09-0365 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �09, 0000.0365'
Property Address: 81860 RANCHO SANTANA DR
APN: 767-200-999-6 -312023-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 21500
T4ht 4 4 Q"
Applicant: Architect or Enoineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
CLARATION '
s of Chapter 9 (commencing with
ny License is in full force and effect.
614'611 '
RATION
ctor's State License Law for the
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 _ 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 ISec.
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 is issued (Sec. 3097, Civ. C.I.
Lender's Name: _ ft
Lender's Address: \-
I,r1PFRjt11T
Owner:
PARGE
81860 RANCHO
LA QUINTA, CA
(
SANTANA DRIVE
92253
Contractor:
MCINTYRE POOLS S& SPAS,
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: 4/23/09'
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 DELOS INS CO Policy Number 02DKRM120001870
I certify that, in the performance of a work fo hich this permit is issued, I shall not employ any
person in any manner so as to come sub' to the workers'. compensation laws of California,
and agree that, if I should bec a subjec t the the
compensation provisions of Section
3700 of tfje Labor Code, I s I forthwiy omply with those provisions.
WARNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIIvdN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIO O 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. i
.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 nul/,ereby
ork is not commenced
within. 180 days from date of issuance of such permit, or rk for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above info a 1 agree to comply with all
city and county ordinances and state laws relating to building constr tioauthorize representatives
of this county to enter upon he above-mentioned property for insp tion -
$ate: � nature (Applicant or Agent):
Application Number . . . . . 09-00000365
Permit
BLDG POOL'PERMIT
Additional desc .
Permit Fee
225.00 Plan Check Fee
146.25
• Issue Date . . . .
Valuation . . .
. 21500
Expiration Date
10/20/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
20.00 9.0000
--------------------------------------------------------------
THOU BLDG 2,001-25,000
180.00
--------------
PermitMECH
POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/20/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
-------------------------------------------7--------------------------------
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'.
10/20/09
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 Plan Check Fee
8.25
Issue Date . . . .
Valuation
0
Expiration Date
10/20/09
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, GAS & ELECTRIC STUB -OUTS FOR
LQPERMIT
Application Number . . . . . 09-00000365
---------------------------
Special Notes and Comments
-- - -
FUTURE APPROVED APPLIANCES.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
------------------------------------------------------------------
Other Fees . . ... . . . BLDG STDS ADMIN (SB1473)
1.00 '
Fee summary Charged Paid
Credited
Due
Permit Fee Total 329.00 .00
00
329.00
Plan Check Total 172.25 .00
.00
172.25
Other Fee Total 1.00 .00
.00
1.00
Grand Total 502.25 .00
.00
502.25
•
l
-
LQPERAIIT
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City of La Qu* In
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 8 _��
Owner's Name:
A. P. Number:
Address:
O�/ o Sr
Legal Description: c
Contractor:
0 R0-5
City, ST, Zip: �G • 9Zw
Telephone:
}>,;;y+{i. iKii.J S. :, ii5.4'i `Y•ii:i ft;:
Address:�%
S u
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Project Description: / O n (�
City, ST, Zip: Z
Telephone: ,{ <:?:#i: :>><:`::l:f•: <:55 :S::S;.S::: S s:
State Lic. # 0<71-:614,0
City Lic. #;
Arch., Engr., Designer:.
-
Address:
City., ST, Zip:
Telephone:
State Lic. #:
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Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: rri
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:"
c=
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd _
Rec'd
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 Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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:-
'"' Reyiew,.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
r