08-1451 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
Application Number:
08-00001451
Property Address:
81919 THOROUGHBRED TR
APN:
767-200-999-25 -312024-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
27000
Applicant: • I Architect or Engineer:
4.
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.
LicenseCla s: C53 L'cens No.: 614611
ate: ontractor:
OWNER -BUILDER DECLARATION
I 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 155001.:
(_ 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 ISec.
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:
LQPERAUT
Owner:
RUSSELL
81919 THOROUGHBRED TRAIL
LA QUINTA, CA 92253
(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: 8/21/08
WORKER'S 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
I�( issued.
V' 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
insurance carrier and policy number are:
Carrier DELOS INS CO Policy Number OIDKRM12001870
I 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' compensation provisions of Section
3700 of the La or Code, 1 shall forth i h comply with those provisions.
0ate:pplicant: -al
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. >
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.
1 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 county to entr upon the above-mentioned propertyf for inspectiopur oses.
D e: 'nature (Applicant or Agent),
Application Number
08=00001451
Permit . .
BLDG POOL PERMIT
Additional desc
-
Permit Fee . .
265.00 Plan Check Fee
172.25
Issue Date . . . .
Valuation . . .
. 27000
Expiration Date
2/17/09
Qty' Unit Charge
Per
Extension'
BASE FEE.
252.00
2.00. 6:5000
----------------------------------------------------------------------------
THOU BLDG.25,001-50,0.00.
•13.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . .
26.00 Plan Check Fee..
6.50.
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
2/17/09
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
1
Permit Fee . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation
0
Expiration Date
2/17/09
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
2/17/09
Qty Unit Charge
Per L
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, FIREPIT (65
L.F. 1 1/2" GAS
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B'° #
City of LaQ uinta .
.'Building a Safety-Division
P.O. Box 1504, 78-495 Calle Tampico '
La Quints, CA 92253 - (7¢0) 777-7012'
Building Permit Application and Tracking Sheet
Permit #i
Project Address:' 8 -
Owner's Name:
V 5 n
A. P. Number:
Address:. _ Mcia f i
Legal Description:
n
Contractor: f 1 01015
City, ST, Zip: L Z Z�
Telephone: -
Project Description:. 12r)o
Address: 3. _
t1'4
City, ST, Zip:. `O l G.
Telephone: -47- C516 17-
State Lie. # :0-93 'ro 1,f6
City• Lic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lit. #:
Construction Type: Occupancy:
Project type (circle one): New. Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
T# Units:.
Telephone # of 'Contact-Person:
Estimated Value.ofProject: �.
APPLICANT: DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd -
RWd
TRACKING ,
PEIiMTT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan,
Plans resubmitted
Mechanical
Grading. plan .
2od Review, ready for correctionsfissue
Electrical
Subcontactor List
Called'Contact Person
Plumbing
GranfDeed
Pla'ngpicked uP
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading.
IN HOUSE:-
''d Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees