06-2260 (RPL)P.O. BOX 1504 VOICE 760 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760),777-7153
BUILDING PERMIT
Date: 6/05/06
Application Number: X06-00002260 Owner:
Property Address: -51576 VIA ROBLADA BUCHOZ/RESIGNO
APN: 772-270-010-21 -311231- 51-576 VIA ROBLADA D �.
Application description: POOL - RESIDENTIAL LA QUINTA, - CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000 JUN 05 20
O6
Contractor. GITyOF
Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, C .FINANCE p UINTq
83695 AVENUE 45 SPT.
INDIO, CA 92201•
(760)342-3612
Lic. No.: 614611
------------------------------------—
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.
Date• _ ntr / �d� �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
OWNER-BUI R 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 C20060333601
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 ubject 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 bec e s ect to the orkers' 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 all hwith co y with t e 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).: at�eo�o A an1 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 WAE TO SECURE RKERS' 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 C INAL 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 AD (TION 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 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 town 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 workis 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 omissionrelated 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 fZ
I subject
CONSTRUCTION LENDING AGENCY " permit to cancellation.
'I 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 awith all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building con ction and hereby autatives
of this c n to enter upon th ove-mentioned property 'pact
purposes.
Lender's Name:
ate: ature (Applicant or Age _ -
Lender's Address: (�
LQPERMIT
:..
Application.Number 06-00002260
Permit 'BLDG POOL PERMIT
Additional desc .
Permit Fee 202.00 Plan Check ".,.
134:55
.Fee
Issue Date Valuation
_20000
- 'Expiratibn bate '. '. 12/02/06
Qty Unit Charge Per
Extension
BASE FEE
45..00
18.00 9.0000-THOU BLDG.2,001-25,1000
162.00
Permit .` MECH POOL-
OOL-Additional
Additional: desc .
Permit Fee 26.00 'Plan Check Fee
6.50
Issue-Date Valuation
0
Exp iration,Date12/02/06
Qty Uhit, Charge - Per
Extension
BASE FEE
15.00
1:00 11.0000- Ek, MECH.FURNACE >100K
11.00
PermitELEC POOL PERMIT.-RES
esc
- Additional,. desc-
Permit
Permit ,Fee` 45•.00 Plan Check Fee :
11.25
'
Issue`Date' Valuation
0
Expiration Date_. 12/02./6.
Qty Unit Charge Per
Extension
"BASE FEE
..15.00 -
1.00 30.0.000'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 12/02/06
'
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. 06-00002260
-------------- - -----------------------------------
Special Notes and Comments
-------------------------
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged
Paid
Credited
Due
--- - - - - ------ - - ------
Permit Fee Total 311.00
-- -- ----
:00
---- - - - -----
.00
-- - - - - - -
311.00
Plan Check Total 160.55
.00
.00
160.55
Grand Total 471..55
.00
.00
471.55
LQPERMIT.
..
,t
y
1'
1
�T DIA SPA
I•••*6II
" 5WR maw o
fAN 11 NG SI•EI F O
• � -28L-
6`61
86 6
ICQlSIRUCTIOIJ SPECIAL!$T ' .
• .•342-3612 I
I1.
BUCHOURESIGNO.,p00POOL
&SpA Sp�CS:
SIZE 26'.6��X
51-576 VIA 1811 DA
POOL S.A. 418 5Q. ff.
LA QUINTA, CA.
POOL PER. 99 6.50.
CITY OF LA QUINTA
DEPTHS !�'•6" To
•
POOL PUMP 1,5 H.F.
BUILDING &SAFETYDEPT.
�OPPf�OVED
HEATER Q°°°°° mI.
FOR CONSTRUCTION ....
FILTER T 420
I -100 WAff
LIGHTS 2-400 WAff
I.
CONTROLLER
SPA SIZE r
. I
SPA PER. 22'L. ff.
SPA S.A. 38' SQ. Ft.
SPA DEPTH 361
I
JETS 9
JET PUMP Ly
�I
nF*eJ( ARCA ti,68 Sn Ff
Bin #
City of La Quinul
Building a Safety Division
P.O Box 1504, 78-495 Calle Tampico
U Quinta, CA 92.253 - (760) 777-7012
Building Permit. A lication an
pp d Tracking Sheet
Permit.#
a
Project Address:'
A. P. Number:
s Name: �Z j . Q
7ic-.0
Address:
Legal Description:
City, ST, Zip:
Contractor:
Address: �y
,Telephone:
Project Description:.
City, S.T, Zip:
Telephone:
City Lic. #:
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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:
Estima ed Value of Project: .
CV
APP CANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIQNG
PERMTT 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'
tad Review, ready for correctionsrissue
Electrical
Subcontactor.List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. 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
Total Permit Fees