06-2288 (RPL)..,. - t
> •� ;
s/.
P.O. BOX 1504 VOICE (760) 777-7012
" 4 .
78-495 CALLE TAMPICO 4 ... -Y :,' 4 - FAX (760) 777-7011.
_ LA QUINTA,:CALIFORNIA 92253 �'µ BUILDING & SAFETY DEPARTMENT r INSPECTIONS (760).777'7153
- BUILDING PERMIT }
-Date: 6/06/06 . <
Application, Number: 06-00002288`i , - �'. Owner:"
Property Address: 81172 VICTORIA LN .. JOHN & JAN BALDWIN"f
APN:, 764-270-999-143 -300234= .81-172 VICTORIA LN.
Application description: POOL - RESIDENTIAL ` LA •QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY, RES - s (760)7717 1029
pct Application valuation: • .16000 "..
• . - _ - Contractor: _
Applicant: •, .Architect or Engineer:- FPD. SERVICES INC `
43653 PARKWAY -ESPLANADE
LA QUINTA, CA 92253'
- (760)324-7946
Lic._No.: 820132
+ - 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 Lic se No.: 820132
Date:}Contractor.
• 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 ProfessionsCode: 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 they
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 Coder 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, asowner 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 -
t improve for the purpose of sale.). • - '
(_ 1 I, as owner df 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 thisreason;
Date: Owner: .
CONSTRUCTION LENDING AGENCY -
I hereby affirmunderpenalty 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. •-. t - _ -
WORKER'S COMPENSATION DECLARATION •�
1 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. -
-have and will maintain workers' compensation insurance, as required'by Section 3700of 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 EXEMPT I 'Policy Number EXEMPT
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 the workers' compensation provisions. of Section
�y 3700 of the�Lalbore, I shall fo om ly with those provisions.
�Da ' APpG ants
—WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE 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 cancellation. .
I certify that I have read this*application and state that the above information is correct. I agree to comply witti.all ,,
city and county ordinances.and state laws relating t4bui ing construct' and hereby authorize representatives >of this county to enter upon the above-mentioned pfor inspecti�� Date: aV L/ � Signature (Appcant or Ag
4
APpiicatson Number 06-00002288
Permit, 'BLDG•POOL.PERMIT .
Additional desc:
Permit Fee171.0.0 Plan Check
Fee •.
111:15
_•.Issue'Date Valuation
15760:
Expiration Date'.,. 12/03/06 '.
Qty. Unit Charge Per
Extension:
BASE FEE
45.00
14. 0,0 1 9.0000 THOU BLDG- 2,001=25,000.
126.00'
--
4141 ------------------------------ - - - - ------�---- - - - ------
- - - - - --
------- - - - - -.
Permit MECH'POOL '.
Additional desc
PermitFee _" . •26•:00 Plan Check
Fee
.6.:50 -
Issue,Date. Valuation
0
Expiration Date'. .- 12/03/06
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 •12/03/:06
Qty Unit -Charge Per `•
Extension
BASE FEE
15.,00
1.00 30..0000 EA ELEC PRIVATE --SWIMMING
POOL
•30. 0 0
Permit. PLUMBING .
.Additional desc .
Permit,Fee. 27.00 Plan .Check
Fee ,.
6.75
Issue Date Valuation.
0
Expiration Date 12/03/,06
_-... Qty: Unit Charge• Per
Extension:
BASE FEE
11 15.00
:1.00 6.0000 EA. PLB:FIXTURE
6.00_ =
1.00 3.0000 -EA PLB WATER INST/ALT/REP
•3.00
3.0000 EA PLB GAS PIPE -1-4 OUTLETS
3:001.
Permit'WALL/FENCE PERMIT
• LQPERMIT
Application Number". .'06'-00002288
Permit ::. WALL/FENCE PERMIT,..
