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12-1261 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00001261 Property Address: 52970 DEL GATO DR APN: 770-330-023- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 Applicant: Architect or Engineer: I© •/44Q " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: FORREST&e 52970 DEL GATO DRIVE LA QUINTA, CA 92253 Contractor: MCINTYRE POOLS & SPAS, INC. 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Lic. No.: 614611 - _._ J. — L — — — — — — — — — - — — — — — — — — — — — — — — - — — — — — — — — — — — — — — — LIC ED CONT A1OR'S DECLARATION I hereby affirm under penalty of perjury that I t licensed nde provisions of Chapter 9 (commencing with section 70001 of Division 3 of the Business arofessi als ode, and my License is in full force and effect. License Class: C53 ycense No.: 614611 n /ate: r� - Contractor: OWN -BUILDER DECLARATION I hereby affirm under penalty of perjury that I m exempt from the Contractor's State License Law for the following reason (Sec. 7031. , Business and rofessions Code: Any city or county that requires a permit to construct, alter, improve, dem lish, or repair ny structure, prior to its issuance, also requires the applicant for the permit to file a signed statemen that he or s e is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (comme ing with ection 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom d th asis 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 1, 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/23/12 o .n� 1� DE, 0 3 2012 CITY OF LA QUINTA 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 i ince, as required by Section 3700 of the Labor Code, for the performance of the work for i this permit is issued. My workers' compensation insurance carrier and policy num er are: Carrier BENCHMARK INS olicy N b r AQW00402 I certify that, in the performance o the wo�b'ect which this permit is issued, I shall not employ any person in any manner so as to ecome to the workers' compensation laws of California, and agree that, if I should bec a subj o the workers' compensation provisions of Section 3700 of the Labor Code, I sh forth tomply with those provisions. WARNING: FAILURE TO SE RE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN AD TION TO �E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR ODE, 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 Id harmless the City of La Quinta, its officers, agents and employees for any act omission r late to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes n and void f w k is not commenced within 180 days from date of issuance of such permit, or essation w k for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above infor ation is rr ct. I agree to comply with all city and county ordinances and state laws relating to building constru ion, an eby authorize representatives o/f/ttns county to enter upon above-mentioned property for inspec on purp s. ature (Applicant or Agent): Application Number . . . . . 12-00001261 Permit . . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 349.50 Plan Check Fee 227.18 Issue Date Valuation . . . . 40000 Expiration Date 4/21/13 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 97.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date , 4/21/13 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 . . 4/21/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -------------------------------------------------------7-------------------- EA ELEC PRIVATE SWIMMING•POOL 30.00 Permit . . . PLUMBING Additional desc . . r Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/21/13 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, COURTYARD WATER FEATURES. LQPERMIT Application Number . . . . . 12-00001261 ------------- ----------------------------------------------------------- Special Notes and Comments INCLUDES 70 LF 2" GAS LINE. 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 453.50 .00 .00 453.50 Plan Check Total 253.18 .00 .00 253.18 Other Fee Total 2.00 .00. .00 2.00 Grand Total 708.68 .00 .00 708.68, LQPERMIT Bin # City Of La QUinta Building &r Safety Division P.O. Box 1504, 78495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Pe it # U Project Address: S qeZ _ q 70 CPr1( Owner's Name: A. P. Number. S �I c.CtJl( l U Address:- C) Legal Description: Contractor: SLjtC City, ST, Zip: 4 CI Telephone: $. ti.... Address:Project Description: City,'ST,.Zip: ". C azo Telephone: 3 A- .. BIN ME, <•:. �. rs State Lic. # : y� j City tic. #; S l• 1' s Arch., Engr., Designer: . Address: Cityi ST, Zip: Telephoner z State Lic. #: : v �; . ; Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 410 dOv APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Recd TRACKING PERMIT FEES Plan Check submitted 'L,� Item Amount Structural Calcs.. Reviewed, ready.for corrections Ptan Check Deposit. Truss Cales. Called Contact Person Plan Check Balance . Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V. Review; ready for corrections/Issue Electrical Subcontactor List Called Contact Person Plumbing. . Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''d Review, ready for correcdons/iissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit.issue School Fees Total Permit Fees