08-0342 (RPL)P.O. BOX 1504 =
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253,
Application Number:
0.8e 0'0000>314r2
Property Address:
43840 PARKWAY ESPLANADE W
APN:
609-590-029- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
65000 ,
1<..._z:...
Applicant: ` Architect or Engineer:
Iv �.
BUILDING & SAFETY DEPARTMENT
BUILDING -PERMIT
'LICENSED CONTRACTO R'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 Profes nals Code,.and my License is in full force and effect.
License Class: C53 Llcense_No.: 614611
ate:--.,ntractor V -
OWNER -BUILDER DECLARATION :.
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License LaWi6r 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 is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code) or
that he or 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 1, as owner of -the property; or my employees with wages as their sole compensation, will do the work, and .
the structureis not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State -License Law.does not apply to ah owner of property who builds or improves thereon,
and who does -the work himself or herself through his or her own employees:'prov_ided that the
improvements are norinfendedoroffered for sale. If, however, the buildingor improvement is sold within
one year -of completion, the owner -builder will have the burden of proving,that he or did not build or
improve for the purpose of sale.(.' • r -
(_) 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 riot 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.). '
(_) 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: ,dA
Lender's Address: �r
LQPEIL\IIT
Owner:
FREER
43840 PARKWAY
LA QUINTA, CA
ESPLANADE WEST
92253
Contractor:
MCINTYRE POOLS &
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612c
Lic. No:.: 614611
---------------------
WORKER
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
ISATION DECLARATION .
I hereby affirm under penalty of perjury one of.the following declarations: -
I.have and will maintain a certificate of•consenfto-self-insure for workers' compensation, as pro4ided
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 3700of. the Labor,
Code, far the performance of the work.for which this permit is issued. 1My workers' compensation
insurance carrier and policy'number are: -
Carrier DELOS INS CO ' . Policy Number 01DKRM12001870
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 tobecome subject to the workers' compensation laws of California,
and agree that, if I should be me subjec • he workers' compensation provisions of Section ,
X�31I700 of the abor Code, I all forthw' mply with those provisions.
ateiZz 'V pplicant:
WARNING: FA CURE 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; DAMAGESAS 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 i rmation i «ect. I agree to comply with all
city and county ordinances an tate laws relating to building c ruction, d ereby authorize representatives
;.te
this unty(to enntevr upo eabove-mentioned properly for pection r ses.
:2"Z' S V Q gnature (Applicant or Agentl:
Date: 2/25/08
Application Number . . . . . 08-00000342
Permit . . . . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
482.00 Plan Check
Fee
313.30
Issue Date . . . .
Valuation
. . .
. 64936
Expiration Date . .
8/23/08
Qty Unit Charge
Per
Extension
BASE FEE
414.50
15.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
67.50
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
.8/23/08
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
1.00 11.0000
--------------------------------------7---------------------------------:---
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
8/23/08
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
8/23/08
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
Permit . . . . WALL/FENCE PERMIT
LQPERr1IT
Application Number . _ . . . 08-00000342
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 64
Expiration Date 8/23/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 4 L.F. 4' SCREEN WALL,
CITY
STANDARD ALARMS/BARRIERS SHALL BE
IN
PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged
---------------------------
Paid
Credited
Due
----------
Permit Fee Total 601.00
----------
.00
----------
.00
601.00
Plan Check Total 339.30
.00
.00
339.30
Grand Total 940.30
.00
.00
940.30
LQPERAIIT
Bin #
City O La Q:uinta
'Building 8t :Safety' Division
'
Permit #
P.O. Box 150.41 78-495 Calle Tampico .
U Quilita, CA 922531- (.760) 777-7012
..Buiiding.Permit.A ` lication and,Trackin
PP, g Sheet
Project Address:
3-
Q%CWQr
Owner's Name: eY .o
A. P. Number:
Address:��
3 - r t�iot 1 (l
al Description:
City, ST, Zip: -
�.�
tractor:
LAd
r
�
/a d S -
,Telephone:
.
#
ress:
3"6 .9
S
5''
Project Description
on d Soo
City, ST, Zip:. ki
f`(aG.t?Q.
Telephone ���
Z
State Lic. # :
City_Lic. #:.
V.i t
Arch., Engr., Designer:
Address:
City, ST, Zip:
r .
Telephone:
' Construction Type: Occupancy:
p cy:
State Lie.. #:
Project type (circle, one): New Add'n Alter Repair Demo
Name of Contact Person:e
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: -(76Q 2 50 ` X36 Z : �
Estitnated-Value of Project: e-, V00
APPLICANT::,DO NOT .WRITE BELO.W;THIS LINE' .
#
Submittal
Req'd
•Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, read -corrections
-corrections
Plan Check Deposit
Truss Calcs.
Called Contact ,Pers on
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan ,
Plans resubmitted
Mechanical
Grading. plan
tad Review, ready for correctiopsrissue
Electrical .
Subcontactor. List
Called Contact Person
• Plumbing
GranfDeed
Plans. picked up
Y
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading.•
IN HOUSE:-
1n° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
.A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees