13-0894 (RPL)(: 4 14 a
ii�4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT �. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/16/13
Application Number: 13-00000894, Owner:
Property Address: 53615 VIA STRADA SEDONA HOMES, INC.
APN: 777-200-006- - - 40101 MONTEREY AVE.
Application description: POOL - RESIDENTIAL STE. B-1 - 214
Property Zoning: LOW DENSITY RESIDENTIAL RANCHO MIRAGE, CA 92270 Q
Application valuation: 30000 D
Contractor: ��t �6 ��1�
Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, INC. l-
83695 AVENUE 45
INDIo , CA 92201 CI" LA CUINTA
(760) 342-3612 �tNRNG�dE
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 declarations:
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 Class: 53 License No.: 614611 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�' issued.
ate:V, Contractor: 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:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier WESCO INS CO Policy Number QWCA1843 029
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 700 of the Labor Code, -I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by GG, .�
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Applicant: '
(_) 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.). APPUCANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively 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 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„
(_) 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 followingissuance 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 . correct. I agree to comply, with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building constructio nd her�y authori resentatives
of this court to ter upon the above-mentioned propert r ' cti -
Lender's Name:`
r � Date: /a � Signature (Applicant or Agent):
Lender's Address:
LQPERMIT
LQPERMIT
Application Number 13-00000894
y
' Permit . . . POOL 2013
Additional desc .
Permit Fee 536.25 Plan Check Fee
.00
Issue Date �. Valuation
0
Expiration Date 1/12/14
Qty Unit Charge Per
Extension
3.00 178.7500 EA MISC POOL/SPA
------=---------------------------------------------------------------------
536.25
Permit . . . PLUMBING 2013 �.
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 1/12/14
Qty Unit Charge Per
Extension
'1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
-------------
Special Notes and Comments
POOL,SPA, TWO WATER FEATURESAND FIREPIT
ALARMS AND BARRIERS REQUIRED TO BE
INSTALLED AT PRE -PLASTER INSPECTION.
2010 CALIFORNIA BUILDING CODE.,
---
------------------------------------------ -
Other Fees . . . . . BLDG STDS ADMIN (S B1473)
1.00 '
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
Permit Fee Total 548.17 .00 .00
548.17 , s,
Plan Check Total 00 .00 .00
.00-
00
Other Fee Total 98.24 00 :00
Other
98.24
RI'°^r--f7BI
Bin #
City of La . 111M
Q Quinta
Building 8r Safety Division JUL
P.O. Box 1504, 78-495 Calle Tampico crry. .22013
La Quinta, CA 92253 - (760) 777-701 Zorq OF LA Q NA
Building'Perm'It Application and Tracking Nueer'y DEVEL 'P
Fermi I t #
Project Address: 63'-6/0 Ul CC
'Owner's Name: 5,er
A. P. Number.Address:-
(10 10 moo tq& hol"No
Legal Description:
City, . ST, Zip: Pct 1W1 il!�5ely
Contractor:
�T n W 1-3 _lit C
Tlephone:
Address: F71. 6cf-S nb",p Yci
Project Description: Pool, So,4.. -Tay.
City, IST,.Zip: 7L
Vd" c 90
Telephone:
State Lic. #: Y6,1
City tic. YS
Arch., Engr., Designer:
Address:
City; ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
NN
-Project type (circle one): New Add'n. Alter Reair Demo -
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal.
Plan Sets
Req'd
Rec!d TRACKING
Plan Check submitted witem
PERMIT FEES
Amount
Structural Cales.,
Reviewed, ready. for corrections
Plan Check Deposit.
Truss CaIcs.
Called Contact Person
Plan Check Balance.
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'0 Review; ready for corrccti0 sr s_sue
Electrical
Subcontactor List
Called Contact Person
Plumbing .
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correction sfissue
Developer Impact Fee
Planning Approval
7
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
U I TOF LA U., U! IN I X
UILU1114U Epr.
OAI-t I y Ljr_
r Mu V E
FOR CONSTRUCTION
Total Permit Fees
1 4