12-0693 (RPL)2' -, .1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-000100693=
Property Address:
53148 VIA`DONA
APN:
772-410-999-16 -298944-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW .DENSITY RESIDENTIAL
Application valuation:
60000
T4ht °F 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
COOK
53148 VIA DONA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/22/12
Contractor: ' �,���
Applicant' Architect or Engineer. MCINTYRE POOLS & SPAS, INC.@-QF.r'q k?
83695 AVENUE 451 ��.L-•
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 penaltyof perjury one of the following declarations:
action 7000) of Division 3 of the Business and Profession s 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
License CI : CA 3Lice�e N 614611 - for by Section. 3700 of the Labor Code, for the performance of the work for which this permit 'is0,o0 -
issued.
ate: Contractor.. - X I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
.000 7
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
1 hereby 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)::
(_) I, 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 ofimproves 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 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
insurance carrier and•policy number are: .,
Carrier COMMERCE WEST- I Policy Number 00330843590
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 su ject to the workers' compensation provisions of Section
00 of the Labor Code, I sl all f rit l pmpI i h those provisions. -
te: pplicant:�
WAR ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION 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 I have read this application and state that the above information is correct. I agree to comply with all -
city and county ordinances a d state laws relating to building constructionand hereby authorize representatives
ofPhis cou t enter upo the above-mentioned pr pe f pe 'Qn D ses.
� r
Date- ignature (Applicant or Agent):
Y Application Number, . . . . . 12-00000693 "
Permit BLDG POOL PERMIT
Additional desc ..
Permit Fee... 459.50 Plan Check Fee
298.68
Issue Date . . Valuation
60000
Expiration Date 12/19/12
Qty Unit Charge Per
Extension
BASE FEE
414.50
10.00 4.5000 THOU BLDG 50,001-100,000
45.00
Permit . . . MECH POOL -
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee
6.50
Issue Date Valuation ..
0
Expiration Date 12/19/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
: 1.00 11.0000 EA' -MECH FURNACE >100K
---------------------- ------------------------------------------------------
11.00
-Permit ELEC POOL PERMIT -RES
t.
Additional desc .
Permit Fee _. 45.00 Plan Check.Fee'.
11.25
Issue Date Valuation
0 -
-Expiration Date 12/19/12
Qty, Unit Charge Per
Extension
BASE FEE
15.00"
+ 1.00 30.0000 EA ELEC. PRIVATE SWIMMING POOL
------------------------------------------------------------
30.00
- - -' - - - - - i
Permit . . PLUMBING
- - `Additional desc
t
Permit Fee 39.00' Plan Check Fee
9..75
Issue Date . . . . Valuation
0
Expiration Date 12/19/12
Qty Unit Charge Per
Extension
BASE FEE,
15.00
3.00 6.0000 EA PLB FIXTURE
18.00
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
DEMO EXISTING COURTYARD POOL, BUILD NEW
LQPERMIT.. .•
"r' � � � ..
ism ff
City of La Quinta
Building &SafetY Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
.Building Permit Application and Tracking Sheet
< Cf O('p wner's Name: �1
City Lic. #:
Name of Contact Person: /' / r �� pv
Telephone # of Contact Percnn AGO U3 7 AEstimated Value f P Q
ess:
ST, Zip:
Project Description:
5Pi4
Construction Type: Occupancy:
Project type (circle one): .New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
#
Permit #
Req'd
APPLICANT:
Rec'd
DO NOT WRITE BELOW THIS LINE
TRACKING
}C
Project Address:
Plan Sets
A. P. Number:
Plan Check submitted
Legal Description:
Contractor:
40
Address:
City, ST, Zip:
10-
0-4
-4
Telephone: ` ro 3
�- . j67.�—
State Lic. # 42.53
Arch., Engr.,.Designer:
Plan Check Balance
Address:
Title 24 Cales.
Flood plain plan
City, ST, Zip:
Plans picked up
Plans resubmitted
2nd Review, ready for corrections/issue
Telephone:
Construction
State Lic. #:
Mechanical
City of La Quinta
Building &SafetY Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
.Building Permit Application and Tracking Sheet
< Cf O('p wner's Name: �1
City Lic. #:
Name of Contact Person: /' / r �� pv
Telephone # of Contact Percnn AGO U3 7 AEstimated Value f P Q
ess:
ST, Zip:
Project Description:
5Pi4
Construction Type: Occupancy:
Project type (circle one): .New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
#
Submittal
Req'd
APPLICANT:
Rec'd
DO NOT WRITE BELOW THIS LINE
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Flood plain plan
Plans picked up
Plans resubmitted
2nd Review, ready for corrections/issue
Construction
Mechanical
Grading plan
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.i11.1.
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
r
Amount
1,