08-0547 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 8-0000054.7_
Property Address: 81910 SEABISCUIT WY
APN: 767-200-999-34 -312023-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 650
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHERLOCK
81910 SEABISCUIT WAY
LA QUINTA, CA 92253
(760)777-9920
Contractor:
MCINTYRE POOLS & SPAS, INC
836.95 AVENUE 45
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/02/08
VF
APR 0 3 2�3 i
OF LA
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.).
(_) 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.).
1 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.).
Lender's Name:
Lender's Address:
LQPER\IIT
0
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 I have read this application and state that the ab infordn=d
correct. I agree to comply with all
city and county ordinances and state laws relating to buildin onstru hereby authorize representatives
of thi - ounty to enter upo eabove-mentioned properly r inspeses.
ate- 3-a� nature (Applicant or Age �+
INDIO, CA 92201
I�
N
(760)342-3612
Lic. No.: 614611
t/
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business androfessio Is Code, 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
License Class: C53 lLicense No.: 614611
for by Section 3700 of the Labor Code,�for the performance of the work for which this permit is -
�I X
ate: -V r ontractor:
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
OWNER -BUILDER DECLARATION -
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier DELOS INS CO . Policy Number 01DKRM12001870
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for whi this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
workers' compensation laws df California,
subject t 14e
person in any manner so as tJfhwi
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should beec[ to t orkers' compensation provisions of Section
License Law.Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or
3700 of the labor Code, I shth c y with 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 155001.:
e: 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 offeredfor sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WO ERS' COMPENSATION 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 CRIMINAL PENALTIES 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 ADDITION TO THE COST 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 CODE, INTEREST, AND'ATTORNEY'S FEES.
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.).
(_) 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.).
1 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.).
Lender's Name:
Lender's Address:
LQPER\IIT
0
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 I have read this application and state that the ab infordn=d
correct. I agree to comply with all
city and county ordinances and state laws relating to buildin onstru hereby authorize representatives
of thi - ounty to enter upo eabove-mentioned properly r inspeses.
ate- 3-a� nature (Applicant or Age �+
Application Number .
. . . . 08-00000547
Permit . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
19.00
Plan Check Fee.-
12.35
Issue Date
Valuation
.650
Expiration Date
9/29/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 .2.0000
HND BLDG 501-2,000
4.00
Permit
PLUMBING
Additional desc .
Permit Fee
18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . . .
• 0
Expiration Date
9/29/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE
1-4 OUTLETS
3.00
-------------------------------------------------------------------------------
Special Notes and Comments
;
FIREPIT.PER APPROVED
PLANS
Other Fees . . . .
... . . STRONG
MOTION (SMI) - RES
.50
Fee summary Charged
Paid
Credited
Due
Permit Fee Total
37.00
.00 .00
37.00
Plan Check Total
16.85
.00 .00
16.85
Other Fee Total
.50
.00 .00
.50
Grand Total
54.35
.00 .00
54.35
LQPERDtIT
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CONMtE .
CITY OF IA QUINT
BUILDING & SAFETY DEP
�� APPROVED
Wwo�: FOR CONSTRUCTION
SN��LOCK F,,�5MNa t, DA 3l BY
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61
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LUINTAJ CAA Q
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I
Bin #
:.
City of La Quinta ,.
' :Building u Safety' Division `
Permit #
P.O. Box 1504, 78-495 Calle Tampico
�54
La Quinta, CA 92253 - (740) 777-7012
Building Permit Application and Tracking Sheet
Project Address;8 -
S CQ►71.
Owner's Name:
A. P. Number:
Address:. 6 J e // /Ot
llto
Legal Description:
City, ST, Zip:
0• n ��. 2 A
Contractor:
S, S
Telephone:
4
4
Address: _4,1
�
Project Description:. �
City, ST, Zip:.9
nn
LQ
Telephone:
State Lie. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
.
Telephone:
Construction Type: Occupancy:
P cy:
State Lie. #:
Project type (circle one): New Add'n ' Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact-person: (
- $
6 aG
Estimated Value.of Project: V
APPLICANT:
DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd
Reed
TRACK[NNG
PERMIT FEES
Plan Sets
Plan Check submitted
3
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
TB .
Flood of plan,
Plans resubmitted
Mechanical
Grading. plan
2'' Review, ready for corrections/issue
Electrical H
Subcontactor. List
Called Contact Person
Plumbing VIA
GranfDeed
Plans. picked up
S.M.I.
I-LO.A. Approval
Plans resubmitted
Grading.
IN HOUSE:-
'nd Review, ready for correctionslssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees