06-3172 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00003172
Property Address:
n.
51800 VIA BENDITA
APN:
772-270-010-8 -311232-
Application description:
POOL - RESIDENTIAL.
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
'20000
Applicant: Architect or Engineer:
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 Class: C53 License No.: 614611
Date/%� ntractor:
OWN R -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 (5500).:
(_) 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 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. , 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:
LQPEPWIT
Owner:
PATRICK CHARRION
51800 VIA BENDITA
LA QUINTA, CA 92253
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: 8/30/06
a Q—a
SP o 12006
CITY OF LA QUINTA
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
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 laws of California,
and agree that, if I should become subject the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwi comply with those provisio .
Date. /%e�'ric/an w
WARNMLURE TO SECURE WORKE '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.
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, , hereby authoriz representatives
of this iinty to enter upon the -ove-mentioned prope/rty//f�,ripspection , rposes.
te: i Si ure (Applicant or Agent):/ ' /;7
Application Number . . . 06-00003172
Permit . . .'
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00
Plan Check Fee
134.55
Issue Date
Valuation . . .
. 19675
Expiration Date
2/26/07
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 ..
2/26/07
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
2/26/07
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
2/26/07
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
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date,
Expiration Date .
Qty Unit Charge
. . . . 06-00003172
WALL/FENCE PERMIT
15.00 P1
V
2/26/07
Per
an Check Fee . . .00
aluation . . . . 325
Extension
BASE FEE 15.00
------------=---------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 15 L.F. 5' EQUIPMENT WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE.AT PRE -PLASTER INSPECTION
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 326.00 .00 .00 326.00
Plan Check Total 160.55 .00 .00 160.55
Grand'Total 486.55 .00 .00 486.55
LQPERnIIT
U
5Z
11
r
Lot 4 '� - 2.
Pair G, K
vrk
Lic. # 614611
Insured
1A 111Pr171111
Iwo fT I IV I V K an
a ■`aa.'1 ■ a a%LJ
�5
Ernesto Leon
CONSTRUCTION SPECIALIST Sales
83-695 Ave. 45 • Indio, CA 92201
www.mcintyrepools@linWine.com
Phone: 760 342.3612 • Fax: 76o342-3832
Din f1
; ..
City of La Quilit'a
Permit #Building
& Safety. Derision
P.O.BOx 1504, 78.495 Calle Tampico
31
La Q uinta, CA 92-253.(760) 777-7012
Building Permit Application
Project Address:
and Tracking Sheet
A. P. Number:
G r
Owner's Name: O
Z-
Address:'
Legal Description:
y
Q C
Contractor:'
City, ST, Zip:Addre
SS:
/
'r,r,,�;?ty
cin•, sr, zip: �
.o
•
Project Desciiption:
�
Telephone:
/
$;as>;;<au;:,•,;n.:.,...
State Lic. # : L
City Lic. #•
Arch., Engr., Designer:
T C
Address:
/ r
City..ST, Zip:
Telephone:
Stale
c >'< i«s w:>"•..
t,.s»�' • , 5.�.,!<: : p.,:af
Constmcti0
.
Laic. #
k!rs�t�•�s� x;Y. �r
t�<!otc><:•e,%�!a':;.:k%�f/'�.'t��'<y3f�.z
3'Pe Occupancy:
Cy:
Name of Contact Person:
Project type (circle one) c1v Add'n Alter Repair
Demo
Telephone # orContact Person:
Sq. Fl"
# Stories:
#Units;
�•.O. _
Estimated Value of Project:
APPLICANT: DO 'NOT WRITE
#
Submittal
BELOW THIS LINE
Re9'd
Recd
Plan Sets
TRACI:INC
PERMIT I'EF.S
i (
Structural Cal•cs.
Plan Check submitted
si
Reviewed, ready for eorrecaoas
Z
Item
Plan Check Deposit
AmountTruss'Calcs.
Call cd Contact Person
Title 24 Calcs:
Plan Cheek Balance
Plans picked up
Flood plain -plan
Construction
Plans resubmitted
.Grading plan
hiechanical
Subcontactor List
Z*' Rcvic%•, ready for correetions/issue
Electrical
Called Contact Person
Grant Deed
Plumbing
•
Plans picked up
II.O.A. Approval
Pians. resubmitted
IN IIOUSE:-
Grading
Planning Approval
Revic" • V eady for corrections/issue,
Developer linp�ct Fee
Called Contact Person
Pub. lYks. Appr
Dale o! permil•issue
School Fees
Total Pcrmit f its
.10000. •
�4
Q� / 9 7