06-1679 (RPL)P.O. BOX 1504 . ,
78-.495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001679
Property Address: 80704 VIA GLORIETA
APN: 772-270-010-18 -311231-
Application description: , POOL —RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: , 20000
4 uQmm.
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING &,SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/01/06
Owner:
BOND '
D d 704 VIA GLORIETA
QUINTA, CA 92253
MAY 0 2 1006
�TL�O!LApC ntractor:
Applicant: Architect or Engineer:MUINTA
INTYRE POOLS & SPAS, INC.
695 AVENUE 45
.. INDIO, CA 92201 ;
(760)342-3612
A.li✓ Lic. No.: 614611
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
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.
Da� Contraot��E� Z�u� S' 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 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' cogopensatioggMvisions 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, I shall fort wit comply with tho provisi - _ 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 (55001.: De[,�Applicant:
(_ 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 WOR S' COMPENSAT19 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 CRIMIN PENALTIES AND CfVIL 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 contractors) 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 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 comp) ith all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating
to building co on, and authorize repre atives
of this coun to enter upon the above-mentioned pro art
r coon p s. -
Lender's Name:/f�
i?nature (Applicant or AgeR
Lender's Address: - - - -
LQPERMIT .
Application Number . . . . .. 06-00001679
Permit .. . . :` BLDG POOL PERMIT
Additional desc'.
Permit Fee . . . 207.0.0 Plan Check Fee
134.55
Issue Date . . . . Valuation
20000
Expiration Date 10/28/06
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.. 10/28/06
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 10/28/06
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.. 10/28/06
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
-
• Application Number ,. . . . . 06-00001679
------------------------
Special 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
:J
4
Bin '#
City of La . ui:nta '
Building 81 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 Q
Owner's Name:
A. P. Number: U
Address:
Legal Description:
ontractor:
Contractor./a/-
2
Address:
City, ST, Zip:
Telephone:
Project Description:
City, ST, Zip: -
Teleph=
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #: law
Name of Contact Person:
Construction Type: Occupancy:
.Project type (circle one): a d&n Alter Repair Demo
Sq. Ft.: L ones:
Units:
Telephone # of Contact Person:. �s �/
Telephone
Estimated Value of ro ect:
APPLICANT: DO NOT WRITE BELOW THIS L
#
Submittal
Req'd
Recd
TRACIUNG
PERMIT FEES
Plan Sets
Plan Check submitted
q1z A
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up '
Construct -on
Flood plain plan.
Plans resubmitted
Mechanical
Grading, plan
2"' 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:-
''" Review, ready for corrections/issue
Developed Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date p
F
OLA-01 it
krp
School Fees
& SAFETY [
EPT
Total Per -nit Fees
." I rluc.; I ION i
DATE
001. & 5FA 5PEC5,
POOL SIZE
POOL S.A. I!A
POOL PER. 102 x.50.
DEPTHS �' _0; TO •
POOL PUMP L. ,
HEATER loo," n
FILTER y CCF 420
i-100 WA,rt
UGHIS 2-400 WAit
CONTROLLER
SPA SIZE e1 P[A
SpA PER.
SPA S.A. 50' 50. rr.
• SPA DEPTH 30"
JETS 5
.ET PUMP
DECK AREA 907 50 fit. .
Ct
• f.M1NiNG
BOND RESIDENCE
.. ,.,
(- -- LOT 10 JA CMTEU pools & sm
_