06-3574 (RPL)P.O"BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4't!t 4 4 Q"
Application Number: 06-00003574
Property Address: 51865 VIA BENDITA
APN: 772-270-010-10 -311232-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Applicant: Architect or Engineer:
ce
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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 s• C53 License No.: 614611
ate: // ontractor: , ��� Cj
OWNER -BUILDER CLARATION ✓�
I here y affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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.).
(—) 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 1 am exempt under Sec. , 8.&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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERIMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/10/06
Owner:
VISTA LA QUINTA PARTNERS
223 E. DE LA GUERRA
SANTA BARBARA, CA 93140
Contractor: D
MCINTYRE POOLS & INC.
83695 AVENUE 45 Oc 20U6
INDIO, CA 92201
(760)342-3612 CITY OF LA QUINTA
Lic . No.: 614611 eiuwut,= nFaT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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
insurance carrier and policy number are:
Carrier HRH INS Policy Number 020060333601
_ 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 iI sof California,
and agree that, if I should become subje / the workers' co pensation pr sions of Section
700 of the Labor Code hall fort tth comply with tho provision
WAR G: FAILURE TO SECURE WORK RS' COMPENSATION VERAGE IS UNLAWFUL, AND SHALL
SUBJ CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI INES 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.
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 authoriz representatives
of this cot�pty to enter upon th above-mentioned property ffoorriinspectio rposes.
St_ e1%//� Si ture (Applicant or Agent) i
Application Number . . . . . 06-00003574
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee 207.00 Plan Check Fee 134.55
: Issue Date . . Valuation 20000
Expiration Date 4/08/07
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 4/08/07
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 . . 4/08/07
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 4/08/07
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application,Number . . . . . 06-00003574
Special Notes and Comments
PLACE AT PRE-PLASTER.INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---- ---------- ---------- ----------
Permit Fee Total 311.0.0 :00 .00 311.00
Plan Check Total 160.55 .00 .00 160.55
Grand Total 471.55 .00 .00 471.55
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Bin #
Permit X
.35
Project Address:
A. P. Number: 1.11z
Contractor: '
Address:
City, ST, Zip:
Telephone:
State Lic. #State Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State L'ic. #:
Name of Contact Person:
Telephone it of Contact Person:
# Submittal
Plan Sets
Structural Cates.
Truss'Calcs.
Title 14 Calcs:
Flood plaiit pian
..Grading plan
Subcontactor List
Crani Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
74
City Of Ia QuIlIt'j, .
Building U Safety Nvision
P -O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
r Owner's Name: 7
T��
=Address:'
B
City, ST, Zip:
�' �D► Telephone:
...........
Project Description:
f
Lic. #: / <,- -z • I -
Total Permit Fccs
0
�• .�. �%sa;;•Y..:,:..:.>y:. ,•:.�<.r• •:.:>•
'Construction Type:
Occupancy:
• «:
type Project
circle one)-.
P iea
Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
~�
Estimated Value of Project.
APPLICANT: DO NOT WRITE
.BELOW THIS LINE
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
.Called Contact Person
Plan Cheek Balance
Pians picked 'up
Construction
Plans resubmitted
M.Cchanical
2•' Reviews ready for correcti_77ons/issue
Electrical
Called Contact Person
Plumbing
Plans pi¢kcd up
---
S.NI.I.
Plans. resubmitted
Grading
Itevieh eady for corrections/issue,
Developer ImpAcl Fee
Called Contact Person
A.I.P.P.
Date of Permit. issue
Total Permit Fccs
0