11-0709 (RPL)787495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
�Appljcation Number.. -11-'00000-7.0.9
Property Address: 51382 CALLE PALOMA
APN: 770 -173 -004 -181 -000000 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY "RESIDENTIAL
Application valuation: n .�.e 20000: �.
Applicant:
. to)
-----------------------
_ LICENSE ONTPJ
I hereby affirm :under penalty of perjury thatl:am Ii nsed u
Section7000) of f Division 3 of the Business and Pr ession I;
License Class: C53
Architect or Engineer:
1'S DECLARATION
visions of.Chapter; 9 (commencing with
and myticerise is in full force and effect.
No,:* 614611
WNER-BUILDER: DECLARATION
I hereby affirm under penalty of-perOiection
exempt from the Contractor's' State License Law for the
following reason (Sec. 7031 .5, Bus assfessions Code: Any city or county that requires a permit to
construct, alter, improve demolish, structure, prior to its issuance; also requires the.applicant for the
permit to file a signed statement thor licensed pursuant to the provisions of the Contractor's State .
License Law (ChapteF 9 (commenci.7000) of Division 3 of the Business and Professions Code) or
that he or she'is exe'mpttherefrom and the basis for thea lleged 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 1 I, as owner of the property, or my employees with wages as theirsole 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. herselfthrough his or her own employees, provided that;the' '
improvements are notintended 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 fou the purpose of sale). . - -
(_) I, as owner of -the property, am exclusively contracting with licensed contractors to constructthe project -(Sec.
7044, Business and Professions Code: The Contraf
ctors''State License Law does not apply to owner o
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant -to the Contractors' State License Law.).
( ) Iam exempt Linder 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:
SWAN RESIDENCE
51382 CALLE PALOM
LA QUINTA, CA 922
Contractor:
MCINTYRE POOLS & S S1
83695 AVENUE 45
INDIO, CA.92201
(760)342-3612
Lic..No.: 614611
VOICE (76_0) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.Dat 6/29/11
WORK ER'S"COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one,of the following declarations:•, .
_ I have and will maintain a certificate of-consentto 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 6y Section 3700 of the Labor
Code, for the performance ofthe work for which this permit is.issued>.My.workers' compensation
insurance carrier and policy number are:
Carrier GOLDEN .EAGLE IN' P icy Number 10010134097Z
_ I certify that, in the performance of a work for7h,this permit is issued, I shall not employ any
person in any manner so as to.b ome subja e workers' compensation laws of California,
and agree that, if'I should beco subjectt trkers' compensation provisions of Section
rviins.
with h provisions.
h l r hwith o t t oser Is a of'� f h Labo Code P3700o t e ny
IApplicaM�
i�
WARNING: FAILURE -TO SEC RE.WORKE ' COMP NSATION COVERAGE IS UNLAWFUL;. AND SHALL
SUBJECT AN EMPLOYER TO,' INIINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 'IN ADD IONTO HE COST OF COMPENSATION: DAMAGES AS`PROVIDED FOR IN
SECTION 3706 OF THE LABOR DE: I TE,
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 agreesto, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any a/in
ission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as. a result of this application becomes void if wo i not commenced
within 180 days from date of issuance of such permit, oon of wo f 180 days will subject'
permit to cancellation. -
1 certify that I have read this application and state that the above infors corr t. agree to comply with all
city and county ordinances and state laws relating to building construcd he b authorize representatives
of this county to enter upon the above-mentioned property for inspectios
fr) i �— f' Sianature IAoolicant or Apentl"=t _
Application Number . . . . . 11-00000709
Permit -:. BLDG POOL PERMIT
Additional. desc .
Permit Fee 207.00 Plan Check Fee
134.55
Issue -Date . . Valuation . . . .
20000
Expiration Date 12/26/11
Qty Unit Charge Per
Extension
BASE FEE
45.•00
18.00 9.0000 THOU BLDG 2,001=25,000
162.00 .
---------------- - - - ------------------------- , - - - - ------------
------- - -- - --
Per[tiit . MECH -POOL,
Additional-desc.
Permit Fee ; 26.00 Plan.Check Fee
6.50..:
Issiie. Date- . Valuation._•
0
` Expiration, Date' 12/26/11
Qty . Unit Charge; Per
Extension
BASE FEE.'
15.00
' 1-. 0.0 11.0000 EA. MECH •FURNACE >100K
11..:•00
PermitELEC.,POOL, PERMIT=RES•. .'
Additional d2SC
Permit 45.00. Plan Check Fee
11.25
_Fee
Issue. Date.- '.Valuation
0
'Expiration Date. 12/26/11
Qty 'Unit Charge Per
Extension
BASE FEE
15.00.
1..00 30.0000 EA ELEC.-PRIVATE SWIMMING POOL
30.00
PermitPLUMBING -
Additional desc .
Permit Fee- .33.00 Plan Check Fee
8.25
• Issue Date Valuation
.0
Expiration Date 12/26/11
Qty. Unit Charge Per
Extension
BASE FEE
15...:00 .
2.0.0. 6 . 00.00 ' EA, . .:PLB::FIXTURE
-12.00
12.00
1.00. .3.,0000 -EA .,:PLB WATER•.INS.T/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 . . 11-00000709
----------------------------------------------------------------
.-Special.Notes and Comments
PLACE AT.PRE-PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
- ----=------------------------------------_--------------------------=--------
Other Fees . . . . .. :BLDG STDS.ADMIN (SB1413).
1.00
Fee summary Charged Paid
Credited
Due
------ - - - - ------ - - - - - -
Permit Fee Total 311.00. .00
---------- ----------
.00
311.00
Plan Check Total 160.55 .0.0
.00
160.55
M ,.Other- Fee• Total :. 1:•00. 0.0...
00 . .
1..00;
Grand'Total 472.55. .00
.00
472.55
7
LQPERMIT
Bin #
qY orLa Quwa
Building 8L Safety Division
P.O. Box 1504,, 78-495 CallTampico
La Quinta, CA 92253 - (74-0')'777-7012
Building. Permit Application and Tracking Sheet
Perm 't A
Q \
Project Address: u
Owner's-Name:��
A. P. Number:((
Address: 'S CG
Legal Description:
Contractor: e
City, ST, Zip: to
Telephone 4rgr�>:
Address:S Lis
l
ProjectDescription: 5cyi m 1 . 't" 'Per, Lq- 4
.City, ST, Zip: e
Telephone: 0-3412-36(
state Lic. # : CS G ( 1 I.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephoner .. ,•y ' Construction,Type . Occupancy:
State Lie. #: Project type (circle one): New Add' n' Alter Repair Demo
Name of Contact Person: Sq. Ft.: # Stories: # Units:
%Telephone # of Contact Person: S — _ Estimated Value of Project:
APPLICANT: DO NOT.WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submittedItem
Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan 'Cheek'Balance •
Title 24 Cates.
Plans .picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical '
Grading plan
2° Review, ready for corrections/issue
ElectH.cal
Subcontactor List
Called Contact Person
'Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
Review, ready for correetionstissue
Developer Impact Fee
Planning Approval
Called ContactTerson
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
w
z 6' BLOCK FENCE
w
w
0
0
0
w
OWNER
OWNS
OPEN
LOT ACCESS
7'
Jr`��
xt,A
g, o„
3'-6"
SWAN RESIDENCE,,
51-382 CALLE ,P-
LA QUINTA; CA 92253