08-0849 (RPL)N
I'
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
' Application Number:
08-000008491
Property Address:
53664 VIA STRADA
APN:
772 -540 -046 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
40000
Applicant:
Tdy
4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
NIA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a icensed oder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an Profess' als Code, and my License is in full force and effect.
—License Class: C53 License No.: 614611
Date:b -4F� Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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, 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 (5500).:
1 _ 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
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 (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:_
SHK CONSTRUCTI
53-664 VIA STR
LA QUINTA, CA,
Contractor:
MCINTYRE POOLS &
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Lic. No.: 614611
3
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
AfAy 16 2 pog
Date: 5/15/08
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 DELOS INS CO Policy Number 01DKRM12001870
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 come su t to the workers' compensation laws of California,
and agree that, if I should bec a subje o the workers' compensation provisions of Section
3700 of the Labor Cod/IsS.11 I rthw' comply with those provisions.
Date: �6_Q&ApplicanrWARNING: FAILURE To SECURE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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.
I . Each person upon whose behalf this application is made, each person at whose request andfor
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 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 info m/isct. I agree to comply with all
city and county ordinances and state laws relating to building const ctiy authorize representatives
of this county to enter upon the above-mentioned property for ins ctio
Date: 5' o Signature (Applicant or Agent):
LQPERMIT
Application Number .
. . . . 08-00000849
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
349.50
Plan Check
Fee
227.18
Issue Date . . . .
Valuation
. . . .
40000
Expiration Date
11/11/08
Qty Unit Charge
Per
Extension
BASE
FEE
252.00
15.00 6.5000
THOU BLDG
25,001-50,000
97.50
Permit . . MECH POOL
Additional desc .
Permit Fee
26.00
Plan Check
Fee
6.50
Issue Date
Valuation
0
Expiration Date
11/11/08
Qty Unit Charge
Per
Extension
BASE
FEE15.00
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
11/11/08
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
11/11/08
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
F
NS BY
POOL &
SPA SPECS.
FOOT, 5C�
45' X 13'
POOL 5A,:
598 50. FT.
POOL PFI?,
128 FT
DFPTH5 3'-6" TO 5'-O"
POOL PUMP
1.5 N.P.
HFATM
400,000 m
FIMFF
CCP 420
LICK5
1-100 V/ATT
2-400 VJATT
CONTROLLER
5FA 51-7�
7' X7,
5PA M,.
28 FT
5PA 5A,
49 50,FT.
5PA 17FPTH
42"
IT5
5
JFT PUMP
1,5 HP
MCK AMA
650 50. FT.
PAT10 AMA
W.F.
DATE:
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Ci�f La
ty . Qiunta. .
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
U Quirita, CA 92253 - (7¢0) 777-7012
Building Permit Application and Tracking Sheet
Permit
y
Project Address` 5 3 — 664
U�
Owner's Name: n
CGvIS
A. P. Number:
Legal Description:
•
.Y
Address: 53 '66 Q
City, ST, Zip: G
a oLnlo, (n.,QZ �S
Contractor:
.1
Telephone:'
Project Description:. Po n Q,-7C/
Address: g 3
City, ST, Zip: r
Q
Telephone: 1
State Lie. #: 3, 614
City Licaff. .
,
Arch., Engr, Designer:
Address:
CitY, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
p cy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :
#Stories:
# Units:
Telephone # of Contact-Person: '
_0' (961? C4Estimated
Valiie.of Project: 4000 .
APPLICANT:
DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd •
Rec'd
TRACEINNG .
PERmrr 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
Energy Calcs.
Plans picked up
Construction
Flood plain plan ...
Plans resubmitted
Mechanical
Grading.plan .tad
Review, ready for correctionsrssue
Electrical'
Subcontactor. List
Called"Contact Person
Plumbing
Grant'Deed
Plan§.picked up
S.M.I. .
H.O.A. Approval
Plans resubmitted,
Grading.
M HOUSE:-
''d Review, ready for corrections<ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
,
School Fees
Total Permit Fees