09-0367 (RPL)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: 4/24/09
Application Number:C70-9-060O,'0367 Owner.
Property Address: 3_4.11 VIA—MALLORCA WALTERS O
APN: 772-420-999-45 -298943 53411 VIA MALLORCA
Application description: POOL - RESIDENTIAL LA QUINTA; CA 9225
Property Zoning: LOW DENSITY RESIDENTIAL / G
Application valuation: J 37500A
Contractor:
Applicant: Architect or Engineer: MCINTYRE POOLS & C. O
83695 AVENUE 45 IOJ
INDIO, CA 92201
(760)3427'3612
Lic. No.: 614611
As
-----------------/anProfessiofi
------------------------------ -------------- '--------- -----------------------
LICONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION - -
I hereby affirm under penalty of perjury thatensed u er 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 s 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.
�BSte. S �� d9 CDsmactor: I have and will maintain workers' compensation insurance, as'required by Section 3700 of the Labor,
Code, for the performance of the work forwhichthis permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION • • insurance carrier and policy number a/r�:. .1 hereby affirm under penalty of perj ry at I am exempt from the Contractor's State License Law for the Carrier DELOS INS CO Poli9Y Number 2DKRM120001870•
following reason (Sec. 7031 .5, Busin San and Professions Code: Any city or county that requires,a permit to _ I certify that, in the performance of th�work for 'ch 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 bec me subject o 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 becom subject t e workers' compensation provisions of Section
License taw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business andProfessionsCode). or 3700 of the Labor Code, I shall orthwith mply with those 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 ($500).: ate: icant: ,l
(_ 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 WARNING: FAILURE TO SECURE RKE ' COMPENSATION 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 NALTIES AND CIVIL FINES UP 70 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 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 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 ouinta, 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 cessatio f work for 180 days will subject -
- CONSTRUCTION LENDING AGENCY - permit to cancellation. —
1 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 abov informatio correct. I agree to comply with all t
work for which this permit is issued (Se6..3097, Civ. C.). - ,. city and county ordinances and state laws relating to building nstruction nd hereby authorize representatives
of �thiis unty to enter upon the above-mentioned property f inspecti urposes.
Lender's . Name: -
Oate:, Si ure (Applicant or Agent) -
Lender's Address: -
LQPERMIT
Application Number .
. . . . 09-00000367
Permit . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
336.50 Plan Check
Fee
218.73
Issue Date
Valuation
37500
Expiration Date ..
10/20/09
Qty Unit Charge'
Per
Extension
BASE FEE
252.00
13.00 6.5000
THOU BLDG 25,001-50,000
84.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
. 6.50
Issue Date . .
Valuation
. . .
. 0
Expiration Date
10/20/09
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
10/20/09
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
10/20/09
Qty Unit Charge
Per
Extension .
BASE FEE
, 15.00•
2.60 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, 2 FIREPITS,
GAS & ELECTRIC FOR
LQPERMIT
Application Number . . . . 09-00000367
T
-------- --
Special Notes and Comments
FUTURE BBQ (GAS RUN 135 LF 1.1/2"
LINE),18" DEEP COURTYARD WATER FEATURE
WITH ROLLED BOND BEAM. WROUGHT IRON
FENCING NOT INCLUDED IN THIS PERMIT.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
-------------- - ---------------------------------------------------
---- - -
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
Other
---------
2.00
Fee summary Charged Paid
Credited
Due
Permit Fee Total 440.50 .00
.00
440.50
Plan Check Total 244.73 .00
.00
244.73
Other Fee Total 2.00. .00
.00
2.00
Grand Total 687.23 .00
.00 -
687.23
' LQFERMTT -
-
Bin
BuildingSafety'Division
P.O., Box 1504, 78-.495 Calle Tampico
U Quilita, CA 92253 =-(760) 777-7012'
-Building. Permit Application and Tracking Sheet'
Permit #
(0 I
0q
Project Address:
Owner's Name:
A. P. Number:
1 • i0iL^tZr_A
Address:
Leg al Description:
Contractor: Ar, TV,
Address: .83-496-
457-
520-5
City, ST, Zip: ho
Q
Telephone:
Project Description':
(S Is
City, ST., Zip:
• Telephone: U66)
2ZO
llrA& f4r Lr'7. �t
State Lic.#:
Arch., Eng.; Designer:
City Lic.#':.
-Ot r0ded. hond hrom 6,0/,/
cleee
Address:
City, ST, Zip:
2G
1112,
Telephone:
State Lit. #:
Name of Contact Person.
-
e-rry
- I . . . .
Pr
Construction Type: 06mipancy:
Project type .,(circle .one): New Add'n Alter Repair Demo
. . . .
Sq. Ft:
#Sto r;es.-..
# Units:
Telephone# of Contact -Person:
_26-6'96 29 1
Estimated VaIue.ofPrqject
APPLICANT:
DO NOT WRITE BELOW THIS LINE
N
Submittal
Req.d •
RWd
TRACMG.
PERMIT FEES
Plan-Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cales.
Called Contact Person y
Plan Check Balance
Energy CaIcs.
Plans Picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading.plan':
2"d Review, ready for correctiotisfissue
Electrical
Subcontactortist
Called Contact Person
Plumbing
Grant*Deed
y
Plans. a . picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date ofpermit issue
School Fees
7
Total Permit Fees
Bin #
city.. f La. Quinta .
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quirita, CA 92253 -'(740) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address; -153-4'11
Owner's Name: r S t
A P. Number:
Address:. S3.4 U► 'r/1a orccc
Legal Description:
City, ST, Zip:
Co. Q2Zo s
Contractor: "Ar 4
Address: 3 — 6
M,5
Telephone:
o
Description:.Litzn
City, ST, Zip: t
CG' ; Za
(-
Telephone: % 2
36 12
1
State Lie. #
City Lic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lit. #:
. ' Name of Contact Person:"
��
Construction Type: Occupancy:
Project type (circle one): New Add'n " Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact.Person: "
ZSQ �� Z
Estimated Valiie.o�Project: o
APPLICANT:
DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd, -
Rec'd
TRACMG
PERMn FEES'
Plan Sets
Plan Check submitted
`Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
-
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan,
Plans resubmitted
Mechanical
Grading. plan'.
rl Review, ready for corrections/issue
Electrical
Subcontactor-List
Called *Contact Person
Plumbing
Granfl)eed
Plans. picked up
HOA. Approval
Plans resubmitted
Grading .
IN HOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval '
Called Contact Person
A.LP.P.
Pub. Wks. APpr
Date of permit issue
School Fees
A
Total Permit Fees