Loading...
05-2469 (RPL)P -.O. BOX 1504' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN:. r Application description Property Zoning: Application valuation: Applicant: :05-00002469 _ 8133 O'I;EGENDS�WY. 762-420-009- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 18000 &,JFP,-,4c F-O/Z Architect or /V/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------------------------- - -------- LICENSED CONTRACTOR'S DECLARATION I�ereby affirm under penalty of perjury that I am lic der provisions f Chapter 9 (commencing with t/ /Section 70001 of Di ieionf a Business and Pro a sional Code, a y�icppae}6 inOfutry and effect. License Cla ense [> c7 (p` G Date:Z Contra or: 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).: (_) 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.). (_ 1 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.1. Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/20/05 Owner: TOLL BROS, INC. 73121 FRED WARING DRIVE Contractor: CALIFORNIA POOLS & SPAS _ WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 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 rmit is issued. My workers' compensation insurance carrier and policy number are: � �15W/ ^ Carrier C8 C2'7 C29 C53 'Policy Number fea x I certify that, in the performance ofw for which this permit is issued, shams II not emToy any person in any manner so as to b me su �ect to the workers' compensation laws of California, ff����and��agree that, if I sho become bject o the workers' compensation provisions of Section �zl�of the Labor.;JI shal o h comply with those Provisions. ate: pp antnntn WARNING: FAILURE TO SECURE RKERS' COMP ON 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 ull and void if ork is not commenced within 180 days from date of issuance of such permit, or ation of w k for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informat n is t. I agree to comply with all city and county ordinances and state laws relating to buildin c structio and re uthorize representatives of this count o en r upo the above-mentioned grope ori spect' n oses. Daj9. nature (Applicant or Agent) Application Number . . . . . 05-00002469 Permit . . . BLDG POOL PERMIT > Additional desc . . Permit Fee 189.00,, Plan Check Fee 122.85 Issue Date . . . . Valuation . . . . 17920 Expiration Date .12/17/05 Qty Unit Charge Per Extension i BASE FEE 45.00 16.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee -6.50- Issue Date . . . . Valuation . . . . 0 Expiration Date 12/17/05 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 12/17/05 Qty Unit Charge Per Extension BASE -FEE 15.00 1.00 30.0000 -----------------------------7---------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 7.50 Issue Date . . Valuation . . . . 0 Expiration Date 12/17/05 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 Permit . . . . . . WALL/FENCE PERMIT LQYERMIT LQPERAIIT Application Number 05-00002469 Permit, WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 80 Expiration Date 12/17/05 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------ Special Notes and Comments POOL & SPA ONLY. 5 L.F. 41'BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. - Fee summary Charged Paid Credited ----------------- Due ------------------------------ Permit Fee Total 308.00 .00 ---------- .00 308.00 Plan Check Total 148.10 .00 .00 148.10 Grand Total 456.10 .00 .00 456.10 Bin # . City Of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # j� C - 2q& 7 UJ I/ Project Address: 330 Z&rqv11P3 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:l 1 C L .J0 Tel e hone: P Address: Box Project Description: City, ST, Zip: . Telephone: z ftp _ N twoe State Lic. # : 65 eP 01 W City Lic. #; Arch., Engr., Designer: Address: V S LiEX VKO�K ltiJl�Ll.. �i? S?"Z) City., ST, Zip: Telephone: hone: Construction on T Y P e: Occupancy: P Y•• State to Lic. #: Project type (circle le n e). NAdd' n Alter Repair atr De p mo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: ,2 -lit,,7-7, j --00,Y Estimated Value of Project: IgWo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIQNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. _ Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees