10-0460 (RPL)P.O: BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 '
Application Number:. 10-00000460 -
Property Address: 81808 VIA SAN CLEMENTE
APN: 764-010-008-74 -31910'-.
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Applicat;i4p-Y?IUati6n; 25000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TOBIN
80808 VIA SAN CLEMENTE
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS,
83695 AVENUE 45
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 77777153
Date: 6101110
F Jul -0,2 10 '
1
LQPERMIT
INDIO, CA 92201
I
(760) 342.-3612�S,iEEd7R
Lic. Nc .. 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 iry full force and effect..
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as piovided .
License CI s: 53 - icense No.: 614611
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
' ate - �ntractor: . '
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
• - Lhereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier GOLDEN INS - Policy Number 2010010139097Z
.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 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
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
_
_ 3700, of the Labor Code, I shall, forth comply with those provisions.
/ 1,r
' - any applicant for a. permit subjects the applicant to a civil penalty. of not more than five hundred dollars ($500).:. -
e: l� aVF pplicant: �A
(_ 1 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
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 ($100,000).- IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
• - one year of completion, the owner -builder will have the burden of proving that he or she did not build or --
improve for the purpose of sale.).
APPLICANT ACKNOWLEDGEMENT
• () I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ($Pr'..
IMPORTANT Application is hereby made to the Director of Building and Safcty 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 forthonthis 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, '
1 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
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 Jor 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, Liv: C.1. -
city and county ordinances and state laws relating to building constructs, and hereby authorize representatives
of this count o nter upon the above-mentioned. property for i pe ir3n purposes. -
" Lender's Name:
"u5j
/ Q�� - - - -
ure (Applicant or Agent); '
Lender's Address:
1
LQPERMIT
Application Number . . . 10-00000460
Permit BLDG POOL -PERMIT.
' Additional desc .
Permit Fee . . . . 252:00 Plan Check Fee
163.80
Issue Date Valuation
25000
Expiration Date .. .. 11/28/10'
Qty. Unit Charge Per
Extension -
BASE FEE
45.00
23.00 9.0000 TH0U, BLDG 2,001-25,000
207.00
Permit MECH POOL.
Additional desc .
Permit Fee 26:00 Plan Check Fee
6.50
Issue Date 'Valuation
0'
Expiration Date 11/.28/10
Qty. Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE..>100K
11.00,." r
Permit ELEC POOL PERMIT -RES
Additional desc .
Permit Fee 45..00 'Plan Check Fee
11.25.
Issue Date Valuation
0
Expiration.Date .. 11/28/10
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 11/28/10
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, BBQ. ALARMS/BARRIERS"SHALL BE.:
. LQPERMIT
Application Number . . . . 10.-00000460
.
-----Special Notes and Comments
:IN PLACE AT PRE-PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED. 2007
CODES. 2007 CODES.
------------------_-------------------------------------- ------
-Other Fees BLDG STDS ADMIN (SB1473)
1:00
..Fee summary Charged, Paid
Credited
Due .. .
Permit Fee Total 356.00. .00
.00
356".00
Plan Check Total 189.8'0 '. b.0
_
00`
189.80
Other Fee Total 1.00 00
00
1.00.
Grand Total 546.80 ...00
'.00
546.80
LQPERMIT -
. .
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints; CA 92253 - (760) 777-70--2
.Building Permit Application and Tracking Sheet
Permit #
Project Address: Q_
Owner's Name: v
A. P. Number:
Address: g – FO 6 Cleo?
Legal Description:
City, ST, Zip: �v S V7 • ���-
Contractor:
S. ZS an
Telephone:.
Address: – . LJ le • 5•
Project Description:
City, ST, Zip: 1.
+,
Telephone: 6 i I
10—
State Lic. # : 61 I t
City Lic. #: i' C7 LIS.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: I ktLiC y
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: a 5 �j --. Y 6
Estimated Value of Project: �
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACIQNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Y
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cbeck Deposit
.Truss Cates.
Called Contact Person
Plan Ctreck Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'n° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P_
Pub. Wks. Appr
Date of permit issue.
School Fees
Total Permit Fees
REVISIONS
BY
POOL _& SPA SPECS,
POOL SIZE 13' TO 31
POOL S.A. 288 SQ. FT.
POOL PER, 78 L.F.
DEPTHS S-6" TO 5'-0"
POOL PUMP 4 X 160
HEATER " 250,000 BTU
FILTER CCP 320
1-100'WATT
LIGHTS 2-400 WATT
CONTROLLER EASY TOUCH 4.
SPA SIZE 7'-0"
SPA PER, 22 L.T.
SPA S.A. 38 SQ. FT.
SPA DEPTH 3'-6"
JETS 5
JET 'PUMP
DECK AREA 653 SQ. FT.
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DATE 05-20-10
SCALE: 1/8)1=1 '
DRAWN` BY: LWF
JOB: LOT 74
SHEET
OF SHEETS.