06-0733 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUI,NTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:__
Application description
Property Zoning:
Application valuation:
Applicant:
06-00000733
53364 VIA`PALACIO
772-560-061- -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Architect or
------------------
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 Class- C53 .. License No.: 614611
Hate•(ontra r. /,-- � _TC9r1�. 1–.f
OWNER -BUILDER DECLARATION
I In reby 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, 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, 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 1 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:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7014`
INSPECTIONS,(760) 777-7153
Date: 2/21/06
Owner:
KESSLER
53-364 VIA PALACIO
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS & SPAS,
83695 AVENUE 45
1NDIO, CA 92201
(760)342-3612
Lic. No.: 614611
INC.
U
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.
XI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
7— Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier HRH INS Policy Number 020060333601
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 subj!t; to the :��mpens!'I. n provisions of Section
�� 3700 of the Labor Code, I shall forth 'f(i complywprov'sns.
atm e:Applicant: ��
W11/1G: FAILURE TO SECURE WOR S' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND Cl ILFINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIO 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–1-have read this application and state that the above information is correct. I agree o comply with all
city an ounty ordinances and state laws relating to building consyyctio , and hereby authori representatives
of,!cou ty to/entte�r upon the above-mentioned property rtjspecti purposes.
Date:2 72 f� V Signature (Applicant or Agentl:`/�
/ 7
Application-Number
06=0.0000733
Permit :'
BLDG POOL PERMIT
Additional desc-
--. -
Permit. Fee.
207:0¢ Plan Check Fee'.
134.55. "
4 Issue Date
Valuation
20000,
=Expration'Date
8/20/06-
/20/06Qty
Qty: -'Unit'Charge
Per
Extension
BASE' FEE-
45.00
18•.00 5.0000
---------------•-------------
.THOU BLDG 2,001'-25,000
-----------------------------------
162:00
---------------
------ti-----
Permit
Permit :
MECH POOL.
Additional desc
Permit Fee
26,:00 Plan Check Fee
6.50
Issue Date
Valuation
' 0
Expiratiron Date
Qty Unit Charge_-.
Per'
Extension
BASE.FEE
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
8/20/06
Qty, Unit Charge
Per
Extension
BASE FEE
15.00
1.00' 30.0000
EA ELEC PRIVATE -SWIMMING POOL
`30.00 ,
Permit . .,. . . .
PLUMBING
Additional desc 1..
Permit Fee
33.00 Plan Check.Fee
8.25
.Issue Date
Valuation -
0
Expiration Date
8/20/06
Qty Unit Charge
Per a
Extension°
BASE FEE
15.00
2.:00 6.0000
EA, PLB.FIXTURE
12.00
•1.00 3.0000
EA PLB WATER INST/ALT/REP
l 3.00 .
1.00. 3.0000
EA PLB GAS PIPE 1-.A OUTLETS
3.00
Special Notes and Comments
POOL, SPA•& FOUNTAIN.
- _
ALARMS/BARRIERS
' LQPERMIT-
f
Bin #
City of. La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
733
Project Address: 77�Owner's
Name:
A. P. Number:
Address: —
Legal Description:
Contractor:x
City, ST, Zip:
Telephone:
r -
Address:
Project Descriptio
City, ST, Zip:zwow
Telephone:
State Lic. # :
Arch., Engr., Designer:
i
City Lic. #: C
Address:
City, ST, Zip:
Telephone _
State Lic. #:
Construction Type: Occupancy:
Project type (circle one):oew Add'n Alter Repair
Sq. Ft.: 2Sf # Stories: # Units:
Demo
Name of Contact Person:
Telephone # of Contact PersoEstimated
Value of Project: !J�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2°" Review, ready for co rrectionsfissue
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 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
aj
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POOL SIZE 28'X 12'
POOL. S.A. 329 50, Fr.
POOL PER. 19 L. 50.
DEPTHS 5'-6" TO y' -O"
POOL PUMP 1.5 N.P.
HEATER aoo,000 m
FILTER CCP 420
LJGHTS I-100 WAff
2-400 WAff
CONTROLLER
SPA SIZE r x 6'-6"
SPA PER. 21'L. ft
SPA S.A. 21' 50. Ff.
SPA DEPTH 36'
JETS y
JET PUMP ►.y �'
DECK AREA ______________
PAVER AREA
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DATE: 01/10/06
SCALE: 118,1=1
DRAWN BY: D T
JOB: KLESSLER
SHEET
OF SHEETS