06-1590 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
06-00001590— J
~79976 CASTILLE DR
609-380-999-17 -293234-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Architect or Engine)
L�sLiv✓viT� �! Q�
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 01 Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Lice se ass: of 053 License No.: 614611
ate. ConttaLRor: INS 1 1
OWNER-BUILDER DECLAR TION (J
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).:
(_) 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.).
(_ 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.).
I _ 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: _
Lender's Address:
LQPERMIT
Owner:
PICKOWITZ
79-976 CASTILLE DR
LA QUINTA, CA
LA QUINTA, CA 92253
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: 4/20/06
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
1 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 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
37 0 of the Labor o e, I shall forthwith.comply with those provisions.
D . / Applicants I I • �. `l D�
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 buildi on truction, and hereby authorize representatives
of this cou y to enter upon the above-mentioned prope/r • fo ipection p) rp ,s. t
Date Signature (Applicant or Agent)^'
Application Number . . . 06-00001590
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check
Fee
134.55
Issue Date
Valuation
. . .
. 20000
Expiration Date
10/17/06
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
10/17/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
---------------------------------------------7------------------------------
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
10/17/06
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 . . . .
33.00 Plan Check
Fee ..
8.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
10/17/06
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
P
Application
Number . . . . . 06-00001590
----------------------------------------------------------------------------
Special Notes
and Comments
BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
-----------------
Charged Paid
--------------------
Credited
--------------------
Due
.Permit Fee
Total 311.00 .00
.00
311.00
Plan Check
Total 160.55 .00
.00
160.55
Grand Total
471.55 .00
.00
471.55
C
LQPERMIT
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"` City of La Quinta
Building at Safety Division
Permit P•0. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
pG-/Sq� Building Permit Application and Tracking Sheet
9 Project Address: T Owner's Name: c ' I Z
A. P. Number: Address: 73 -0 4-1
Planning Approval Called Contact Person A.I.P.P.
Legal Description: _
City. ST. Zip: �c
� .��
X
Contractor.
FTelephone:
_ ,� "* • fR'`l
Address: f
Project Description:
A
��,
City, ST, Zip:�N dug) a, 220
Total Permit Fees
Telephone:
i= •=• �'
State Lic. N : 14(j(
City Lie. M:
Arch., Engr., Designer:
Address:
City, ST. Zip:
Telephone:Construction
State Lie. ii:
Type: Occupancy:
a
Wt'.>r = Project type (circle one): New Add'n Alter Repair Demo
1C
Name of Contact Person: y _. C Sq. Ft.:
N Stories:
N Units:
X
Telephone It of Contact Person:
stimated Value of Prqiect: Q
ArPLi%.ANT: DO NOT WRITE BELOW THIS LINE
it Submittal Req'd Reed TRACKING
PERMIT FEES
2 Plan Sets
Plan Check submitted
,� item
Amount
Structural Cales.
Reviewed. ready for corrections
Plan Check Deposit
Truss Cates.
Casted Contact Person
Plan Check balance
EnereY Cales.
Plans ¢icked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review. ready for eorrectionslissue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.At.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:.
as Review, ready for eorreetionslissue
Devetooer Itnnact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub. Wks. Appr Date of permit issue
School Fees
Total Permit Fees
MV151ON5
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POOL SIZE 30'% 15'
POOL S.A. 429 50. Ft.
POOL PER. 96 L. 50.
DEPTHS 3'-6" TO
POOL PUMP 1,5 N.P.
HEATER 400,000 m
FILTER CCP 420
LIGHTSI-100 WAtt
2-400 WAff
CONTROLLER
SPA SIZE -7' nA
SPA PER. 22'L. Ft.
SPA S.A. 38' 5O. Ft.
SPA DEPTH 36"
JETS 5
JET PUMP
DECK AREA 1070 5O Fr.
PAVER AREA
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