06-3389 (RPL)P.O. BQX 1504; VOICE (760) 777-7012
78-495'CATLE TAMPICO FAX (760) 777-7011
1,A QUINTA; CALIFORNIA 92253 BUILDING & SAFETY 'DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/20/06
A ppllcation Number: 06-00003389 Owner:
Property- Address: - 56849 VILLAGE_ DR BILL DETTMAN
764-050-028 -: - 56849 --VILLAGE -DR- -- -- - -
Application description: POOL RESIDENTIAL LA QUINTA, 'CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (714) 313-8293
Application valuation: 20000
Contractor. D Id
Applicant: , J; Architect or Engineer: MCRAE POOL & SPAS. �+r
79105 DESERT STREAM JCP 21 1006
/ LA QUINTA, CA 92253
(760)772-2440
LiC.' No.: 823017 CFCELAQUINTq
ANCE DEPT
-- —— ————————— — — — — —— ------------.—--———— — — — — -— — — — — ——--————————————————— — — — — —— -- ----
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
1 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: I
Section 7000) 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 CI&p: !3§3-.C27 License No.: 823 017 for by Section 3700 of the tabor Code, for the performance of the work for which this permit is
n nA / issued.
- -Date: V . Contractor: i i'L �'�^-- `--- L� _ .. " -'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
OWNER-BUILDE DECLARATION insurance carrier and policy number are:-
` I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT
.following reason (Sec. 7031.5, Business and Professions Code:- Any city or county that requiresa 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 subject 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 all forthwi�com'ipthosa provisions.
( that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 0�__
i any applicant fora permit subjects the applicant to a civil penalty of not more than five hundreti dollars ($500).: Date: Appl' �-
( } 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 PENALTIES 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 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.). APPLICANT ACKNOWLEDGEMENT -
.. 1, 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.). r - whose benefit work is performed under or. pursuant to any permit issued as a result of this application,
I—) 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,deys fium dale of issuanue of sulch pencil, ui cessaliuu of wuik fui180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation. - -
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, and hereby authorize representatives -
of this count to nter upon the above-mentioned property inspection purposes.
Lender's Name:__--
_� Dat Signature (Applicantr�ntl
- Lender's Address: ------ -
LQPERMIT -• -
A, Application Number 06-0000.3389
Permit 'BLDG POOL PERMIT
Additional desc .
Permit Fee 207.00 Plan Check
Fee
134.55
Issue -Date Valuation
20000
• Expiration Date 3/19/07
Qty Unit Charge Per
Extension
BASE FEE
45.00-•
18.00 9.0000 THOU BLDG 2,001=25.,000
162.00
Permit . . . MECH POOL
Additional desc .
Permit.Fee 26.00 Plan Check
Fee
6.50
Issue Date Valuation
0
Expiration Date 3/19/07
Qty Unit Charge Per
Extension
. i BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE >100K
11.00 j
-------------------------`---------------------------------------------------
` Permit . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00 Plan Check
Fee
11.25
Issue Date Valuation
0 i
- - - Expiration Date- . - 3/19/07
Qty Unit Charge Per _.._
Extension -
BASE FEE
15.00
'. 1.00 30.0000 EA ELEC PRIVATE SWIMMING
-----------------------------------------------------------
POOL
-----------------.
30.00
Permit PLUMBING
i
`
Additional desc .
- Permit Fee 33.00 Plan Check
Fee
8.25
:•Issue Date Valuation
0
Expiration Date 3/19/07
Qty Unit Charge Per
Extension
BASE FEE. ,...
15.00.
2.00 6.0000 EA PLB FIXTURE
12.00
i !.1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
i. 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
1.00
Special Notes and Comments
POOL/SPA ALARMS/BARRIERS SHALL BE IN
-_
LQPERMIT
Bin #
City of La Quinta
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 # 1
Project Address: SL-9LI 9V r I 2
Owner's Name: E
A. P. Number:
Address: SO _� vl,
Legal Description:
City, ST, Zip: V
Telephone:
Project Description:
Contractor: mC U is S'
Address: _ S-yll 2 -
City, ST, Zip: u,wf9 G4 2 Z s'3
DD ON (/C
Telephone: - 2
State Lic. # : %-7
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: 20,000
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
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'
god Review, ready for correctionsfissue
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 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
,
CITY OF LA QUINTA SUB -CONTRACTOR LIST 7T-ry,,44
JOB ADDRESS S6 - 9y9 V,')1,46E Do PERMIT NUMBER OWNER—
- BUILDER2A_MC- AD
DS
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees a e authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to comdmencement of. work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
�f�ca
Trade /Class ton
... ..
Contractor
State:.Contractor ,License. :::::.
Workers Com ensat�on;Insurance: ` '. ;: ::<;:;:.:
City. Business License
Company Name
Classification
(e.g. A, B, C-8)
License Number
Ixxxxxxl
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12)
8D 9 S�
_S U,.,
oo I S-7 y S;200
11-1-06
M-70-133
21107
CONCRETE IC -8)'>
K C 14 u LE -To
10'7
).2 -31'0
gh4tF FL;4))o
4 6 0 o I 0-S. 19
1-1-0-2
93 3
3.13 1 I0
FRAMING :(C-5)
t,
STRUCT::STEEL (C-51)
& ,N
02 - zyy77
-�o�
67/7
MASONRY (C-29)
PLUMBING (C-361
LATH; PLASTER (C7:35)-SuoCZ0/2
cm) S (� '
Q�-3 -D
fia
- 88D-
- -G�
-31
DRYWALL (C-9) ...:
HVAC. (C-20)'..:
ELECTRICAL. (C-10) ::. ,
-?V 2. YS L N I EC'
h4
' 00 14 7 %
LL I -C6
(� / 1
-o
ROOFING(C'_:39)::..'....
SHEET METAL (C-43)'
FLOORING (C=.15):.::.*.....
GLAZING (C7171:
INSULATION'(C-2).:
SEWAGE DISP (C-42) ..
PAINTING (C=33)
CERAMIC TILE (C-54) '
CABINETS (C-6)
FENCING (CA 3)
LANDSCAPING (C=27)
1-5�
(C-53)MA
`_2D
-�POOL