06-4293 (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:
06-00004293
81215 LEGENDS WY
762-310-014- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
25000
T4ht 4 stP Qu&m
Architect or Engineer:
�(PC
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 CI ss: C27 C53 License No.: 801813 .
ate:ontractor:
OWNER -BUILDER DEC
LA ON
I hereby affirm under penalty of perjury that I am exempt from the Cont ctor State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any ci or c my 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).:
(_ I 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 _ 1 1, 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.).
Lender's Name:
Lender's Address: ,
LQPERMIT
Owner:
WILL DAY
81215 LEGENDS WAY
LA QUINTA, CA 92253
Contractor:
VICTORIA LANDSC
53725 AVENIDA MP
LA QUINTA, CA 9e
(760)777-1417
Lic. No.: 801813
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D
WATEGFA LLn 200
of ►AnU
C .wUCEOE
Date: 12/15/06
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
700 of the Lab de, 1 11 fo reply with ose provisions.
te:icant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAIS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U 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 authorize representatives
of�o my enter upon a above-mentioned prop for ins tion pur S.
ate: iN� S' ature (Applicant or Agent):
Application Number . . . . . 06-00004293
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
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . .
0
E:cpiration 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
LQPEP.NIIT
Application Number . . . . . 06-00004293
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
LQPERAIIT
Cell 93$® -117.3
CITY OF LA QUINTA SUS -CONTRACTOR LIST 20EL
JOB ADDRESS LEGi=(�J[�:S P(--A-PERMIT NUMBER OWNER VK—.' 11�)�-- BUILDER \4y�M4 LIA70-L.
this fprm shall be posted on the job with the Building Inspection Card at all times in a con wjcuous place. Only persons appearing on this list or their employees are authorized to wor
on this job. Any changes to this list must be approved by the Building Division prior to comniencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building Dermit. For each applicable trade, all information requested below must be co(Tipleted by applicant. "On File" is not an acceptable response.
6L
M
Trade / Classification
contractor
State Contractor's
Classification
License .
License Number
EAp. Dt'
::......
-<, Woikers Com
� Carrier Name
CalComp)
ensation Insurancens e
Policy Number Exp. Date License Number Exp. Date
(Format Varies) txx/xx/xx) (xxxx) (xxlxx/xx)
Company Name
(e.g. A, B, C 8)
(xxxxxz)
Ix.x xxlxx)
1e.g. State Fund,
V
EARTHWORK (C-12)
�2r� ^ Fw��
C
�%/ e7
5-FAT;C- FLI J-�
Z Z — 00 30 Y31,�2 .3
b7
CONCRETE (C
t�31 �j `-!
O`
S�1t7 1
Z2 - c0{ L} 22 5 ! L 7
. Z
FRAMING .(C-5)
`1- 0
STRUCT. STEEL (C-51)
t.1�1.�
-t IJ , C1lA{,(1.
C2
--5///c7
Fi t
K
MASONRY (C-29)
V CZ-(
�S3
$6 -5113
f41107
PLUMBING (C -36i
����� !
t 3
(I—el
(.
(0
-13G�
LATH, PLASTER (C-35)
� P
C i3
G�sIS
3G O
-Slr7- �'-^��
��� ��
art g�
DRYWALL (C-9)... .
HVAC (C-20)
U � 3 co
-5 3 !�
ELECTRICAL (C-10)
W
GS 3 .
iso f 8? 3
3 (C -,
l x� m I
SHEET METAL (C.43)'-''
FLOORING
GLAZING (C -77)
-
INSULATION (C-2) .-
SEWAGE DISP. (0-42) .
PAINTING (C733)
CERAMIC TILE (C-54)
CABINETS (0-6)
FENCING (C-13)
'
LANDSCAPING (C=27) '.
POOL (C-53) ��
V -R tJ �i ooL S
E S �J
�isl�$
-7
f g S ig
`{ ! 0 7
GOLF COURSE
STEPS TO GRASS STEPS TO GRASS
LAWN AREA 0 .AWN AREA
24'0 1
qi
+1$" DECK P/L
(-:-) PLANTER BEE(-j-j-j)V�)j ?LANTERBEDU. U.
U,
P/L BENCH BENCH BENCH
L
%�
_PS
SPA SCUPPER ENTRY STEPS
2
RAISED BOX 15 PLACE
PLANTER
m 40,
22'0
4' POOL 311T
+12" 5'
11910-
STEP UP
TAN SHELF
p +12"
L
A (D STEP UP P
NO
L
T A
E 14'0 N
R T
E
B R,
-6'0- Q
A
0 -2, N
0 T
E
R
-5'0-
RESIDENCE EQUIP
WILL DAY
LA QUINTA, CALIF. 92253
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATEaAW—(o E3Y-.'PA_
Bin #City
of La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
d"
Project Address: _�
Owner's Name:
A. P. Number:
Address:
Legal Description:
City,'ST, Zip:
Contractor: L. �,Xj
Telephone;
Address: AN e m ft e: f,
Project Description: O fJ. (� &P A-
City, ST, Zip: L Cl ZZ�
Telephone: 2e 2
State Lic. # : City Lic. #:
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: �; ��
Sq. Ft.:.
# Stories:�j
# Units:
Telephone # of Contact Person: le n $�
Estimated Value of Project:
APPUCANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd ,.
Rec'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
i �Y
Item
Amount
Structural Calcs.
Reviewed, ready for'•, Erections
Plan Check Deposit
Truss Coles.
Called Contact Person
Pian Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading,plarY
2" Review, ready for correctionsJissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A,I.P.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees