07-1519 (RPL)e C a .,' .,, • f,Alm
4-4
P.O. BOX 15t,41..,.-'� { ``'` . ' ^� V VOICE (760) 777-7012
78-495 CALLE TAMPICO ' FAX (760) 777-7011
yy '. LA QUINTA,'CALIFORNIA 92253 > BUILDING & SAFETY. DEPARTMENT . _ INSPECTIONS (760) 777-7153 ,
BUILDING RERMIT
i' Date: ; 5/23/07
Application Number: 07-00001519 4 n � 'Owner: K
Proper— ty Address: 80195 VIA MIRASOL ! ^ �y SUN VISTA
APN: 772-430-009 - 'r' - , 80-195 VIA`MIRASOL
- Application description: POOL - RESIDENTIAL',i� ` LA QUINT_A, CA 92253
+ _ Property Zoning: LOW DENSITY RESIDENTIAL *'
%application valuation: 30000 D Q
• � y` ., ' ; , ` s _. '�r � � '`r .` Contractor...._'` t .� _ �• , �, , ..�.^ � '
` Applicant- , '^ ArchltectorEngineer �. r Y,� o TESERRA`' MAY ! c :` a
i P.O. BOX'1280' ice[ r i
"COACHELLA; ' CA F9
UL:, a _! +• (760) 398-9222 1.
a
is No 656128
fes. �. .'�;+` ori,. �r� 147
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w•�•i r:,�•y `� •r'- r r�i.+ - ,` ^, �' '� K�` F' t,y,•`i
r 't•r�_ _ _ _ _ _ _ _ _ _ _ _ ..- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ a _"_ _ _ _- _ _ _ _'° _ _ _ _ _ _ _� _ _ _ _ _ _ _ _ _ _- _ _ _ _ _ _r _
0*1
. , LICENSED CONTRACTOR'S DECLARATION , . F '.' WORKER'S COMPENSATION DECLARATION
.I herebyaffirm under penalty. of perjury that I a licensed under provisions of Chapter 9 (commencing with'' '.thereby affirm under penalty of perjury one of the following declarations: h• ,_ . '
Section 7000) of Division 3 of the Business and rofessionals Code, and my License is in full force and effect. _ 'I have and will maintain a certificate of consent to self-insure for workers' compensation; as provided
-- • License Class: C8 C27 C29 License No.: 656128 '" - .. ,,,P r°..: -r - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `
- - - — issued. 1 .
Contractor: �y Y� '� F�� _ -; 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,
OWNER-BUILDER DECLARATION insurance carrier and policy number are: '' - • -
hereby affirm under penalty of perjury that I am exempt from the Contractor's StateLicenseLaw for the .;1 `Carrier SEABRIGHT Policy Number = BB1070510-
' following reason (Sec. 7031.5; Business and Professions Code: Any city or. county that requires a permit to ' ' '-�•:. I certify that, in the performance of the work for which this permit is issued, I shall not employ any
'-+ construct, alter, improve, demolish, or repair any structure, prior to its issuance, also.requires the applicant for the �:•�,, ,x• person in any manner so as to be me subject to the workers' compensation laws of California,'
e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - - and agree that, if I shout eco�me
to the workers' compensation provisions of SectionLicense Law (Chapter 9 (cpmmencing with Section 7000) of Division 3 of the Business and Professions Code) or �. ' '3700 of the Labor Co ; I halcomply with those provisions.-
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -•` 'e/i •7 •7t c 1 •= r .,�"Ti ' - •4 y:.
` ` 1 4 •• any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: `4F - �( Date: LrJL �1rApplica n,:
N
-1, 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 _ 'WARNING: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL,'AND SHALL
Contractors'. State License Law does not apply to an owner of property who builds or improves thereon SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND , -
'"-;r'r and who does the work himself or herself through his or her own employees, provided that the 'DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN-
_�.•improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. s
one year of completion, the owner-builder will have the burden of proving that he or she did not build or , ';• - �r -
• f -- improve for the purpose of sale.) : ` - APPLICANT ACKNOWLEDGEMENT
I'1, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec. "IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the-
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application: - '-
., - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed; ' ;_� - 1'.' Each person upon whose behalf this application is made, each person at whose request and for .
pursuant to the Contractors' State License Law.). _ - r
� -whose benefit work is performed under or pursuant to any permit issued as a result of this application, ' '.-
r, (_) I am exempt under Sec_ . ; B.&P.C. for this reason - '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.
Date: Owner: 2. - Any permit issued as a result of this application becomes null and void if work .is.not commenced _
_ _ - - • 'r within 180 days from date of issuance of such permit; or cessation of work for 180 days will subject r
- CONSTRUCTIONS LENDING AGENCY - :+ • , - permit to cancellation. • - L
7 I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I certify that I'have read this application and state that the above info oration is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building constru tion, and hereby authorize representatives
• ` - - of this cou ty to enter upon the above-mentioned property 'ns ec on purposes.' r -
--Lender's Name:.
Da`t`e`—ignature (Applicant or Agent):XaZ'• - _
Lender's Address:
LQPERMTT • . � , - . � f w � _ .. r. 4 .... _ .. ,
Application Number .
. - . 07-00001519
Permit . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
284.50- Plan Check
Fee..
184.93
Issue.Date.:
Valuation
30000
Expiration -Date
11/19/07
Qty._ Unit Charge
Per
Extension
BASE FEE
252.00' . ,
'.5.004 •= 6.5000
THOU BLDG 25,001-50,000
32.50
_ Permit
MECH POOL
Additional desc .
Permit.Fee... .:..
26.00. •' Plan Check
Fee.
6.50
Issue Date
Valuation.
....
0.
"Expiration Date
Qty Unit Charge
.Per
Extension
.BASE FEE w.
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 DateValuation
:
0-
Expiration,Date
-" ,
11/19/07
_!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
39.00 Plan Check
Fee`- .:.:
9.75
Issue•Date
,
Valuation
0
Expiration Date :"•
11/19/07,
Qty Unit Charge
Per
Extension
BASE"FEE
15.00
3.00" 6.0000
EA PLB FIXTURE`
_.
18.00
1.00. 3.0000
EA PLB WATER INST/ALT/REP
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
Bin #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quiilta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
a,
Project Address:' ``(?— l 14, MJ4r4 • 0 Z
Owner's Name: <v'
A. P. Number: 0L_
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: �..�
Project Description:
City, ST, Zip: COA=C.1 LLA (fA .
00 L fp-61-Ta 9-6,
Telephone:
State Lic. # : j/L City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:J �SL , A),.tjDCZ
Construction Occupancy:yp
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :
# Stories:
# Units:
Telephone # of Contact Person:(&o
Estimated Value of Project: - j0�.Q0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec°d
TRACHING
PERMIT FEES
Plan Sets
Plan Check submitted
I
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
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:-
'^' 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