05-5343 (SOTB)4 P.O. BOX 1504 �h�^' 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: 12/07/05
Application Number: 05-00005343 Owner:
Property Address: 52305 VIA CASTILE ND LA QUINTA PARTNERS
APN: 772-410-998-14 -32453 - U d 375 N FRONT ST STE 200
Application description: STRUCTURES OTHER THAN BUILDINGS UMBUS, OH 43215
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
C��0
/DEC/ �oo`� ontractor:
Applicant: Architect or Engineer: F y�FC QV�NT ALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
Cj ZlJ a� (760) 398-9222
Lic. No.: 656128
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 frofessionals Code, and my License is in full force and effect.
LiceriseClass: C8 C27 C29 LicenseNo.: 656128
Date: " rb Contraao .
WNER-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 1$5001.:
1 _ 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
pP6pefty who Builds of impmves inere6n, and wn6 d0tl'acts tof the pf6je611; with a c6ntract6f(s) licensed
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDINGAGENCY
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 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 SEABRIGHT INS Policy Number B131050510
_ 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 bject to the workers' compensation provisions of Section
3700 off the Labor Code, I shal with comply with those provisions.
D to e: r, 7Applicant:
WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES 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.
-I. Each person upon whose oenalt this application Is made, each person at wnose request anu Idt
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 con ruction, and hereby authorize representatives
of this county tormenter upon the above-mentioned pro/pees for ' ion purposes.
Date: _ j ignature (Applicant or Agentr.
Application Number . . . . . 05-00005343
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
72.00 Plan Check Fee
46.80
Issue Date . . . .
Valuation . . .
. 5000
Expiration Date
6./05/06
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 . . . .
16.35 Plan Check Fee
4.09
Issue Date
Valuation . . .
. 0
Expiration Date
6/05/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
1.35
Permit
PLUMBING
Additional desc . .
Permit Fee
24.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
6/05/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00-
5.001.00
1.006.0000
EA PLB FIXTURE
6.00
1.00 3.0000
a
EA PLB GAS PIPE 1-4 OUTLETS
3.00
-------------------
Notes and Comments
BARBEQUE #Z21-58-1995
AND FIREPIT #AGAL
496.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
4.68
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due
Permit Fee Total.
11? 'A5 no on
117.35
Plan Check Total
56.14 .00 .00
56.14
Other Fee Total
4.68 .00 .00
4.68
Grand Total
173.17 .00 .00
173.17
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
T
05.5�3T 3
Project Address: rJ2 ? V 1 `
Owner's Name:1N� 1-Q�
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor
K `
Telephone:
tilt' _
Address: _d. 29U
Project Description:
City, ST,S—
Telephone:7&6meq?-y'�2.
State Lic. #
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: O`GV 0 Jess —
Construction Type: Occupancy:
Project type {circle one): New Add'a Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: 26-o % s,`Z =Q�
Estimated Value of Project: �Q O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
If 1U
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
IF,
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Constructio-a
50—r8
Flood plain plan
Plans resubmitted
Dlechanical
Grading plan
2"d Review, ready for correctionstiissue
Electrical
3 - F1KR+�E'f
Subcontactor List
Called Contact Person
Plumbing 'GAJ
_V OUT"r>
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I:P.P.
Pub. Wks. Appr
Date of permit issue
/r)
CS/
School Fees
Total Permit Fees