Additional desc
Permit. `Fee ": '15'..00
Plan. Check
Fee
. 00 '
Issue DateValuation
240
Expiration•Date 12/03/06-
__ Qty Unit- Charge Per
Extension
-"BASE FEE
15.0-0
,'.,"• ;. '- .. .--- - - - - --
Special Notes and Comments
--------- -•----
-------------------
,
FIBER GLASS SPA"15L.F 4FT BLOCK WALL
CITY STANDARD/ALARMS BARRIERS SHALL BE
.
IN" PLACE AT ENCAP
Fee summary `„Charged Paid..,:,
-.: --- `=---=----=------------- •------==--
Credited.'
=
Due
Permit Fee Total 284.00
-- - - -
.00
--
.00
-- - -
284.00
P1an:Check Total .” 135.65
.00
.00"
135.65
Grand Total 419.65.
.00"
_00
419.65
LQPERMIT .. . • ` ... .._, ; . ... -.. : _ ' - , ` - _
.. -
PREPARED BY:
r• •
FIBERGLASS P00L5 of the DE5ERT _
•
44-k7- M- O—N:..T_ -EREY--• V_E'sTE .wC- f I:4w� .: �" • - r _ - *v -1: - _ `'.p•s`PALM DESERT SCA. 92260 e >-
f i;760.324T7946. fax;760.773.2778` i - -,r• �,
NOTES:
I . `All doore from house with access to the pool: - - - - • v *: r ., r'i
shall ` be' equipped with an audible alarrh. > ' `�
._.,r _� "�'4 " .f p •#" � � sl i' -�c-. 'L - '� � ••
2. `All gates with access to thepoof 5hall be self
•?.a. f� Q�
w closmg.'self latching, and open out. ,• �� "-,« y �_; I i "`r�w->• f` } - j. 4-
3. See ICBG report #PFC-3608
r ' r
-X, � ;c)
lk
,you 4�,g�y, ,,�• n• (�
Sq
t istin -Residence j
- .. wl>•�i Mvp+ti±;M^�$?:-i1ra..,y.•.. l�•tl''s'�!%"Y,. ,s,�,�;(.,ryyws.�,.,,_ 1k.. '• - .. � 1. I� - _O .. y, w, '••fr
t. -'rte'-ML._a (Z, Y , •• CD w -
r J , 4��r • o _x4.
15' Screen Wal l � . ,
41
y
h w
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u .. a -.4
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-..r - w �"'"�r• -* - % � -- � .. -. .t,- &� h:,;`d ..,y ,tk f;.+,. y,r`. .r .% '�` :,�[ • " jy." ,r` . ••4 � ' K ♦ i. i+C ,,•,,,,'%..s. - ,-r 5•Y !�: ; � . r_, r -
' - Fray •` , fir. - - , .. .ry' .tjp,� -., : �Y - ~ •1
^ Existin 'Patio:
--.•.--.-..F4..- .. _ •.1.. ,ip:. .,,y,i.•..+..-..->.•.+F,- ...+•+....i+-1'r.•,..-.«:,.,ra «,..t.,..v.er.., rr•-i. .-�e.-..'... .0. .;- 2•++► n• •�R•,+w:—...rn.•^--.•-';iN„ •......-r•,t--+''�£..r.,.sr=;., f.,.•- '',•--.,e.w.+-.-:•..s - •w.-+.+..*•.i;'.•�,.. '
R=1 NS
EE= OF.EA IONF $3p.=
WILL BE CHARGED IFTHE APPROVED:
`6 PLANS AND•JOB CARD ARE NOT ON
THSITE :F
E OR. A SCHbULED
11" i INSPECTION:
;- a
,*M ,. _ PTIONSi170 s NO�EXCE
¢ -
'�-
71
- �R.•tY� ,rt' _ �, _`ice �•�.� ,i `2 ,'n�''"�•• s �, "•k.. �r .1 K";�,:'' _ . , _ 1 ' - .
