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05-1669 (RPL)BUILDING & SAFETY DEPARTMENT (7'00).777-7012 P I c.6 V A V P7 A A . -'7 !7 '7 ORNIA 922,53 INSPEC.TION.REQUESTS.(76.0) 7.77-7153 BUILDING PERMIT Al 0 2005. CITY OF LA QUPATA Applica icaNAVA 05-00001669 Date 5/03/05 Proper y Address . . . . . . 55405 TURNBERRY WY APN: Application description.. POOL RESIDENTIAL Property Zoning'. LOW DENSITY RESIDENTIAL Application-valuction . . . . 20000 Owner Contractor - - - - - - - - - - - - - - - - - - - - - - 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SWC NORMAN 39 MCINTYRE POOLS & SPAS, INC. C/O DAVID PEERY WCC: STATE FUND 7161 INDIANA AVE WC': 1769111 o 1 /-6 1 6 RIVERSIDE, CA 92504, CSLB: 614611 09/30/-05. CCC: C53 --------------------------------------- ---------------------------------------- P.O. BOX 1504 VOICE (760) 777-7012 7�495 CALLE TAMPICO TAW FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 f4-44" INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 01— Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: e0A1 7 1�41 C / 01C Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I he ,pby affirm under penalty of perjury that I am licensed under pro;,slionf CLh�at -r 9 (commencing with Section 7000) of Division 3 of the Business and Professionals 4de, and my LicPse 1sir+-fuSrce and effect. i nse Class 0 License o. Date Contractvr� 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 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exempfion. 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. 70". 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 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 projects with a contractor(s) licensed pursuant to. the Contractors' State License Law.). 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 Sectio'n 3700 of the Labor Code, for the performance of the work for which this permit is issued. A) 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 rkers' compensation insurance carrier noliav L16ame,. 9XMI —Policy Number" ::z I Certify that, in the performance of the work for which this bermh is issuea, 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. Applicadt:��.� 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.). Lenders Name A / Lendees Address V/ -T 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, indemnity 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 folio%mving 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 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. Da:14��q _Signature (Applicant orAgen�tt��. ------------------------- -------------------------------------------------- -,Application Number 05:�00001669 ---------------------------------------------------------------------------- Permit Additional desc-. Permit Fee . . . . Issue Date . . . . Expirat ion Date . - BLDG POOL PERMIT 207.00 10/29/05 Plan Check Fee . . 134.55 Valuation . . . . 2000.0 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 . . I 10/29/b5 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 ExtensiQn BASE FEE 15.00 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 Comment.s POOL & SPA ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE7PLASTER 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 Bin # N Submittal Plan Sets Structural Coles. Truss CaIcs. Energy Caics. Flood plain pl&D Grading plan SUbcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. WkL Appr Scbool Fees City of La Quinta Building a Safety Division P-0. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit ApPlication and Tracking Sheet Leyy" 0%-ncr*sNam-. /I Address: 5,- I 'L r is, - ST. Zip: C-) LT -e- FTelephone: Ave—i,-t,s� Aproject Description: C) City Lic. #: Construction Type Occupanc) Project TYPC (circle one): New Add -n Alter Repair Demo ories: # Units: Sq - Ft.: (4 S, I A -4 A D -N r *Estimated Value of Proicc APPLICANT: DO NOT WRITE BELOW THIS LINE MMMMMM-� Rec'd TRACKING Plan Check submitted A Reviewed, ready for corrections ------------ Called Contact Person Plans Oicked up Plans resubmitted 2" Review. read), for corrections/issue Called Contact Person Plans picked up Plans resubmitted 3' Review, ready for correctionsrissue Called Contact Person Date of permit issue PERmIT FEES Item ----------- Plan Check Deposit Plan Check Balance ------------- Construction Mechanical Electrical Plumbing SAM. ----------- Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount � M # IPermit of — / X Project Address: A. P. Number. LLCgal Description: Contractor: M Address: �? 7� Cit)-, ST, Zip:— �5 - I IS'A 4 Telephone:. ?)(43 A State Lic. [Arch., Engr.. Designer: Address: City. ST. Zip: Telephone: State Lic. A Name of Contact Perso X Telephone # of Contact Person: N Submittal Plan Sets Structural Coles. Truss CaIcs. Energy Caics. Flood plain pl&D Grading plan SUbcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. WkL Appr Scbool Fees City of La Quinta Building a Safety Division P-0. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit ApPlication and Tracking Sheet Leyy" 0%-ncr*sNam-. /I Address: 5,- I 'L r is, - ST. Zip: C-) LT -e- FTelephone: Ave—i,-t,s� Aproject Description: C) City Lic. #: Construction Type Occupanc) Project TYPC (circle one): New Add -n Alter Repair Demo ories: # Units: Sq - Ft.: (4 S, I A -4 A D -N r *Estimated Value of Proicc APPLICANT: DO NOT WRITE BELOW THIS LINE MMMMMM-� Rec'd TRACKING Plan Check submitted A Reviewed, ready for corrections ------------ Called Contact Person Plans Oicked up Plans resubmitted 2" Review. read), for corrections/issue Called Contact Person Plans picked up Plans resubmitted 3' Review, ready for correctionsrissue Called Contact Person Date of permit issue PERmIT FEES Item ----------- Plan Check Deposit Plan Check Balance ------------- Construction Mechanical Electrical Plumbing SAM. ----------- Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount � M TUN\ (�erfv. ILL"' c :CrYINI-i !'tJ.I.NNT7A: T 3 Ul L44 VED vtu .. . . . . . . . . . . . . . . . . . . . . . ... . L,TH MASTEN BE'L')R(')','.-)M 'AMILY �EN L. t> 11 1, C. t> 1, 1, V p p P> 't. D - i, - i�, t, ;, L, ;., t, 11 1� : t. :." 1. f, mr, x L,TH MASTEN BE'L')R(')','.-)M 'AMILY �EN L. t> 11 1, C. t> 1, 1, V p p P> 't. D - i, - i�, t, ;, L, ;., t, 11 1� : t. :." 1. f, mr, x 2MI60 MN -- W .dumb,— h� 7,150, ml-