11-1113 (RPL)I
P.O. BOX 1504 4 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/11/11
Application Number: -,111-00001113 Owner:
Property Address: 181124 LAGUNA CT GREENBERG
APN: 764-280-004-13 -35996 - 81124 LAGUNA COURT
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2800
Contractor:
Applicant: Architect or Engineer: ARTISTIC LANDSCAPE INC. u
78206 VARNER RD, #D PMD2
PALM DESERT, CA 92211 r
11
(760)360-1395 x 13 "
.1� Lic. No.: 379421
r ll CITY of LA (TU'I-NTA
7
- - - - - - - - - - - - - - - - 114 - - - - - - -5- - - - - - - -f/i - - _ _ - - _ _ - - - - - _ - - - _ - - - _ - - - - - - - - - - - - _ _ _ _ _ - _ _ - - - - - - _ - _ _ - - - - _ _ _ _ - _ _ —
LICENSEDCO'TRACRo..
DEC A'111
I hereby affirm under penalty of pe ur that I ami ens underion o CI pter 9 (commencing with
Section 7000) of Division 3 of th B iness and l�fes ovals Cnd Lic rise is in full force and effect.
License Cass: C,27 IIS/��/ Lice 79 21
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.).
(_) 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
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 requi by ction 3700 of the Labor
Code, for the performance of the work for which this permit i is ed My workers' compensation
insurance carrier and olicy number are:
Carrier DELOS INS CO Polic Number 04D 0 2584
_ 1 certify that, in the erf mance o the ork for w h this er it is ssued, I shall not employ any
person in any ann so as to co a subjec ' the rk s' c s�ensation laws of California,
and agree tha , if I ould be a bject to wor rs' comp 95ation provisions of Section
3700 of the ab Cod, I s 1 f th.-ith c ply w' h ose pr Zsions.
WARNING: FAILURE TO SECURE WORKERS' CQMPENSATION 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 who a request and for
whose benefit work is performed under or pursuant to any permit issued a a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnif and hold harmless the City
of La Quinta, its officers, agents and employees f any act or omission elated to the work being
performed under or following issuance of this per it.
2. Any permit issued as a res is applic ion comes null n vo' if work is not commenced
within 180 days from /entigneq
ance o uc rermit, or s do of work for 180 days will subject
permit to can
I certify that 1 have read this appli _tiote th t he ove inf atio correct. I agree to comply with all
city and county ordinances and ate lang yil 'ng n ction, hereby authorize representatives
of this cqunty tp enter upon th boveI for in; coot( ur ses. y
or
1, 1.. P.
Application Number . . . . . 11-00001113
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
54.00 Plan Check Fee
35.10
Issue Date . . . .
Valuation . . .
. 2800
Expiration Date
4/08/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
1.00 9.0000
----------------------------------------------
THOU BLDG 2,001-25,000
:
9.00
. . .
ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
4/08/12
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 . . . .
21.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
4/08/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
----------------------------------------------------------------------------
Special Notes and Comments
FIREPIT, ELECTICAL FOR WATER FEATURE, &
POND (MAXIMUM 18" DEEP),
FOUNTAIN & MIST
SYSTEM. 2010 CODES.
-----------------------------------------------------------------------------
Other Fees . . . . .
... . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total
120.00 .00 .00
120.00
Plan Check Total
51.60 .00 1-.00
51.60
Other Fee Total
1.00 .00 .00
1.00
Grand Total
172.60 .00 .00
172.60
LQPERMIT
- Ne pas entreposer ni utiliser d'essence, ni
d'autres vapeurs ou liquides inflammables, pres
de cet appareil ou de tout autre appareil.
- Si vous detectez une odeur de gaz:
• n'essayez pas d'allumer quelque appareil que
oe soit
ne touchez a aucun interrupteur, n'utilisez
auam telephone dans votre edifice ou maison
• Wdphonez immedetement a votre roumisseur
de gaz depuis I'appareil d'un voisin. Suivez
les directives du foumisseur de gaz.
• si vous ne pouvez pas joindre votre
foumisseur de gaz, contactez le service des
incendies.
- Uinstallation et 1'entretien doivent etre assures
par un installateur ou un service qualfie ou par le
foumisseur de gaz.
PATIO
CAMPFIRE
A N 5 ' 155 -eel s
US -FIRED
Instructions
NX
de montage et C & US
mode d'emploi �
LISTED
IMPORTANTI Lisez attentivement toutes les instructions avant
de commencer ('installation. L'inobservation de ees instructions
peut entrainer un risque d'incendie et annulera la garantie.
t AVERTISSEMENT,'"`
POUR UTILISATION A L EXTERIEUR SEULEMENT NE PAS
UTILISER POUR LACUISSON
K
Ce manual dolt servir a ('installation et le proprietaire le
conservera pour faire fonctionner et entretenir son appareil.
Gardez4e pour le consulter ulterieurement
S1 vows avez des questions ou desirez nous faire part de points
qui vouspreoccupent, veuillez contacter la division des ser-
vices techniques de Hearth & Home Technologies Inc. au
numero suivant :1(8()0) 927-6841 ou 1(888) 427-3973.
Ce produit est proftb par un des brevets sulvards ou Plus: (aux Mats-Unis : 4,112,913. 4,408,594; 4,422,426; 4,424,792;'4,520,791; 4,793,322; 4,852,548:
4,875,464; 5,000,162; 5,016,609; 5,076,254 5,191,877. 5,218,953; 5.328,356; 5,429,495: 5,452.708: 5542,407; 5,613,487; (en Australis) 543790; 586383; (au
Canada) 1,123 296; 1,297,746; 2,195,264; (au Mexique) 97-0457; (en Nouvelle -Mande) 200265: ou d'autres brevets en i Wwoe aux Mats-Unis ou A 1'Mranger.
08104 f'
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Bin. #
Cit/ Of La`'C uif h ta.
BuUding & Safety Division
Perinit # �\
P.O. Box 1504,78-495 Calle Tampico
La'Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: if Z
Owner's Name: —V,\
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contactor. j
Telephone:
Address: `1 G Y Z f 4t^
Project Description:
City, ST, Zip: �'ti� t C)
tivl
v ALL �-
Telephone: 7f 0
"City
V t�,
StateLie. #: Z
#;
Arch, Engr', Designer
..
• - ,
Address:
City., ST. Zip:
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lie. #:
Sq. FL: # Stories: # Unit;;:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project: 2 ffOO
APPLICANT: DO NOT WRITE BELOW THIS UNE
N Submittal Req'd Recd .. TRACK ENG PERMIT FEES
Plan Sets
Plan Cheek submitted Item Amount
Structural Calex
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cales.
Called Contact PersonPlaa Check Balance
Tithe 24 Calc$
Plass picked up Constructloa Rfte ad POO V
Flood plain plan
Pians resubmitted Mechanical
Grading plan
V Review, ready for correcfioneissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up Shu
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE'-
'`' Review, ready for corrections/issuc Developer Impact Fee
Planning Approval
Called Contact Person' A I.P.P.
Pub. Wks. Appr
Date of permit issue
School Feu
±-.Otal-Permit Fres
IN -Vdx¢18it;•?