06-1156 (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: .
L06-00001156 f
51557 VIA SORRENTO ,
772-250-997-82. -31349 -
POOL - RESIDENTIAL . -
LOW DENSITY RESIDENTIAL
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/21%06
Owner:
IZENMAN'
51-557 VIA SORRENTO
LA QUINTA, CA 92253
25000
Architect or Engineer: r-,
Contractor:
ALPINE POOL'S & SPA'
41995 BOARDWALK ST,
PALM DESERT, CA 9223
(760)346-2350
Lic. No.: 786324
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LICENSED CONTRACTOR'S DECLARATION
- WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 70001 of Division 3 of the Business and Professionals 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: C53 Lice se No.: 786324
for by Section 3700 of the Labor Code, for the performance'of the work for which this permit is
22
Date:J� ' Contractor:
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
• 0 N R -BUILDER DECLARATION -
insurance carrier and policy number are:
I hereby affirm under penalty of perjury h t I am ex pt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 000232362006
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
person in any manner so as to become subject to the workers' compensation laws of California,
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 should become subje to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwi comply with those provisions.
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 civil penalty of not more than five hundred dollars ($500).:
Date :�� "� Applicant:
(_) 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
WARNING: FAILURE TO SECUR RKERS' O 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 CRI I AL PENA TIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITI N TO THE C T 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.
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.).
APPLICANT ACKNOWLEDGEMENT
(_) I, 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 contractorls) 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.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) 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
- -
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
- CONSTRUCTION LENDING AGENCY
permit to cancellation. ti
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 information 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 construction, a5heby authorize representativesof
Lender's Name:
t is county to enter upon the above-mentioned prpparty for inspection pur
2
2—x'06
Date Signature (Applicant or Agent):
Lender's Address:'
LQPERMIT -
Application Number 06-00001156
Permit ." BLDG POOL PERMIT
• Additional desc .
Permit Fee . . . . 252.00 Plan Check
Fee
163.80
Issue Date . . . Valuation
. . .
. 25000
Expiration Date 9/17/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
23.00 9.0000 THOU. BLDG 2,001-25,000
----------------------------------------------------------------------------
207.00 .
Permit MECH POOL
Additional desc .
Permit Fee . . . . 26.00- Plan Check
Fee
6.50
Issue Date .' . . Valuation
. . .
. 0
Expiration Date 9/17/06
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 9/17/06
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 9/17/06
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
3.00
1:00• 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
..
Application•Number. . 06-00001156
-� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ - - _ ---
_ _ _ _ - --
_ _ _ _ - _ _ - - --- - - - - - - - - - - - - ~ •k
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 356.00 .00 .00 356.00•
Plan Check Total 189.80 .00 .00 189.80
Grand Total 545.80 .00 .00 545.80
•r
Bin #
City of LaQ uinta
Building U Safety Division '
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012' -
Building Permit Application and Tracking Sheet
Permit #
D
Project Address: Sj — S' A Sa j-,� \
Owner's Name:
A. P. Number:
Address: �'� _ 55-7 V11 ,.1, 1_�p n
Legal Description:
City, ST, Zip:L
Contractor: `Nc o`�w
Address: 95 l S71' A
Telephone:
Project Description:
City, ST, Zip A m L l*- &)l I
Telephone:
City Lic. #:
State Lie. # : '3a .
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:s{ t y M
Name of.Contact Person: LJf4 �.1 `�
Construction Type: UIj\ e Occupancy:
Project type (circle one): New Add'n Alter ' Repair Demo
Sq. Ft.: -
# Stories:
# Units:
Telephone # of Contact Person:Q.2-7--791(4 .Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG .
PERMITFEES
Plan Sets
Plan Check submitted
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
2°" Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7r4 Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees