06-0341 (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:
: 06-00_0.00341 �
79895 VIENTO DR
609-380-999-42 -293234-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
T4ht 4- 4�Q"
BUILDING & SAFETY DEPARTMENT..
BUILDING PERMIT
Architect or Engineer:
JCENS ONTRACTOR'S DECLARATION -
. I hereby affirm under penalty of perjury th m licensed under provisions of Chapter 9 (commencing with
Section 7 00) of Division 3 of the B jand Professionals Code, and my License is in full force and effect.
License ClasNI C53 License No.: 658996
" Date " Contras r:-
OWN -BUILDER DECLARATION -
fhereby 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 1$5001.: '
(_ 1 1, 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 6wner of
property who builds or improves thereon, and who contracts for theprojects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I amexempt 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:
1
LQPERMIT
,j
VOICE (760) 777-7012
FAX (760) 777-7011:
INSPECTIONS (760) 777-7153
Date:
Owner:
CHEATWOOD
79-895 VIENTO
LA QUINTA, CA
LA QUINTA, CA 92253
Contractor:
FAMILY POOL CONSTRUCTION
P O BOX 283
LA QUINTA, CA 92247
(760)564-3655
Lic. No.: 658996
----------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: - -
have and swill 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 workers' compensation insurance, as required by Section 3700'of. the Labor
r Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy �1�1?,
-
Carrier STATE FUND umber 1344032-2005
certify that, in the performanckforwhich this permit is issued, I shall not employ any
person in any manner so bject to the workers' compensation laws of California,
and agree that, if I sh d become subject to the workers' compensation provisions of Section
Ci 700 of the Labor o all forthwith comply with those provisions.
" IwnJ Applicant .
WARNING: FAILURE TO SECURE WORKE ' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 actor 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 ces tion of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that the ormation is correct. I agree to comply with all
city and ou ty ordinances and state laws relating to bu' c truction, and herauthorize representatives -
of th t�nter upon the above-mentioned grope action purposes. -
Dat Signature (Applicant or Ag t
Application Number 06-00000341
Permit BLDG POOL PERMIT
Additional desc
Permit Fee 207.00 Plan Check Fee .: 134.55
Issue Date Valuation 2000.0
Expiration Date 7/22/06 -
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 desc .
Permit Fee . . . . 45•.00 Plan Check Fee
11.25
Issue -Date . . .. Valuation . . .
. 0
Expiration Date -7/22/06
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 7/22/06'.
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 _ -
.
1
# of CbmW Person: 191qv9--j53V& Estimated Value of p0j';;;L -1
APPLICANT: DO NOT WRITE BELOW THIS
=#"Iltw
City of La Quints
Recd
TRACMG
B uffdbg ar Safety Mbion
Pemdt #
Plan Seb
Sttudand
P.O. Box 1504, 78-495 Calk Tampico
P.O
Arf F
La QLdnta, CA 92253 - (760) 777-7012
Item
Pun Check Deposit
Amount
Bididink Permit Application and Tracidng Sheet
Truss CRICL
Owner's Name:
A P. Number:
Called Contact Person
Address: -79 74FT74MQ
Legg on:
INC Zr CMICL
City, ST, Zip: LQ OP q -2 --LS 3
Contractor
AL�
Telephone: 5V(0 0
Address:
AU
Flood 10101112 Pin
Project Description:
City, ST. Zip:
6)v _ 4
Z
12,-Z�3
mechanical
Telephone:
Gradlag plan
Starve Lia #:
City
Lic. #.
Electiricni
AWL. Eng., Designer:
Subcontacom list
Aftm-
CRUM contact Pawn
plumbi.ag
CW., ST, 4:
Grant Dad
Telephone:
Plans picked up
Construction Type: Occupancy:
Slate Lic. #:
M
Project type (circle one): New Add'n After Repair Demo
Name of Contact Pas=
f
Ft.-
F I # stoii.: # Units:
# of CbmW Person: 191qv9--j53V& Estimated Value of p0j';;;L -1
APPLICANT: DO NOT WRITE BELOW THIS
=#"Iltw
!!fd
Recd
TRACMG
PERMIT FEES
Plan Seb
Sttudand
Plan Check submitted
Reviewed, ready for coffectim
0 Z
Item
Pun Check Deposit
Amount
Truss CRICL
Called Contact Person
Plan Check Balance.
INC Zr CMICL
Mas picked up
Construction
Flood 10101112 Pin
Plow resubmitted
mechanical
Gradlag plan
20! Review, ready for corrections/issue
Electiricni
Subcontacom list
CRUM contact Pawn
plumbi.ag
Grant Dad
Plans picked up
s3u
ELOA. Approval
V4 HOUSE-
Plans resubmitted
Review, ready for correcdom4esee
Grad tag
Developer hnpact Fee
Planning Approval
Called Contact Pawn
A.LP.P.
Feb. Wks. Appr
School Few
Daft of p"ft issue
Total Permit Fees