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10-1073 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: f Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 10-00001073 52845 JALISCO 767-660-048- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 T414t 4 4, Q" Architect or Engineer: p JA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------- — //L — — — — — — — — — — — — — — — — — — — — — — UCENS CONTRAO 'S DECLARATION I hereby affirm under penalty of perjury that I am tenI r ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofeC e, and my License is in full force and effect. L' :se Class: C53 s nse No.: 614611 Date: ) — K1- ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty oferjury tha I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, usiness d Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis or re air any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement the a 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, 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. , BAP.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 Owner: TOM & PHYLLIS MAREING 52-845 JALISCO LA QUINTA, CA 92253 Contractor: MCINTYRE POOLS & SPAS, INC. 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Lic. No.: 614611 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/20/10 11� _U 1� r I ? 2. 28'0 C? _;- Z A QLi!'P 'rA 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 pe - it is issued. My workers' compensation insurance carrier and policy number are• Carrier GOLDEN INS Polic umber 20 0010139097Z _ I certify that, in the performance of the ork for whic his permit is issued, I shall not employ any person in any manner so as to beco a subject t9� a workers' compensation laws of California, and agree that, if I should become Aect to tt�€ orkers' compensation provisions of Section 3700 of the Labor Code, I shall f rte with cdm ly with those provisions. Oate:JUL1� Applicant: WARNING: FAILURE TO SE RE WORKERj OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T CRIMINAL PELTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 100,000). INA DITION TO .COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAB R CODE,) TEST, 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 oinission 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 k is not commenced within 180 days from date of issuance of such permit, or cessation of o for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above info ano/nh I agree to comply with all city and county ordinances and state laws relating to building constr coon, by authorize representatives of this county to enter upon the above-mentioned property for insp ction pu (Applicant or Agent): Application Number . . . . . 10-00001073 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . 2'0000 Expiration Date . . 4/18/11 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 ------------------------------------------------ --------------------------- 162.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/18/11 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 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/18/11 Qty Unit Charge Per f Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 TO BE ATTACHED TO EXISTING SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. ----=----------------------------------------------------------.------------- Other Fees . . . . STDS ADMIN (SB1473) 1.00 .BLDG J 'Fee summary Charged Paid Credited ----- ---------- ---------- ---------- Due ----------------- ---- - Permit Fee Total 279.00 .00 .00 279.00 Plan Check Total 152.55 .00 .00 152.55 Other Fee Total 1.00 .00' .00 1.00 LQPERA11T Application Number . . . 10-00001073 Grand Total 432.55 .00 .00 432.55 Bin # City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 101 ✓ 1 Project Address: _ SQ Owner's Name:a rf-1 a 01 A. P. Number: Address: S co of r Legal Description: City, ST, Zip: Y q " Contractor:(1 Telephone: Address: 3 — .RS Lis Project Description: Ad k C lq!� City, ST, Zip: e R J Telephone: 0.3 (�?J '�' „`�'� M s� r YK� CityLic. C State Lic. # :CS - 61V611 Arch., Engr., Designer: . L Address: U V City., ST, Zip: Telephone: xb ,. ';,• Construction Type: Occupancy: State Lic. Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: •' , Name of Contact Person: . Telephone # of Contact Person: — S — O p v (6 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIUNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans.picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees PLANTER 00/0/10 W/00110/0MR/I PEBBLE FINISH G!1,� IS -11 WIN I l WIN%l� 1 /maims11►L11.I�J,i1�u�iWL,�//%, �I� �I7i� ��It,�I�i171�111■!�ilj�:�ll.l��ll11i IN. I'� �1 IIS I - t 1� —1 1� . .. 1 I,{�11� 11���1��—'lil�'il 11 I'� II 4i� 1 �'111�11�111�{{�,�1��1: ��1�.�1- j1= 11 11I J'Ift �,t�.-li���s��t X11 :�_�1 �I,�.II��.1�-Ire ut CITY OF LA QUNTA BUILDING & SAFETY DEPT. .APPROVED FOR CONSTRUCTION DATED` -A4 /OBY Ji� TOM & PHYLLIS MAREING RESIDENCE 52-845 JALISCO CIRCLE LA QUINTA, CA IL® 111LIPWILTIMIR 1w■ v ® 11 ® v K IN l R169l V Il® l R®I1LNd ua im CONSTRUCTION SPECIALIST X342-3612 I POOL & SPA SPECS. POOL SIZE 12' X 30' POOL S.A. 350 SQ. FT. POOL PER. 94 L.F. DEPTHS 4'-0" TO 5'-0" POOL PUMP VS 3050 HEATER 400,000 BTU FILTER CCP 420 LIGHTS 2-400 WATT CONTROLLER EASY TOUCH 4 SPA SIZE SPA PER. SPA S.A. SPA DEPTH JETS JET PUMP DECK AREA 478 SQ. FT. CITY OF LA QUNTA BUILDING & SAFETY DEPT. .APPROVED FOR CONSTRUCTION DATED` -A4 /OBY Ji� TOM & PHYLLIS MAREING RESIDENCE 52-845 JALISCO CIRCLE LA QUINTA, CA IL® 111LIPWILTIMIR 1w■ v ® 11 ® v K IN l R169l V Il® l R®I1LNd ua im CONSTRUCTION SPECIALIST X342-3612 I