06-2738 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number: c 6-00002738
Property Address: 80701 VIA GLORIETA
APN: 772-270-010-43
Application description: description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuadun: 20000
I
4
BUILDING &SAFETY DEPARTMENT'
BUILDING PERMIT
Owner:
VISTA LA QUINTA_PARTNERS
223 E. DE LA GUERRA
SANTA BARBARA, CA 9314
FD
Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011
- INSPECTIONS (760) 777-7153
Date: 7/19/06
JUL 20 2006 ISI
Applicant: Architect or Engineer:
MCINTYRE POOLS & SPAS I I C.
83695 AVENUE 45 CITY OFL.AQUINTA
INDIO, CA 92201 FINANCE DEPT.
aid'
(760) 342-3612
Lic. No.: 614611
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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.
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 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' 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, I II forth comply with those visions.
t
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
of
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
plicant:
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' COMPENSATION C VERAGE 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 -
(_ 1 1, 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 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.
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 ordinances and state laws relating to building construction and hereby authorize representatives
of this my to enter upon the above-mentioned property fo echo purposes. -
Lender's Name:
-
..
-
ate: � S' ature (Applicant or Agent):
Lender's Address:
'
., _ .,
LQPERDIIT,
Application Number .
... . 06-00002738
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
LQPERMIIT
Application Number 06-00002738
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 Fec 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 #
Penna #
Project Address: /
A. P. Number: �3
Legal Description:
Cctor:
:Aiddress:
Cit)-, ST, zip: / .O
Telephone: / /Z
State Lic. # : L
Arch., Engr., Designer:
Address!
City, 8T, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Trust 'Calcs.
Title 14 Calcs.
Flood plain pian
..Grading plan
Subcontactor List
Grant Deed
------------
II.O.A. Approval
IN IIOUSE:-
Planning Approval
Pub. INTS. Appr
School Fees
City Of LaQUi11b.
Building &r Safety. Division
P.O. Box 1504, 78.495 Calle Tampico
La Quints, CA 92253.(760) 777-7012
Building Permit
Application and eking Sheet
Ow'ner's Name: r
Address:' _
O C
City, ST, Zip:
' A
Project Description:
r
Lia #:
}{•'>:I''f:' <#:s# Construction T
°:,.:.';> "•<'}#',; `' "'`` ..`` )'Pe• Occupancy:
rss£ Project We (circle one)'
ea' n Add Alter Repair Demo
Sq. Ft.: NStories:
_ #Units;.
COS stimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
'd Recd
TRACI:INC
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans kicked up
Plans resubmitted
I•' Review, ready for correctionsrissue
Called Contact Person
Plans picked up
Plans. resubmitted
'"� Review ead) for corrections/issue,
Called Contact Person
Date of permit -issue
PERMIT FEES
Item Amount
Plan Check Deposit
Plan Check Balance
Construction
h(echanical
F.Itctrical
Plumbing
S.DI:l.
Grading
Developer Impact Fee
A.I.P.P.
'Total 1'crmit Fees