06-3724 (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:
cr
06-00003724
81913 VIA LA SERENA
767-200-011-36 -318741-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
35000
Tiht 4 4 Q"
Architect or Engineer:
P 'P
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 Class:_C53 / _*,00'. ^ LicinseNo.T483498
�— 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).:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will clothe 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
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 am exempt under Sec. , BAP.C. for this reason
Date:
Ownei:
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: NI A
Lender's Address: IJ 114
LQPERMIT
Owner:
D. WINANS
81913 VIA
LA QUINTA,
LA SERENA
CA 92253
Contractor:
PURRFECT POOLS &
42335 WASHINGTON
PALM DESEPT, CA
(760)360-0379
Lic. No.: 483498
9
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/19/06
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
issued.
1 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 STATE FUND Policy Number 1680230-2006
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 su�Nect to the workers' compensation provisions of Section
a6os£�de
3700 oLthe,6. I sA911 fz;ah comoly with those orovisiom.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I$ 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 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 ws ting buildi construction, and hereby authorize representatives
of this coLoty to en!grr upon me do ed opert)��r Spapection purposes.
Application Number . . . . . 06-00003724
Permit . . . . . .
BLDG POOL PERMIT
Additional desc.. .
Permit Fee . . . .
317.00 Plan Check Fee
206.05
Issue Date . . . .
Valuation . . .
. 35000
Expiration Date . .
4/17/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
10.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
65.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
4/17/07
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 . .
4/17/07
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
4/17/07
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
LQPERMIT
Application Number . . . . 06-00003724
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
----------------------------------------------------------
Permit Fee Total 421.00 .00 .00 421.00
Plan Check Total 232.05 .00 .00 2-32..05
Grand Total 653.05 .00 .00 653.05 \
J
GQPEINiIT
OCT -19-2006 10:14A FROM:PURRFECT PO 0 L S 7603609829 TO:7777112
P. 1/2
t
BSA
-City Of La Quinta
Buildkv a Safety Division
Permit d
P.O. Box 1504, 78-495 Calk Tampico
La Quints, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Rojoct Address: 81913 -Via La Serena Owmr a Name: D .. W i n a n s
A P. Number. Adam:. same
i�I D prion: CIV. Sr, Zip: L a Q u i n t a, Ca. 92253
cWtracwt Purrfec•t Pools
Addmss: 42335 Washington stef 176, .1 Gunite swimming P&S
�. ST. Ar
Tfthow 568 4963
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NameofG PeaaorG Sq.pt; low= � U' d= '
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PREPARED 1/14/10,
16:48:15
'. INSPECTION HISTORY REPORT
PAGE 1
PROGRAM BP521L
0/00/00 THRU 0/00/00
CITY OF LA QUINTA
-------------------------------
APPLICATION
PROPERTY
-----------------------------------------------------------------------------------------------------
ADDRESS
APN
Alternate ID
STRUCTR
------------------------------
PERMIT
------------------------------------------------------------------------------------------------------
INSPECTION
RESULT DATE/STATUS
INSPECTOR
l A6-00003724,
81913
VIA LA SERENA
767-200-011-36-318741-
000 000
M001
00
MECH POOL
499 0001 MECHANICAL FINAL
2/13/07
APPROVED
DG
000 000
P001
00
BLDG POOL PERMIT
170 0001 PRE-GUNITE
11/22/06
APPROVED
DG
000 000
P001
00
BLDG POOL PERMIT
175 0001 PRE-PLASTER
1/26/07
APPROVED
DG
000 000
P001
00
BLDG POOL PERMIT
199 0001 FINAL
2/13/07
APPROVED
DG
000 000
P002
00
ELEC POOL PERMIT-RES
305 0001 UNDERGROUND ELECTRICAL
1/26/07
APPROVED
DG
000 000
P002
00
ELEC POOL PERMIT-RES
399 0001 ELECTRICAL FINAL
2/13/07
APPROVED
DG
000 000
P003
00
PLUMBING POOL
200 0001 UNDERGROUND PLUMBING
1/26/07
APPROVED
DG
000 000
P003
00
PLUMBING POOL
205 0001 UNDERGROUND`GAS
1/26/07
APPROVED
DG
000 000
P003
00
PLUMBING POOL
299 0001 PLUMBING FINAL
2/13/07
APPROVED
DG
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