05-2222 (RPL)BUILDING &SAFETY DEPARTMENT .
-------' BUILDING PERMIT
e •
ry Owner:
JDA' 3�� LoO VISTA LA QUINTA. PARTNERS
223.E DELAGUERRA•
'IAL SANTA BARBARA, CA 93101
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/0.8/05
Contractor:
Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, INC-:
83695" AVENUE 45
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 declarationsi "
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 Cla s: 3 License No.: 614611 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued_ '
/ Date: tractor, O - . 1 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 -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 STATE FUND, - - - Policy Number 1769111
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 mannersoas 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 the workers' compensation provisions of Section
License Law (Chapter 9.(commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of th or CoI shall forthwith compl 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 penaltypf not more than five hundred dollars ($500).: Dat Applicant:�t �Q ,(J,___�-
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 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 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, amexclusively 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(s) licensed - 1 . Each person upon whose behalf this application is made, each person at whose requestandfor.
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—) 1 am exempt under Sec.. , BAP.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
' - 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 certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and pup eordinances and state laws relating to buildin construction, and hereby authorise representatives
of this un o ntr upon purpose
above-mentioned proper spection s. -
Lender's Name:
ate: KXignpture (Applicant or Agent):
Lender's Address:
LQPERMIT
P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
_05-0"0.00222_ D
Property Address:
51880 VIA
APN:
772-270-01 <
Application description:
POOL - RES I
Property Zoning:
LOW DENSIT F
Application valuation:
20000
BUILDING &SAFETY DEPARTMENT .
-------' BUILDING PERMIT
e •
ry Owner:
JDA' 3�� LoO VISTA LA QUINTA. PARTNERS
223.E DELAGUERRA•
'IAL SANTA BARBARA, CA 93101
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/0.8/05
Contractor:
Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, INC-:
83695" AVENUE 45
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 declarationsi "
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 Cla s: 3 License No.: 614611 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued_ '
/ Date: tractor, O - . 1 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 -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 STATE FUND, - - - Policy Number 1769111
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 mannersoas 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 the workers' compensation provisions of Section
License Law (Chapter 9.(commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of th or CoI shall forthwith compl 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 penaltypf not more than five hundred dollars ($500).: Dat Applicant:�t �Q ,(J,___�-
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 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 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, amexclusively 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(s) licensed - 1 . Each person upon whose behalf this application is made, each person at whose requestandfor.
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—) 1 am exempt under Sec.. , BAP.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
' - 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 certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and pup eordinances and state laws relating to buildin construction, and hereby authorise representatives
of this un o ntr upon purpose
above-mentioned proper spection s. -
Lender's Name:
ate: KXignpture (Applicant or Agent):
Lender's Address:
LQPERMIT
•Appl'ication Number
05=00002222
Permit . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
207:00 Plan Check Fee
134.55
Issue. Date
Valuation . . .
20000
Expiration Date
12/05/05
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
12/05/05
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 Plan Check Fee
11.25
Issue'Date
Valuation .
. 0
Expiration Date
12/05/05
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
33.00 Plan Check Fee
8.25
Issue Date
Valuation . . .
. 0
Expiration Date
12/05/05
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, WATER
LQPERMIT
,
Bin #
Permit # 2yy
�
Project Address:
A. P. Number:
XnTelephonc:
l.Ap:
i� i
'� _ 1X
' G
Arch.. Engr., Designer.
VAddress:Zip:
e:
State Lic. #:
X
Name of Contact Person:
X
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Ciltx.
Truss Cales.
Energy Gales.
Flood plain plan
Grading pian
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks, Appr
School Fees
Avco
City of La Quinta
Building S Safety Division
P.O. Box 1504, 78-495 Calle Tampico
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
Address: � �/- O � � n
Cin-. ST. Zip:
Lic. #:
Description:
rW■
Construction Type: Occu
�. • ::. '�;''. pans:
Project type (circle one): New Add'n
Alter Repair Demo
Sq. Ft.:
# Stories: #Units:
7 stimatcd Value of Proiec•• '�� ---
AP LICANT:
—
APPLICANT: 00 NOT WRITE BELOW THIS LINE
Recd TRACKING
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2-' Review, ready for eorrectionstissue
Called Contact Person
Plans picked up
Plans resubmitted
Review. ready for corrections/issue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Conitruction
Mechanical
Electrical
Plumbing
S.�l.l.
Grading
-------------
Developer Impact Fee
A.I.P.P.
Toul Permit Fees
Amovat
t?�VISIONS I3Y
P001,
POOL SIZE 4o, x17,
POOL S.A. 680 5Q. FT.
POOL PER. 114 Ft
DEPTHS v-611 TO s'
POOL PUMP 1.5 HP.
HEATER 400,000 m
FILTER CCP 420
LIGHTS 2-400VIArr
CONTROLLER
SPA SIZE
SPA PER.
coo w 0 •
t
{
CITY OF LA QUI
a BUILDING & SAFETYD
APPRC�Vlp=
DATE:
/ /0
SCALE:
DRAWN BY:
D T
JOB: I A CAN I ISA
SHEET
OF
SHEETS -