06-0274 (RPL)IIIIIIIIVIIIIIIVIIIIIII 35
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
X06-00000274 '
Property Address:
49860 ALTHEA CT
APN:
649-520-999-11 -30331 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
15000
T&�144Q"
Applicant: Architect or Engineer:
06_x��� . kkl)
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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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.
Licens 2 ass: C53 LicenseNo.: 614611
Contr tor:
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 _ I 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 huteby 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:
LQPERMIT
Owner:
GREEN
49-860 ALTHEP.
LA QUINTA, CP.
Contractor:
MCINTYRE POOL
83695 AVENUE
INDIO, CA 92201
(760)342-3612
Lic. No.: 614611
VOICE (760) 777-7012
FAX (760) 777-7011 -
INSPECTIONS (760) 777-7153
:e:
1/18/06
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I 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.
x 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
insurance carrier and policy number are:
Carrier HRH INS Policy Number 020060333601
_ 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
/ 3700 of the Labor C(\pda�, IIsshhaall forthwith /c�o/m�pllyy/witith those p-rovisiions.
Applicarft:
WARNING: FAILURE TO SECURE WORKERS' 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 mill 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 with all
city and county ordinances and state laws relating to build( onstruction, and hereby authorize representatives
of this co my to•enter upon the above-mentioned propert or pection pf ,
Date: ? Signature (Applicant or Agent):
Application Number . . . . . 06-00000274
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 162.00 Plan Check Fee 105.30
Issue Date . . . . Valuation . . . . 15000
Expiration Date . . 7/17/06
Qty Unit Charge Per Extension
BASE FEE 45.00
13.00 9.0000 THOU BLDG 2,001-25,000 117.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc . .
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . . 0
Expiration Date 7/17/06
Qty Unit Charge Per Extension
BASE FEE 15.00•
1.00 9.0000 EA MECH FURNACE <=100K 9.00
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Permit . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 7/17/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 27.00 Plan Check Fee 6.75
Issue Date . . . . Valuation 0
Expiration Date . . 7/17/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 6.0000 EA PLB FIXTURE 6.00
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
SPA ONLY. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 06-00000274
----------------------------------------------------------------------------
Special Notes and Comments
PLACE PRIOR TO PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED IN
PERMIT.
Fee summary Charged Paid Credited Due
-- - - - - - - - - - - - - - ------ - - - - ---------------- - - - - ------ - - - - --
Permit Fee Total 258.00 .00 .00' 258.00
Plan Check Total 129.30 .00 .00 129.30
Grand Total 387.30 .00 .00 387.30
LQPERMIT
Permit #
J6 - 0; ?
1f Project Address:
A. P. Number.
C"� City of La Quinta
*4B
O
Building & Safety Dhrt ton
P -O. Box 1 SO4, 78-49S Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
I _ n
P40
�'j Owners Name: G r
—'Sol .**Cscnpuon:
X
�Contractor-r
%( Addrcss: n
X City, ST. Zip:��
Telephone:. �.{2 " (a
State Lic. ay
Arch.. Engr.. Designer:
Address:
City. ST. Zip:
Telephone:
State Lic. 9:
f% Name of Contact Person:
X Telephone # of Contact Person :.,,�
# Submittal
Plan Sets
Structural Coles.
Truss Ciles.
Energy Gales.
Flood plain pian
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. WILL Appr
School Fees
S
tv Lic. #:
City. ST. Zip: (.,C -
Description:
Construction Type:
Occupancy:
panty:
Project type (circle one): New Add'n
Alter Repair Demo
Sq. Ft.: 3 it Stories:
FIV Units:
_��•-:__�
..04 1. Estimated Value of Project: f S
AreLi%-ANT:
DO NOT WRITE BELOW THIS LINE
'd
Reed
TRACKMG
Plan Check submitted PERMIT FEES
Item
Reviewed. read} for corrections
Plan Check Deposit
Called Contact Person
Plans bieked up Plan Check Balance
Construction
Plans resubmitted
Mechanical
2" Review, ready for correctionsQssue
Electrical
Called Contact Person
Pians picked up Plumbing
S.hI.1.
ed
Grading
y for eorreetions/issueersonDeveloper
PDAttof
Impact Fec
A.I.P.P.
sue
Total Permit Fees
Amount