Loading...
06-0344 (RPL)P.O. BOX 1504t4 VOICE (760) 777-7012 . 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA;'CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT r Date: 1-/23/06 Application Number: ; 06-00000344 Owner: r Property Address: $1220 VICTORIA LN SULLIVAN ; APN: 764-270-999-139 300234- 81 -220 -VICTORIA Application description;" POOL - RESIDENTIAL" ! LA. QUINTA, CA 92253 m Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 20000E FEB -C 3'2006 Cfff-O IAContractor: " Applicant: Architect or Engineer. ����� FAMILY POOL CONSTRUCTION P 0 BOX"283 % LA QUINTA, CA 92247 (760)564-3855' Lic. No. 658996 =- -------- - _-- - - - - -- ��--^^----------------------------------- - - - - -- - - - -- - - - --------- ------ LI ENSED . CTOR'S DECLARATION -- _ WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury tha 1 icensed under provisions of Chapter 9 (commencing With 1 hereby affirm under penalty of perjury one of the following declarations:'- Section 7 00 1 of Division 3 of the' ss nd rofessionals 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 " Licans -C C 3 ,License No.: 658996 _ for by Section 3700 of the Labor Code, for the performance of .the work for which this permit is - �/' issued.. , D Contract - - /\ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor' , - _ i— Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER- LDERDECLARATION - insurance carrier and policy number are: - (hereby affirm under penalty of perjury that I a exempt from the Contractor's State License Law for the Carrier STATE FUND - Policy Number 1344032-2005 - following reason (Sec. 7031.5, Business and.P fessions.Code: Any city or county that requires a permit to - _ I certify that, in the perfor a of the wort hich this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair an structure, prior to its issuance, also requires the applicant for the. - person in anymannet se as bec 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 shout b e subject to the workers'. compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of bivision 3 of the Business and Professions Code) or - 3700 of the Labor C s all forthwith 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 permitsubjects the applicant to a civil. penalty of not more than five hundred dollars ($500).:- atm e:/ Applica 1, as owner of the property, or my employees with wages.as !heir sole compensation, will do the work, and - - - - - • the structure is not intended or offered for sale (Sec. 7044, Businessand Professions Code: The- `_WARNING: FAILURE TO SECURE -WOR KE COMP SATION 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 CRIMINAL PEI TIES 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). dN ADDITION TO THE COST 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.).' - - - - i - APPLICANT ACKNOWLEDGEMENT . 1 _) 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 contractor(s) 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, - - 1- 1 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 w k -i n� of commenced .within 180 days from date of issuance of such it, or cessatio ork for 180 days will subject CONSTRUCTION LENDING.AGENCY .permit to cancellation. - . 1 hereby affirm under penalty of perjury that there.is a construction lending agency for the: performance of.the - 1 certify that) have read this application and -state that the. ab e ' ation is correct: I agree to comply with all _ work for Which this permit is issueb (Sec. 3097, Civ. C.1. - city and o ty ordinances and state laws relating to buildi action, and hereby authorize representatives ' :of this c nt .to,enter upon the above-mentioned pro , - ` Lender's Name: - p p y or s(i coon purposes: _ Dat Signature (Applicant or Agent): _ Lender's Address: LQPERMIT Application Number— 06-00000344 Permit BLDG POOL°PERMIT , Additional desc " Permit Fee 207:00 -Plan Check Fee 134:55 Issue Date Valuation d' 19783 Expiration Date.. 7/22/0:6 _. Qty ...Unit Charge Per, Extension; BASE FEE 45.00 18..00....` 9.0000 THOU BLDG 2,001-25;000' 16.2.00. Permit MECH POOL �. Additional desc„. Permit Fee 26.00 Plan Check.Fee 6:50 : - Issue Date. .. . Valuation . . . 0 Expiration- Date 7/22/06 ".. -- 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' d_ esc Permit Fee 45.00 Plan Check Fee:, 11:2.5 - 'Issue 'Date Valuation 0 Expiration Date : 7/22/06 Qty Unit Charge Per Extension BASE'FEE 15.00 30.0000 EA ELEC.PRIVATE'SWIMMING POOL' 30.00 Permit. PLUMBING-' Additional desc Permit Fee -00, Plan Check Fee 7:50`` Issue Date Valuation . . . 0" Expiration,Date ... 7/22/06 Qty Unit Charge Per. Extension BASE FEE , ,• ".15.00. 2.00 6.0000 EA -PLB FIXTURE _ 12.00 ,1'. 0..0 3.0000 EA PLB WATER INST/ALT/REP 3."00.. 1.00.. 3'.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00. Permit WALL/FENCE PERMIT ., LQPERMIT. - .,.... •._._- .,, •. ;,;.'.-.. " .. ,. ...- ... - Application Number: .. 06-00000344 . ` Permit ` WA_ LL/FENCE PERMIT . Additional desc Permit Fee -15.00 Phan•Check Fee 00- - Issue Date ;,:Valuation. 217-, Expiration`Date 7/22/06 Qty ,•Unit Charge .Per Extension-' BASE FEE 15'.00 -- - - - - - - - - - - -- - - - - - -- - - - -- - - -------- - -- - Special Notes and Comments POOL ;& SPA. 10 L.F•. 416" EQUIPMENT" -BLOCK WALL, CITY STANDARD. „ ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION: Fee summary Charged Paid ."Credited Due: --- Permit Fee Total 326.00 00- .00 -326.00 Plan Check Total 159.80 .00 00 159.80 Grand Total 485.80 00 .00 485.80 B"' City of La Quinn Bili t ar Safety Dh6lon P.O. Box 1504, 78-495 Calle Tampico !a Qtrinta, CA 92253 - (760) 777.7012 Building Permit Application and Tracidng Sheet Pemk # Q G 63 Project Address: ` �� ��,( Owner's Name: v A P. Number. Address: O I ZZ© V i A - Legal Description: City, ST, Zip. Contractor. Address: o , 02 J Telephone: Project Description: L c /�' ► �14� Cny, ST, Zip: /0 L, F q "Ai () ► �illfl �/ Telephone: bTY 1/dt1/b Stats Lic. #: Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: 46W4 Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �/6 �- . Sq. Ft: # Stories: # Units: Telephone # of Coact Person: �. (7 �� Cj Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Peqtd Reed TRACING PERMIT FEES Phos Sete Plan Check submitted / 13 Item Amount Stracftw ee. Reviewed, ready for corrections Plan Cheek Deposit '!toss Calca. Called Contact Person Plan Check Balance. Title U Coca. Pians picked up Construction Flood plain pias Plans resubmitted Mechanical Grading plan P! Review, ready for correctionslissue Electrical Sabeoutactor List Called Contact Person Plumbing Grant Dad Plans picked up S.M.L H.OA. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correction/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. A;?pr Date of permit issue School Fees Total Permit Fees