06-0071 (SOTB)P.O. BOX .1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
T4t!t 4 4 Qid�&
06-00000071
52435 -SHINING STAR LN
767-200-999-20 -312022-
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
2000
~Architect
BUILDING & SAFETY.DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section' 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C53 License No.: 614611
Da Contractor: l
OWNER -BUILDER DECLARATION -
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the .
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair 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 ($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 (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 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 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
Owner:
KRENEK
52-435 SHINING STAR LANE
LA QUINTA, CA 92253-
(760)777-9920
2253(760)777-9920
Contractor:
MCINTYRE'POOLS & SPAS, INC.
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: 1/09/06
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
Code, for the performance of the work for which this permit is issued. My workers' compensation
I insurance carrier and policy number are:
Carrier HRH INS Policy Number 020060333601
certify that, in the performance of the work for which this permit is issued, I shall not employ any .
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' c pension provisions of Section
3700 of the Labor Code, I sha fart h comply with th a pr rfsions. -
/%
Dat � - d Applican —
W ING: FAILURE TO SECURE W KERS' COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL
S BJECT AN EMPLOYER TO'CRI NAL PENALTIES AND, IVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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. J
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 he 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 above information is correct. I agi to comply with all
city and county ordinances and state laws relating to building constructio nd hereby aut raze representatives
of this county_ en r upon the above-mentioned property fo purposes.
Dat �� ignature (Applicant or Age
Application Number 06-00000071
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . 45.00
Plan Check Fee
29.25
Issue Date . . . .
Valuation
2000
Expiration Date 7/08/06
Qty Unit Charge Per
Extension
BASE FEE
15.00 .
15.00 2.0000 HIND BLDG 501-2,000
-------------.----------------------------------------------------•-----------
30.00
Permit PLUMBING
Additional desc .
Permit.Fee . . . . .18.00
Plan Check Fee
4.50
Issue Date . .
Valuation . . .
0
Expiration Date 7/08/06
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 ONLY AGAL 496.
----------------------------------------------------------------------------
Other Fees ENERGY
REVIEW FEE
2.93
Fee summary Charged Paid
Credited
Due.
---------- ----------
v Permit Fee Total .63.00
---------- ----------
.00 .00
'63.00
Plan Check Total 33.75
.00 .00
33•.75
Other Fee Total 2.93
.00 .00
2.93
Grand Total 99.68
.00 .00
99.68
LQPERMIT
Petmit #
Project Address: r
A. P. Number:
Legal Description:
Contractor: '
Address: /
ch
Telephone: / /Z
State Lic. # :
Arch., Engr., Designer:
Address`.
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person: _7
# Submittal
Plan Sets
Structural Calcs.
Trusr'Calcs.
Title 24 Calcs:
Mood plain -plan
.Crading,plan
Subcontactor List
Crant Deed
II.O.A. Approval
IN IIOUSE:-
Planning Approval
I'ub. INTs. Appr _
School Fees
City Of La Quillta
Building & Safety Division
P.O. Box 1504, 78.495 Calle Tampico
La Quin(s, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:.'
Address:' _L
.
city, ST, zip: % AA
U
----------- Project Description:
City Lic.
10-
01 s;.r}
rp.
Construction Type:
Occ '
upancy:
:i>•...r
...............
Pro ect
J type (circle one)
civ Add'n Alter Repair Demo
Sq. Fl.: G . G
# Stories:
#Units;.
Estimated Value of Project:
.
APPLICANT: DO 'NOT WRITE. BELOW
THIS LINE
eld
TRACtaNC
PERMIT FEFS
Plan (:heck submitted
/ D
Item
.
Amount-------------
Reviewed, ready for corrections
Plan Check Deposit
"Called Contact Person
Plan Cheek Valance
Plans rickcd'up
p�tRtPIZ
Construction
$oT9 p�
Plans resubmitted
hl.cchanical
2" Review, ready for correclionsrssue
Electrical
Called Contact Person
Plumbing
I•a{`fET•
Plans picked up
s.nt.l.
Plans. resubmitted
Grading
ftevie` . eady for corrections/issue
p
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permibissuc
...........
Total Permit Fees