05-2454 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253,
Application Number:
Property Addfess:
APN:
` Application description:
Property Zoning:
Application valuation:
05-00002454
�ST845 VIA ROBLADP:'
772-270-'010-2 311231 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
BUILDING & SAFETY DEPARTMENT,.
BUILDING PERMIT
Applicant: 'Architect "or
rJJUN422 2005
Q'ITY OF 1A QIIINTA
Pilel DEP
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) ofAion usiness and Professionals Code, and my Ljq�sT i@ irjfyH fore at effect.
License las /''� License No.: _ _ �A � (�•.I ` _
Date:%��Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
-
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to,-
construct,
o-construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business. and Professions Code) or `
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 ($5001.:
(_ 1. 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
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements: are not intended or offered for sale. If, however, the building or improvement is sold within
- 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.)" -
(_) •I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. .
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed
pursuant to the Contractors' State License Law.),
1 ) 1 am exempt under Sec. , B.&P.C. for this reason
Date: Owner: -
a CONSTRUCTION LENDING AGENCY
I 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: -
LQPERA11T
Owner:
VISTA LA QUINTA PARTNERS LLC
223 E DE LA GUE RRA
SANTA BARBARA, CA 93140
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777 -7153 -
Date: 6/20/05
Contractor:
MCINTYRE POOLS & SPAS, INC.
WCC: STATE FUND
WC: 1769111 01/01/06
CSLB: 614611 09,/30/05
--------------------------------------------
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for. by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. - -
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
insurance carrier and policy number are: -
Carrier C53 Policy Number - - - - - - - - - - - - - - -
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor C`eE��'� 1I�shh-all forthwith comply with those provisions.
Date: Applicant: G/ MCI—C -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION,COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN8S UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). -IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT -
IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
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 following issuance of this permit.
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 building construction, and hereby authorize representatives
of thi co ty to enter upon the above-mentioned grope ►•for i spection purposes. (�
D e 2 Signature (Applicant or Agent): V
J Application Number
. . . 05-00002454 -
:Permit
BLDG POOL PERMIT
Additional desc .
Permit.Fee
207.00 Plan Check Fee
134.55.
Issue.Date
Valuation
20000,
Expiration Date
12/17/05
Qty Unit Charge
Per.
Extension
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
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000•EA
MECH FURNACE >100K
11.00
1
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
75.0'0 Plan. Check Fee _.
18.75
Issue Date
Valuation
0
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 30.0000
EA ELEC PRIVATE.SWIMMING POOL
60.00
Permit . .
PLUMBING
Additional desc .
Permit Fee . . . .
33.00 Plan.Check Fee
8.25 -
Issue Date . . . .
Valuation
0
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
15.0.0
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. BBQ UL#Z21581995.
LQPERMIT _
...
.
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Bin ,#
: ::City of La Quin
ta
Building aL Safety Division
Permit # P -O. BOX I SO4, 78.495 Calle Tampico
a S La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address -
V ORTef s Name: L
A. P. Number.
Address:
Leeal Description: �
City. ST. Zip•
X Contractor: i C 22
x•� Telephone: .�.
Address: Avg -4
X Ciry•, ST, Zip: - t Project Description: =• mfr
X Telephone
State Lic. # : '
City Lic. #:
Asch., Engr., Designer. `
Address:
Cite. ST. Zip:
Telephone:
State Lic. #: ;s:i.� •�'• '. Construction Type:
:: ,.�. Occupancy;
Project type (circle one): New Add'n
X Name of contact Person: Alter Repair Demo
�-� Sq. Ft.: s:
X Telephone # of Contact Person: � StorieM Units:
stimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
p Submittal Rtq'd Recd
TRACiJNC
Plan Sets PER\IIT FEES
Plan Check submitted
Structural Cola. �7 0 Item
Reviewed, ready for corrections Amount
—
Truss Cates. Plan Check Deposit
Called Contact Person
Energy Calcs. Plan Check Balance
Plans picked up
Flood plain plan ConstructionPlans resubmitted 44d#%TjoJ
Grading plan Mechanical
V Review, ready for corrections/issue
Subco°tactor List Electrical
Called Contact Person
Grant Deed Plumbing
Plans picked up
H.O.A. Approval SAI.1.
Plans resubmitted
IN HOUSE:- Grading
Rtview, ready for correctionsrssuc
Planning Approval Developer Impact Fee
Called Contact Person
Pub. Wks, App A.1.P.P.
is
School
Fees . r s nca
Total Permit Fees
POOL `5PA 5TC5,
POOL SIZE 32'-6rr x2o'
POOL S.A. 5�5 50, Fr,
POOLPER. 10y ff
DEPTHS v -6r, TO y,
POOL PUMP i,5 Hr.
HEATER '.; 400,00OM
FILTER CG' x}20
LIGHTS 1-100 WAff
2-400 wAff
CONTROLLER
SPA SIZE 8, X a
SPA PER. 21 L. Ff.
SPA S.A. 215a, Ff,
SPA DEPTH 36r
JETS 5.
JET PUMP 0 HP
DECK AREA 867 50. Ff
PAT10 AREA
W.F.
96 5Q, Ft
QSide
View
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0
6136 & 51NK
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BUILDING & SAFETY DEPT,
APPROVED
FOR CONSTRUCTION
POOL `5PA 5TC5,
POOL SIZE 32'-6rr x2o'
POOL S.A. 5�5 50, Fr,
POOLPER. 10y ff
DEPTHS v -6r, TO y,
POOL PUMP i,5 Hr.
HEATER '.; 400,00OM
FILTER CG' x}20
LIGHTS 1-100 WAff
2-400 wAff
CONTROLLER
SPA SIZE 8, X a
SPA PER. 21 L. Ff.
SPA S.A. 215a, Ff,
SPA DEPTH 36r
JETS 5.
JET PUMP 0 HP
DECK AREA 867 50. Ff
PAT10 AREA
W.F.
96 5Q, Ft
p�VKI0N5 . l3Y
POOH & TA 5P� 5,
POOL SIZE
POOL S.A. 53350, ff,
POOL PER. 105 Ff
DEPTHS 3'-6" TO 5'
POOL PUMP 1,5 ff-
HEATER aoo,000 m
FILTER CCP 420
UGHTS I-IOO WAff
2-400 WAff
CONTROLLER
SPA SIZE
SPA PER. 21 L, ff.
SPA S.A. 2Z 5Q, ff.
SPA DEPTH 36
JETS 5
JET PUMP 0 w
DECK AREA: 887 50, Ff
PATIOAREA
W.F. 96 5Q. ff
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p�VKI0N5 . l3Y
POOH & TA 5P� 5,
POOL SIZE
POOL S.A. 53350, ff,
POOL PER. 105 Ff
DEPTHS 3'-6" TO 5'
POOL PUMP 1,5 ff-
HEATER aoo,000 m
FILTER CCP 420
UGHTS I-IOO WAff
2-400 WAff
CONTROLLER
SPA SIZE
SPA PER. 21 L, ff.
SPA S.A. 2Z 5Q, ff.
SPA DEPTH 36
JETS 5
JET PUMP 0 w
DECK AREA: 887 50, Ff
PATIOAREA
W.F. 96 5Q. ff
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DATE: 05/02/05
SCALE: 1/8 `-1
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SHEET
OF SHEETS