06-4040 (RPL)P.O. BOX 1504 r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
1;w,, Application Number:
06-00004040
Property-Addressi
-80175 VIA MIRASOL
APN:
772-430-010- - -
" Application description:
POOL - RESIDENTIAL
--� Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
25000
d
Applicant:,
. Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
NEUMAN RESIDENCE .
80-175 VIA MIRASOL
LA QUINTA, CA .92253
f
Contractor:
MCINTYRE POOLS & SPAS, INC.
83695 AVENUE 45 V �o��`O�QR•
INDIO, CA 92201.
(760)342-3612
Lic..No.: 614611
LICENSED. CONTRACTOR'S DECLARATION - - 'WORKER'S COMPENSATION DECLARATION
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/21/06
t 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 C ss: C53 - License No.: 614611 - - J
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
contractor
iss
uand
Date` �/ 45:1,1 - - • _
_ 1- have 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 becomesubject to the workers' compensation laws of California,
' • permit to file a signed statement that he or she is licensed. pursuant tothe.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 e, 1 shall forthwith comply 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 dollar5.($5001.:
Dat APPlicant: + l�p L SV
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, sand
..., ( -
-
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 w_ill,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 ownerrof
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, ,
(_ 1 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 followin9 issuance of this permit
Date: Owner:
CONSTRUCTION LENDING AGENCY
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:
LQPERMIT
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
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil ing construction, and hereby authorize representatives
of this cou ty to enter upon the above-mentioned pro o i spection purposes.
rDal -Signature (Applicant or Agent):' Y t� _ •i
1 --
Application Number . . 06-00004040
Permit . . BLDG POOL PERMIT
Additional desc .
Permit Fee 252.00 Plan Check'Fee
163.80
Issue Date Valuation
25000
Expiration Date 5/20/07
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 .. 5/20/01'
Qty Unit Charge Per
Extension•
BASE, FEE'.
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 5/20/07 - '
,.
".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 . ." 39.00 Plan Check
Fee
9.75 `
Issue Date ". 'Valuation
0'
Expiration Date ., 5/20/07. v
Qty Unit Charge. Per
Extension
- BASE FEE'
15.0.0
.3.00-' 6.0000 EA PLB FIXTURE
-18.00
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 -
_
'
Permit # oAu
w/A
X Project Address:
A. P. Number: y
x Contractor.
Address:
X City, ST, Zi;r
x Telephone; '3
State Lic. k
Arch., Engr.. Designer:
Address:
City. ST. Zip:
Telephone:
State Lic.
X Name of Contact Person:
X Telephone of Contact Person:
M Submittal
Plan Sets
Structural Coles.
Truss Coles.
Energy Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
'd
City of La
Quinta'
Building V- Safety Dtvttion
P.O. Box 1504, 78.495 Calle Tampico
U Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
X11 (1'150L 0, rer's Name: % o
S
Lic. #:
Cin. ST. Zip:bo, u_
Telephone:
Project Description:
Total Permit Fees
Construction Type:
• , . _ .`� . . ';;:
Occupancy:
Project type (circle one):
New Add'n Alter Repair.
Sq. Ft..
# Stories:
Demo
:_ ...
A Units:
stimated Value of Proiecl. 2 S— C1
A�rLt�ANT:
DO NOT WRITE BELOW THIS LINE
Reed
TRACKING
MNWMNWMM
Plan Check submitted
PERMIT FEES
Reviewed. ready for corrections
Item
Amount
Called Contact Person
Plan Cheek Deposit
Plans bicked up
Plan Check Balance
Plans resubmitted
Construction
2" Review, read s for correetionsAssue
Mechanical
Called Contact Person
Electrical
Plans picked up
ptumblgb
Plans resubmitted
aw Review, ready for eo rreetlonsJissue
�Grs�jdlng
alled Contact Person
Developer Impact Fee
:±Dsteol
permit
A•J.P P.
Issue
Total Permit Fees