07-1890 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T44t 4 - 4 Q",
Application Number:
07-00001890
Property Address:X533k-7—VI-A-
STRADA
APN:
72- 520-051- -
772-520-051-
Application description:
Application
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
525
Applicant: Architect or Engineer:
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 70001 of Division 3 of the Busi ss and Professionals Code, and my License is in full force and effect.
License Class: C53 11 License No.: 802919
i
ate: tractor:
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 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.).
1 1 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 _) 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:
Owner:
PERRY
53307 VIA
LA QUINTA,
STRADA
CA 922
Contractor:
AZURE POOLS AND
P.O. BOX 10641
PALM DESERT, CA
(760)322-7665
Lic. No.: 802919
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
,Date: 7/19/07
92255
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
IKI 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 SIRIUS/DELOS Policy Number OIDKRM11000814
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,
anda that, if I should bec a subject to the workers' compensation provisions of Section
37 of he Labor Code, I h II f with those provisions.
cant:
WARNING: FAILURE TO SECURE WORKERS' COMPENS ON VERAGE IS 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 ca ion.
1 certify that I have read%th s plication and state that the above information is correct. I agree to comply with all
city!70 t o n s and state laws relating to buil 'ng construction, and hereby authorize representatives
of is c ty ter upon t above-mentioned pro e y ection purposes.
e: S ature (Applicant or Agent):
77
Application Number . . . . . 07-00001890
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . 54.00 Plan Check Fee 35.10
Issue Date Valuation . . . . 2200
Expiration Date 12/26/07
Qty Unit Charge Per Extension
-BASE FEE 45.00
1.00 9.0000 THOU BLDG 2,001-25,000 9.00
----------------------------------------------------------------------------
Permit. . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 15.75 Plan Check Fee 3.94
Issue Date . . . . Valuation . . . . 0
Expiration Date 12/26/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 .75
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 18.00 Plan Check Fee 4.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 12/26/07
Qty Unit Charge Per o Extension
BASE FEE 15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
----------------------------------------------------------------------------
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 17.00 Plan Check Fee .00
Issue Date . . . . Valuation. 525
Expiration Date 1/15/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 2.0000 HND BLDG 501-2,000 2.00
----------------------------------------------------------------------------
Special Notes and Comments
COURTYARD WATER FEATURE - GUNITE
FOUNTAIN BASIN NO DEEPER THAN 18".
AZURE TO BUILD 3 CMU BLOCK PILASTER
LQPERMIT
Application Number . . . . . 07-00001890 -
----------------------------------------------------------------------------
Special Notes and
Comments
WITH GLASS TILE,
CITY STANDARD,
(A
TOTAL OF 21 L.F.
61).
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ENERGY REVIEW
FEE
3.51
STRONG MOTION
(SMI) - RES
.50
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
104.75
.00
.00
104.75
Plan.Check Total
43.54
.00
.00
43.54
Other Fee Total
4.01
.00
.00
Grand Total
152.30
.00
.0052.30
LQPERMTT
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GROUT ALL CELLS
./REINFORCEMENT
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Project PERRY RESIDENCE Dale: 06-27-07 Sheet:
Lot 4247/ Tract #29894-2 Drawn By. NIJS ASI -15
ROSS HIDEAWAY
53-307 Via Strada Scale: 1"=1'-D" 4 OF 5
La Quinta, Califomia 9225)
1xFG IA�u9Y.9 a6 iMFN16FAFYaF91FYfMattt, WYMIR0.FfNOtrlflaOWfiaaN06Ea NY/ttFafIWVYtF Y.11XaI11N iXF fiRES40'A9mafd6FM163R1FMtlKt (YYIWfin%Ol '
Azure Pools & Spas, I4C.
P.O. Box 10641
Palm Desert, CA 92255
4-
3'-0 2'-4" I'—q" 1'—q" 2'-4" 31
-6.r
N
ZJ 3
D
IVLl
T
+IB..
—
FOUNTAIN
7 I I COURTYARD WATER FEATJJ
PLANA WATER FEATURE
E scA :
r
r —;
5; Project PERRY RESIDENCE Date: 06-27-07 Sheet
Lot #247/ TmcWAY Y• t029894-2
ROSS IIIDEADrawn B D7 S SI -15
-
53-307 Via Struda
La Quint., California 92253 - Scale:. 1/2"= V-011 I OF 5
n[sE(miiYmrsua MEENOEENfY RSIEHMaS$vNlvfpiffSFaIOGILiaP FtiF.(MiCPTON YMIXEOiin iNliNliXpPM tIE ExVItESffONW"FaCpI5n1165iE�EYiWS4 t%YYhTi(fAO)
J
Azrur,.elools &'`Spas; In'c
P.O. 'Box 10641
Palm Desert, CA 92255
r
Bin #
City of La Quinta
Building & Safety Division
P:O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #rr�A, hh
0�0
ProjectAddress:5%W-7 Q G17-
Owner's Name: c,,-,ftit-Cfviu,
A. P. Number:
Address: �J . via
Legal Description:
City, ST, Zip: Q tt 6C OZ -792
Contractor:
Azure Pools& S us Inc.
Telephone:
Address: P.O. BOX 10641.
Project Description:
City, ST, Zip: Palm • eSe ,
Axk?0�7,(�
Telephone:
_ /VO Y
p
State Lic. # : gOZGlI
City Lic. #:
-ice, Engr., DesF
Address: !--b ( N• U H P / q X e.
City, ST, Zip:
Telephone: 71 _ le 3o DO
4 R�
Construction Type: Occupancy:
Project type (circle on New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
State Lic. #: )Ne
Name of Contact Person: ab&
/" /
Telephone # of Contact Person: �j2 Z- 4?
Estimated Value of Project: 4
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
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
2n4 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:-
'`d 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
Ned PERRY RESIDENCE Date: 06-27-07k Sheet
Loth 247/ Tract H29894-2
ROSS HIDEAWAY Drawn By. �-,Ijs SI -151
53-307 Via Strada
La Quinta, California 92253 Scale: 1/2"=1' 0" 1 OF 5
AiUre.,fools &S00:91ft.c6t,
P.O. Box 10641
Palm Desert, CA 92255
—1
9
Project PERRY RESIDENCE
Date: 0627-07 Sheet•
S^JI
L.t 11247/ Tract P29894-2 Drawn BY �1J5 ASI -15
i \ \ ROSS HIDEAWAY
Strada
Ou nm, Calfm92253 Scale: =11.0.1 1 40F5
Azure,Pools & Spas; In
P.O. Box .10641
Palm DeseM,CA 92255
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