14-0153 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: "^'14-000001.53
Property Address: d:— 80360 VIA PESSARO
APN: 772-520-011- - -
Application description: POOL - RESIDENTIAL.
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 50000
.4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
ROCHE JR JAMES E
16401 AV.IANO IN
CHINO HILLS, CA 91709
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
/14
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
—11
++4
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 information is correct. I agree to comply with all
city and county o dinances and state laws relating to.building.,construction, and hereby authorize representatives
- of thi(sc,(tou t to nter upon the above-mentioned prop ¢',J/ o In/nss•'/eeectiofn purposes.
",Date:``' Signature (Applicant or.Agent):�%V�c�t_
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Contractor:
Applicant: Architect or Engineer:
r MCINTYRE POOLS & SPAS, INC.
�
83695 AVENUE 45
/V
`0,
INDIO, CA 92201
(760)342-3612
Lic. 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.
1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Cla CS - License No.: 614611
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
f 4 -
S Contractor:
issued.
Date: t'_/'-
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
-�-- _.,.r,"-�
- 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:
,,�s���.►^�
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier WESCO INS CO Policy Number WWC3 053 611
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 70001 of Division 3 of the Business and Professions Code) or
r 37 of the Labor Code, I shat) 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)•:
� Date: l A licant:
PP
(_) 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
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
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 -
(_ 1 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 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 performedunder or pursuant to any permit issued as a result of this application,
(_) 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
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
—11
++4
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 information is correct. I agree to comply with all
city and county o dinances and state laws relating to.building.,construction, and hereby authorize representatives
- of thi(sc,(tou t to nter upon the above-mentioned prop ¢',J/ o In/nss•'/eeectiofn purposes.
",Date:``' Signature (Applicant or.Agent):�%V�c�t_
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Application'Number 14-00000153
Permit . . . POOL 2013
Additional desc .
Permit Fee . . . . 357.50 Plan Check
Fee
.00 -
Issue Date . . . . Valuation
. .
0
Expiration Date 8/12/14
"
Qty Unit Charge Per
Extension
.2.00 178.7500 EA MISC POOL/SPA
357.50
----------------------------------------------------------------
Special Notes and Comments '
POOL, SPA AND FIRE PIT AT REAR YARD
W/WATER FEATURE AT FRONT YARD [DENISE
POELTLER ENGINEERING] THIS PERMIT DOES
NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2013 CALIFORNIA
BUILDING CODE.
February 13, 2014 9:46:51 AM AORTEGA
,
-------------------_---------------------------------------=----------------
Other.Fees . . ... . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, POOL
97.24 ,
Fee summary Charged Paid- Credited
Due
----------------------------------
.. Permit Fee Total 357.50 .00
----------
.00
357.50
Plan Check Total .00 .00
.00
.00
Other Fee Total 99.24 .00
.00
99.24
Grand Total 456.74 .00
.00
456.74
LQPERMIT
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Bin #
Permit #
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Project Address:—
: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
Owner's Name.
A. P. Number.
Address: IFO — 360 gz� to
Legal Description:
City, ST, Zip: Iqj
Contractor: CU
Telephone:
Poo Description: � oo
Address: - 6C
City,'ST,.Zip: C�
Telephone:
State Lic. # : ' yG I city tic. # S
8..
Arch., Engr., Designer..
FEB 1 • 2014
Address:
CITY OF LA QUINTA
City.; ST, Zip:
COMMUNITY DEVELOPMENT
Telephone:'
State Lic. #:
Construction Type: ' Occupancy:
ProJect tYPa circle one): New Add'n' Alter Repair Demo
b
Name of Contact Person:
Sq. Ft : •
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: ,SQ
# Submittal Req'd
Plan Sets
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACI{Ii•1G PERMIT FEES
Plan Check submitted Item Amount
Structural Calcs., .
Reviewed, ready. for corrections
Plan Check Depdsit.
Truss Calcs.'
..Called Contact Person
Plan Check Balance
Tide24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2wd Review; ready for corrections/issueElectrical
Subcontactor List
Called Contact Person
Plumbing. .
Grant Deed
Plans picked up
S.M.I.
H.O.A- Approval
Plans resubmitted
Grading
IN
''d Review, ready for correctlo Fssu
Developer Impact Fee'
Planning Approval
Called Contact Person
A.I:P.P.
Pub. Wks. Appr
V ;
Date of permit issue
School Fees
Total Permit Fees
1
y! • _
3
0
x
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DETAILS
LA QUINTA, CALIFORNIA 92253
P.O. Box 5703
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