06-2337 (RPL)P.O: BOX ,1504 .. VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA; CALIFORNIA 922.53 BUILDING &'SAFETY DEPARTMENT INSPECTIONS (760) 77777153
BUILDING PERMIT
Date: 6/09/'06
Application Number:. 06-00002337 Owner:
Property Address: 51686 VIA ROBLADA• CANTERA
APN: 772-270-010-25 -311231- 51-686'VIA ROBLADA
Application description: POOL - RESIDENTIAL LA QUINTA; CA 92253
Property Zoning: LO_ W DENSITY„ RESIDENTIAL ft
Application valuation: 20000
Contractor: U
Applicant: Architect or Engiheer:,r MCINTYRE POOLS "& SPAS, INC. JUN 12 2006
83695 AVENUE 45'..
AA''rr INDIO, 'CA 92201 GiUIPITA
(760)342-3611 CITY OF LAFINANCE DEPT.
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 followinb.declarations: "
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C531 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's�/� _� 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
OW R -BUILDER DECLARATION .. insurance carrier, and policy number are:
I ere 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 toitsissuance, also requires the applicant for Vie person in any manner so as to become subie .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 1 should become subjec the workers' compen tion provisions of Section '
License Law (Chapter 9 lcommencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, forth ' - comply wit ose pr isions.-
•that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of. Section 7031.5 by . _ ,1
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: �11IL111�7POPSECURE
licant: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 - WARM NG- WOR RS' COMPENSA ON .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 burdenofproving that he or she did not build or -
improve for the purpose of sale.).APPLICANT ACKNOWLEDGEMENT
( I 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' StateLicenseLaw 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, '
(_ L 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 harmlesstheCity
• - 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: 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. _
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the • I certifythat I have read this application and state that the above information is rrect. I agree to comply with all -
work for which this permit is issued (Sec. 3097, Civ. C.). ' city and county ordinances and state laws relating to building constructio hereby aut 1 repr entatives
.. of this county o ent upon -the above -me ned property for i s _ do _ urposes.
Lender's Name: '�. - -
/Date• - G� I&Anature (Applicant"or Age —�
Lender's Address:
LQPERMIT - _ -
Application Number. 06-.00002337--
Permit BLDG POOL PERMIT
Additional'-desc ..
Permit Fee . . .207.00 Plan Check
Fee-
134.55
'Issue Date .Valuation
20000
'Expiration Date : 12/06/06
Qty Unit Charge Per
Extension.
BASE FEE
45.00
" 18:00 9.0000 THOU BLDG 21.001=25,.000
162.00
Permit MECH POOL
Additional desc .
Permit;Eee 26.00_ Plan Check.Fee
6.50
Issue Date Valuation
. .
0
• Expiration Date- r. 12/06/06.
Qty'.' Unit Charge Per
Extension
BASE FEE
15.00°
1.00 11.0000 EA MECH FURNACE 5100.K
11.00
--
Permit- - .. ELEC..POOL PERMIT -RES
;
Additional desc
Permit Fee, 45:00 Plan Check
-Fee
11.25
-
Issue Date. Valuation ',
0
Expiration Date"'. 12/06/06,
Qty Unit Charge Per
Extension
BASE FEE
15:00
1.00 30.000'0 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 12/06/06
Qty Unit Charge Per
Extension
BASE FEE
15.OQ
2.0.0 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
rPOOL/SPA ALARMS/BARRIERS SHALL -BE IN, .
.LQPERMIT, .. .- '. .. .. - .. -
.. . ,. ..
Bin #
City of. La Quin't'
Building & Safety Division
P.O: Box 1504, 78-495 Calle Tampico
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and .Tracking Sheet
Permit,#
Project Address:
Owner's Name:
Address:
City, ST, Zip:
Telephone:
Project Description:
A. P. Number:
Legal Description:
Contractor.
Address: , r
City; ST, Zip: .v
Telephone:
City Lic. #:
State Lic. # : G.
Arch.; Engr., Designer: '
Address: '
City, ST, Zip:
Telephone:
State Lic. #:
Narrie of Contact Person:
U
Construction Type: yP : Occupancy:
Project type (circle one): Add'n . Alter - Repair
Demo
Sq. Ft.: Stories:zyE
#Units:
Telephone # of Contact Person:
— �/ .
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
sf
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2°d Review, ready for correctionVissue
Electrical.
Subcontactor.List
Called Contact Person
Plumbing
Grant Deed
Plans picked up:
H.O.A. Approval,
Plans resubmitted
Grading.
IN HOUSE:-
7n° Review, ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees .
I
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