RPL (13-1288)52681 Avenida Martinez
13-1288
-
cc
P:O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
13-00001288
Property Address:
52681 AVENIDA MARTINEZ
APN:
773-301-020-7 -000000-
Application description:
POOL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
26000
Applicant: Architect or Engineer:
N
--------------------------------------------\
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.
Liyense Clas : C53 Lic s d;;.7 614611
Date Contractor:
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, 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 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: _
Lender's Address:
LQPERMIT
Owner:
WILLIAMS HERMAN
*NOT ON FILE
UNKNOWN, CA 99999
Contractor:
MCINTYRE POOLS & SPAS, INC.
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: 10/18/13
- ---------------------------------------------
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.
✓_ 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 WESCO INS CO Policy Number QWCA1843029
_ 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 subj t to the worcompensation provisions of Section
V
33700 of thp Labor Code, I shall fo 't p those provisions.
D s 15 Applicant:
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 null 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 building constructio nd he by authorize representatives
of hi 1 y to nter upon the above-mentioned property for in ecti
Date: Signature (Applicant or Agent):
Application Number
Permit .
Additional desc
Permit Fee
Issue Date
Expiration Date
. . . . 13-00001288
POOL 2013
178.75 Plan Check Fee .
Valuation . . . .
4/16/14
00
0
Qty Unit Charge Per Extension
1.00 178.7500 EA MISC POOL/SPA 178.75.
------------------------------------------------------------ ----------------
Special Notes and Comments
POOL - CONSTRUCT NEW POOL, EQUIPMENT
SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, POOL 97.24
Fee summary Charged
Permit Fee Total 178.75
Plan Check Total .00
Other Fee Total 98.24
Grand Total 276.99
LQPERA1IT
Paid Credited Due
.00 .00 178.75
.00 .00 .00
.00 .00 98.24
.00 .00 276.99
tJ
be-
,40
All
�-
Bin #
City Of La QUinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
• 2
Project Address: - 4VF-/0 j (I1/, Z
r'
Owner's Name: iv[ l VU/ , A MIS
A. P. Number:
Address: /Vl iq R Ti IV r Z
Legal Description:
City, ST, Zip: L A (b; 1V .r /4 C 1"- 9 S 3
Contractor: G 5
kee
Tele hone:
P 1
;-}.. •.•:,:i:.... • ::<.
Address: ✓ —
Project Description: 4/jLV f700 —
City, ST, Zip:
Telephone: %k) — 3
LY:i%vY}Y::v:$: j lh{ny :jw'Y::i'>-✓., : :i :.. :.
' r<.• t::.::. .,,.. n:.:
State Lic. # : (cj 3 'j
CityLic. #.. J935
Arch., Engr., Designer.
Address:
City., ST, Zip:
:.,:: ,,..s:>}:<;:}:<:>;::-: s :z:.
Telephone: •; t:. }::;::<#;.zz<N:x rN'<::'<• :'::;':
's. vy,c:, '=;s: M1`:f
State Lic. #: :<':F;::>rw.;;wz„::;;s .>.v:. <>:::
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:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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
Title 24 Calcs.
Plans picked up
tt' tSlt'
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
2°” Review, ready for correctio s/ sue
15
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
GITY OF LA OWN I A
AFETY BEP=If.
r -
'Total
COPY
Pc-Qrr e 0
FOR CONS
to a TRUCTION NTA
COMMUNITY DEVEL P
O MEET
DATE BY
1 z
EQUIPMENT
POOL SUB -PANEL
T
1A 117/l7►7V%V4
ovmly ■ m ■ V K M
R ■s,s■ 11 ■ ■ ■ILu
00
UC /611611
CONSTRUCTION SPECIALIST
vso 342-3612
ELECTRIC PANEL
1 Pr_r:nin
PA — PLANTER AREA
CIN OF LA QUINTA
I BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATW ±r -L3 By
W
Q
U
REVISIONS I BY
POOL & SPA SPECS.
POOL SIZE
13'x 32'
POOL S.A.
416 SQ. FT.
POOL PER.
90 L.F.
DEPTHS 3'-6° TO 6'
POOL PUMP
VS 3050
HEATER
NIA
FILTER
CCP 320
LIGHTS
2-100 WATT
CONTROLLER
TIME CLOCK
SPA SIZE
I
SPA PER.
SPA S.A.
SPA DEPTH
JETS
4
JET PUMP
®
DECK AREA
1,204 SQ. Fr.
V w r r)
Z z Lo
w N
AQrn
Q
w U
J
C%1 Q
O
00
I Q
N J
DATE:
09-26-13
SCALE:
114°=1'-0°
Clio
AV
N
SHEET
.
OF
Q
w
..
0-ro
C)Lv
I
0
C
z
0
m
®
V w r r)
Z z Lo
w N
AQrn
Q
w U
J
C%1 Q
O
00
I Q
N J
DATE:
09-26-13
SCALE:
114°=1'-0°
DRAWN BY:
AV
JOB: WILLIAMS RESIDENCE
SHEET
q
1
OF
SHEETS
Bin # City of La Qu(nta
-Building sr Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
«- ti Building Permit Application and Tracking Sheet
Project Address: j
I (/'% Z
Owner's Name: 9
lY V 4
A. P. Number:
PERMIT FEES
Address:
V- /Y1 g R T i N r -
Legal Description:
City, ST, Zip: --/-
.r C a- q Z 5
Contractor
Item
Telephone: 6 y;.,, :",,:::
Address: ' 3
Project Description:
Reviewed, ready for corrections
City, ST, Zip:
Plan Check Deposit
Telephone: 7k) — 3 61
Called Contact Person
State Lic. # : 3 I
City Lic. #t Pr3 S
Arch., Engr., Designer.
Plans picked up
Address:
Construction
City., ST, Zip:
Plans resubmitted
Telephone:
q Jri{O•'.4{{: i' J.!••t\yiJ {r£C: i : viyih:
%• :•nwktJli •i?Cv::.:!:.iY.+3•ivf it:,fY:•'.v'.:Y!?!M
`n, {. ;;.,,z;;„ +:};ry;r" $ : ; ,,>•,
Construction Type:
Occupancy:
State Lic. #: -
<%irii/nry i j;:;i $f ini ^O.`ii i!•.4
••v!.% Yr;l...9,!.',$J:vYt;jL{,
;:;K::Yv ;f' , `,. t$',•{S;f ;i s y;;: t'•r +,.,+`;>;ls #;
Project type (circle one):
f
New Add'n Alter Repair Demo
Electrical
Name of Contact Person:
Sq. Ft.:
#Stories: # Units:
Telephone # of Contact Person:
Plumbing
Estimated Value of Project: i 0 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
tU K(
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2*' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Reyiew, 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
F
SSE
COPY
1 ' J Total PeAAU FccV j L UHJ
1o1g1 ; - Paa- kt CI b0t NTA
COMMUNITY DNELOPMENT