRERAS DATE : JANUARY '2006 SCALE 1/811 = 1 1,011 KEYNOTES 1 'X1/2" THK. CONCRETE SLAB 2. CONCRETE STEPS 3, POOL EQUIPMENT 4. ELECTRICAL PANEL 5. 24" HT. LOW WALL W/ CONCRETE ON TOP 6. GAS METER 7. MAIN DRAIN 8. SKIMMER 9. UNDERWATER LIGHt FIXTURE 10. 8' EDGE CONCRETE. SLAB 11. WATER METER 12. FOUNTAIN 13. GATE 14. INTERIOR STEPS 15, EXISTING *FENCE WALL 16. EXISTING COLUMN 17. FLAGSTONE JO BE SELECTED BY OWNER) 18. 18' LANDSCAPED BUFFER 19. MEDIA CENTER 20, BBQ, 21. FIREPIT 22. CERAMIC TILE 23. SPILLWAY CITY OF LA QUINT,'-\ BUILDING & SAFE -TY Dr-EP1-. e , APPR OWED 170FI, CONSTAIUC-F101"I t L CONTRERAS DESIGN ASSOCIATES Design / Site Planning Jorge A. Contreras Principal Designer 41-175 Carter Lane Bermuda Dunes, California 92203 PHONE (760) 272-9516 FAX (760) 772-9732 contrerasolmos@ya(noo.com REVISIONS Z� Z� Z� INSTRUMENTS Or SERVICE: These drawings ore (an instrument of service and remain the property of Contreras Design Associates. They are not to be reproduced or offered to any third party without the express written permission of Contreras Design Associates, DRAWN BY: I CC)NTRERAS DATE : JANUARY '2006 SCALE 1/811 = 1 1,011