06-2262 (RPL)P.O. BOX 1504VOICE, (760) 777-7012
78-495 CALLS TAMPICO. FAX (760)-7'77-7011
LA'QUINTA;;.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
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Application Number: .�06-00,0022(52,____..Owner:
Dater 6/05/06
Property Address: 51664' VIA ROBLADA BONI SIKLAL
APN: 772-270-010.-24 311231- 51664 VIA ROBLADA
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 '
Property Zoning: LOW DENSITY RESIDENTIAL O .
Application valuation: 20000 0
Contractor:
Applicant:. Architect or Engineer: MCINTYRE POOLS PAS NC!! bo
83695 "AVENUE 45 �J �r1g1tu
INDI.O, CA
(760)342-3612 OF GAO
t1'"� A,• : LiC.. No": c 614611
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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 thefollowing declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License isin full,force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licen e.Classr- 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: Contractor•- :1 -have -and -will -maintain -workers compensation -insurance .as_required_by-Section-3.700-of-the-Labor
Code, for the performance of.the work for which Ihis permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION insurance carrier and policy number are: - _
ereby 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, Ishall not employ
construct, after, alter, improve, demolish, or repair any stLucture, 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 he workers', co pens t,on. provisions of. Section
License Law (Chapter 9 (commencing with Section7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, tshojqnhwitKomply with 998b pro sions. '
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:pplica �GL
(_) I; as downer 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 W�ANAEIMUPRLOYER
FAILURE TO SECURE W ERS' COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL
-Contractors' State License Lawdoesnot apply to an owner of property who builds or improves thereon, TO CRIM AL PENALTIES AND IL 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 OMPENSATION, 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, AN 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(sl 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 Quinta, its officers, agents and employees for any act or omission related to the work being
Date: Owner: 2
performed under or following issuance of this,permit.
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 80 days will 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 agree to comply with all
workfor which this permit is issued (Sec, 3097, Civ. C.). - .city and county ordinances and state. laws relating to building cons y tion, a erebyauthoriz repr ntatives - -
• - rDate:
unty to a er upon a above-mentioned property f s ction rposes. . Lender's Name: � ignature'lApplicant or Agent).
Lender's Address: - - - -
LQPERMIT .. - ..
Application Number . . . . 06-00002262
Permit• . . . . . . BLDG POOL PERMIT
i Additional'desc ..
Permit Fee. .. 207`.00 Plan Check Fee
134.55
Issue.Date"Valuation . .
. 20000
Expiration Date 12/02/06 1
'
Qty 'Unit Charge Per
Extension
. 1 7 BASE FEE
45.00 ;
18.00 9.0000 THOU BLDG 2,001-25,000
162.00
Permit MECH POOL
Additional-'desc
Permit Fee ,26.00 Plan Check -Fee
', 6.50
Issue Date Valuation
-
0
Expiration Date ' 12/02/06
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 45.00 Plan Check Fee
11.25
Issue Date . . . Valuation' . ..
. 0
`. Expiration Date 12/02/06 .
Qty. Unit Charge Per
Extension' -
' BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL
30.00 r
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 i
1.00 3.0000 EA PLB GAS'PIPE 1-4 OUTLETS
•
3.00
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Special Notes and Comments- r
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
,
LQPERMIT .
-
Bin #
r
i
City of La Quinta'
I Building a Safety Division _
P.O. Box 1504,' 78-495 Calle Tampico
La Qui�nta, CA 92253- (760) 777-7012
Building Perrnit Application and Tracking Sheet
Permit.# 2
2�(p
Project Address:
Owner's Name:
Address:
A. P. Number: . _ I
Legal Description: ,
City, ST, Zip.
Contractor:—
Telephone:
'
Address:
Project Description:
City, ST, Zip: v
Telephone:
State Lie. #
City Lie. #: I"
Arch., Engr., Designer:
Address: I
-
City, ST, Zip:
Telephone:
State Lie. #:
Narrie of Contact Person:Ft.:.
Construction Type: Occupancy:
_
Project type (circle one): ew Add'n Alter Repair - Demo
s # Stories:
#.Units:
Telephone# of Contact Person:Estimated
Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal.
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready ford corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up ' I
Construction
Floodplain plan
Plans resubmitted I
Mechanical .
Grading.plan
2pd Review, ready for correctiomrissue
Electrical
Subcontactor:List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval '
i
Plans resubmitted I
Grading
IN HOUSE:-
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue4
SchoolFees ..
1'
Total Permit Fees