09-0706 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: f --_09-000007067
Property Address: 57595 ROSEWOOD CT
APN: 762-240-011-4 -32279 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18695
T,d4t 4 4 Q"
Architect or Engineer:
alp
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.
I I
/License Class: C53 License No.: 614611
/ Date' 'G� ontractor: _ it �f —
✓✓/ OWNER -BUILDER DECLARATION
1 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:
DIVINE
57595 ROSEWOOD COURT
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
, �ate: 7/06/09
✓V� v
09'? F
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 DELOS INS CO Policy Number 02DKRM120001870
_ 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 forthwith comply with those provisions.
aD to 't7 V>f: �ripplicant: Aw V;A %
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 OFTHELABOR 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-personat whose requestand 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, applic t+on and state that the above information is correct. 1 agree to comply with all
city and county ordinances and to laws relating to building construction, and hereby authorize representatives
of this c my to enter upon a above-mentioned property or inspection purposes.
Da ignature (Applicant or Agent):
Application Number .
. . . . 09-00000706
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee
198.00
Plan Check
Fee
128.70
Issue Date
Valuation
. . . .
18695
Expiration Date_.
1/02/10
Qty Unit Charge
Per
Extension
BASE.
FEE
45.00
17.00., 9.0000
THOU *BLDG
2,001-25,000
153.00
Permit . . . MECH POOL
Additional desc..
.Permit Fee.
26.00
_ Plan Check
Fee
6.50
Issue Date
Valuation
0
Expiration Date
1/02/10
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
1/02/10
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 . .
33.00
Plan Check
Fee
8.25
Issue Date . . . . .
Valuation
. .
0
Expiration Date
1/02/10
Qty Unit Charge
Per
Extension
BASE
FEE
15.00.
2.00 6.QQQQ
EA PLE
FIXTVRE
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
Permit . . . . . .
WALL/FENCE
PERMIT
ti
LQPERMIT
Application Number . . . . . 09-00000706
Permit . . . WALL/FENCE'PERMIT
Additional desc'.
Permit Fee 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation
240
Expiration Date 1/02/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 15 L.F. 4' EQUIPMENT
ENCLOSURE,.CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE AT
- PRE -PLASTER INSPECTION. 2007 CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
-----------------
Credited
----------
Due
--------------------
Permit Fee Total 317.00
----------
.00 .00
317.00
Plan Check Total 154.70
.00 .00
154.70
Other Fee Total 1.00
.00 .00
1.00
Grand Total 472.70
.00 .00
472.70
LQPERMIT ,
WALL 15'L. X 5H
STUB FOR GAS ELEC.
W. CONDUIT.
:ILANTER AREA
PLANTER AREA
R.B.B. GUNITE SHOT AT 8" WIDE
SPA GUNITE SHOT AT 9" WIDE
REVISIONS BY
POOL & SPA SPECS.
POOL SIZE 28' X 18'-6'
POOL S.A. 418 SQ. FT.
POOL PER. 91 L_ FT
DEPTHS 3'-6" TO 5'-0"
POOL PUMP 1.5 HP
HEATER 400,000
FILTER CCP 420
1-100 WATT
LIGHTS 2-400 WATT
CONTROLLER EASYTOUCH4
SPA SIZE 6'X 6'
SPA PER. 24 L. FT
SPA S.A. 36 SQ FT
SPA DEPTH 42"
JETS 5
JET PUMP
PAVER AREA 1351 SQ. FT.
TRAV. AREA
w. F. 1.5 HP
iw
OLIVE
rL
1- 36" BOX
3- SWAN HILLS
roiJ
2- 24" BOX
OLIVE
2 - DESERT
1-24" BOX
MUSEUM PALO
1-15 GAL.
VERDE
4 - 15 GAL. SHRUB
4 - HIBISCUS
8 - HIBISCUS
18 -SHRUB
5 - GERDENIA
5 -GAL
5 -LAVENDER
10 - CALI NDRA
5 - JASMINE
15 - 5 GAL VINE
5-DEERGRASS
5 - HEAVENLY BAMBOO15
- PLANT 1 GAL
5 -ROSEMARY
R.B.B. GUNITE SHOT AT 8" WIDE
SPA GUNITE SHOT AT 9" WIDE
REVISIONS BY
POOL & SPA SPECS.
POOL SIZE 28' X 18'-6'
POOL S.A. 418 SQ. FT.
POOL PER. 91 L_ FT
DEPTHS 3'-6" TO 5'-0"
POOL PUMP 1.5 HP
HEATER 400,000
FILTER CCP 420
1-100 WATT
LIGHTS 2-400 WATT
CONTROLLER EASYTOUCH4
SPA SIZE 6'X 6'
SPA PER. 24 L. FT
SPA S.A. 36 SQ FT
SPA DEPTH 42"
JETS 5
JET PUMP
PAVER AREA 1351 SQ. FT.
TRAV. AREA
w. F. 1.5 HP
iw
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DATE:
05-13-09
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Bin #
Qty of LdQ Uinta
Building 8i' Safety Division
P-0-Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760): 777-7012
Building Permit Application and Tracking Sheet
Permit #
0
Project Address:
J
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: n G Q Z ZQ
Contractor:.Al t C GO
Telephone:
:.� ..v v:: •.\\;iv i�JS}. i%:i}i:iiiiii:. •;4•:
,>r;>:f::;\tin ::>:•: ";•<:»»;4:>::
Address: , 64v 45-
Project Description: l� CA'
City, ST, Zip: en— Y 2 20i
U /°
Telephone'
hone:
i'
State Lic. #: 2 614611
City Lic.
► "
Arch., Engr., Designer:.
Address:
City., ST, Zip:
Telephone:
»::>:<>£::`:%:»»>:c:>:<?,
ConstructionT e: Dccu anc :
State Lic.
-
Project type (circle one): New , Ade,n Alter Repair Demo
Name of Contact Person: e t
Sq. Ft.:
Stories:
# Units:
Telephone # of Contact Person: 6 Zq
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 Cheek Balance
Title 24 Calcs.
Plans picked up
Construcion
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:-
'"' Review,.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
Total Permit Fees