09-0520 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09,"'"0-0000520
Property Address: '53325 VIA BELLAGIO
APN: 772-500-062- - -
Application description: POOL - RESIDENTI•AL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 24325
Applicant:
I hereby affirm under penalty of perjury that I
Section 7000) of Division 3 of the Business <
Lice n -Class: C53
ntractor:
T4'vl . 4 4Q"
Architect or Engineer:
air
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I -n
TOR'S DECLARATION
provisions of Chapter 9 (commencing with
ode, and my License is in full force and effect.nse No.: 614611
OWNER -BUILDER DECLARATION
-I hereby affirm under penalty of pe ury t t I am exempt from the Contractor's State License Law for the _
following reason (Sec. 7031 .5, Bu nes nd Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, pair 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 (5500).:
(_ 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 (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 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
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:
HALLAT
53325 VIA BELLAGIO
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS & SP
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: 5/27/09
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
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
:�::'illl"'' 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 02DKRM120001870
I certify that, in the performanc f the work which this. permit is issued, I shall not employ any
person in any manner so as become ct to the workers' compensation laws of California,
and agree that, if I should ome sub' c o the workers' compensation provisions of Section
3700Tj0 of the Labor Code, I hall fo ij comply with those provisions. "
te: (S _ -V JA cant: L
WARNING: FAI E TO SECURE O KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AW PLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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 I have read this application and state that the ab a info tion is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin cons ion, and hereby authorize representatives
of this my to enter upon the above-mentioned property r in a tion purposes.
at, VCX� -� nature (Applicant or Agent):
Application Number .
. . . . 09-00000520
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
252.00. Plan Check
Fee
163.80
Issue Date
Valuation'
".
24325
Expiration Date
11/23/09
Qty. Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
THOU BLDG 2,001-25,000
207'.00
Permit.
MECH POOL
Additional desc .
Permit" Fee
26.00 Plan•Check
Fee-...
6.50
Issue Date
Valuation
. . .
. 0
Expiration Date
11/23/09
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
11/23/09
Oty 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,.
11/23/09
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, F.IREPIT (INCLUDES 1"15 L.F. 1"
LQPERMIT
Application Number 09-00000520
-----------------------------------------------------------7----------
Special Notes and Comments
GAS LINE). ALARMS/BARRIERS SHALL BE IN'
PLACE AT PRE -PLASTER INSPECTION.
' EQUIPMENT ENCLOSURE, BBQ AND COURTYARD
µ FOUNTAIN NOT INCLUDED..
---------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
Credited
Due"
- --------- ----------
Permit Fee Total 356.00 .00
---------- ----------
.00
356.00
Plan Check Total 189.80 .00
.00
189.80
Other.Fee Total 1.00 .00
.00
1.00
Grand Total 546.80 .00
.00
546.80
LQPERMIT -
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POOL
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SITTING
AREA
(70,
lono I
009)"
.tie
MASTER
BEDROOM
m
-49
POOL
10,
A I
-41
1005 _
ro
INDICATES SEPARATION
LINEBETWEEN NATURAL &
TRANSITION AREAS
.boa--� \ \�
NOOK
Ell
6 (1) 66, 6II I
L
GREAT DINING l
ROOM. ROOM II
Il
K17CHEN 0
RESIDENCE 0
APPROVED PAD = 1010.0
FINISH FLOOR = (ASSUME 0)
NOTE: ALL WALL CALL OUTS INDICATE HEIGHTS
AS MEASURED FROM FINSH FLOOR ��pp O
BOTTOM OF WALL IS 1009.5
SEE CIVIL DRAWINGS
�6.
POOL.
tv
V:
t.
LY
LOT 309
PAD 1010.4)
V1 ",
•
Bin #
City of La. Qu i nta .
:Building U Safety, Division
P.O. Box 1504, 78-495 Calle Tampico
U Quint 'a, CA 92253 - (7¢0) 777-7012•
Building Permit Application and Tracking Sheet
Permit #
' pay
Project Address: 63 — 2 S
, .
Owner's Name:1. S
A. P. Number:
Address: 53 JAZ `O
Legal Description:
Contractor:
lorr(rj)
Address: g -5-
City, ST, Zip: 2
Telephone:
Project Description: .
nod. 5ai
ST. Zip:=VYI o
. ZZOhone:
— 36Lie.
r
# : S3 " 6 zf6 11
City Lic. #:.
Arch., Engr., Designer:
5'
Address:
City, ST, Zip:
Telephone:
State Lit. #:
Construction Type: Occu an
P cY:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
r
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact-Person:
Estimated Value.of Project: 4 060
APPLICANT:
DO NOT WRITE BELOW THIS UNE .
#
Submittal
Req'd -
Rec'd
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°d Review, ready for correctiorisAssue
Electrical
Subcontactor. List
Called Contact Person
Plumbing
GranfDeed
Plans, picked up
S. ?YL I.
H.O.A.. Approval
Plans resubmitted
Grading.
IN HOUSE:-
M Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Bin #
City 6 f La. Qu . .
Building a Safety -Division
P.O. Box 1504, 78-495 Calle Tampico
U Quints, CA 92253 - "(7¢0) 777-7012 "
BuildingPermit"Application and "Tracking Sheetct
Permit #
kProj
Address; — "3ZS u r G,
wner's Name.Number:
ddress:.0ieA
TA
Legal Description:
ty, ST, Zip: Lu ZZ3
Contractor: " T^ S
G"0.
Telephone:
Address: g3 : S q 2 ZQ"
: Project Description:.
, ZiP:
Eo rO G..
r 1
4 Z '.36
FTelephone:
e. # : SJ — 6146
City Lit. #:.
ngr., Designer:
:
City, ST, Zip:
Telephone:
State Lit. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n "Alter Repair Demo
Name of Contact Person: 5f YfV
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact -Person: S $6 0 q
Estimated Value.of Project: Z 5_5!f__
APPLICANT:
DO NOT WRITE BELOW THIS LINE "
#
Submittal
Req'd -
Rec'd
TRACEING
PERIMT 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 Coles.
Plans picked up
'Construction '
Flood plain plan,
Plans resubmitted
Mechanical
Grading plan
2pd Review, ready for correctiossue
Electrical
Subcontactor"List "
Called'ContactPerson
Plumbing
Grant'Deed
Plans. picked up
S.M.I.
H O.A. Approval
Plans resubmitted
Grading.
, HOUSE:
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees