06-2856 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00002856
52540 VIA DONA
772-410-999-1 -298944-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
T-ityl 4 4 Q"
Architect or Engineer:
pip
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Clats: C53 - r : License No.: 6-14611,.
D taD e:ti[1:1,&tractor: �V (�e��
OWNER -BUILDER DECLARATION
I 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).:
1 _ 1 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 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 I, 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: IF q
Lender's Address:
LQPERMIT
Owner:
FINAN CONSTRUCTION
52540 VIA DONA
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS & SPAS,
83695 AVENUE 45
INDIO, CA 02201
(760)342-3612
Lic. No.: 614611
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/01/06
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.
I 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
insurance carrier and policy number are:
Carrier HRH INS Policy Number 020060333601
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 subject to the workers' compensation provisions of Section
3 00 of the Labor Cgge, I shall forthwith comply
with those provisions.
P-fe:�FAILURE
WARRE 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.
1 certify that I have read this application and state that the above information is correct. I agree to comply with all
city a ordinances and sta laws relating to g construction, and hereby authorize representatives
of thi my enter upon t above-mentioned p erty f inspection purposes.
to ignature (Applicant or Agent):
Application Number . . . . . 06-00002856
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . .
207.00
Plan Check
Fee
134.55
Issue Date . . . .
Valuation
. . .
. 20000
Expiration Date
1/28/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
1/28/07
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 . .
1/28/07
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
1/28/07
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
LQPERMIT
Application Number
06-00002856
-------------------------------------------------------------------------
---
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged
----------------- ----------
Permit Fee Total 311.00
Plan Check Total 160.55
Grand Total 471.55
LQPERMIT
Paid Credited Due
---------- ----------- ----------
.00 .00 311.00
.00 .00 160.55
.00 .00 471.55
qrN/ i
X Project Address:
A. P. Number..
X Submittal
Plan Sets
Structural Cala.
Truss C11Cs.
Energy Cales.
Hood plait► plan
Grading plan
Subeoatactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. WILL Appr
School Fees
City of La Quinta
Bulldint a Safety Dtvislon
P.O. Box 1 SO4, 78-49S Calle Tampico
La Quanta, G 922S3 - (760) 777-7012
Building Permit Application and TrackingShe
-� ^^ et
t—t
Owner's Name:
- - �.� SNS•
-Av
a R 22�
�•..
..
City Lic. #:
;Tele hone:
Project Description:
n
Lt n
i�-•fut�C
8 • . ►
rs—�
xpContrM
or.
-
+..,... .;Occupancy:
X
Cjh', ST, Zip: -FN Cpjb
Telephone:, �� t. Z
A
State Lic.
Sq. Ft.:
Arch., Engr.. Designer:
#Units:
Address:
stimated Value of project: (�
City. ST. Zip.
AeLit ANT: DO NOT WRITE BELOW THIS LINE
Telephone:
State Lic. #;
1C
Name of Contact Person:
X
Telephone # of Contact person
Plan Check submitted
X Submittal
Plan Sets
Structural Cala.
Truss C11Cs.
Energy Cales.
Hood plait► plan
Grading plan
Subeoatactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. WILL Appr
School Fees
City of La Quinta
Bulldint a Safety Dtvislon
P.O. Box 1 SO4, 78-49S Calle Tampico
La Quanta, G 922S3 - (760) 777-7012
Building Permit Application and TrackingShe
-� ^^ et
t—t
Owner's Name:
- - �.� SNS•
-Av
a R 22�
�•..
..
City Lic. #:
;Tele hone:
Project Description:
n
Lt n
i�-•fut�C
8 • . ►
rs—�
Tobi Permit Fees
Construction T
---_—i
-
+..,... .;Occupancy:
Project type (circle one):
New Add'n Alter Repair Demo
--�
/
�
Sq. Ft.:
M Stories:
#Units:
stimated Value of project: (�
,d
AeLit ANT: DO NOT WRITE BELOW THIS LINE
Reed
TRACKMG
Plan Check submitted
PERMIT FEF
Reviewed. ready for corrections
Item
Amount
Called Contact Person
Plan Check Deposit
Plans picked up
Pian Check Balance
Plans resubmitted
Construction
2" Review. ready for
Mechanical
correetionsnssue
Called Contact person
Electrical
Plans picked up
Ptu.+nbins
Pians resubmitted
S•M.1.
Review, ready for co rreetions/Issue
Grading
Called Contact Person
Developer Impact Fee
Date of
permit issue
Tobi Permit Fees
.--
ISOEM a q, VIO OFINWRABEEN VA■DINK 'A p6mr!
SIR
SEEM !4Ar,/wwl
MEMOS
NNE PAP
.;•�:■iii■■■■■■■�� � - �,; IA■■■\►�I
MOORES
�� ..MINES am
■■■■■i �. r
lm�Rffiffll ► . ■ W4
ARNO
ALE
loss
lip
NNE
I
11J. -ICH