07-1357 (RPL)P.O`BOX 1504,'+VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760)'77777011
LA QUINT'A,-CALIFORNIA•92253 BUILDING & SAFETY DEPARTMENTa INSPECTIONS (760) 777-7153
— BUILDING PERMIT '
_ Dater 5/03/07
Application Number: 07-00001357 Owner:
`'P.ro"p&rtyAddress:_ 47555*VIA MONTANA xr _ EICHEL RESIDENCE r .
APN: 643-120-055-275 -26152 .. 47-555 VIA. MONTANA
Application description: POOL RESIDENTIAL LA QUINTA, CA 92253 O
Property Zoning: LOW DENSITY RESIDENTIAL
Application, valuation: 20000 _
Y �7? -
Contractor: OOl.
Applicant: ' Architect or. Engineer: MCINTYRE POOLS & SPAS, OF
83695 AVENUE 45 �V/�'q
IND 16, ,CA, 92201
(76,o 3612
�LicN
' . No' 614611
--------------------------------------—
LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:. '
Section 7000) of Division 3 of the Business and Professionals Code, and my License is,in full force and effect.- t - _ I have and will maintain a certificate of.consent to self -insure for workers' compensation, as provided' `
Licens s: C53 - License No.:. 14611 for by Section 3700 of the Labor Code,'for the performance of the work for which this permit is -
t issued. .,
Date: 'Contractor: ' _,1 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 -
OWNER -BUILDER DECLARATION - insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier MAJESTIC SNS CO . Policy Number 'C20060333602
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires apermit to , I certify that, in the performance of the work for which this permit is issued, I shall.not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensation provisions of Section
' License Law (Chapter 9. (commencing With Section 7000) ofDivision 3 of the Business and Professions Code) or 3700 of the Labor We, I shall forthwith comply with those provisions. }
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).: .` Daf e: 7' / . Applicant: ��C1� �I✓� - .
1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and . , -7—_ _ _ i
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL _
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND. r
and who does the work himself or herself through his or her own employees, provided that the' DOLLARS 15100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN "
• improvements are not intended or offered for sale. If, however, the building or improvement is sold within ' SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). r i - APPLICANT ACKNOWLEDGEMENT
' (_) I; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.. IMPORTANT Application is hereby made to the Director of Building and Safety for, a*permit subject to the -
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of - conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with contractorlsl licensed 1 . Eachperson upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, '
I—) I am exempt under Sec. , B.&P.C_ for this reason 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.
Date: Owner: - - 2. • Any permit issued asa 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
CONSTRUCTION LENDING AGENCY ' +' permit to cancellation. '
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and cou y ordinances and state laws relating to construction, and hereby authorize representatives
Lender's Name: of tl �u y to enter upon the above-mentioned pr pert r nspection pur oses.�
Dat � ( Signature (Applicant or Agent):
-lender's Address: t — -- - - -- -
LQPERMIT - - - -
..Application Number. .
. . . . 07-00001357
'PermitBLDG
POOL PERMIT
Additional desc.:
Permit -Fee`
207.00 Plan Check
Fee
134.55
Issue 'Date
Valuation
20.000-
Expiration bate.'..
10/.30/07
- Qty Unit Charge
Per
Extension
BASE FEE
45.00-
5.00,18'.00
18'. 00• 9."0000
THOU BLDG• 2, 001--25, 000 - _
162100. ,
Permit
MECH POOL. "
Additional desc
Permit Fee
26.00 Plan Check
Fee.
6.50
Issue..Date
Valuation
0
ti Expiration Date ..
10/30/07
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,
10/30/07
Qty Unit_ Charge.
Per
Extension
BASE FEE
-15.00
1.00 30.0.000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING
POOL
30.00
Permit . .
PLUMBING
Additional desc".
Permit Fee
33:00 Plan Check
Fee
8.i5
Issue Date
Valuation-
0
Expiration Date '.
10/30/07
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, ALARMS/BARRIERS
SHALL BE IN
Total Permit Fees
Bin #
City of La Quinta
Building 8 Safety Division
Permit # ^
P.O. Box 1504, 78-495 Calle Tampico
La
Quinta, CA 92253 - (760) 777-7012 .
Building
Permit Application and Tracking Sheet
X
Project Address: S S
rer's Name: + M 0,o q
�qA
A. P. Number:
dress: �—`% \' `
Leal Description:
\. ST. Zip: i
rN � 2� 3
X
j/�
Contractor: Y' �,�IFAYTZ_
• o C S F Telephone:
x
Address: g�,
o :="•�c'� �.
S A UL Project Description:
X
J /
Citi•, ST. Zip1��!
"�-
X
Telephone: 3
•_: _
State Lic. # :
City Lic. #:
Arch..'Engr., Designer:
Address:
City. ST. Zip: -
Telephone:
` ..
Construction Type: Occupancy:
P n
State Lic.
Project type (circle one): New Add'n Alter Repair Demo
1C
Name of Contact Person:
Ft.:L 2 # Stories:
X
Telephone # of Contact Person:
# Units:
- {�
stimated Value of Proiect: . a� a
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal Rcq'd Recd TRACKING
PERMIT FEES I
Plan Sets
Plan Check submitted j
Item
Structural Cales.
Amount
Reviewed, ready for corrections Plan Check Deposit
.
Truss Calcs
Called Contact Person Plan Check Balance
Energy 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
N HOUSE:-
'"' Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub, Wks. Appr
Date of permit issue j
School Fees
j
Total Permit Fees
5" IMI A NO% i"YA1, t .
&jk
NO
Alike
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McIntyre
CONSTR 2CTION SPEC14LIST
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13-69.5 Ave, 45 -
-4
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Indio' CA 92201
Www.mcln fWepools@UnUne-com
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Phone. 760342-3612.F,,:
76o342,3832
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107-4
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