13-0016 (RPL), .O. BOX 1504
78-495 CALLE TAMPICO
- LA QUINTA, CALIFORNIA 92253
Application Number: {f 13-00000016
Property Address: 81891 SEABISCUIT WY
APN: 7677200-999-40 -312023-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 37800
Applicant:
-
------=----------- -
f� ---
I hereby affirm under penalty.of perjury that I an
Section 7000) of Division 3 of the Business and
License Class: C53
Ie: 1-7- ractor:
TWIt414 -VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Architect'or Engineer:
r.ovisions;
R'S DECLARATION of Chapter 9 (commencing with
Code, and my License is in full force and effect.
:ense No.: 614611
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perj y that I m exempt from the Contractor's State License Law for the
following reason ISec. 7031 .5, Busiri and rofessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or air ny 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 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 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 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:
J'
LQPERMIT
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, SUITE G
LA QUINTA, CA 92253
(760)777-9920
Contractor:
MCINTYRE POOLS & SPAS, INC.
83695 AVENUE 45
INDIO, CA 92201
(760) 342 -3612
Lic. No.: 614611
Date: 1/04/13
------------------------=---LFINANCEDEPT
• 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'comp nsation i ur rice, as required by Section 3700 of the Labor
Code, for the performance of thew rk for w ch is permit is issued. My workers' compensation
insurance carrier and policy nurT are:
Carrier BENCHMARK INS P icy Nu er A W00402
1 certify that, in the performance of a wor or hich this permit is issued, I shall not employ any
person in any manner so as to ome je to the workers' compensation laws of California,
and agree that, if I should becoa sub' t t the workers' compensation provisions of Section
3700 of the Labor Code, I shal orth ' h mply with those provisions.
te:1-7-/35 plicant:
WARNING: FAILURE TO SEC RE WORKE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO RIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AD TION TO HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR ODE, I EREST, 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 wh request and for
whose benefit work is performed under or pursuant to any permit issued a esult of this application,
the owner, and the applicant, each agrees to, and shall defen/nd.
f and old harmless the City
of La Quinta, its officers,* agents and employees for any act omiss
relat to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes nul w k is not commenced
within 180 days from date of issuance of such permit, or c w rk for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above infor atct. I agree to comply with all
city and county ordinances and state laws relating to building constru iobyauthorize representatives
offtthis county to enter upon the above-mentioned propertfor inspe n
Date: Sig ure (Applicant or Age
Application Number . . 13-00000016
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . .
336.50 Plan Check Fee
218.73
Issue Date . . . .
Valuation . . .
. 37800
Expiration Date . .
7/03/13
Qty Unit Charge
Per
Extension
BASE FEE
252.00'
13.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
84.50
Permit . . .
MECH POOL .
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/03/13
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
7/03/13
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
7/03/13
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 . . . . . 13-00000016
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . .
Valuation . . .
. 433
Expiration Date 7/03/13
Qty Unit Charge Per
Extension
BASE FEE
---------------
15.00
--------------------------=----------------------------------
Special Notes and Comments
POOL/SPA, 20 L.F. 5' EQUIPMENT
ENCLOSURE, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE -AT
PRE -PLASTER INSPECTION. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid
--------------------
Credited
--------------------
Due"
-----------------
Permit Fee Total 455.50
.00 .00.
455.50
Plan Check Total 244.73
.00 .00
244:73
Other Fee Total 2.00
.00 .00
2.00
Grand Total 702.23
.00 .00
702.23
1
LQPERMIT
UUULULN�J
+30"
41
t.
ARTIFICIAL TURF
O
0
0 4-
I 6'WIDE SPILLWAY—J
1
AV
14' POOL
13'
POOL SIZE 36'x14'
36'
19.
DEPTHS 3'-6' TO 5'
-3'$" TANNING 51
ELF WITH
UMBREW
SLEEVE ENTRY
ENTRY
SPA SIZE 8'x 5'
STEPS
SPA S.A. 20 LN. Fr.
SPA DEPTH 3-6'
STEPS
JET PUMP
DECK AREA DECK AREAS BY
(D (D
(D(D
-11, r �7
MASTER
BEDROOM
REVISIONS I By
"A
NEW CONCRETE
DECK
81
NEW CONCRff
DECK
ARTIFICIAL TURF
— — — — — — — — — —
12-27-12 ADJUST POOL SIZEI
AND DECK AREA
AV
�
POOL & SPA SPECS.
POOL SIZE 36'x14'
POOL S.A. 501 SQ. FT.
POOL PER. 94 Ln. Ft
DEPTHS 3'-6' TO 5'
POOL PUMP VS 3050
HEATER . 400,000 BTU
I`ILTER CCP 320
LIGHTS 4WATT
1-100 WATT
CONTROLLER /4
SPA SIZE 8'x 5'
SPA PER. 33 SQ. Fr.
SPA S.A. 20 LN. Fr.
SPA DEPTH 3-6'
JETS 6
JET PUMP
DECK AREA DECK AREAS BY
"A
NEW CONCRETE
DECK
81
NEW CONCRff
DECK
ARTIFICIAL TURF
— — — — — — — — — —
LOT 40 RESIDENCE
81-891 SEABISCUIT WAY
LA QUINTA, CA 92253
uc. po"ll
CONSTRUCTION SPECIALIST
76o 342-3612
KITCHEN
GAS
41
LOT 40 RESIDENCE
81-891 SEABISCUIT WAY
LA QUINTA, CA 92253
uc. po"ll
CONSTRUCTION SPECIALIST
76o 342-3612
KITCHEN
GAS
Bin
.
law City Ci 6fla.Q uinta
Building u SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (740) 777-7012 "
Building Permit Application and Tracking Sheet
Permit # V
'
`
Project Address:' 8 U . G
Owner's Name: C.
A- P. Number:
Address: I _
G
Legal Description 10City,
ST, Zip:
Contractor: ArTi %
Address: 8 _Project
Telephone:
Description:.
?CA
City, ST, Zip:
Telephone:7GU 36
State Lie. # : ('.S-,3-- efll
City Lic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lit. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n 'Alter Repair Demo
Name of Contact Person:
Sq. Ft :.
#Stories:
#Units:.
Telephone # of Contact-Person: " -
'Estimated Value.of Project: - t
APPLICANT:
DO NOT WRITE BELOW THIS UNE "
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES '
Plan-Sets.
PI anChecksubmitted
'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
Mechaulcal
Grading plan .
2od Review, ready for correctiolisrssue
Electrical
Subcontactor'List
Called"Contact Person
Plumbing
Grant'Deed
Plaus.picked up
S.M I.
A O.A. Approval
Plans resubmitted
Grading.
IN ROUSE:
Review, ready for correttionslissue
Developer Impact Fee
Planning Approval '
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
s'