06-3820 (RPL)r,
l
44
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P.O. BO_ X 1504 Tait
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
06700003820
Owner:
Property Address:
51845 VIA BENDITA
VISTA LA QUINTA PARTNERS
APN:
772-270-010-9 -311232-
51-845 VIA BENDITA
Application description:
POOL - RESIDENTIAL
LA QUINTA, CA 92253
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
20000
Contractor:
Applicant:
Architect or Engineer:
MCINTYRE POOLS & SPAS, I
t(�a
(lig
83695 AVENUE 45
INDIO, CA 92201
�L
K
(760)342-3612
LICENSED CONTRACTOR'S DECLARATION
1 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.
LicenseClass: C53 License No.: 614611
Date: Contractor:
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 Codel 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 ($500).:
(_ 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 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.).
1 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:
LQPERMIT
Lic. No.: 614611
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/25/06
D a n,
E•
OCT
crry 0,
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 to the workers' compensation ovisions of Section
3700 of the Labor Code, I s ; 4forth"tat comply with those rovision
Date: Applicant:
WARN( G: FAILURE TO SECURE WORKERS' COMPENSATION COV RAGE 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 nd hereby authoriz epresentatives
of this county-/-,tt enter
—nttterr upon the above-mentioned property for i echo -purposes.
Date: ignature (Applicant or Agent):
Application Number . . . . 06-00003820
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date
Valuation
20000
Expiration Date
4/23/07
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
4/23/07
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
4/23/07
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
4/23%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, SHALL BE IN PLACE AT
LQPERMIT
11
LQPERMIT
Application Number . . . ... 06-00003820
Special Notes and Comments
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
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
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Bin # :
Permit li Ow .
Project Address:
A. P. Number: 2
Legal Description: '
Contractor:
:AddErcsi:
U
Cit}•, ST, Zip:
Telephone: / /Z
State
Arch., Engr., Designer:
Address'
City, ST, Zip:
Telephone:
State L' ie. #:
Name of Contact Person: 0011,
Telephone # of Contact Person:
# Submittal
Plan Sets
f'
Strueturil Cates.
Truss'Calcs.
Title 2'4 Cales'.
Flood plant plan
..Grading plan
Subcontactor Lis(
Grant Deed
II.O.A. Approval
IN IIOUSt:-
Planning Approval
Pub. Wks. Appr
school reel
UtY Of L Quhlt�
Building 8r Safety Division
P.O. Box 1504, 78.495 Calle Tampico
La Quints, CA 92.253. (760) 777-7012
Building Permit Application an Tracking Sheet
Owner's Name: � • �
G+-
Address: "
• �
City, ST, Zip:z7//v,
� u
Q�. Telenhonc:
Project Description:
f
Lic. #:,,, 4:—, 2 • I • -
z®
Total Permit Fees
;;:sem:<"�3te..t�t;<�j:'hr.•:dS)>'^,:'Y%!s,Xr�:
:
Construction Type:
Occu • an C):
YY<'>�yf Y�r''>'> ` `
...........:�:.::�::..;> •?'� „s��;
Project type (circle one)
cit Add' n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units;
_
Estimated Value of Project:
APPLICANT: DO NOT WRITE.
BELOW THIS LINE
Recd
TRACKINC
PERMIT PEES
Plan Check submitted
Reviewed, ready for
em
Amvunt
corrections
Plan Check Deposit
.Called Contact Person
•
Plan Check Balance
Plans Vicked'up
Construction
Plans resubmitted
1ltechanical
2" Review, ready for correctionsrissue
Electrical
Called Contact Person
Blumbing
Plans picked up
s.nl.i.
Plans. resubmitted
Grading
IiMew ready for correctionstissuep
•
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of perntit•issue
Total Permit Fees