10-0062 (RPL)54120 Alysheba Dr
• I IIIIIII VIII III VIII (III 23 4 4-Q"
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
Application Number:
10-00000062
Property Address:
54120 ALYSHEBA DR
APN:
767-320-999-48 -32879 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
31000
Applicant:
Architect or Engineer:
I' 1 A -
I hereby affirm under penalty of perjury that I am
Section 7000) of Division 3 of the Business and
License Class: C/5/3
Date: Z " (. — L V ontractor:
BUILDING PERMIT
I'S DECLARATION
visions of Chapter 9 (commencing with
, and my License is in full force and effect.
No.: 614611
/OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjur that I afn exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Busines and rofessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or r air ny structure, prior to its issuance, also requires the applicant for the .
permit to file a signed statement that he a 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 _ 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, 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.).
(_ I I am exempt 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: Ila
Lender's Address
LQPERMIT
Owner:
HOLOHAN
54120 ALYSHEBA DRI
LA QUINTA, CA 9225
Contractor:
MCINTYRE POOLS & S
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Lic. No.: 614611
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/26/10
j j I I
1
J
iv,
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.
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 GOLDEN INS Policy Nyler 2010010139097Z
I certify that, in the performance of the w rk or which this permit is issued, I shall not employ any
person in any manner o aY
o becom s lett to the workers' compensation laws of California,
and agree that, if I shou come s ct to the workers' compensation provisions of Section
3700 of the Labor Code, all fo with comply with those provisions.
WARNING: FAILURE TO SEC RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO PRIIVIIJAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ACIPITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOAZODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessalt'' n of work for 180 days will subject
permit to cancellation.
1 certify that I have read this application and state that the abov inform do is correct. I agree to comply with all
city and county ordinances and state laws relating to building c nstru do and hereby authorize representatives
of this otinty to enter upon the above-mentioned property for nsp o purposes.
a$ te:Z- Z- lG S' a (Applicant or Agent):
Application Number . . . . . 10-00000062
Permit . . . BLDG POOL PERMIT
Additional desc
Permit Fee 291.00 Plan Check Fee 189.15
Issue Date Valuation 31000
Expiration Date 7/25/10
Qty Unit Charge Per Extension
BASE FEE 252.00
6.00 6.5000 THOU 'BLDG 25,001-50,000 39.00
---------------------------------------------------- -----------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check Fee 6.50
Issue Date Valuation 0
Expiration Date 7/25/10
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 7/25/10
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 . . . . 39.00 Plan Check Fee'. 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 7/25/10
Qty Unit Charge Per. Extension
BASE FEE 15.00
3.00 6.0000 EA PLB FIXTURE 18.00
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
------------------------------- --------------------------------------------
Spe*cial Notes and Comments
POOL/SPA,. ELECTRICAL STUB -OUT, WATER
LQPERMIT
Application Number . . . . . 10-00000062
-----------------------------------------------------------------7----------
Special Notes and Comments
LINE & 160 L.F. 1 1/2" GAS LINE FOR
FUTURE APPROVED BBQ. ALARMS/BARRIERS
SHALL BE IN PLACE AT -PRE -PLASTER
INSPECTION.EQUIPMENT ENCLOSURE NOT
INCLUDED. 2007 CODES.
:
--------------
Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 401.00
.00
.00
401.00
Plan Check Total 215.15
.00
.00
215.15
Other Fee Total 2.00
.00
.00
2.00
Grand Total 618.15
.00
.00
618.15
LQPERMIT
Bin #
City of La Quinta . .
Building U Safety Division '
P.O. Box 1504, 78-495 Calle Tampico
to Quinta, CA 92253 -'(7¢0) 777-7012'
Building Permit Application and Tracking Sheet
Permit #
��.
Project Address;' 64-12-0 I .� S n
Owner's Name: n 7S c 1r_ 14 Cle
A. P. Number:
Address:. -4
rp.
Legal Description:
City, ST, Zip:
Contractor: It/0 d is . Ct
Telephone:
Project Description: .
Address: 83 -
City, ST, Zip:. &A
Telephone: d 4 Z — 36
it d b✓1 LJ , � .
State Lie. # : S3
"Ciic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lit. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �e f�V.
Sq. Ft:
#Stones:
# Units:
Telephone # of Contact Person: 2 0 — . $j, Z
Estimated Value.of Project: $ 00CIO
APPLICANT: DO NOT WRITE BELOW THIS UNE .
#
Submittal
Req'd -
Rec'd
TRACKING.
PERMIT FEES '
Plan -Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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
Zed Review, ready for corrections�ssue
Electrical
Subcontactor List
Called *Contact Person
Plumbing
Grant'Deed
Plans. picked up
S.M.I.
FH
O.A. Approval
Plans resubmitted
Grading .
IN HOUSE:
''d Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees