06-1988 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: F44710
000019887 Owner:
Property Address: VIA MIRABEL� CLINE
APN: '604-032-999-29 -305212- 44-710 VIA MIRABEL
Application description: POOL - RESIDENTIAL LA QUINTA, CA
Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253
Application valuation: 17000
Applicant:
Architect or Engineer:
/
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 Lice se No.: 786324
�Date:�3�-06 Contractor: �I -
OWN -BUILDER RATION -
I hereby affirm under penalty of peri y that I am axe from the Contractor's State License Law for the.'
following reason (Sec. 7031 .5, Business and Professi 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).:
(_ I 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
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 ProfessionsCode: 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. B.&P.C. for this reason
Date:
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 (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Contractor:
ALPINE POOL'S & SPA'S INC
41995 BOARDWALK ST,'A-3
"F_kLM DESERT, CA 92211
(760)346-2350
Lic. No.: 786324
VOICE (760) 777-7012.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/12/06
h1 Ay 312006
CITY OF LA QUINTA
FINANCE DEPT.
--------—------—
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 STATE FUND Policy Number 000232362006
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 subject to th workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith com y with those provisions.
D�tct6-31-a6 Applica =:
WARNING: FAILURE TOSECURE ORKERS' C ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI I AL PENAL IE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDIT O TO THE C S OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR C E, INTERES , ND 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, indemnity 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 omply with all
city and county ordinances and state laws relating to building construction, and hereby authorizer resentatives
of th�nty to enter upon the above-mentioned property for ' spection purposes.
ate: 5-3r - 06 Signature (Applicant or Agent):
Application Number- . . 06-00001988
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 180.00 Plan Check
Fee _
117.00
Issue Date Valuation
. . .
. 17000
Expiration Date 11/08/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
15.00 9.0000 THOU BLDG 2,001-25,000
135.00
Permit . . MECH POOL
Additional desc
Permit Fee . . . . .26:00 Plan Check
Fee
6.50
Issue Date Valuation
. . .
. 0
• 1 Expiration Date 1;'08/06
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 11/08/06.
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 11/08/06
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
3.06
1.00 3.0000 EA PLB GAS PIPE 1-4.OUTLETS
3.00
----------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
LQPERMIT -
.
t Application Number . . . . . 06-00001988
-----------------------------------------
------------------------------
Special Notes and'Comments
BE IN PLACE PRIOR TO'PRE-PLASTER
. INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid
Credited
Due
-- - -
_ Permit Fee Total 284.00
- --
.00
---- - - - - ---
.00
--- - - - - --
284.00
Plan Check Total 143..00
.00
.00
143.00 �.
Grand Total 427.00
.00
.00
427.00
F
LQPERMIT
Bin #
City of La Quinta
Building a Safety Division •
P.O. Box 1504, 78-495 Calle Tampico
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
/
PrdjectAddress: 7/0
Owner's Name:
A. P. Number:
Address: O
Legal Description:
City, ST, Zip:
Contractor: L l(VeO -
Telephone:
.4
Address:qffls G -
Project Description: �
City, ST, Zip: A/L� T
Telephone• 7�0
State Lic. : City Lia #:
Arch., Eugr., Designer:
Address:
City, ST, Zip:
Telephone:Construction
State Lic. #:
Name of Contact Person:
Type: i f S Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
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
Z
Plan Sets
Plan Check submitted S pb
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Coles.
Plans picked up
Construction
Flood plain plan..
Plans resubmitted i �) I �"
Mechanical
Grading.plan
2" Review, ready for correctisrssue Z
Electrical
Subcontactor. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval:
Plans resubmitted
Grading
IN HOUSE:-
3N Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees