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06-1475 (RPL)4_ P.O. BOX 1504^' VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760)777-701.1 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760),777-7153' BUILDING PERMIT Date: 4/11/06 Application Number: ` 06700001475 Owner. Property Address: 80662 VIA GLORIETA FREYMAN APN: 772-270-010-15 -311231- 80-662 VIA GLORIETA Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Contractor. Applicant: Architect or Engineer.`�^ 1 rt ��UoU MCINTYRE POOLS & SPAS, INC. APR 83695 AVENUE 45 TTTDIO, CA 92201- clry (760)342-3612. --FLic- 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 70001 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 License Clas - C53 License No.: 614611 for by Section 3700 of the Labor Code, for the performance of the work for-which this permit is. //�� issued. /--Date- �iaornmdor: f �Y''//�� ` $' f"� /� 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: ereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier HRH .INS' Policy Number 020060333601 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, 1 II forthv/ comply with se provisio ' 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 IS5001.: - patt�IJ7� &pelican[: as f 4 (_ 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 WAR ING: FAILURE TO SECURE WORK RS' COMPENSATION 10VERAGE 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 15100,000). 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 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 end ,4gfoty f9r g p@rMil §uDioct SO the 7044, ousnless anu ProTessions t,00e! I no I:6Rtfadt6?t' 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 issued as a result ofthis application, (_ 1 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: - 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 CONSTRUCTION LENDING AGENCY _ permit to cancellation. - Thereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agre to comply withal) work for which this permit is issued (Sec. 3097, Civ. C.1. - city and county ordinances and state laws relating to building construction nd hereby aut ize representatives of this county o enter upon the above-mentioned property f specti urposes. ' Lender's Name: /// Da e: ;-SignaturelApplicant or Agentl� Lender's Address: ' t Application Number 06-0000147.5_ " Permit BLDG POOL'PERMIT Additional.desc . Permit Fee 207.00 Plan Check Fee 134.55 Issue Date Valuation . . 20000 Expiration -Date 10/08/06 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 10/Cl/06 Qty Unit Charge Per- Extension BASE FEE 15.00 1.0.0 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 10/08/06 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC.PRIVATE SWIMMING POOL ----------------------------------------------------------------------------- 30.00 Permit PLUMBING Additional desc.'. Permit Fee 33.00 Plan Check Fee 8.25 Issue Date" Valuation . . 0 Expiration Date 10/08/06 Qty Unit Charge Per Extension DA3E FDI] 16.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.000.0 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 ONLY. ALARMS/BARRIERS"SHALL LQPERMIT Application Number-:. . . . . 06-00001475" ----------------------------------- .------------------ Spec_ial Notes and Comments ------------------------- BE IN- .PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary -.,Charged - Paid --------------------------------- -_---- Credited -------- -- ---------- Due Permit Fee -Total 311.00 .00 .00' 311.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 471.55 .00 .00 471.55 LQPERMIT -i 1 Bin # City of La Quinta Building u Safety Division P:O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: A. P. Number: Address: Address: Legal Description: Contractor: ` City, ST, Zip: v ' Telephone: Address: Project Description: City, ST, Zip: Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: /j' Construction Type: Occupancy: Project type (circle 9ne): ew Add'n Alter Repair Demo Sq, Ft.: G # Stories: r # Units: Telephone # of Contact Person: -Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIMG . PERMIT FEES*, Plan Sets Plan Check submitted tem Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading, plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- .7rd Review, ready for correctionsCssue Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees