10-0096 (RPL)4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011.
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/11/10
Application Number:, 10-00000096 Owner:
Property Address: 816'67 'CHARISMATIC WY WEINMASTER
APN: 767-640-011= - - 81667 CHARISMATIC WAY
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 D il!
Property Zoning: LOW .DENSITY RESIDENTIAL (
Application valuation: 22500 �*4
Contractor:
FEB ]
Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, I C:. cRy�� 1-(IlC�MINTA
8369.5 AVENUE 45
INDIO, CA 92201
�I� (760)342-3612
Zic. No.: 614611
----------- ----------------------------- -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that ) am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3' of'the Business and Professionals Code,.and.my License is in -hill force -arid effect. _ I have and will maintain a certificate of consent to self4risure for workers' compensation, as provided
License Class: 'C53 Licen a No.: 614611 for by Section 3700 of'the Labor Code, for the performance of the work for which this permit,is
issued:
pate: 2/ l Cactor. 1 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are.
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the. Carrier GOLDEN: INS Policy Number
following reason (Sec. 7031 .5, Business and Professions.Code: Any city, or county that requires a permit to _ I certify that, In the performance of the work for which this permit -is issued, I shall not employ any
construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires -the applicant for the person imany manner so.as to become subject to the.workers' compensation laws of California,
permit to. file a signed, statement that he or she is licensed pursuant to the provisions of the COntractor'sState and agree that, if i should become subject to the workers' compensation provisions of Section
License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the or Code, I shall hw c ly withthose provisions..
that.he:or she4s exempt"therefrom,and the basis for the,alleged exemption. Any violation of Section 7031.5 by �ETOPSECURE
yb/�Jany applicant fora permit subjects the applicant to a civil penalty of not more than five hundred doliars (55001.: ate: cant> ,I, as owner of the property; or my employees with wages as theinsole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIL' WORKERS' COMPENSATIOWCOVERAGE.IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves,thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his'or her own employees, provided that the DOLLARS R11oo,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not Intended or offered for'sale. If, however; the building or improvement is sold within SECTION 3706 OF THE 'LABOR CODE, INTEREST, AND ATTORNEY'SFEES.
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 aIpply.to an owner of
property who build% or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
f 1 I am exempt under Sec:, ,B:&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm underpenalty 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
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictionsset 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:underorpursuartt to any permit issued as a result of this application,
the;owner,.arid the.applicant, each. agrees to, and shall defend, indemnity and hold harmless the City
of La Quints, its officers, agents and employees forranyact 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 andvoidif 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 theaboveinformation is correct. 1 agreeto comply with all
city and county ordinances and state laws relating to,building.construc Ion, and here y. authorize representatives
o�countyter upomthe" bove-mentioned props f InsD Sign re (Applicant or
r Ag
Application Number . . . 10-00000096
Permit.BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . 234.00 Plan Check_ Fee 152.10
Issue Date Valuation 22500
Expiration Date 8/10/10
Qty Unit Charge Per Extension
BASE FEE 45.06
21.00 9.0000 THOU BLDG 2,001-25,000 189.00
Permit .
Additional desc .
Permit Fee.
Issue Date . . . .
Expiration Date . .
MECH POOL
26..00 Plan Check Fee . . 6.50
Valuation . . . . 0
8/10/10
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 8/10/10
Qty Unit Charge. Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.60
Permit. . . PLUMBING
Additional desc .
Permit. Fee . . 33.00
Issue Date . .
Expiration Date 8/10/10
Plan Check Fee 8.2.5
Valuation . . . . 0
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
LQYERMIT
' Application Number . . . . . 10-00000096
------------------------------------
Special Notes and
Comments
-
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
2007
CODES.
---------------------------------------------------------------------
Other Fees .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
338.00
.00
.00
338.00
.Plan Check Total
178.10
.00
.00
1.78..10
Other Fee Total
1.00
.00
.00
1.00
Grand Total
517..10
.00
.0.0
5.17.10
LQPERMIT
Bin #
City of La Quinta.
Building 8t.Safety Division
P.O. Box 1504, 78-495 Calle Tampico '
U Quints, CA 92253 -'(7¢0). 771-7012
Building Permit Application and Tracking Sheet
Permit # n
ProjectAdd=-' Q9 7 r o
Owaces Name: �Iej'kl
A. P. Number:
Address:
Legal Description:
Cin,, ST, Zip: G' d t G Z
Contractor: XT V, U re LO . L 5 J
Address
Telephone:
Pmject Description:. QG
City, S;T,,*:, ,•
Telephone:
State Lia. # : City Lie. #:.
Arch., EM., Desigga:
Address: 9 5
City, ST, Zip: lil (,L i l G• 2 f o
Telephone- (760 � 3 40' 66'f Z.'
Stpfe Lic. #: . C 53— 614611
Name ofContact 'Person:
ConsltvdionType: 06cupancy:
Necr type(circlepne): New Ad&n 'Alter Repair .Deno
Sq. Ft:
!i`Storie:
#Units:
Telephone# of Contact Person: r s(j-`6(9zct
'EWmatedValue.dPmject, S6-0
APPLICANT, DO NQT WRITE BELOW THIS LINE ..
#
Submittal
Req'd ,
Reed
TRACING •
PEI Mar FEES,
Plawsets
Plan Cbecksubmitted
Item
Amount
Structural Cales.
Reviewed ready for corrections
Plan Cbeck.Deposit
Truss Cal=
Called Contact Person
Plan Check Balance
Energy Cala.
Plans [picked ap
'Constmetion
Flood plain plan.,
Plans resubmitted
Mecbadcal
Grading plan �
2"°.Review; readyfor corrections/issue
Electrical "
Sabcontactor. List '
Called'Contact Person
Plumbing
Grant'Deed
Plans.pkw up
S.M.I.
ILO -A. Approval
Plans resubmitted
Grading ..
INHOUSE:-
'a Review, ready for correttlons/usae
Developer Impact Vee
Planning Approval '
Called Contact Person
A.LP.P.
Pub. Wks. App
Date of permit issue
School Fees
Total Permit Fees
OPTIONAL. WA
6" RAISED BOND —BEAM
+ 811 +611
—14'-6" a SPA STACKED STONE —3f-611
—51-0POOL
11
-26—
Olt
0
REVISIONS BY
POOL & SPA SPECS.
POOL SIZE 28'X 14'-0"
POOL S.A. 345 SQ. FT.
POOL PER, 85 LI. FT
DEPTHS 3'-6" TO 5`0"
POOL pUMp4WH1X1
6S0
PERFLUW
HEATER 400,000RT-0
MASTER TEMP.
FILTER PENTAIR CCP 320
LIGHTS 2X400W;IX100W
CONTROLLER EZ-4
PEBBLE TECHBASE COLOR
SPA SIZE 7'-0" DIA.
SPA PER. 22 L FT
SPA S.A. 38 SQ FT
SPA DEPTH 42
JETS 5
JET PUMP
DECK AREA BY OTHERS
PATIO AREA BY OTHERS
SA I/ CUT
leg
pkQ
Ui Lo
CO
uj
Cf) ry-)
gg"
too, I CD
I 11111 7!
CO
Air
u.j
u
z
Lu
wF-a<
a
U Ln
u.j << 0
F- m
M Z U
u z
< (�D r--. <
Cr
<
00
0
LL
DATE: 1/25/10
SCALE: 1/811=11
DRAWN BY: ic
JOB:
SHEET
OF SHEETS