The URL can be used to link to this page

05-4814 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00004814 Property Address: 480848 VIA PUERTA AZUL APN: 762-240-003-7 -300962- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM DENSITY RES Application valuation: 20000 Applicant: I hereby affirm under penalty of perjac Section 700 1 of pivision.3 of the Bu! License a attr/ Kate: Conactors T4ht 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT D I NOV ?.1 ZppS CONTRACTOR'S DECLARATION L nsed under provisions of Chapter 9 (commencing with :ssionals Code, and my License is in full force and effect. License No.: I 0 NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and rofessions 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 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 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 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 Owner: MILLER 80-848 VIA PUERTA AZUL LA QUINTA, CA 92253 actor: :LY POOL CONSTRUCTION STATE FUND � 1344032-2005 658996 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 03/01/06 11/30/06 Date: 10/27/05 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 work e I compe n insurance, as required by Section 3700 of the Labor Code, for the performance f �t ork for which this permit is issued. My workers' compensation insurance carrier and poli mber are: Carrier C53-HIC Policy Number - - - - - - - - - - - - - -- _ I certify that, in the pe orma a of the work for which this permit is issued, I shall not employ any person in any mann o a o become subject to the workers' compensation laws of California, and agree that, if I shot me su ect to the workers' compensation provisions of Section 37 0 of the Labor s,* I •h `E rtith comply with those provisions. Date: Applicant: WARN[ AILURE TO SECURE WORKE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT A EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO T COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INT EST, 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 employee for any act or omission related to the work being performed under or following issuance of th[ per it. 2. Any permit issued as a result of this applicat n b omes null a id if work is not commenced within .180 days from date of issuance of s ch p rmit, ssation of work for 180 days will subject permit to cancellation. I certifp that I hate read this application and state that ve information is correct. I agree to comply with all city art cointy6rdinances and state laws relating to it ;n nstruction, and hereby authorize representatives of th' . ou y o enter upon the above-mentioned prop nspection purposes. at Signature (Applicant or Agent): Application Number . . . . . 05-00004814 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 4/25/06 Qty Unit Charge Per. Extension BASE FEE 45.00 18.00 9.0000 -------------------------------------------------- THOU 'BLDG 2,001-25,000 ------------------------- 162.00 Permit . . MECH POOL ` Additional desc . .Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 4/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------- EA MECH FURNACE >1.00K ------------------ 11.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration Date 4/25/06 _ 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. 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 4/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 ONLY. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 05-00004814 ---------------------------------------------------------------------------- Special Notes and Comments PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee.summary Charged Paid Credited Due ----------------- ---------- ------- -- ---------- ---------- Permit Fee Total 305.00 .00 .00 305.00 Plan Check Total 159.05 .00. .00 159.05 Grand Total 464.05 .00 .00 464.05 LQPERMTT 1 It V Pimwdi PGA WEST v eiodwdi Puiffer/i /izu 0fvfl_0 mfNr , CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 10 121 `os BY 9 N VtNbawdi A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! 1/8"-1' lip Construction 100/5 5pa� l=ountain5 C760"64-36f5� Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (7�0) 777-7012 lding Permit Application and Tracking Sheet Permit # Project Address:a&/X o7,4 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Cs Address: Telephone: Project Description: Ila City, ST, Zip:aAAP1 Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # St 'e Telephone # of Contact Person: I p�. Estimated Value of Project: Q (� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted /Q Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical' Grading plan 2" 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