06-3580 (RPL)I
?.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
C
I
06=00-003580--,
44750 VIA CATALINA
604-032-999-87 -305212,-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
23000
Architect or Engineer:
a rK
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LI NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury tha ensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busi ss a Profe ionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 LicenseNo.: 656128
D 4ontractor: - -
0 NER-BUILDER-DECLARATION
I hereby affirm under penalty of perjury that I am a empt from the Contractor's State license Law for the
following reason ISec. 7031.5, Business and.Profe ions 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).:
(_ 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.).
1 _ 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
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
Owner:. .
MCMAHON
44750 VIA CATALINA
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS &
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/10/06
D
i
nCT 12.2006
CITY OF LA QUINTA
WORKER'S COMPENSATION DECLARATION
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
v 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 SEA13RIGHT Policy Number 13B1060510
_ I certify that, in the perform
f the work for which this permit is issued, I shall not employ any
. person in any manner so as t become subject to the workers'" compensation laws of California; ,
,and agree that, if I should b bject to the workers' compensation provisions of Section.
/D 700 of the Labor Code, I fort ith comply with those provisions.
atef 4� 0�RETO
nWARNING: FAICURE WOR
SUBJECT AN EMPLOYER TO CRIMINAL PE
DOLLARS ($100,000). IN ADDITION TO T
SECTION 3706 OF THE LABOR CODE, INT
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
,LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
(1COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
QST, 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 issuanc4per it.2. Any permit issued as a result of this aomes null and void if work.is not commenced
within 180 days from date of issuanmit, or cessation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and statee inf mation is correct. I agree to comply with all
city and county ordinances and state laws relatingnstr ction, and hereby authorize representatives
of.this c un toe/Je//rJ�Vpon t above-mentionedcoon purposes.
�/ �r'+Si ature (Applicant or Agen
I
Application Number .
. . . . 06-00003580
Permit . . .
BLDG POOL PERMIT'
Additional desc .
Permit Fee . . . .
234.00 Plan Check
Fee
152.10
Issue Date . . .
Valuation
23000
Expiration Date
4/08/07
__q
Qty Qty Unit Charge
Per
Extension
BASE FEE
45.00
"21.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
189.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . .
26.00 Plan Check
Fee
6.50
Issue Date . . .
Valuation
0
Expiration_ Date
4/08/07
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 .'
4/08/07
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
4/08/07
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
Y
- Application Number . . . . . 06-00003580
---------------
Special Notes and Comments
----------
---------.----
---------------
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged
Paid
Credited
Due
-
Permit Fee Total 338.00
00
.00
--------
338.00
Plan Check Total 178.10
.00
.00
178.10
Grand Total 516.10
.00
.00
516.10
LQPERMIT
_
Bin #
City of. La Quinta
Building a Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinti, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 1 rIAZt-o'c Owner's Name:
A. P. Number: Address: — 75z>
Legal Description: C
City, ST, Zip:
Lam--
ContractorT'„ \ - r %J.—.�;
Total Permit Fees
Address: �:)O
(Z
`P
Project Description:
City, ST, Zip• '
C'L . Z23
Telephone: %� 3� JZZ �-
State Lic. # : 2
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Project type (circle one):
Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft.: #Stories: #Units:
Telephone # of Contact Person:
Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Rec'd TRACKING
PERMIT FEES
Plan Sets
Plan.Check submitted1�
Item Amount
Structural Calcs.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Food 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:-
'rd 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