05-1670 (RPL)BUILDING & SAFETY DEPARTMENT
P.O.- Box -1504
(7'60)t�777-70 12
78-495 CAL ' LE T * AM ' PI ' C 0 PAX (760 . ) 77740H
LA QUIN'tA,'CXL'IF0RNIA'922.53 INSPECTION. REQUESTS -7153
(760). 7.77
MAY 0 4 2005 BUILDING PERMIT
CITYOF QUINTA
FINAN. ti n Number 05-00001670. Date 5/02/05
Property Address. 55315 TURNBERRY WY
APN: 767 -550 -002. -
Application description.. POOL '-�RESIDENTIAL
Property Zoning-. LOW DENSITY RESIDENTIAL
Appli'cation valuaCtio'n 2'0000*
Owner Contractor
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SWC.NORMAN 39 MCINTYRE POOLS & SPAS, INC.
C/O DAVID PEERY WCC: STATE FUND
7161'INDIANA'AVE' WC:. 1769111 01/.01/.06
RIVERSIDE, CA 92504.. CSLB: 614*611 09/30/-05
..CCC C53
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P.O. Box 1504 VO , ICE (760) 777-7012
7�495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4 4 a"
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: a,3,— 16, �0 Date:
Applicant:
Applicant's Mailing Address:
7 TA 7
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
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
�A6de, and my Lic9nW is��rce and effect. 0(
ucense Class I License No. _,t Q
,P �e
Contractor— LS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' State License Law (Chapter 9 (commencing with Section 7QOO) 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).):
U 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 Cohtractors'Sta4e License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or 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.).
U 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 proj eicts with a contractor(s) licensed pursuant to.
the Contractors' State License Law.).
L) I am exempt under Sec. _, BA P.C. for this reason
Date
WORKERS'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 insurance, as required b Section 3700 of the Labor Code, for the performance of the work for which this permit is
rs'compensation insurancepf Ker c rt7:1
t,Carrier ltsut avq- —Policy Number_ T."I
I cdrtify that, in the performance of the work for which thi!�pehit is issubd, I shhll 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' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
..-e--- Appli Zht
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL 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.
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 111A
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
issue , d 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 underoir following issuance of this permit.
2. Any permit issued as a result of this application be -comes 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 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this count to enter upon the above-mentioned property for inspection purposes.
Date Vt Signature (Applicant or Agent) Rt�
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Application Number . . . . . 05-00001670
-----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BLDG POOL PERMIT
207.00
10/29/05
Plan Check Fee . . 1�4.55
Valuation . . . . .20000
Qty Unit Charge Per Extension
BASE -FEE 45.00
18.00 9.0000 THOU BLDG 2,001-25,000 162.00
----------------------------------------------------------------------------
Permit . . . . . . MECH POOL
Additional desc
Permit Fee .26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/29/05
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 10/29/05
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 10/29/05
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
-------------------------------------------------------------- 7 --- 7 ----------
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT. -
Fee summary Charged
----------------- ----------
Permit.Fee Total 311.00
Plan Check Total 160.55
Grand Total 471.55
Paid Credited Due
---------- ---------- ----------
.00 .00 311.00
.00 .00 160.55
.00 .00 471.55
I I Bin#
Permit #
0 0
_3�_ 10
Project Address: <
A. P. Number
I . — . .
*�
Contractor:
X
Address: �k 3 , L�n_
[
X
City, ST, Zip:
PrOicct tYPe (circle one): Ne- Add'n Alter Repair Demo
Telephone: 4�3 --1(:,
Sq. Ft.:
State Lic. N
0 Units:
Arch., Engr., Designer:
stimated value of Proiect:
Address:
APPLICANT: DO NOT WRITE BELOW THIS LINE
City. ST. Zip:
Rec'd
Telephone:
State Lic. #:
A
Name of Contact
X
LielcPhone # of Contact Person:
N Submittal
Plan Sets
Structural CsIcs.
Truss C21CL
Energy Calts.
Flood plain plan
Grading plan
SubCOUtactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta --------
Building & Safety Division
P-0. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit ApPlication and Tracking Sheet
&J �'e." re, O%mer's Nam ( I
'(S CA
Address:
, '�� - .,-? I -
qCit�%'. ST. Zip:�
kv-to FTelephonc:
Xproject Description:
0
Ciry Lic. #:
Req1d
Total Permit Fees
Construction Type:
Occupancy:
PrOicct tYPe (circle one): Ne- Add'n Alter Repair Demo
15 -2
Sq. Ft.:
Stories:
lev
0 Units:
stimated value of Proiect:
;7
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
TRACKING
PERMIT FEES
Plan check submitted
Item
Amount
Reviewed. ready for corrections
P120 Check Deposit
Called Contact person
Plan Check Balance
Plans Oicked up
Construction
Plans resubmitted
......................
Mechanical
Z" Review. ready for corrtclions/issut
Electrical
Called Contact Person
---------
Plumbing
Plans picked up
SAU.
Plans resubmitted
-
----------
Grading
Review, ready for corrcetionsrissue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
-------
-------
Total Permit Fees
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