06-2737 (RPL)4-
P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777=7011.
LA QUINTA, CALIFORNIA 92253 _ BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/19/06
Application Number: C06-00002737 ~i Owner,
Property Address: 80677 VIA GLORIETA ti VISTA LA QUINTA PARTNERS
APN: 772-270-010-41 -311231- 223 E. DE LA GUERRA
Application description: POOL - RESIDENTIAL SANTA BARBARA, CA 9314
Property. Zoning: LOW DENSITY RESIDENTIAL D
Application valuation: 20000
Contractor: JUL 20 2006
Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, NC.
83695 AVENUE 45 G2I /6�1.A®UIN*fA
INDIO, CA 92201 FFINAN U@R%
(760)342-3612
Lic. No.: 614611
------------------------------------------------------------------------------------------------—
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION,
I hereby affirm under penalty ofperjury 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
�' Js/ issued.
ate: mractor: ��. � I —?dqwi 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:
I hereby affirm under penalty of perjury that I am exemptfrom 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 rkers' corStpensation 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 Co I shall �rthwith comp ith tho 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 ($5001: ate: plicant r- -
1 _ 1 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' COMP SATION 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 -
(_) 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 _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.
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 agree to comply with all .
work for which this permit is issued (Sec. 3097, Civ. C.1. - _ city and county ordinances and state laws relating to building c nstructi ,and hereby au orize rep sentatives
• - of thi ounty to enter upo _the above-mentioned property r ' spec n purposes. _
Lender's Name:
te: ignature (Applicant or Agent).
irLender's Address: - -
LQPERMIT - -
s .Application Number
. . 06-00002737.
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
18.00 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
1/15/07
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
1/15/07
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
- 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
LQPERHIIT
c
Application Number 06-00002737_
Permit.-WALL/FENCE PERMIT
Additionaldesc
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/SFA, 10 L.F.;51 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
326.00
` Plan Check Total 160.55 .00
.00
160.55
Grand Total 486.55 .00
.00
486.55
LQPERMIT _ _
Bin # !
CltY OfLa QUllltd
Permit #
Building 8i' Safety Division
P•O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253. 76
� 01777-70,12
Project
Bu,l ing Permit .
Application and Tr eking Sheet
Address:
A. P. Number:
Owner's Name:
Legal Description:
Address:'
Contractor:
•
City, ST, Zip:
Address:
101 0 Q
Telephone:
�..._ .
City,, ST, Zip:
�O
Project Description
,
Telephone.
/ /�f
v /G
:SL`st%w •9 , :....•:::..,
h5 C ,3s'f:y:?� °:tF;t<:>.•. t.;•Y.<}s',J.. °•r3,'•:
Ate, S>
State Lic. #
Arch., Engr., Designer:
Address:
11 1 0 01
City, ST, Zip: �
/ O
'
Telephone:,:..,...:
•%;;'���? •
on$truetionType:State '
Lic.
•:
Occupancy:
.
:v.•?nnia:•'tii�•�y:i Y�$�(;Y ; YiYii'f �';{�
Pr() J type (circle one
Name of Contact Person:
ew Add'n Altcr Repair Demo
Telephone # of contact Person:
'
Sq. Ft.:
# Slorics:
#Units:.
_
Estimated Value of Project•
APPLICANT: DO -NO. WRITE
#
Submittal
BELOW THIS LINE
Req'd
Recd
TRACKING
!'Ian Sets
PERMIT FEFS
Plan Chcck submillcd
f
Structural Calcs.
Reviewed, read), for
Item
Amount .
Truss Calcs.
corrections
Plan Check Deposit
.Called Contact Person
Title 24 Calcs:
Plan Cheek Balance
Plans picked'up
Flood plaih plan
Co_-istruction
Plans resubmitted
..Grading plan
Kcchanical
Subcontactor List
2'' Review, ready for corrections/issue
Electrical
Called Contact Person
Grant Deed
Plumbing
,
Plan; picked up
II.O.A. A pprot al
S.M.I.
Plans. resubmitted
IN IIOUSE:-
Grading
PlanningA
Approval
Review eady for corrections/issue
Developer Impact Fee
Called Contact Person
Pub. Wks. Appr
A•' •i'.P.
Date of perntlt•issue
School Fees
Tclal Permit Fees
�D DO.6
t�.c"\ `' y i S{'. .: I ;� r.x �" �. y _k. 1 r: ir• i �� 4 { �{.)-..� .cr a t rte. 1. � i <y''l .7`..r r c F. t
r r' �' r � sv. ✓7 .t ..� t ✓ .v �.S r � i � � ,.Y 9 s� t
1 jriI''�
Ii