05-4481 (RPL)P.O. BOX 1504 4
'mow
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
. BUILDING PERMIT
l
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number:
T05- 00004481
Owner:
Property Address:
51711 VIA`BENDITA
FOGARTY
APN:
772-270-010-7 -311231-
51-711 VIA BENDITA
Application description:
POOL - RESIDENTIAL
LA QUINTA, CA 92253
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
20000
Contractor:
Applicant:
r Architect or Engineer: ,
MCINTYRE POOLS & SPAS,
INC.
WCC: STATE FUND
D
WC: 1769111
01/01/06
CSLB: 61411
09/30/07
OCT 11 2005
-------------------------------------
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 Clash: . A - T __ License No.: -
Datelj_�_(_ 1 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 _ 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 town 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.).
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 ISec. 3097, Civ. C.I.
Lender's Name: _
Lender's Address:
LQPERMIT
Date: 10/05/05
t
---------=--------------------
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 Labmg��
shall forthwith cK::�( Qse provisions.
Applicant: ( tf J U & -4
WARNIN 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 state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi a struction, and hereby authorize representatives
ofthis u y to enter upon the above-mentioned prope �ec ion purl/PM
a0 te: Signature (Applicant or Agen �✓' �,, v V
Application Number . . . . . 05-00004481
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.
1
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
a 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
LQPERMTP
Application
Number . . . . . 05-00004481
------------------ --------------------------------------------------
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
Bin 4
City of La Quints
Building 8t SafetY Division
Permit
P.O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit APPlication and Tracking Sheet
Project Address: _ (I V
��
t Owner's Name: X `
A. P. Number:
Legal
Address:
Description:
1( c
�'
City. ST. Zip: X �.l CA. 2Y,3Contractor:
�.
�'
Telephone:
Address:
Project Description:
_
City. ST. Zip: y
t CJ
i ,
Telephone: )C�
-
State Lic. : X, ( , I i 1"City
Lic. #:
Arch.. Engr.. Designer:
Address:
City. ST, Zip:
Telephone:
State e Lic. f✓•
Constructio nType: O cc an %..
uPc
Name of Contact Person: �{ ��
Project type (circle one): New Add'n Alter Repair Dcrr
�-
Telephone # of Contact Person:
Sq. Ft.: �tOri�es
/ Units:
`�
Estimated Value ofProject: x fl f)
APPLICANT: DO NOT WRITE BELOW THIS LINE
# SubmittalReq'd Recd TRACKING
Plan Sets
PERMIT FEES
Plan Check submitted_"/�
�yS�t� Item
Structural Cities.
Amount
Amount
ready for corrections
Truss Calcs.
Plan Check Deposit
Called Contact Person
Title 24 Coles.
Plan Check Balance
Plans picked up
Flood plain plan
Construction
Plans resubmitted
Grading plan
Mechanical
2i0 Review, ready for corrections/issue
Subcontactor List
Electrical
Called Contact Person
Grant Deed
Plumbing
Plans picked up
s.nl.l.
H.O.A. Approval
Plans resubmitted
IN HOUSE:-
Grading
'^' Review, ready for corrections/is ue Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
A.I.P.P.
Date of permit issue
School Fees
Total Permit Fees
MATT,
STONE
TILE,
BOULDERS,
DECK COLOR
CONTROLLER
PEBBLE
PLASTER
DAM WALL
EQ WALL
Ma & 5PA 9TC5.
POOL SIZE 49'-6" X 29'-6"
POOL S.A. 9115Q. Fr,
POOL PER. 139 ff
DEPTHS 3`-6" TO 1'
POOL PUMP 1.5 H.P.
HEATER Aoo,000 Nu
FILTER C(Y 420
LIGHTS i-ioo WAfr
2-400 WAff
CONTROLLER
SPA SIZE
SPA PER. 25'L, ff,
SPA S.A. yo, 5Q. rr,
SPA DEPTH 36"
JETS 5
JET PUMP
DECK AREA 1-70i 5Q. Ff.
PAVER AREA
W.F.
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