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12-0160 (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: 2/122/12 Applicationi Number: 12-0 0000160 Owner: Property Address: 5353-9 VIA::MALLORCA ALLEN, APN: 772-420-999-49 -298943- 53539 VIA MALLORCA Application description:' POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL , Application valuation: 25000 � Q �I Contractor: q Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, I C-: t} 83695 .AVENUE 45 �a ,3 f ` j INDIO,-CA 92201 ' (760)342-36i2 C1�7(9� ASJIN�14 Li c. No.. 614611. T , 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 o the Business and Professionals Code, and my License is in full force and effect: _ �" _ 'I have and willmaintain a certificate of consent to self -insure for workers' compensation, as provided ., License Class: C53 c License No • 614611 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is // .,,/ issued. `/ Date: f, ontractor: - a _ Y^ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -r-- 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 COMMERCE WEST I Policy Number 00330843590 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) or00 of the tabor Codeee,, II ssha%ll.fGort hrn9w/it�b com ly 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 permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e:O* plicant: % (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work,'and - �77T�� the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The_ WARNING: FAILURE TO SECURE WORKERS' 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 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 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: ermit.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. 1 agree to comply with all i 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 county toe er upon the above-mentioned property for ' pe n poses. - ' Lender's Name: - � � . ate: nature (Applicant or Agentl� - - Lender's Address: LQPERMIT Application.Number :. 12-00000160 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 252.00 Plan Check Fee 163.80 , Issue Date Valuation 25000 Expiration Date 8/20/12 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2,001-25,000 '207.00 Permit . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0. Expiration Date 8/20/12 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 8/20/12 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:. 8/20/12 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: ALARMS/BARRIERS SHALL BE IN . LQPERMIT • Application•Number . . . . . ,12-00000160 ----------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION'. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. -------------------------------------------------- -------------------------- ------------------_----------------- ------ Other Fees BLDG STDS ADMIN (SB1473) Other .1.00 Fee summary '. Charged Paid Credited Due Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Other Fee Total 1.00 .00 .00 1.00 Grand Total 546.80 .00 .00 546.80 t LQPERMIT - . PO L -7' _;Q1 -5' -4' 0 tA/L3 -3' 0 1 �"Y OF LA QUIN7; BUILDING & SAFETY DE � .FOR COt4ST\RUCTlON aA • .v SEE MAINE Elm I my a 119, ME I'M MLIV, ON I'm I FAME EVILVA, F 'I 'j v 4T 4,111liv 4111,64,& . I 2 • 'MASTER. ------ — ---- —= --- +5, " BEDROOM I16 14 13 2% -- --- 22 'r%Rr- A I I � • . '. .. V Ch 1 I I ROOM I I IC Ix KA EN I I: RESIDENCE +g, APPROVED PAD = 995.9 - x FINISH FLOOR = (ASSUME 0') I I I MASTER— I I L i BATH — NOTE: ;:•.. AINDICATE HEIGHTS S MEASURED FROM FINSH FLOOR I I I f ENTRY — — _ — — rl — AR I I PANTRY Ir J� I I C--1T -k- 1� Pf- Lic. # 614611 Insured 1/ 111?\711T lean■ aw ■ Vag a■ a ETA, 1 a ■ ■ILaJ CONSTRUCTION SPECIALIST 83-695 Ave. 45 • Indio, CA 92201 Mike McIntyre Phone: 760 342-3612 • Fax: 76o342-3832 mikemcintyre@mcintyrepools.com +g' DECK �c BBQ LOT 48C (PAD=996.5) F Bin # City Of La Quint Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet . Permit # n 1(� Project Address: i cL Owner's Name: a) Leo A. P. Number: aUkW Address: Legal Description: City, ST, Zip:` e Contractor: � e. S �( . Telephone: �• ;�.�,�,'�..:�,�',•.� �.;�t....K';`�;< . Address: 5 S Project Description: City, ST, Zip: • V1 di o r Telephone: _ f m State Lic. # : City Lic. C N S Arch., Engr., Designer: Address: City., ST, Zip: Telephone: V State. Lic. #: 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: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans .picked up Construction 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: 7rd Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A,LP,P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees