12-0004 (RPL)P.O. BOX 1504f4
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: 1/26/12
Application Number. X12-00000004~ Owner:
Property Address: 81627 RANCHO SANTANA DR DESERT ELITE, INC.
APN: 767-2007999-60 -312022- 78401 HIGHWAY 111, SUITE G
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 777-9920
Application valuation: 25000
Contractor: 0.
Applicant: Architect or Engineer: `MCINTYRE POOLS & SPAS, I
83695 AVENUE 45N;t 2012
INDIO, CA 92201
� (760)342-3612
Lic. No.: 614611 ,p.LAi 6gl1lfA
UCENSflensed
CONTRAC O S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am and pr visions 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 essionals o e, and my License is in full force and effect. - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lice Class: C53 ce se No.: 614611 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: — ontractor:•• I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for w ich this permit' 'ssued. My workers' compensation
• WNER- UILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of pe jury that I a exempt from the Contractor's State License Law for the Carrier COMMERCE WEST I Policy Nu ber '003 08 3590
following reason (Sec. 7031 .5, Bu iness and rofessions Code: Any city or county that requires a permit to _ I certify that,.fn the performance of the wor for which t p mit is issued, I shall not employ any
construct, alter, improve, demolish, r repai any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become bject to the ers' compensation laws of California,
permit to file a signed statement the a she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subi t to the rk s' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division Sof the Business and Professions Code) or 3700 of the Labor Code, I shall forth th comp it those provisions.
• 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).: ate: %_ 7&ter/ plicant:
( - 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 WARNING:. FAILURE TO SECURE ORVEREST,
PENSATION COVERAGE 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 CRI INAS 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 ($100,000). IN ADDITI N TT 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 C E, AND ATTORNEY'S FEES.
oneyear 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.). APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed . 1. Each person upon whose behalf this application i's made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend,. indemnify and hold harmless the City
of La Quint', its officers, agents and employees for any act or o fission related to the work being
• performed under or following issuance of this permit.
Date: Owner: 2. Any permit. issued as a result of this application becomes null d void if rk i not commenced
• within 180 days from date of issuance of such permit, or c sation of ork f r 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the t certify that I have read this application and state that the above infor 'tion is rrec I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building constr tion, an ere authorize representatives
of this county to enter upon the above-mentioned property for insp tion pur se .
Lender's Name:
Signature (Applicant or Agent
Lender's Address:
LQPERDI IT
Application Number . . . . . 12-00000004
Permit . . .
BLDG POOL PERMIT
Additional desc.
Permit Fee . ". . .
252.00. Plan Check Fee
163.80
Issue Date . . . .
'Valuation
25000
Expiration Date
7/24/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
TH0U_ BLDG 2,001-25,000
----------------------------
207.00 e
Permit MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . .
. 0
Expiration Date
7/24/12
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >1O0K
11.Q0
Permit ...
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
-45.00' Plan Check Fee
11.25
Issue Date
Valuation
0
Expiration.Date
7/24/12
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
7/24/12
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
4 o J
Application Number 12-00000004
----------------------------------------------------------------------------
Special Notes and Comments
IN PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED. 2010
CODES.
------------------------------=-------------------------=-------
Other Fees . . . BLDG STDS ADMIN (SB1473)
------------
1.00
Fee summary Charged Paid
Credited'
Due.
Permit Fee Total 356.00
.00'
.00
356.00
Plan Check Total 189.80
.00
.00
189.80
Other Fee Total 1.00
.00
.00
1.00
Grand Total 546.80
.00
.00
546.80
LQPERMIT
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81-627 RANCHO SANTA ANA
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LA QUINTA, CA.......... .1 ii.a. .......
CITY OF LA QUINTA
BUILDINGG& SAFETY DEPT.
APPROVED
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REVISIONS I BY
POOL & SPA SPECS.
POOL SIZE 380 SQ.FT.
POOL S.A. 14' X 37'
POOL PER. 85 L.F.
DEPTHS S-6° T05'
POOL PUMP SIS 3050
HEATER 250,000
FILTER CCP 320
LIGHTS -100 WATT
11 400 WATT
CONTROLLER EASY TOUCH 4
SPA SIZE 6' X 6'
SPA PER. 22 L.F.
SPA S.A. 30 SQ. FT. .'
SPA DEPTH 3'-6°
JETS 5
JET PUMP
DECK AREA 1011 SQ. FT.
DATE: 12/08/11
SCALE: 1/8' = 1'-0°
DRAWN BY:
JOB: 81-627 RAN010 SWM A
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OF SHEETS
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DATE: 12/08/11
SCALE: 1/8' = 1'-0°
DRAWN BY:
JOB: 81-627 RAN010 SWM A
SHEET
OF SHEETS
Bin #
City of La Quinta
Building 8z Safety Division
P.O. Box 1504, 78-495 Calfe Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # ,1
YC
Project Address: _
Owner's Name: F77 Ci
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: e �_ S S xV1C
Telephone:"4::c#M:sH
Address: S S
Project Description:
Pa
City, ST, Zip:
Telephone:_ '
o `:
State Lie. # : ' City Lie. #; S r
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
c
'., . •
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
(�
Item
Amount
Str ctural Calcs.
Reviewed, ready for corrections
Pian Check Deposit
Truss\Calcs.
.Called Contact Person
Plan Check Balance
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'b Revlew, 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