08-0979 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000979
Property Address: 51905 VIA ROBLADA
APN: 772-270-010-16 -311232-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1000
Applicant: Architect or Engineer:
C aA_- /, � A*
1
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CORACT0"'S DECLARATION
I hereby affirm under penalty of perjury that I m licen under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d Prof ss' nals Code, and my License is in full force and effect.
LicenseClass: C53 License No.: 614611
Date: 1p� l'� Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of ;4hat 1 am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
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).:
(_ 1 I, 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
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQP13ttH11'I'
Owner:
VALDEZ RESIDENCE
51-905 VIA ROBLADP
LA QUINTA, CA 922E
Contractor:
MCINTYRE POOLS &
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Lic. No.: 614611
S
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/09/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
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 workers' compensation
insurance carrier and policy number are:
Carrier DELOS INS CO Policy Number 01DKRM12001870
I certify that, in the perf2RKERS
of he wor which this permit is issued, I shall not employ any
person in any mannecome N ct to the workers' compensation laws of California,
and agree that, if I sha sub' c to the workers' compensation provisions of Section
37000' of the Labor CII forth it comply with those provisions.
Date: d— 94 O Applicant:
WARNING: FAILURE TO SECU ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
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.
2. Any permit issued as a result of this application becomes null and void if rk is not commenced
within 180 days from date of issuance of such permit, or c ssation of rk for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above info ation is act. I agree to comply with all
city and county ordinances and state laws relating to building constr tion, an reby authorize representatives
of this/county/ to enter upon the above-mentioned property for insp tion pur es.
Date: b—5;ignature (Applicant or Ac V1_
Application Number . . . . . 08-00000979
Permit . . . . . .
BUILDING PERMIT
Additional desc . .
Permit Fee
25.00
Plan Check
Fee
16.25
Issue Date . . . .
Valuation
. . .
. 1000
Expiration Date . .
12/06/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
5.00 2.0000
----------------------------------------------------------------------------
HND BLDG
501-2,000
10.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . .
17.25
Plan Check
Fee
4.31
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
12/06/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .7500
PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
----------------------------------------------------------------------------
Special Notes and Comments
BBQ PER APPROVED PLAN
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
1.63
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total
42.25
.00
.00
42.25
Plan Check Total
20.56
.00
.00
20.56
Other Fee Total
1.63
.00
.00
1.63
Grand Total
64.44
.00
.00
64.44
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PER CEC 680.22, SINK TO BE GRILL LIGHT
BONDED TO POOL STEEL IF
WITHIN 5 FT. OF POOL WALL
■■■■■■■■■■■■■■■■■
LENGTH VARIES
LENGTH OF GAS PIPE
DIAM. OF GAS PIPE I V
OUTDOOR KITCHEN NEAR POOL
III
PROVIDE V=NT, WASTE, AND
PLUMBING FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
WATERTIGHT - CEC 680.6 & 680.22(2)
ELEC. RECEPTACLE
SHALL N07 BE LESS THAN
10 FT. FROM POOL WALL
FRONT ELEVATION l/2"=1'-0"
PER CEC 680.22, BBQ TO BE 4'-0"
BONDED TO POOL STEEL IF [�
WITHIN 5 FT. OF POOL WALL
6X8X16 CMU AT
FRONT AND
SIDE WALLS
SOLID GROUT
#4 BARS VERT.
AT 24"
O.C. (TYP.)
#3 TIE STEEL
AT u
O.C. (TYP.)
3'-0" / I I'-0"
GHT SWITCH
GFI DUPLEX
OUTLET -
6X8X16 CMU AT
FRONT AND SIDE WALLS
SOLID GROUT
BBQ:
I.C.B.O. # "7115 l Q
ANSI #
BTU 7:5.:(900
U.L. APPROVED.
STONE, TILE, OR
CONCRETE SLAB COUNTER
#3 BAR AT 12" O.C.
EACH WAY (TYP'.)
PLASTER, PEBBLE -PLASTER,
r- OR TILE
6" BENCH OR
3-1/2" 16' 0 BAR STOOL
BBQ _� #3 VERT./HORIZ.
GRILL —� ao A C�2'(TYP.)
30 0o11.1
i CLR 3.. (n r� w o :c(I R ry _ �
in #
Permit # a
Project Address;
A. P. Number:
or: A ,
N. M
Zip:. 1
E
Telephone: 4
60
_
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# I Submittal
Plan Sets
Structural Calcs.
Truss Caics.
Energy Calcs.
Flood plain plan,
Grading. plan
Subcontactor List
Grant Deed
I7LO.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. App
School Fees
City
of La Ouinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
T�-Bullding
La Quinta, CA 92253 - (760) 777-701i
Permit Application and Tracidng Sheet
Owner's Name:
Address: 5 i V ll Ll
City, ST, Zip: G Ltj
Telephone:
Project Description:
Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n 'Alter Re
CiC:rr Sq. Ft.: # Stories: #
'ts:
-2.S0— g6 Z Estimated Value of Project -12 Q Ge
APPLICANT: DO NOT WRITE BELOW THIS LINE .
Recd TRACMG .
PERMIT FEES
�. Total PermitFees
G-9
Demo
Amount
rai
Plan Check submitted
Item
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2" Review, ready for corrections/issue
Electrical
_
Called Contact Person
Plumbing
Plans, picked up
S.M.I.
Plans resubmitted
Grading
Review, ready for correctionslissue
Called Contact Person
Developer Iupact Fee
A.I.P.P.
Date of permit issue
�. Total PermitFees
G-9
Demo
Amount
rai