06-3745 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00003745
Property Address:
81560 CARBONERAS
APN:
764-200-006-26 -316811-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
20000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
FERRARO
81560 CARBONERAS
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: MCINTYRE POOLS &
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: 10/20/06
SPAS, INC. D
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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 Clas : C53 i^ ^ License No.: 6146611 / C
ate: � C ractor. N ✓ I �� `��✓�� C� J
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).:
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
d
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, 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 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 ig issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERAIIT
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 HRH INS Policy Number C20060333601
1 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 II 3*uld become subject to the workers' compensation provisions of Section
3700 of the LaboyC&e, I shall forthwith comply with thgse provisions.
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 iisnot 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
Wandounty ordinances and state laws relating to building construction, and hereby authorize representatives
my to enter upon the ve-mentioned prope y i pection purposes. Sig re (Applicant or Agent): �C/1
Application Number . . . . . 06-00003745
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 207.00 Plan Check Fee 134.55
Issue Date . . . . Valuation . . . . 20000
Expiration Date . . 4/18/07
Qty Unit Charge Per Extension
BASE FEE 45.00
18.00 9.0000 THOU BLDG 2,001-25,000 162.00
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Permit . . . MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/18/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
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Permit . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/18/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit PLUMBING
Additional desc . . _ _
Permit Fee . . . . 33.00 Plan Check Feed 8.25
Issue Date Valuation . . . . 0
Expiration Date 4/18/07
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
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Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 06-00003745
Special Notes and Comments
PLACE AT.,PRE-PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
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
LQPERMIT
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was% It .� City of La Quanta
0� Stsiltting &Safety DhWon
P.O. Box 1504, 78.495 Calle Tampico
Pe i U Quanta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Project Address: Owner's Name:
A. ?.Number Address:
(17pr!Q)O�Jf elpl&
Legal Description:Cin'. ST. Zip:��
Contractor.
Telephone:
[Address: t f Project Description:
City, ST, Zip: fV b_,n5F
x Telephone: la 0 0
State Lic. # t City Lic. #: L� z
Arch., Engr.. Designer:
Address: A1&P A, !jam Od, 51.4
Cite. ST. Zip: iUei-V
Telephone: ¢*' �;••; ::.:-ConmctionType: Occupancy:
State Lic. #: J. Project circle one New
� type ( ): Add'n Alter Repair Demo
Name of Contact Person: ��%% {�}'?� Sq. Ft.: #Stories: # Uniu:
l
C Telephone # of Contact Person: ;� SCS " �5`� stimatcd Value or Project:
ArrLi%.ANT: DO NOT WRITE BELOW THIS LINE
tr Submittal Req'd Ree'd TRACKING PERMIT FEES
Plan Sets Pian Check submitted �� i 1 Item Amount
t
Structural Cates. RtvIewed.resdy.for correction Plan Check Deposit
Truss Cales. Called Contact Person Plan Che slsttce
Energy Cales. Plans Oicked up Cons uction � ire ,?
Flood plain plan Plans resubmitted hleehsni l
Grading plan 2" Review, ready for correctiongissue Electra al � �(,
Subcontaetor List Called Contact Person pt�mb►
Grant Deed Plans picked up SAIX
H.O.A. Approval Plans resubmitted Grading
M HOUSE:- I Review. ready for eorreetionsAssue Developer Impact Fee
Planning Approval Called Contact Person
Pub. Wks. Appr Date of permit issue
School Fees
Total Permit Fees