08-0680 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253.
Application Number: -
Property Address:
APN:.
Application description:
Property Zoning:
Application valuation:
08-000.00680
81923 SEABISCUIT WY
767-200-999-38 -312023-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
27000
Architect or Engineer:
4
BUILDING & SAFETY -DEPARTMENT
BUILDING PERMIT
- - - - - - - - - - - - - - - — — — — — — — — — — — — 7 — — --- — — — — — — — — — — — — — — — — — —
LICENSED CO TRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I lican d under provisions of Chapter 9 (commencing with .
Section 7000) of Division 3 of the Business Prof ionals Code, and my License is in full force and effect.
License 'ass: C53 License No.: 614611
ate: ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt 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 ($500).:
(_) 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 (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:). _
( ) 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:
Lende'r's Address: '
LQPERMIT
Owner:
NETKIN
81923 SEABISCUIT WAY
LA QUINTA, CA 92253
(760)777-9920
Contractor:
MCINTYRE POOLS & SPAS, INC
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: 4/24/08
APR -2 8 ZQOa
CFNATroITYO
� AQUINTA
--------------------------------'-----__'��-`.�1-
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 which this permit is issued, I shall not employ any
person in any manner so as to becpfn& subject to the workers' compensation laws of California,
and agree that, if I should beco subject t . he workers' compensation provisions of Section
3700 of the Labor Code, I shal orthwith omply with those provisions.
llp-de pplicant:
WARNING: FAILURE TO SECURE WO ERS' 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 of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and.state that the abov informatio correct. .1 agree to comply with all
city and county ordinances and state laws relating to building nstructio , d hereby authorize representatives
of this c only to enter upon the above-mentioned property f inspectio urposes.
nature (Applicant or Agen
Application Number
08-00000680
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
265.00 Plan Check Fee".
172.25
Issue Date
Valuation
26760
Expiration Date
10/21/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
2.00 6.5000
THOU BLDG 25,001-50,000
13.00
Permit
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date
Valuation .
. 0
Expiration Date
10/21/08 .
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
10/21/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.0.0 - 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
10/21/08
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
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number 08-00000680
Permit . .:. WALL/FENCE PERMIT
Additional desc :.
Permit.Fee 15_00 Plan Check
Fee ..
.00
Issue Date Valuation
. . .
240
Expiration Date.. 10/21/08 .
Qty, Unit'Charge Per
Extension
BASE FEE
15.00
-----------------------
Special.Notes and Comments
------
---------------
POOL/SPA; 15 L.F. 4' EQUIPMENT WALL,
-
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary. Charged Paid Credited
Due
Permit Fee Total 384.00 .00
.00
384.00
Plan Check Total 198.25 00
.00
198.25
. Grand Total 582.25 .00
.00
582.25
LQPERMIT
P,
IM
Lr)
— — — — — — — — — — — — — — — — — — — — — — — — — — — — j — — — — — — -- — — — — —
in
7' VA
F Lo
NFTKIN P,,F5119NCF
LA QIIWTA, CA
cco:)
CA
6l
r TN co C,
LOT
�B
ANCHO
5ANTANA
LA QIIWTA, CA
cco:)
CA
►I
a�7�
Bin #
City of La nuinta .
Building u Safety Division '
P.O. Box 1504, 78-495 Calle Tampico
U Quints, CA 92253 - (740) 771-7012-
77-7012Building Permit Application and Tracking Sheet
Building
Permit #
Project Address; _
A. P. Number:
Legal Description:
Contractor: Ar
23 •
COI ' S
Ik
Owner's Name: e3ldence-
Address:. '� 9
City, ST, Zip:
d/A ILI 0.
Telephone:
Project Description:.
Address: g3
City,
•�
w
Telephone: Z
??
State Lic. #: tSJ '
City Lic. #:V.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lid. #:
Name of Contact Pelson:
Telephone # of Contact Person:
an Construction Type: Occupancy:
P cy: .
Project type (circle one): New Add'n Alter Repair Demo
�. Y Sq. Ft.: # Stories: # Units:
- Estimated Value.of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE..
#
Submittal
Req'd -
Reed
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan ,
Plans resubmitted
Mechanical
Grading, plan-
2°" Review, ready for corrections .ssue
Electrical
Subcontactor. List
Called Contact Person
Plumbing
Grant'Deed
Plans,picked up
S.M.I.
I-LO.A. Approval
Plans resubmitted
Grading.
IN HOUSE:-
''" Review, ready for corrections/issue'
Developer Impact Fee
Planning Approval '
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
a�7