RPL (07-2834)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00002834
81545 MONARCH CT
764-280-999-5 -300237-
POOL -RESIDENTIAL
MEDIUM HIGH DENSITY RES
20000
Architect or Engineer:
�)/A
4
BUILDING & SAFETY DEPARTMENT
.BUILDING PERMIT
--------------------------------------------------
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.
License Class: C53 License No.: 614611
t te:�D tractor: .
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 Contractors 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).:
(_) 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.).
( 1 I am exempt under Sec. ; B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
WEIR
81545 MONARCH'COURT
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/26/07
J::
U
Contractor: 4T 2007
MCINTYRE POOLS &:SPA �!
83695 AVENUE.45
INDIO, CA 92201 CiTYOF L,AOUONTA
(760)342-3612 FINANCE DEPT.
Lic. No.: 614611
-------------------------------7---------------
WORKER'S COMPENSATION DECLARATION
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.
NI 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 MAJESTIC INS CO Policy Number C20060333602
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 Code, I �shall forth witth com ly.with those provisions.
te: G pplicant:
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 (5100,000). 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 construction, and hereby authorize representatives
-of this county to enter upon the above-mentioned propertf r inspection p pos s.
D ��f \
�S cure (Applicant or Agent):
Application Number . . ... . 07-00002834
Permit . . .
BLDG POOL PERMIT INV FEE
Additional desc .
Permit Fee
414.00 Plan Check Fee
134.55
Issue Date
Valuation . .
Expiration Date
4/23/08
.20000
Qty Unit Charge
Per
Extension
BASE FEE
90.00
- - 18.00 18.0000
THOU BLDG 2,001-25,000
324.00
.Permit . . .
MECH POOL
';Additional desc .
=Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . .
Valuation
0
Expiration Date
4/23/08
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
4/23/08
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 . .
1 33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation
0
Expiration Date
4/23/08
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. ALARMS/BARRIERS
SHALL BE IN
LQPERMIT
e
Application Number 07-00002834
-----------------------------------=----------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
INVESTIGATION FEE ASSESSED PER 1997
UNIFORM ADMINISTRATIVE CODE §304.5 FOR
WORK BEGUN WITHOUT BUILDING PERMIT.
Fee summary Charged Paid
---------------------------
Credited
Due
----------
Permit Fee Total 518.00 .00
--------------------
.00
518.00
Plan Check Total 160.55 .00
.00
160.55
Grand Total 678.55 .00
.'00
678.55
LQPERAIIT
ain ff
Permit i!�^'
V
1f Project Address6/-- Sq�
A. P. Number.
Legal Description:
X Contractor.
x Address:
X City, ST.
X Telephone:_ ,
State Lic.#
Arch., Engr., Designer:
Address:
City. ST. Zip:
Telephone:
State Lic. q:
1C Name of Contact Person
XTelephone # of Contact Person
p Submittal
Plan Sets
Structural Cala.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:- .
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building aL Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
City. ST. Zip:
Q F Telephone:
City Lic. �:
Total Permit Fees
Construction Type:
Occupancy:
"
Project type (circle one
New Add'n '•' Alter Repair Demo
Sq. Ft..
tl Stories:
N
~
Units:
stimated Value of Pro
r)
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2" Review, ready for correctionslissue
Electrical
Called Contact Person
Plumbing
Plans picked up
SAI.1.
Plans resubmitted
Grading
Review, ready for correctionsfissue
Developer Impact Fee
Called Contact Person
A.l.P.P.
Date of permit issue
Total Permit Fees
POOL & SPA SPECS,
POOL SIZE "1191
POOL S.A. 00� 5Q, ff
POOL PER, 104 Ft
DEPTHS V-0" TO 6r-011
POOL PUMP Lo H
HEATER �00f000 U
FILTER CCr42O
LIGHTS 1x100010
�-400 WAIT
CONTROLLER
SPA SIZE 6,
SPA PER. 24 FT
SPA SIA.
SPA DEPfiH '��"
JETS
JET PUMP
DECK AREA 2149 50, FT
P=1 II°Ir"l l 1 1029 50, rT,
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POOL & SPA SPECS,
POOL SIZE "1191
POOL S.A. 00� 5Q, ff
POOL PER, 104 Ft
DEPTHS V-0" TO 6r-011
POOL PUMP Lo H
HEATER �00f000 U
FILTER CCr42O
LIGHTS 1x100010
�-400 WAIT
CONTROLLER
SPA SIZE 6,
SPA PER. 24 FT
SPA SIA.
SPA DEPfiH '��"
JETS
JET PUMP
DECK AREA 2149 50, FT
P=1 II°Ir"l l 1 1029 50, rT,
I W.F.
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