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10-0412 (RPL)��azt P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 10-00000412 81822 VIA SAN CLEMENTE 764-010-008-73 -31910 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 23750 T4ah�tl 4 Architect or Engineer: dip- -------------------------------------------------- LICENSE la BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------------------------------------- LICENSE CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am li ens oder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P fes oats Code, and my License is in full force and effect. License Class: C53 License No.: 614611 ate: 6" l C actor: OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury t at I m exempt from the Contractor's State License Law for the P Y P 1 Y P following reason (Sec. 7031.5, Business d rofessions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repo 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 ($500).: (_) 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.). 1 _ 1 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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 ISec. 3097, Civ. C.). Lender's Name: I pi,. Lender's Address: LQPERMIT Owner: SAM ABDAMICK 81822 VIA SAN CLEMENTE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/11/10 Contractor. MCINTYRE POOLS & SPAS, 1� 83695 AVENUE 45 q INDIO, CA 92201 (760)342-3612 1 Lic. No.. 614611 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I 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 GOLDEN INS Policy Numb 2010010139097Z I certify that, in the performance oft work f hich this permit is issued, I shall not employ any person in any manner so as to be me sub' to the workers' compensation laws of California, and agree that, if I should becom subjec the workers' compensation provisions of Section 3700 of the Labor Code, I shall on omply with those provisions. a/D te:iS �2-/U Appli t: WARNING: FAILURE OO S�ORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PPt ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITI T HE 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 for a 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 Quinta, 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 nul nd void if work is not commenced within 180 days from date of issuance of such permit, or a sation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab a int anon is correct. I agree to comply with all city and county ordinances and state laws relating to buIIdin cons tion, and hereby authorize representatives of this ounty to enter up the above-mentioned property lindction purposes. te:� gnature (Applicant or Agent) Application Number . . . 10-00000412 Permit. . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 23750 Expiration Date 11/07/10 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.000.0 ------------------------------------------------- THOU BLDG 2,001-25,000 --------------------- 198.00 Permit MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/07/10 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 . . 11/07/10 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 . . 11/07/10 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 ---------------7------------------------------------------------------------ Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . 10-00000412 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 347.00 .00 183.95 .00 1.00 .00 531.95 .00 Credited Due .00 347.00 .00 183.95 .00 1.00 .00 531.95 Bin # Qty of La Quinia Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking S.eet Permit #P , �0 Project Address:_ 8 'Z V Owner's Name: ' -C A. P. Number: Address: 81- 2 U n Legal Description: Contractor: ►' O City, ST, Zip: -s�;aN Telephones M�;: Address: _ 6 95 Al 4 S Project Description:SC City, ST, Zip: Co -zZ 0 Telephone: 6 d Y- 361.? State Lic. # : C SAO ' . ` City Lic. #.: Arch., Engr., Designer- esignerAddress: Address: City., ST, Zip: Telephone: �:•� '. "` � s��x p ...�': �:r. "% "yt )Svc L;yf:v{..ivL.�f}�NL�/..}y.;Y`.y.M>krLv 4 State Lic. #: ;,,.uy , {. rs3Y Name of Contact Person: err e,►' . Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: p 0 - $6Z 9 as Estimated Value of Project: 223, SO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 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: 3d 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 I POOL &SPA SPECS. t POO , L SIZE 12 X 28, POOL S.A. 250 SQ. FT. I POOL PER. DEPTHS 3 6 TO 5'-0' POOL PUMP VS 3050 400 HEATER ,000 BTU FILTER CCP 320 1 x100 WATT SPA LIGHTS .2x400 WATT—POOL EA .. SY TOUCH #4 . CONTROLLER CONTROLLER ; . .:. . . . . . . ... . . . . . . . . . SPA SIZE -'--- ` SPA PER. 22 L. F. . . . . . . . ,.W. .+. ....j. . •�� SPA S A. 38 SQ. FT. OF L� UIi ,, . +9 BLOCK - ....... „ s�>=ter DEPT. ..... , ... - . ,. .. .. DING ..... ... suit . . . . ., � SPA DEPTH 42 . . %%%% O - . ,. . . . . . _. . k ..',.- .. -- .. APPROVED JETS — a . 5 .. I UGTIsJ�i 2 2 - CONSTRUCTION - .... y 8 3 4 - / ... � „ 19 - .... _ FOR CC3 ............ _0 . a .... SPA PUMP. . .., .... : �...�..,.- �- DECK 620 SQ. FT. . -. a 5 p a • —9" a a a ...... ............. a ........ . . . . ... . ang 17 .,, EXIST. CON'C, y w � r _. �� ccs . . e sN s co o ® 3 ... Iq all CAPISTRANO .... .. . .... .... LOT 73 .. ... L LI .... 81-872 VIA -SAN CLEMENT E lam... LAUINTA Q CA w 0-4 v I Q Q O 0-0J w 04-30-10 DATE....... SCALE: 1/8))=l) DRAWN BY. CWF JOB: - LOT 73 SHEET OF SHEETS