06-0681 (SOTB)P.O. BOX 1504
`
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
.
0
.
Application Number: 06-00000681
Property Address: 52125 VIA CASTILE
APN: 772-410-998-2 -32453 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant: Architect or Engineer:
71",�'FETY
DEPARTMENT
r ERMIT
" 1 Owner:
ND LA QUINTA PARTNERS
�yOjCOnes 375 N FRONT ST STE 200
`�'vly�►\ COLUMBUS, OH 43215
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 a d Professionals Code, and my License is.in full force and effect.
LicenseClass:
C8 C27 C29 License No.: 656128
Contractor
0 NER-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 155001:
(_) 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.).
( l 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
urgoenv whn hllilds nr imnrnves therenn and in1hn rnntrartr fnr thn rrnjQ v „-ith a ggalreeler(el liaanasd
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: I 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
1
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/15/06
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 HRH INS Policy Number 13131060510
_ 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 ecome subject to the workers' compensation provisions of Section
3700 of the Lab/or Code, shall forthwith comply with those provisions. -
Dat( —O Applicgrlf:
WARNING: FAILURE TO SECURE WORKE♦ S' 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 . E0611 pelaun upUn wiluse Uendn uas appaL'aUon Is maga, eaen perSon at wnOSe iequest 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 onstruction, and hereby authorize representatives
of this county toenterupon the above-mentioned prop rty for 'nssection purposes.
Date: ; YIDS Signature (Applicant or Age
Application Number . . . . . 06-00000681
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
72.00 Plan Check Fee
46.80
Issue Date
Valuation . . .
. 5000
Expiration Date
8/14/06
Qty 'Unit Charge
Per
Extension
BASE FEE
45.00
3.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
27.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date
8/14/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
3.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
24.00 Plan Check Fee-.
5.25
Issue Date
Valuation . . .
. 0
Expiration Date
8/14/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
BARBEQUE & FIREPIT ONLY.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
4.68
Fee summary Charged Paid Credited
Due
----------------- ----------
Permit Fee Total
---------- ------- - -- ----------
114.00 .00 .00
114.00
Plan Check Total
5.6.55 ,0p .00
96,5
Other Fee Total
4.68 .00 .00
4.68
Grand Total
175.23 .00 .00
175.23
LQPERMTT
V,
Bin #
• - City ®f La Quinta
Building 8L Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
v O Building Permit Application and Tracking Sheet
Project Address: X_l 5 U � /,� ` Owner's Name:
A. P. Number:
Address:
Legal Description: City, ST, Zip:
Contractor• ..
�� Telephone: IN
Address:
'C% Z. Project Description:
City, ST, Zip: C/� 2
Telephone: 7&6)'3,W-11'222—/ �.�
F, -
,',',.an�._`.:iS :,.•'' ` : •'..".x � ,z 11 l`
State Lic. # : C05 -co ( 2 1�6- City Lic. #:
Arch-, -Engr-, -Designer
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occ anc :
� Y
State Lic. #:
Name of Contact Person:
Project type (circle one): New Add'n Alter Repair Demo
�G�Q Je55� Sq. Ft.:
#Stories: #Units:
Telephone # of Contact Person: 26-0--�I Estimated Value of Project: j
OCJC)
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Req'd Recd TRACIQNG
PERMTT FEES
Plan Sets
Plan Check submitted
02 `�
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction TB
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
SdN /� Oro WVAC
Plumbin
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3rd Review, ready for corrections/issue
Developer Impa:t Fee
Planning Approval
Called Contact Person y 1
T�
A.I.P.P.
Pub. Wks. Appr
D ermit's��
School FeesGil
OR Vim`
Total'Permit Fess
pATE—