05-1672 (RPL)0
BUILDING & SAFETY DEPARTMENT
Ox 15.04
.1 � .. -.- . - r .
(7,'00),�-777-7012
0 an 7 5 CAL - LE T ; AM PIC.0 . FAX (760 . ).177-70 H
Q INtA CALIFORNIA
922.53 INSPECTION REQUESTS: (760).7.77-7153
CITy,0FLAQUINTA
IFINMC:F- OF -PT.
BUILDING PERMIT
Application Number . .
. . .. 05-00001672 Date- 5/03/05
.Property Address,
55345 TURNBERRY WY
APN:
767 -550 -003 -
Application description..
POOL RESIDENTIAL
Property Zoning, . . .
. .. . LOW DENSITY.RESIDENTIAL
Application'valuatioh
20000
Owner
Contractor
-------------------- --------
SWC.NORMAN 39
---------------
- ----------------------
MCINTYRE POOLS & SPAS, INC.
C/O DAVID PEERY
WCC: STATE - FUND
CSLB: .09/30/05
-----------------------------
CCC: C51
--------- ------------ --------------------
P.O. Box 1504 VO I ICE (760) 777-7012
79-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760)'777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Date: 0.
Applicant:
Applicant's Mailing Address:
OrO A/ 77e,; -C, 7V
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
&A
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Pode, and my Li i"rce and effect.
/License Class License No.
Vate Contracto
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt frorn the Contractors' State License Law for thefollowing 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 exempbon. 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 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 or through his or her own employees. provided that the improvements are not intended or offered for sale. If. however, the buildingor 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 projects with a contractor(s) licensed pursuant to -
the Contractors' State License Law.).
U 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 Secti�n 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insur . ance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
pi�eplywofkers'compensation insurance ca fi r ar:
_t._ I I �y 1P =_
,,Camer. —Policy Numbe Lc�:;, IT I
I i5ertify that, in the performance of the work for which this permit is isgued, 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' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
L,Qlart�e Applio.K,��
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 pedury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lendees Name
Lendees Address VA
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 perinit
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 undero'r 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
cessabon of work for 180 days will subject permit to cancellation.
I cerfify that I have read this application and state that the above information is correcL I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Dat --Signature (Applicant or Agent): JLt
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Application Number . . . .. . 05-00001672
----------------------------------------------------------------------------
t
Permit . . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BLDG POOL PERMIT
207.00
10/29/05
Plan Check Fee'. . 134.55
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
Issue Date . . . .
Expiration Date . . 10/29/05
Plan Check Fee 11.25
Valuation 0
Qty Unit Charge
Per
Extensi'on
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
z
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 3.000'0
EA PLB
GAS PIPE 1-4 OUTLETS
3.00
---------------------------- -----------------------------------------------
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
------------------
Paid Credited
Due
----------
Permit Fee Total
----------
311.00
---------- ----------
00 .00
311.00
Plan Check Total
160.55
.00 .00
160.55
Grand Total
471.55
.00 .00
471.55
I bin #
[PTermit #
X Project Address: S"�;
A. P. Number
N Submittal
7
Plan Sets
LStructural Cales.
Truss CAICL
Energy CalcL
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building a Safety Division
P.O. Box 1504, 76-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
61 e-t'J e -f /4 4 0%%-ncr*s Name:
TAddress: -
- '�;S-- �3
%. - ST'
City. ST. Zip:
FTelcDhone:
Ave-t4,�7 Project Description:
Citv Lic.
n�
Contractor:
Construction Type:
Address:
City, ST, Zip:
TcIcphonc-.."�q3-S(,A
State Lic. #
PrOject tYPc (circle one):
Engr., Designer:
72N
rArch.,
A 4
ddress:
I Stories:
City. ST. Zip:
q X
Telephone:
APPLICANT: DO NOT WRITE BELOW THIS LINE
State Lic. #:
Rec'd
Name of Contact Pets
X [:TelePhOnc
# Of Contact Person:
N Submittal
7
Plan Sets
LStructural Cales.
Truss CAICL
Energy CalcL
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building a Safety Division
P.O. Box 1504, 76-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
61 e-t'J e -f /4 4 0%%-ncr*s Name:
TAddress: -
- '�;S-- �3
%. - ST'
City. ST. Zip:
FTelcDhone:
Ave-t4,�7 Project Description:
Citv Lic.
Total Permit Fees
Construction Type:
Occupancy:
PrOject tYPc (circle one):
New Add'n Alter Repair Demo
72N
'Sq. Ft.: C(J I
I Stories:
Units:
q X
stimated Value of Proiecu_q 0,
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amovat
Reviewed. ready for corrections
Plan Check Deposit
Called Contact person
Plan Check Balance
Plans Oicked up
Construction
Plans resubmitttd
Mechanical
2" Review. ready for corrections/issue
--------------
Electrical
Called Contact person
---------------
Plumbing
Plan$ picked up
........
---------------
SAU.
Plans resubmitted
-----------
Grading
Review. ready for corrcc tions/issue
Developer Impact Fee
Called Contact person
A.I.P.P.
Date of permit issue
Total Permit Fees
0
0
P
0 0 0 0 0 0 1
0' '0' 0
0 0 , 0 '0 0 0
0 0 0. Ef '0 0
0 0 0 cl 0 r
0' Ef ID 0 1
Ei 0
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