05-4776 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05=00004776
Property Address: 5173-0'VIA NDITA
APN: 772-270-010-30 -311231-
Applicafion description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Applicant: Architect or Engi
Tityl. 4 4 Q"
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 Cla s: C53 License No.: 61''4``66r11
Date:ntractor:
OWNER -B LDER 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 arid 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 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 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
HURTADO
51-730 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) 777-7011,
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/25/05
-----------------------------------------------
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 STATE FUND . Policy Number ' 1769111
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
('`/ / X3%700 of the Labor I shall f thwith comply with those provisions.
gof/er) ( Q--.Pplican
�✓✓/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. -
I certify that I have read this application and statethat the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin construction, and hereby authorize representatives
of this
�cojun/ yy to enter upon the above-mentioned prop o spection purpos s
Date: L'1 ! / Signature (Applicant or Agent):
Application Number . . . . 05-00004776
Permit
. . . BLDG POOL PERMIT
Additional
desc .
Permit Fee
207.00 Plan Check
Fee
134:55
Issue Date
Valuation
20000,
Expiration
Date 4/23/06
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 4/23/06
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 4/23/06
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 4/23/06
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
3.0.0
Special Notes and Comments
POOL & SPA
ONLY. ALARMS/BARRIERS SHALL
LQPERMTT
Application Number . . . . . 05-00004776
---------------------------------------------------------------------.-------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
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
LQPERMIT
Penult #
0' -
Project Address:* 571-130 I/ A)
A. P. Number:
Contractor: X �� L
Address: . C
Cite. ST. Zip: V LC
Telephone: X 1, Z .
State Lic. # : k, i l (0I
Arch.. Engr.. Designer:
Address:
City. ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: X I
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. App
School Fees
City of La Quinta'
Bulldin8 Sr Safety Mislon
P.O. Box 1504, 78.49S Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Owner's Name: X
Address: X a f7 i
\ City. ST, Zip: X , r�
I Telenhnne• v
0
Lic. #:
Project Description:
Construction Type: Occupancy:
Project type (circle one): New Add'n ' Alter Repair Demc
Sq. Ft.: # Stories: #
_ Units:
(- Estimated Value orProiect: Y `7.-`7
APPLICANT: DO NOT WRITE BELOW THIS LINE
'd Recd TRACKING
Plan Check submitted �u
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2n1 Review, ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
Review, ready for correctionsgs ue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount
I
II
I
'I
i
s
p�VI510N5
t3Y
rooL
POOL SIZE ri' x ib'
POOL S.A. 4o9 5Q, rr,
POOL PER. '90 L. 50,
T nI�SFA
•. ; . _ DEPTHS5 -o
3 b TO
• �� , ,, : ;... '
POOL PUMP ►5
-. • � � .: '• : N.P.
. I HEATER aoo,000 m
•. :. - e
' I :�,� :. a •a e' :• - ^ ^ -
'.- •
FILTER ccs azo
-100 WAff
LIGHTS 2-400 wArr
CONTROLLER
^ Vie- ••. •. -
_ I SPA slzE 7' VA
. • •' : f
I SPA PER. 2
op
;:•.-.
� : 4 . • - , I SPA S.A. 38' SQ, rr.
.. I SPA DEPTH 3b"
_ I JETS
j I IMS d ■iii.iwr ,�.1.5 NI'
■ _„� JET PUMP
■ a`■■ \ <; t ■aL I 3
DECK AREA 53a 5d. �r
( :: '. ca�smucnoN srEcwisr".::,. PAVER AREA
fANMNGSI LF .. _342—WI2
W.F.
e
_ a
1
I
PURTADO RESIDECCE I
10T 30 LA CANTERA l (�
LA QVIHTA, CA.
• i
I ;
DATE:
-10/07/05
SCALE:
1/8 11y=1
DRAWN BY: PT '
JOB:
HURTAD❑
SHEET
OF
SHEETS