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11-0942 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11700000942 Property Address: 57355 CAMINO PACIFICA APN: 764-010-008-67 -31910 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 31750 Applicant: I hereby affirm under penalty of perjury that I Section 7000) of Division 3 of the Business a License Class: C53 te: — ontractor: a� T419� 4 4 Q" Architect or Engineer: afAr BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GARDNER 57355 CAMINO PACIFICA LA QUINTA, CA 92253 Contractor: MCINTYRE POOLS & SPAS 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 1 Lic. No.: 614611 _______________________________________________ ED CONT CTOR'S DECLARATION licensed er provisions of Chapter 9 (commencing with Irofessi s Code, and my License is in full force and effect. License No.: 614611 OWNER -BUILDER DECLARATION I hereby affirm under penalty oUperjuryI am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5Professions Code: Any city or county that requires a permit to construct, alter, improve, demoany structure, prior to its issuance, also requires the applicant for the permit to file a signed statemehe 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.). (_ 1 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: Pig LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/11 Hp 06 2011 WORKER'S COMPENSAT--�I�DlEGLARATIUN 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 EAGLE IN Policy Number 20 10139097Z _ I certify that, in the performance of the wor for whichrerV ermit is issued, I shall not employ any person in any manner so as to become bject toers' compensation laws of California, and agree that, if I should become subj ct to the compensation provisions of Section 3700 of the Labor Code, I shall forth r[h co I th those provisions. D�: - 6 1 pplicant: WARNING: FAILURE TO SECURE RKERS' CMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI MI AL PENA IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 0 TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, EST, 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 Voect. d to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null ark is not commenced within 180 days from date of issuance of such permi or cessfor 180 days will subject permit to cancellation. I certify that I have read this application and state that the above ' formatioI agree to comply with all city and county ordinances andstate laws relating to building co truction,thorize representatives of tW county to enter upon the above-mentioned property for i pection) "� S' ature (Applicant or Agent): Application Number . . . . . 11-00000942 Permit . . . BLDG POOL PERMIT Additional desc . 'Permit -Fee . . . . 297.50 Plan Check Fee 193.38 Issue Date . . . Valuation . . . . 31750 Expiration Date 2/27/12 Qty Unit Charge Per Extension BASE FEE 252.00 7.00 6.5000 THOU BLDG 25,001-50,000 45.50 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . .26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . . . 0 Expiration Date . . 2/27/12 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 2/27/12 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 . . 2/27/12 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, BBQ. ALARMS/BARRIERS SHALL BE . LQPERMIT J Application Number . . . . . 11-00000942 -----------------------------7---------------------------------------------- Special Notes and Comments IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary. ----------------- Charged Paid --=----------------- Credited -------------------- Due Permit Fee Total 401.50 .00 .00 401.50 Plan Check Total 219.38 .00 .00 219.38 Other Fee Total 2.00 .00 .00 2.00 Grand Total 622.88 .00 .00 622.88 LQPERMIT ED :;!1 �`�e GAS ELECTRIC ei�WN 14"o �' ��:`r►:� •'AMAR kill MR. & MRS'S GARDNER RESIDENCE 57-555 CAMINO , PACIFICA r LA QU I.N TA- CA. 92253 ILA �I�a71" I BUILDING OF LA QUINTA N0■ n ■ lV '■ VO4,10 LDINC $SAFETY DEPT. u ■� APPROVED FOR CONSTRUCTION ® DATE ( BY UL CONSTRUCTION SPECIALIST m342-3612 , C ELSI„ONS - _ 11BY POOL & SPA SPECS POOL SIZE 14' X 33' POOL S.A. 330 SQ. FT. POOL PER- 80�L.FF. DEPTHS 3'-6"TO 5'-0" POOL PUMP VS 3050. HEATER 400,000 BTU FILTER CCP 320 LIGHTS i_ 0 A CONTROLLER EASY TOUCH 4 SPA SIZE 7' X 7' SPA PER. 22 SPA S.A. 38 SQ. FT. SPA DEPTH S-6" JETS 5 JET PUMP DECK AREA OTHERS ii N Clio Jim ¢. co d �co��U �•go z U N Q � N � o d �Q �z I c� � � Q DATE: 08/03/11 SCALE: 1/8" = 1'-0" DRAWN BY: LH'F JOB: GARDNER RESIDENCE SHEET 1 1 __ cuFFra 0" AWL Ask Bin # City of La Quints Building a SafetyDivision ' Box 1504, 78-495 Calle Tampico La Quint 'a, CA 92253 - (740) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. n�r Project Address:' �� Owner's Name: Q Y S ` eh A- P. Number: Address:. Legal Description: City, ST, Zip: Com. QS Contractor: 5 Telephone: Address: $ 3 _ Project Description:. 6 U �. City, ST, Zip: Telephone: State Lie. #: 3 — 6 14-61 j. City• Lit. 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: Sq. Ft.: # Stories: # Units: Telephone # of Contact -Person: ' , Estimated Value.of Project: 5-0 APPLICANT: DO NOT WRITE BELOW THIS LINE .: # Submittal Req'd Recd TRACEING 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. 4. Plans resubmitted Mechanical Grading.plan rd Review, ready for correctionslissue Electrical Subcontactor-List Called'Contact Person Plumbing GranfDeed Plans. picked up S.M.I. H O.A. Approval Plans resubmitted Grading. IN HOUSE: Review, ready for correetions/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