12-0161 (RPL)414
P.O. BOX 1504 Qamm VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: 1�2c0000016=1 1�,
Property Address: 52313 WHISPERING WY
APN: 767-200-999-17 -312024-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25000
Applicant:
Architect or Engineer:.
Date: 2/22/12
Owner:
83695 AVENUE 45! 1(ill:q-A 5idl��A
INDIO, CA 92201
DESERT ELITE,
INC.`
/Pi
Lic. No.: 614611
78401 HIGHWAY
111/T`UI�E�G
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with '
LA QUINTA, CA
92:'ffll
JIUI
(760) 777-9920
en
Lica Class: C53 License No.: 614611
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .
Datery� MC r
C tractor: lv^ L r�l� L;z -
issued.,
I have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor
Contractor:
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
2012 �y
MCINTYRE POOLS
& SNC
Carrier 'COMMERCE WEST I Policy Number 00330843590
Date: Owner:
CONSTRUCTION LENDING AGENCY
-1 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:
Ify-
LQPERMIT
W1
- 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 cessationofwork 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 thi county to enter upon Ahe above-mentioned propertfor inspectiMpu ses.a�2 G d2.�S' nature (Applicant or Agent
83695 AVENUE 45! 1(ill:q-A 5idl��A
INDIO, CA 92201
(760).342-3612
/Pi
Lic. No.: 614611
------------------------------ ---------- ------------------------------------=----------------------
. LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 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.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
en
Lica Class: C53 License No.: 614611
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .
Datery� MC r
C tractor: lv^ L r�l� L;z -
issued.,
I have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor
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 'COMMERCE WEST I Policy Number 00330843590
- following reason (Sec. 7031.5. Business and Professions Code: Any city or county that requires a permit 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) of Division 3 of the Business and Professions Code) or -
3700 of the Labor Code, 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
pp
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ant:l`Q} si�a�j
ate: 7.1�RETO
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
10I
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAICURE 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
_ and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). 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.).
APPLICANT ACKNOWLEDGEMENT
(_) I, as ownei 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 a contractor(s) licensed
1. Each person 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 issuedasa 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:
CONSTRUCTION LENDING AGENCY
-1 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:
Ify-
LQPERMIT
W1
- 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 cessationofwork 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 thi county to enter upon Ahe above-mentioned propertfor inspectiMpu ses.a�2 G d2.�S' nature (Applicant or Agent
Application Number . . . . . 12-00000161.
Permit ... . . . . BLDG POOL.PERMIT .
Additional desc .
Permit Fee . . 252.00 Plan Check
Fee
163.80
Issue Date .'. . . Valuation,
25000
Expiration Date 8/20/12
Qty Unit Charge Per
Extension
BASE. FEE
45.00 .
23.00 9.0000 THOU BLDG 2,001-25,000
------------------------------------------------------------------------------
207.00
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check
Fee
6.50
Issue Date . . . . Valuation
0
Expiration Date 8/20/12
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 8/20/12
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 8/20/12
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
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5+2-313 WHISPERING WAY
LA QUINTA, CA ;...
Bin #
""City of La Quinta
Building 8r Safety Divisicn
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
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Project Address: S'.2 --3/3 UJ 1,iio,Owner's
Name:
Cyerg- � ,•°�2
A. P. Number:
'Address:
Legal Description:
City, ST, Zip:
Contractor e. S
° S S C
Telephone:
Address: S s
Project Description:
City, ST, Zip: T ^
_C-1 AD- _ , .
TelephoneN l'�t
wo
State Lie. # : City Lie. #, S
-
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:a. .� �u`
•o- ' �
State Lie.
:. .' ; .;;,•.; ..,
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one: New Add'n ' Alter Repair Demo
Sq: Ft. #Stories: #Units: .
Telephone # of Contact Person:
Estimated Value of Prciect:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMTT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit '
Truss Calcs. '
Called Contact PersonPlan
Check Balance
Title 24 Cales.
Plans .picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
20° Review, ready for corrections/Issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up -
S.M.L
H.O.A. Approval
Plans resubmitted'
Grading
IN HOUSE:
'"' Replew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks: Appr
Date of permit issue
School Fees
Total Permit Fees
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