10-0362 (RPL)0
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000362
Property Address: 81836 VIA SAN CLEMENTE
APN: 764-010-008-72 -31910 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25000
Applicant:
eollo"
Ti,ut 44v Q
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J
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
Mv
Owner:
LA QUINTA 57 ESTATES INC
78401 HWY 111 STE G
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/27/10
---------------------------Z-r--------------------------------------------------------------------
LICENSED CO TRAC
I hereby affirm under penalty of perjury that I am lice-- under
Section 7000) of Division 3 of the Business and Profe onals
License Class: C53
Date: lavntractor:
100,
ns of Chapter 9 (commencing with
my License is in full force and effect.
614611
NER-BU DECLARATION
I hereby affirm under penalty of perjury tha I am empt fromm the Contractor's State License Law for the
following reason (Sec. 7031.5, Business an Pr essions Code: Any city or county that requires a permit to
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 ($500).:
(_ 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.).
(_ 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.).
(_ 1 I am exempt under Sec. , BAP.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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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.
tr' 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 P )icy Num r 2010010139097Z
certify that, in the performance of he work r hich this permit is issued, I shall not employ any
person in any manner so as to ecome s i t to the workers' compensation laws of California,
and agree that, if I should bec me subj t the workers' compensation provisions of Section
,33700 of the or Code, I s II forth it comply with those provisions.
ate' 6.L(/ plicanC
WARNING: FAILURE TO SECU E WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO C AL PENALTIES AND CIVIL FINES 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 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 becom null and void if rk is not commenced
within 180 days from date of issuance of such perm' , or cessation ork for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov inform is orrect. I agree to comply with all
city and county ordinances and state laws relating to building onstru 11 hereby authorize representatives
ofthis county to enter upon a above-mentioned property f r i sp n rposes.
Date. — 3-/ 'nature (Applicant or A�efRT^
Iia
Contractor:
MCINTYRE POOLS & S
INC.
83695 AVENUE 45
�} 9
INDIO, CA 92201
(760) 342-3612
LiC. NO.. 614611
G� i! rr LA UINTA
---------------------------Z-r--------------------------------------------------------------------
LICENSED CO TRAC
I hereby affirm under penalty of perjury that I am lice-- under
Section 7000) of Division 3 of the Business and Profe onals
License Class: C53
Date: lavntractor:
100,
ns of Chapter 9 (commencing with
my License is in full force and effect.
614611
NER-BU DECLARATION
I hereby affirm under penalty of perjury tha I am empt fromm the Contractor's State License Law for the
following reason (Sec. 7031.5, Business an Pr essions Code: Any city or county that requires a permit to
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 ($500).:
(_ 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.).
(_ 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.).
(_ 1 I am exempt under Sec. , BAP.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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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.
tr' 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 P )icy Num r 2010010139097Z
certify that, in the performance of he work r hich this permit is issued, I shall not employ any
person in any manner so as to ecome s i t to the workers' compensation laws of California,
and agree that, if I should bec me subj t the workers' compensation provisions of Section
,33700 of the or Code, I s II forth it comply with those provisions.
ate' 6.L(/ plicanC
WARNING: FAILURE TO SECU E WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO C AL PENALTIES AND CIVIL FINES 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 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 becom null and void if rk is not commenced
within 180 days from date of issuance of such perm' , or cessation ork for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov inform is orrect. I agree to comply with all
city and county ordinances and state laws relating to building onstru 11 hereby authorize representatives
ofthis county to enter upon a above-mentioned property f r i sp n rposes.
Date. — 3-/ 'nature (Applicant or A�efRT^
Application Number . . . . . 10-00000362
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 252.00 Plan Check Fee 163.80
Issue Date . . . . Valuation . . . . 25000
Expiration Date 10/24/10
Qty Unit Charge Per Extension
BASE FEE 45.00
23.00 9.0000 THOU 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 . . 10/24/10
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 10/24/10
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/24/10
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. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 10-00000362
----------------------------------------------------------------------------
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
-----------------
Charged
--------------------
Paid
Credited
--------------------
Due
Permit Fee Total
356.00
.00
.00
356.00
Ulan Check '1'8t&1
189. esu
.00
.00
189.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
546.80
.00
.00
546.80
LQPERMIT
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
.Building Permit Application and Tracking Sheet
Permit #
Project Address: 61-636 VicOwner's
Name:
A. P. Number:
Address: &9- YO ( 14c-� l I
Legal Description:
City, ST, Zip: Q% VJ • ��-
Contractor: L� 5' ZSL
Telephoner-
Address: �� 5
Project Description:
City, ST, Zip: .
Telephone: i
r
State Lie. # : Gl �61 City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
. 3
Telephone:
State Lie. #:
Name of Contact Person: I C Tj' !
Construction Type: Occupancy:
Project type (circle one): New AId'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 16� 6
Estimated Value of Project: 0 od
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIUNG .
PERMIT FEES
Plan Sets
Plan Check submitted
t-�
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d 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:-
"d Review, ready for corrections/issue
Develorer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
i
SPA DEPTH 42"
JETS 6
SPA PUMP SAME
DECK AREA 607 SQ. FT
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f
REVISIONS BY
POOL &SPA SPECS.
POOL SIZE 16 X 32
POOL S.A. 333 SQ. FT.
.
POOL PER.84 .. L F.
DEPT 3 —6
DEPTHS TO 6— 0
POOL PUMP VS 3050
w
HEATER 400,000 BTU
R P N
C7
FILTER CCP 320
° 18
WOO WA — SPA
TT
LIGHTS
aa.
—
2x400 WATT POOL
�1 2
CONTROLLEREASY TOUCH 4
a °
SPA SIZE 7' DIA.
Q k�
a
„ 4 °
,
SP APER. 23'-L.F.
-_� <.
4 2 SQ. FT.
SPA DEPTH 42"
JETS 6
SPA PUMP SAME
DECK AREA 607 SQ. FT
e
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