06-4294 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00004294
81195 LEGENDS WY
762-310-012- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
25000
T-ityl 4 eCP Q"
Architect or Engineer:
[ 0,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
KENNETH MEADOR
81195 LEGENDS WAY
LA QUINTA, CA 92253
Contractor:
VICTORIA LANDSCAPES
53725 AVENIDA MADER
LA QUINTA, CA 92253
(760)777-1417
Lic. No.: 801813
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/15/06
-------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
-----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C27 C53 License No.: 801813
-_ l _
Date: at` tractor:yI It_rt� !1. (,!! � K/
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
- OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the v
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
_ person in ariy manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
700 of the LabcVLb4, I s II forthwith comply with those provisions.
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:
te: licant:
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
�ISUNLAWFUL,
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FA LURE TO SECURE WORKERS' COMPENSATION COVAND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES ONE' UPIDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN '
• improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 -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:
LQPERAIIT
of La Quinta, its officers, agents and employees for any act 6r 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 tha have read this application and state that the above information is correct. I agreelo comply with all
city and unty ordinances and to llaws relating to building construction, and hereby authoriz representatives
of1P.--co�u1nty tP enter upon above-mentioned proparty
/for
yins^pl�iCj��ion poses. /e,�
are 't lJ ��l 4! _ Hoar, i.0 IAnnlfrnm nr Gnunfl 'K [ 110 `J l Del `
Application Number 06-00004294
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 252.00 Plan Check Fee 163.80
Issue Date . . . . Valuation . . . . 25000
Expiration Date 6/13/07
Qty Unit Charge Per Extension
BASE FEE 45.00
23.00 9.0000 THOU BLDG 2,001-25,000 207.00
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Permit . . . MECH POOL
Additional desc . .
Permit Fee . . . . 26.00' Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date . 6/13/07
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 6/13/07
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 6/13/07
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. ALARMS/BARRIERS SHALL BE IN
LQPERI%IIT
C% '
Application Number . . . . . 06-00004294
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 356.00 ..00 .00 356.00
Plan Check Total 189.80 .00 .00 189.80
Grand Total 545.80 .00 .00 545.80
LQPERMIT
GOLF COURSE
RAISED TERRACE SMOOTH Ri
PLANTERS PILASTERS
planters \73'
BENCH
STONE CAPPED WALLS POOL
-19'0
planters
I
GOLF COURSE
16'0
RAISED TERRAC
PLANTERS
planters
BE H planters planters
FIBER OPTIC '18" SDA BE 20'0
WATERFALL
SPILLWAY
itrepititt
22'0
5'
BENCH
planters RIlOOTH BAND
RESIDENCE
KENNETH MEADOR
LEGES WAY
CITY OF LA QUINTA A QSUINTA,ICAL. 2 53
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE Za,/19'66_ BY
l .
t
e
5'0-y 1
6f'
IN
CITY OF LA QUINTA SUB-CONTRAgTQR LIST (Zo
�.��L//�/ Nt M&WD e, BUILDER
J6 ADDRESS2q7 / b ._l C��c rJOS v.� PCS- PERMIT NUMBER OWNER K _ t --�--
ftiis form shall bee posted ori the iob with the Building Inspection Card at all times in a con i�i.�uous place. Only persons appearing on this list or their employees are authorized of work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade/ Classification
Contractor
State Contractor's
Classification
(e.g. A, B, C-8)
License
License Number
(xxxxxx)
E s.p. Dat'
fxx :cx/xxl
Worke�sCom
Carrier Name
4—e.g. State Fund, CalComp)
ensahon Insurance qty usmess icense:
Policy Number Exp. Date License Number Exp. Ddae
(Format Varies) (xx/xxlxx) (xxxx) _ (xxlxx
Company Name
EARTHWORK (C-12) _ -
2N Cx_tii\
C.
`d ,q
3/1 C%
5�'i� �N.D
Z Z — 00� 30 3 I `-I 6_3 j
CONCRETE (C-8)
uC—� i� (' ti
C.—
6,3 1 ��
' 71 Oa
5 �
2�2 — c O � c�.2 S ! 7
. Z
FRAMING (C-5)
$TRUCT. STEEL (C-5 1)
r.1A (,
rt FuAtJtrE
CS
3� 0 7
`1— X03373 O
j o 7
iin 3
MASONRY (C-29)
(jam
eS3
�6
J�o7�-
PLUMBING (C-36)
r,
ftTO" ;,�
C9 3
(�
� f D
Jm ��
co(I
LATH; PLASTER (C-35)
P
C'3
(c�<3s
430/07
Sln7E
3$
DRYWALL (C-9) .:. .
HVAC-
ELECTRICAI (C-10)
�; (�(��?( W
Cy 3
�So! S? 3
I 31 C7
EXE r�1� I
(,c 3(v
51.3 Ip
SHEET METAL (C-43)
FLOORING IC='15):
GLAZING (G17)
INSULATIOi -(C-2) .
SEWAGE DISP; (C-42)
PAINTING (C-33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27).
POOL (C-53) ��
POOL
v -AN �oOLS
ES •�j
iisl�$
�� E
ST�i rC
-7
&
Bin #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # nQ',��
vLa
Project Address:' _ c� te-G€ NpS W
Owner's Name:
<eN
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone;
Address: 5 .7 5A-ve — k=0
Project Description: O O L- 5 - �—
City, ST, Zip:
Telephone: 1� iKO
State Lic. #: g'Q City Lic. #: (D`�
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:-� C
Sq. FL:. # Stories: �j '# Units:
Estimated Value of Project:
Telephone # of Contact Person: p a3v I
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd :.
RWd
TRACMG .
PERMIT FEES
as Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Review y
Reviewed, read for'itrections
Plan Check Deposit.
Truss Calcs.
Called Contact.Persou
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2" Review, ready for corrections/'issue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.OA. Approval
Plans resubmitted
Grading
IN HOUSE:-
h" Review, ready ror.correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A,I,P.P,
Pub. Wks. Appr
Date of permit issue •.
School Fees
-�
Total Permit Fees