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05-4480 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: X05-00004480 5-155-7`VIA BENDITA 772-270-010-14 -311231- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WILLIAMS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 Busine s and Professionals Code, and my License is in full force and effect. License Clap: License No.: ♦ -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 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 ($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.). Lender's Name: Lender's Address: LQPERMIT Date: 10/05/05 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 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 3700 of the Labor shall forthwith comply with those provisions. 15 ate: Applicaht!4i/y'��1 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 Ouinta, 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 authorize representatives of thjlsreouqty to enter upon the above-mentioned prop e r it it s�pn�eecttiion purposes. D Kel _ tj 1 Signature (Applicant or Agent�,r//�µ1� 51-557 VIA BENDITA LA QUINTA, CA 92253 tOContractor: CT 1 1 1005 MCINTYRE POOLS & SPAS, WCC: STATE FUNDWC: INC. 1769111 01/01/06 C��FL40111RIve CSLB: 614611 09/30/07 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 Busine s and Professionals Code, and my License is in full force and effect. License Clap: License No.: ♦ -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 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 ($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.). Lender's Name: Lender's Address: LQPERMIT Date: 10/05/05 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 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 3700 of the Labor shall forthwith comply with those provisions. 15 ate: Applicaht!4i/y'��1 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 Ouinta, 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 authorize representatives of thjlsreouqty to enter upon the above-mentioned prop e r it it s�pn�eecttiion purposes. D Kel _ tj 1 Signature (Applicant or Agent�,r//�µ1� Application Number . . 05-00004480 Permit . . . BLDG POOL PERMIT Additional desc . Permit -Fee 207.00 Plan Check Fee 134.55 Issue Date . . . Valuation . . . . 20000 Expiration Date 4/03/06 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 4/03/06 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 4/03/06 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 4/03/06 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 3.00 ---'-------------------------------------------•--------------------=--------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL, LQPERMa 13 Application Number . . . . . 05-00004480 ---------------------------------------------------------------------------- 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 LQPERWT Bin # 1 City of La Quints ` Building ar Safety Division Permit P.O. Box 1SO4, 78.49S Calle Tampico /5sL�q0 fo La Quinta, G4 922S3 - (760) 777.7012 _ Building Permit APPlication and Tracking Sheet Pro ject Address: _ 5 5 U t rl)� Owner's Name: X ( CL A. P. Number: S_ Address: X S,—S� vl Legal Description: I Tiq Contractor: x G.ILS City, ST. Zip: X `-` 1' 3 Telephone: Address: !_ 1 L' L .. -� Project Description. City. ST, Zip: \;` �a "� ? ' Telephone: X , ).1 State Lic. #: x, o (L City Lic. #: Arch.. Engr., Designer: Address: ------------ City, ST. Zip: Telephone: State Lic. #• C 0 ns tru Ctl` 0 n Type: Y P: Occupancy - Name of Contact Person: x � +� Project type (circle one): New Add'n Alter Repair Dem Telephone # of Contact Person: # Stories: -- #Units: Estimated Value ofProject: X-zo, 00 APPLICANT: DO NOT WRITE BELOW THIS LINE l Req'd RecdTRACKINGPERMIT FEES Plan Checksubmitted�0ItemAmount l Calcs. Reviewed, ready for correctionsPlan lcs. Wrad4ingplan Check Deposit Called Contact Person alcs. Plan Check Balance Plans picked upin planConstruction Plans resubmitted lan Mechanical 2°d Review, ready for corrections/issue Subcon.List ..... Electrical Called Contact Person Grant Deed Plumbing Plans picked up H.O.A. Approval S.AI.1. Plans resubmitted IN HOUSE:- Grading 3N Review, ready for correctionsfisi ue Planning Approval Developer Impact Fee Called Contact Person Pub. Wks. Appr A.I.P.P. Date of permit issue School Fees Total Permit Fees MAT�Q& STONE TILE, BOULDERS, DECK COLOR CONTROLLER PEBBLE PLASTER DAM WALL EQ WALL I` SCALE: WASfEAtll DRAWN BY: D T y MAT�Q& STONE TILE, BOULDERS, DECK COLOR CONTROLLER PEBBLE PLASTER DAM WALL EQ WALL POC POOL SIZE x 15'-b', POOL S.A. 56o 5a. pr; POOL PER. 103 L. Fr DEPTHS 3'-&' TO POOL PUMP o Hr. HEATER -400,000 m FILTER car 420 LIGHTSI-100 WAff 2-40o WArr CONTROLLER SPA SIZE -7' Iiia SPA PER. 22'L, Fr. SPA S.A. 38' Sa. rr SPA DEPTH 36 JETS y JET PUMP DECK AREA 940 50. Fr PAVER AREA W.F. Fad I` SCALE: WASfEAtll DRAWN BY: D T �110 r WILLIAMS 7' CLIA SPA + 12" Hill \ Q ' Mar \ ... told` �Z40co F- cAl PON - z \ p/L �": U mod O p13 5 0 _ _� fANNING 51 1 F 45 -3 N VN7 wv i - �� I : • .1 pt3 10 ID, • = CIS t'I t'/ L WILLIAMS RESIOSICE LOT 14 LA CANTERRA ...,.�.. , ...� LA 0111TA, CA. SPEOMW -::342•-3812 1 I _y POC POOL SIZE x 15'-b', POOL S.A. 56o 5a. pr; POOL PER. 103 L. Fr DEPTHS 3'-&' TO POOL PUMP o Hr. HEATER -400,000 m FILTER car 420 LIGHTSI-100 WAff 2-40o WArr CONTROLLER SPA SIZE -7' Iiia SPA PER. 22'L, Fr. SPA S.A. 38' Sa. rr SPA DEPTH 36 JETS y JET PUMP DECK AREA 940 50. Fr PAVER AREA W.F. Fad ►" SCALE: CD DRAWN BY: D T �110 r WILLIAMS SHEET OF SHEETS Hill Q Mar told` �Z40co F- cAl PON z Rog �": U mod O DATE:. 07/28/05 SCALE: CD DRAWN BY: D T JOB: WILLIAMS SHEET OF SHEETS Hill COD mod O DATE:. 07/28/05 SCALE: 1/8'=]' DRAWN BY: D T JOB: WILLIAMS SHEET OF SHEETS