09-0289 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA, QUINTA, CALIFORNIA 92253
T4tyl 4 4 a"
Application Number: 09-00000,289
Property Address: 81715 CHARISMATIC WY
APNt 767-200-999-55 -312021-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 24500
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------- ------------------------
LIC ED'CO CTOR'S DECLARATION
I hereby affirm under penalty of perjury that I licen under -provisions of Chapter, 9 (commencing with
Section 7000) of Division 3 of the Business a Prof ' nals Code, and my Lioense is in full force and effect.
License Class: C53 License No.: 614611
ntractor:
OW NER-BUILDER. DECLARATION
I hereby affirm under penalty of per ry at I am,exempt-from the Contractor's'State License taw' for the
following reason (Sec. 7031.5, Mi 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 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 acivil penalty of not more than five hundred dollars ($500).:
1-1 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, they building -or improvement is sold within
one:year'of completion, the owner -builder will have the.burden'of proving thathe or she did not build or
.improve for the.purpose of sale.).
1 _ I I, as owner of the: property, em exclusively contracting with licensed; contractorsto:constrtictthe project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does,hot apply to an owner of
property whobuilds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuaritto 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: JA
LQPERMIT
Owner:
STODDARD
81715 CHARISMATIC WAY
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS &.SPAS„
83'695 AVENUE 45
INDIO, CA 922.01
(760)342-36.12
Lic. No.: 61.4611
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penahyof 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 carrierandpolicy number are:
Carrier DELOS INS CO Policy Nu r
I certify that, in the performance
the
rwhich this permit,is issued, I•shall not employ any
person'in any man narso as t becomes act to the workers' compensation laws of California,
and agree that, if I should of j to the workers' compensation provisions of Section
3700 of the,Labor Code,.l s all complywith those provisions.
_plicant:
WARNING: FAILURE TO SECUREO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). 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' persorupon whose behalf this 'application is made, each person at whose request and for
whose benefit work is performed under or pursuant io 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.andemployees--.forany 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 applicatiorrbecomes null and v ' work isnot commenced
Within 180. days, -froaf tlate•of: issuance. of:such permit, or cessati f work for 180 days will subject
permit to cancellation.
I certify that I'have .read thisapplicationand state that.the aystruct'
correct. I agree to comply with all
city and,county ordinances and state laws relating,to buildihereby authorize representatives
of t -' ,cooun�ty toentter upon the above-mentioned, property ses,
Date:(J� I S' ature (Applicant or Agent):
O9
0
Application Number . . 09-00000289
Permit BLDG POOL PERMIT
Additional desc . .
Permit Fee 252.00 Plan Check Fee 163..80
Issue Date . . . Valuation . . . . 24500
.Expiration Date . . 9/26/09
Qty Unit Charge Per Extension
BASE FEE 45.00
23.00 9.0000 THOU BLDG 2,001-25,000 207.00
Permit . . MECH POOL
Additional desc . .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation 0
Expiration Date . . 9/26/09
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 9/26/09
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
Issue Date . . .
Expiration Date.. 9/'26/09
Plan Check Fee 8.25
Valuation 0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2.00
6.0000
EA
P-LB.FIXTURE
12.00
1.00
13.00,00
EA
P,LB WATER INST/ALT/REP
3.00
1.00
3.0000
EA
PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . . . . WALL/FENCE PERMIT
LQPERDur
Application Number . . . . . 09-00000289
Permit . . . WALL/FENCE PERMIT
Additional desc . ..
Permit. Fee . . . . 15.0.0
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 87
Expiration Date . 9/26/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
-------_-----------------------------
Special:Notes and Comments
------------
POOL/SPA, 4 L.F. 5' EQUIPMENT WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION:
.Fee summary Charged - Paid
Credited
Due
Permit Fee Total 371.00
.00
.00
371.00
Plan Check Total 189.80
.00
.00
189.80
Grand Total 56'0.80
.0'0
.00
560..80
LQPERMff
Bin #
City of La Quinn
Building 81 Safety'Division
P.O. Box 1.504., 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # p�
m.
�Y
Project Address:. _ 7 �S Owner's Name:
A..P..Number: Address: _�
Legal Description: City, ST, Zip:
n
Contractor: / S Telephone:
Address: &3 : (� ✓ . 4 S Project Description: �j S
City., ST, Zip: ]Endfo Z z-0 I
Telephone: 34 Z - 3 61 Z
State Lie. # : 5 4 46 City Lic. #:
Arch., Engr.,'Designer:
Address:
City, ST, Zip:
Telephone: Co ction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact • Person: Sq. Ft.: #Stories: #Units:
Telephone # of Contact'Person: 0 - z Estimated Value of Project: (J
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'4
ReetRe"vtewed,
TRACIMG PERMIT FEES
Plan Sets
heck submitted / Item Amount
Structural Coca.
rcady,for corrections Plan Check Deposit
Truss Coles.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans incktd up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
Y'$eview, ready for corrections/issue. Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
'Plans picked up S.M.I.
HOA -Approval
Plans resubmitted Grading
INHOUSE-,
3" Review, ready for correetionsrusue Developer Impact. Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
II 7._6"e X 3'_0" SPA
PI f N +1$
n
S T17D-PARR RESIDENCE �
F
81-715 CHARISMATIC WRY
LA. QUINTA, CA
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