08-1221 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 108-00001221—:-)
Property Address: 81926 SEABISCUIT WY
APN: 767-200-999-35 -312023-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------- 7 ------ ---------
LICENSED CONT ACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am license der provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an rofes ' als Code, and my License is in full force and effect.
License Class: C53 License No.: 614611
Date: i tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pVrythatI amexempt 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 (5500).:
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 1, 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.).
( 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:
LQPERMIT
Owner:
YOUNCE
81926 SEABISCU'IT WAY
LA QUINTA, CA 92253
(
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/21/08
Contractor: I
4Y o
MCINTYRE POOLS & SPAS
83695 AVENUE 45
INDIO, CA 92201 JUL 2 2 2003
(760)342-3612
Lic. No.: 614611 CITY OF LAQUINTe
------------------
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 01DKRM12001870
I certify that, in the performance of the work for ich this permit is issued, I shall not employ any
person in any manner so as to /m,me sub' c o the workers' compensation laws of California,
and agree that, if I should beccubje t he workers' compensation provisions of Section
3700 of th bor Code, I shah omply with those provisions.
i
Date: - pplicant: 11,
WARNING: FAILURE TO SECURE O RS' 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 is not commenced
within 180 days from date of issuance of such permit, or cessation oI rk for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above infor ation i I agree to comply with all
city and county ordinances and state laws relating to building constr tion, authorize representatives
of�this county to enter upon the above-mentioned property for insp tion p r ses.
Date: —I/� Sign re (Applicant or Agent):
Application Number
08-00001221
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00. Plan Check Fee
163.80
Issue Date
Valuation
25000 ..
Expiration Date
1/17/09
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
1/17/09
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
1/17/09
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
1/17/09
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. ALARMS/BARRIERS
SHALL BE IN
LQPERMIT
Application Number . . . . . 08-00001221
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged
-------------------------------------
Paid
Credited
--------•------------
Due
Permit Fee Total 356.00
.00
.00
356.00
Plan Check Total 189.80
.00
.00
189.80
Grand Total 545.80
.00
.00
545.80
LQPERMIT
1' x T
� f
+ 18" I�AI5�t7� k
PA +b y;• .. ;;.
vvv
'ZD
`'y •' ;*� `•ice �; `• •"s- -'� _ ::'i>'^;.:•
wr
i •' r : : • S
'.'ar-,+ p
?:
1 1,
L ••
..T.-
- P
:
a:;K _ •i'
_ .Y••
_ z•J :
.. z,i•'..
ma
.i y:• ..q^:.`:
ML.
_ z4.•
8' 1
p
1 '
� f
YOUNCF FIlE51PFNCF [C AIC 926 SQA N5CUIL-,.. .
l
AC
A - 4 � 's i
p00L rQ.
P,,,ANCHO 5ANfANA
i
f
1
1
f
f
i
3
f
F
f
1
1
4
Bin #
-
City of .La Qu
Building & Safety Division '
P.O. Box 1504, 78-495 Calle Tampico
U Quilita, CA 92253 - (7¢0) 771-7012-
77-7012Building Permit Application and Tracking Sheet
Building
Permit #
Project Address:'
6 S
Owner's Name'
A. P. Number:
Legal Description:
Contractor:
i
Address:-8/7926 2S--,Q1 U .: 0 ,
City, ST, Zip:
Telephone:
Project Description:.
Address• _ 5
City, ST, Zip:.
.
Telephone:
. 36
State Lic. # : -6
bcf6
City Lic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lit. #:
Construction Type: Occu an
P cy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
lr
Sq. Ft:
#Stories:
#Units:
Telephone # of Contact-Person:
Estimated Value.of Project: � �� cx,
APPLICANT: DO NOT WRITE BELOW THIS LINE.
#
Submittal
Req'd -
RWd
TRACMG
PE1tM1T FEES '
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. ,
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan,
Plans resubmitted
Mechanical
Grading plan'.
2°d Review, ready for correctionsrssue
Electrical
SubcontactorList
Calied'Contact Person
Plumbing
Grant Deed
Plan's, picked up
S.M I.
H O.A. Approval
Plans resubmitted
Grading.
IN HOUSE:
''" Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees