06-1680 (SOTB)P.O. BOX' 1504
78-495 CALLE TAMPICO
LA QUINTA,,.CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
'6=00001680
80704 VIA GLORIETA
772-270-010-18 -311231-
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
2000
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BOND
80-704 VIA GLORIETA-
LA QUINTA, CA,92253
V!�rA i nil=
MAY 0 ?006 U Contractor:
MCINTYRE POOLS & SPAS, INC -
83695 AVENUE 45
C1 DF INDIO, CA 92201
(760)342-3612.
Lic. No.: 614611
VOICE (760) 777-7012• „
FAX (760) 777-7011
INSPECTIONS (760) 777 7153
Date: 5/01/06
--------_----------------
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.
_ 1 have and will maintain a certificate of consent to self -insure for. workers' compensation, as provided
License Class: 53 License No.: 614611
' for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
'Date: ontraetor: _ � r�L �p — ✓�
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 workerscompensation
OWNER -B ILDER 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 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 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' compe ation 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, I shall rthwply with those isi
it n
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).:
t)e[e�/7� S Applicant
( ) 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 WORKEF6 COMPENSATIO OVERAGE 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 Cl, L 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
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,
(_) 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.).. -
city and county ordinarices and state laws relating to building constructi�lr and hereby authorize representatives.
of this Founty to nter upon the above-mentioned property pe 6rvpurposes.
_
Lender's Name:
� /�
Dat i/ K Signature (Applicant or Agen
-
Lender's Address:--
, - -
• r ..
LQPERMIT
Application Number
. . 06-00001680
Permit ...
BUILDING PERMIT
Additional desc .
Permit Fee
45.00 Plan Check
Fee
29.25
Issue Date .. . .
Valuation
.2000
Expiration Date
.10/28/06
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
15.00 2.0000
HND BLDG 501-2,000
30.00
Permit
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . .
17.25 Plan Check
Fee
4.31
Issue Date
Valuation
0._
Expiration Date
10/28/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20'
2.25
-- --
Special Notes and Comments
BARBEQUE ONLY.
--------------------------------------
•Other Fees
. . ENERGY REVIEW FEE
2.93
Fee summary Charged
Paid Credited
Due
---------- - --------------
Permit Fee Total
--
62.25• .00
.00
62.25
Plan Check Total
33.56 .00
.00
33.56
.Other'Fee Total
2.93 .00
.00
2.93
Grand Total
98.74 .00
.00
98.74.._.
LQPERMIT -
11 l Bili: #
Permit #
Project Address:
A. P. Number:
Legal Description:
Contractor:
Address: `
City, ST, Zip:
Telephone:
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan,
Grading. plan'
Subcontactor. List
Grant Deed
H.O.A. Approval:
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Bu'ading Permit Application and Tracking Sheet
Owner's Name:
Address: Q
City, ST, Zip: h
�L i? Telephone:
Project Description:
City Lic.
notal Permit Fees
Construction Type: Occupancy:
Project type (circle one): Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
FOR CONSTRUCTI
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
TRACKING.
PERMIT FEES
Plan Check submitted
V12 8/0
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
,So Z6
Plans resubmitted
Mechanical
2°" Review, ready for correctionsrissue
Electrical*
Called Contact Person
Plumbing '018
Plans picked up
S.M.I. -
Plans resubmitted
Grading
Review, ready for corrections/issue
Developer Impact Fee
Calld
C naY cNY .Perso'an.bN' FY ...
IY
�`�
I -T
A.I.P.P.
YI �i'-�►
'� I
-14Dat
notal Permit Fees
of 9515 � issaeNI .3_&__,';AFFTY f)FPT
APPROVED.
FOR CONSTRUCTI
N
notal Permit Fees
CD w
J r�
f DLLJ
LLJ
Lij
CL-
C- Cfl
�--1
►
s_J c.,.�r.r
W
y
:L.l-J C5
fr
i m C J