05-3865 (RPL)P.O. BOX 1504
-78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number: c0.5-00-003865
Property Address: 51645 VIA BENDITA
APN: 772-270-010-10 -311231-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
SEP 13 2005
CITY OF LA QUINTA
I hereby affirm underpenalty 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 a License No.:
ate: Contract A 5
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 ($5001:
(_ 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
1 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
VOICE (760) 777-7012^
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/01/05
Owner:
645 VIA BENDITA
QUINTA, CA 92253
MMgINTYRE
POOLS & SPAS,
INC.
WCC:
STATE FUND
WC:
1769111
01/01/06
CSLB:
614611
09/30/05
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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 C53 Policy Number - - - - - - - - - - - -- --
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
tt
3700 of the Labor Co shall forthwith
� ccoompl�y �with
those provisions. p
pp o
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 pdrmit, 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 authorize representatives
of this count t%o enter upon the above-mentioned prope ins ction purposes.
Vel l Signature (Applicant or Agent �C VC✓�
Application Number . . . . . 05-00003865
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. 20000
Expiration Date
2/28/06
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
2/28/06
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
3.75
Issue Date . . . .
Valuation . . .
. 0
Expiration. Date
2/28/06
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 -.
2/28/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
y 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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
Application
Number . . . . . 05-00003865
---------------------------•-----------------------------------=-------------
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 153.05 .00
.00
153.05
Grand Total
464.05 .00
.00
464.05
LQPERMIT '
I POOL SIZE 26'-b", Ib' ■
1 POOL S.A. 297 50. Ft. 0
POOL PER. 82 Ft
DEPTHS 3'-b" M
POOL PUMP 1.5 -Hp.
HEATER 1oo,wo m
FILTER ccr ago
UGHTS I-aoo WAtt
CONTROLLER
SPA SIZE 7' na
SPA PER. 22'L. Ft.
SPA S.A. �e 5o. Ff
SPA DEPTH 36'
JETS 5
JET PUMP
1 DECK AREA 5N 50. Ff ■
PAVER AREA
W.F.
Din #
OtY of La Quinta
Building 8r S3fetY Division
Pennit #
P-0- Box 1504, 78-4.93 Calle Tampico
3As-
La Quinta, CA 92253 - (76o) 777-7012
BUIlding Permit APPlication and Tracking Sheet
Project Address: x
Owner's Name:
A. P. Number:
Address:
Legal Description:
2—L\a �-t
Contract C
CitY. ST. Zip:
Ci�. ST Zip. g�
S-1
Telephone: X
Address, f-ej,� AL�p
Project Description.
City. ST, Zip: V ol
Telephon y
.7777777
#:x
City Lic. #:
Arch.. Engr., Designer:
Address:
City. ST. Zip:
Telephone:
State Lic.
Construction Type: Occupanc%
Name of Contact Person:
r0icct 1)'Pd (circle one): New Add'n Alter Repair Dcm
Telephone # of Contact Person:
Sq. Ft.' Stories: Units:
(4 k -
-b-
-3 Estimated Value orPrqject: yX,- oon
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Reqld Rec1d
TRACKING
P pi'l
lan Sets
PERMIT FEES
Plan Check submitted
C//, TOS
Structural Calcs.
tural Calcs.
Item
Reviewed. ready for corrections Amount
Truss Calc
Truss CaIcs.
Plan Check Deposit
Called Contact Person .........
Title 24 Cales.
Plan Check Balance
-----------------
Plans picked up
Flood plain plan
Construction
Plans resubmitted .....
Grading plan
. ... ..........................
Mechanical
2"" Review, ready for correctio-1
Subconlactor List
Electrical
Called Contact Person
Grant Deed
Plumbing
Plans picked up
H.O.A. Approval
SAM.
Plans resubmitted .............................
IN HOUSE:.
Grading
3m Review, ready for correctionsfisi ut
Planning Approval
Developer Impact Fee
Called Contact Person -------
1 Pub. Wks. Appr
A.I.P.P.
Date of permit issue
ISchool Fees
Total Permit Fees