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CITY OF QUINTA
tc
'BUILDING SAFETY DEPT: ,
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_ .�. :,.�... . II � �.�.,,: APPROVED
— e W r
FORCONSTgUCT10N - - '
DAh�(�`ou (�l
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,
A NEW. FIDERGlA55 SPA FOR: !-
h
f ' - Mr. Mars. Jo n Baldwin
8 i�c foris ri
o La Qui.nta Ca 22:53
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. .
`
C OF;_LA..QUINTA SUB=CONTRACTOR LIST
' JOB ADDRESS 8t 1"1
Z IrOeAA 3
r
PERMIT NUMBER _ '' ' OWNER/'�c:D►a trJ BUILDERi�
,
``This form shall be hosted on•the job with the Building
inspection Card at all times in'a conspicuous Dlace. Only persons appearing on this list or their employees are authorized to` work
on'this job: Any changes to this list• must be approved: by the Building Division prior to commencement of -work. Failure to:comply will result in a. stoppage ofworkand/or the -Voidance '
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an ecce table response..'
P
X.
`-
Trade / Classfication
Cont ractbr:..:::.::.........................
..;:..:::::.. Sae Contractor s License
t t
r Com
Wbrke s
nsur n
P ensation I ace
Y ...............................................:
Co m an Name
P Y
Classification .
• Licens e Numbe r
Exp.
P
�• ` r,Name `' :..
Carne
•
" Number
'�Poc Y
Ex . Date
P
' nse Numbe r
'.Lice
to
.:Date
ExpDa
Ex
,
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-
B 8'
( e: . A C )
9
xxzx xx 1
xx xx xx
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( 1
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e. :Stat e Fund Ca ICom P )
9
Vries
� Format a 1
xx x x
xx /
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1 xxzx )
xx x x
xx /
/ 1
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-
EARTHWORK (C 12►
G53
35x33 .o���
CONCOT EC 81
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%�t9�t� t-1 ` '
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—`�'?D
R�
i^oZ
S3�
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F. R.AMING (C-5)
.
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ST . STEEL (G :511.
.
-.
MASONRY IC
PLUMBING fC 361La�'
. tiS,+-..
r
.
.LATH:`:::.PLASTER.(C 35}
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'
DRYWALL :(C 9) .:.::.:........ .
_
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. •h
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AL
Y 1. w;
0ELECTRL.(
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w >
ROOFING (C -391
...........................................:::::.........
.................................................. . .:::....
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SHEET MI=TAL (G 43)
..::.:::::::.
FLOORING (C 15) ...
GLAZING lC 171 .
Y
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.....:::::.....
......::.:.::<:::.
INS TION C.2 ..:.....
...
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SEWAGrt UISP .IC A 2)
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PAINTING (C 331
CERAMIC TI. 4.
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h
y"
Ze
CABINETS (C ...........
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FENCING..(C:.13)
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LANDSCAPING (C 271
7
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POOL tC 531:
C677
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Bin #
City of La Quinti
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.#
.
Project Address: 81 1-12_ V I C-l-o2t'A
Owner's Name: �oµa $ � a
A. P. Number:
Address: $ I I -Z Z U 1 C CD2 A
Legal Description:
City, ST, Zip: LP•- e 9 7, ZS �
`Contractor: FPO -SE21Zv f cr s f Nt_ ,
Telephone: L¢O t. 107-9
Address: 53 Qgp
Project Description:
City, ST, Zip: �, C��J i1 -r CA . Z - 3
IJELJ 3,V/b, N t'oaotl� F %3fp to S
Telephone:'jlQp Nati • `? 9 `-f b
- PA. V5 L.17. OF�-
State Lie.•# : IF,>17 1 7- City Lic. #: .
Arch., Engr., Designer:
E`e- C I AAR..O
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of ContactPerson�
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: 7UO, 'j So , I?,T?
Estimated Value of Project: 14>t ka oriv—
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
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°d 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:-
3rd 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