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06-2739 (RPL)T -W �� VOICE (760).777-7012 'FAX (760) 777-7011 -. BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/19/06 _ Owner:" VISTA LA 'QUINTA PARTNERS 223 E. DE LA GUERRA SANTA.BARBARA, CA 93140 Contractor: Applicant: Architect or Engineer- MCINTYRE POOLS '& SPAS, INC. 83695 AVENUE 45 INDIO, Ca 92201 (760)342-3612 LiC. No.: 614611 n ` t JUL 2 6 2006 CITY OF LA QUINTA FINANCE DEPT. . 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. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 License No.: 614611 for by Section 3700 of the Labor Code, for the performance of, the work for which this permit is issued. ' ontractor: l/�/L J9 S/n" M 1 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 DE RATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier HRH INS Policy Number C20060333601 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 sub'ect 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 1 should become sub' to the workers' c pensaY 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 Ifo ith comply with t ns. 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).: ate: pplicant: �? 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 41 - the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WAR NG: FAILURE TO SECURE WO KERS' COMPENSATIO 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 l _ 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 performed under or pursuant to any permit issued as a result of this application, 1 _ 1 1 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. I. hereby 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 ree to ply with. all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building co cti ,and hereby a orize presentatives - ," s of county. o enter upon the above-mentioned property i ec " purpos Lender's' Name:. - - - - /� - Date: - _ignature (Applicant or Agent): Lender's Address: (� LQPEILMIT P.O. BOX 1504 •78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 C Application.Number, 06 000027391 Property Address: X80689 -VIA GLORIETA APN: 772 -270 -010 -42 -311231 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 T -W �� VOICE (760).777-7012 'FAX (760) 777-7011 -. BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/19/06 _ Owner:" VISTA LA 'QUINTA PARTNERS 223 E. DE LA GUERRA SANTA.BARBARA, CA 93140 Contractor: Applicant: Architect or Engineer- MCINTYRE POOLS '& SPAS, INC. 83695 AVENUE 45 INDIO, Ca 92201 (760)342-3612 LiC. No.: 614611 n ` t JUL 2 6 2006 CITY OF LA QUINTA FINANCE DEPT. . 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. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 License No.: 614611 for by Section 3700 of the Labor Code, for the performance of, the work for which this permit is issued. ' ontractor: l/�/L J9 S/n" M 1 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 DE RATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier HRH INS Policy Number C20060333601 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 sub'ect 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 1 should become sub' to the workers' c pensaY 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 Ifo ith comply with t ns. 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).: ate: pplicant: �? 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 41 - the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WAR NG: FAILURE TO SECURE WO KERS' COMPENSATIO 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 l _ 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 performed under or pursuant to any permit issued as a result of this application, 1 _ 1 1 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. I. hereby 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 ree to ply with. all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building co cti ,and hereby a orize presentatives - ," s of county. o enter upon the above-mentioned property i ec " purpos Lender's' Name:. - - - - /� - Date: - _ignature (Applicant or Agent): Lender's Address: (� LQPEILMIT :,,Application Number 06-00002739 f Permit BLDG POOL PERMIT Additional desc •• Permit Fee . . 207.00 Plan Check Fee ,•,134.55, Issue Date Valuation 19783 Expiration Date.. 1/15/07 - _ Qty Unit Charge. Per Extension BASE FEE - 45.00 ' 18.009.0000 THOU BLDG 2,001-25,000' 162.00 Permit MECH POOL - Additional desc . Permit Fee. . . . r 26.00 Plan Check Fee 6.50 Issue Date ". Valuation 0 Expiration Date 1/15/07 Qty Unit Charge Per Extension BASE FEE 15.00" r 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 1/15/07 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 1/15/07 1 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 ` Permit . . . . . . .WALL/FENCE PERMIT LQMnlIT - Application•Number 06-00002739 Permit :. '.• <. WALL/FENCE PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 ` Issue Date ° Valuation 217 Expiration Date 1/15/07 Qty, -,,Unit Charge Per Extension BASE FEE 15.00 - _- - -- -- - -- - - -- - - -- - -- -- -- - _ - - -- - +' Special Notes and Comments ;' POOL/SPA, 10 L.F. 5- EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE' IN PLACE AT PRE -PLASTER INSPECTION. ' Fee summary Charged Paid Credited Due Permit Fee Total 326.00 .00 .00 326."0 > Plan Check Total 160.55 .00 ,00 160.55 Grand Total 486.55 .00 .00 486.55 LQPERMIT Total Permit Fees Bin City of La Qu, Building IM Safety Division Permit #P.O. Box 1504, 78-495 Calle Tampico �113� La Quints, CA 92253. (760) 777.7012 0� Building Permit APPlication and racking Sheet Project Address: d , e, /► Owner's Name: A. P. Number: . �✓Ci' ' Address: � • Legal -Description: �,' City, ST, Zip: Contractor: - ' tf A Telephone: ddss: :re (/ Project Description: City, ST, Zip: T.clephone:>::> <>:::::fa>v:z�<»r:<:s::r. State Lic. #<•';: City Lic. #: • Arch., Engr., Designer: • ' • C Address: City, 8T, Zip: Telephone: r;a;Y•t;: .:>::;;;..w.: ; ;::.: ;,.;,;:, .,..;.:: .ti< ^''•i3 v^.vc: <:<k':'s''.,'•#:i}"i:%t" :.`,•;: Construction Type. ' Stale Lic. #: :>:-;:<:>is l»:;.,:>'s»><<:•`: Occupancy. panty. • :..,,.::,:.:.::.:.:.::.....:...:..:...::.:.......: Project type (circle one)- Add'n Alter Repair civ Demo • Name of Contact Person: Sq. Ft.:. # Stories: # Units:. Telephone # Of Contact Person: - Estimated Value of Project: , APPLICANT: DO NOT WRITE. BELOW THIS q Submittal Req'd Recd LINE Plan Sets TRACKING PERMIT FEFS ' Plan Check submitted � � Slructurdl Cafes. � � Ilcm ' ' Amount 1 ' Rtviewed, ready for corrections Trusr•C Plan Check Deposit ..... Called Contact Person Title 2'4 Gales: Plan Check Balance Plans picked up Flood plain-plan • Co., Const, uction resubmitted Grading plan hteehanical Y' Rc0cw, ready for corrections/issue Eli:ctrical Subcontactor List Called Contact Person Grant Died Plumbing Plans picked up H.O.A. Approval S.M.I. Plans. resubmitted IN I(OUSE:- Grading • Revien eady for corrections/issue � Uevetbper Impact Fee Planning Approval Called Contact Person Pub.11'ks. Appr Date of permit. issue School Fees Total Permit Fees