06-0279 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00000279
Property Address: 80695 VIA TRANQUILA
APN: 772-270-010-33 -311231-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Td4t .4 4 Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License ass: C53 License No.: 614611
ContractorY)l 0i V
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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 ($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 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:
RISO
80-695 VIA
LA QUINTA,
TRANQUILA
CA 92253
Contractor:
MCINTYRE POOLS
83695 AVENUE 4
INDIO, CA 9220
(760)342-3612
Lic. No.: 6146
VOICE (760) 777-7012
FAX (760) 777-701.1
INSPECTIONS (760) 777-7153
Date: 1/19/06
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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.
1 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 HRH INS • Policy Number 020060333601
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 become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Laborreoft, II shall forthwith comply with those
provisions.
Date: Applicant. 1
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin ruction, and hereby authorize representatives
of this ty to enter upon the above-mentioned pro
pe -purpo —
Date: - Signature (Applicant or Agent):
Application Number . . . . . 06-00000279
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. 20000
Expiration Date
7/18/06
Qty. Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
--------------------------
THOU BLDG 2,001-25,000
------------------------------------
162.00
--------------
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
• 7/18/06
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
7/18/06
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
7/18/06
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
Application Number . . . . . 06-00000279
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
-----------------
Charged' Paid
---------- ----------
Credited
Due
Permit Fee
Total 311.00 .00
--- ------ ----------
.00
311.00
Plan Check
Total 160.55 .00
.00
160.55
Grand Total
471.55 .00
.00
471.55'
LQPERMIT
Permit M
e6..6;271
1f IProject Address:
A. P. Number..
x Address. n v
A City, ST, Zip: —1,7N
Telephone:
A State Ltc. M
Arch., Engr.. Designer:
Address:
City. ST. Zip:
Telephone:
State Lie. #:
1C
LNjameof Contact Person:X=ofact Person'
tt Submittal
Plan Stu
Structural Cales.
Truss Cllcs.
Energy Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
M HOUSE:.
Planning Approval
Pub. VI'ks. Appr
School Fees
QY,of LauI
Q nta
Building & Safety Division
P -O. Box 1 SO4, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Owner's Name:
Address:
Cih'. ST. Zip: �
,ac -
` ..� rSC�n C-
!` fTeleOhnnr
Description:
Citv Lic. M:
�3
�,h�:� r. �:�•.onMctjonOccup
Project type (circle one): New
Add'n Alter Repair Demo
Sq. FI.:33 k Stories:
M Units:
Total Permit Fees
Amount
04 1 tstimatcd Value of proiect: Q
A
rLit-ANT: DO NOT WRITE BELOW THIS LINE
Reed
TRACII'MG
Plan Check submitted PERMIT FEES
i
Item
Reviewed. ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Solanee
Plans bicked up
Plans resubmittConstruction
ed
Mechanical2" Review, ready for eorrectionsAssue
Called Contact Person Electrical
Plu.nbins
Plans picked up
s.nLl,
Plans resubmitted
Grading
Review, ready for eorreetlon$Assue
Called Contact Person Developer Impact Fee
A.I.P.P.
P
Date of
permit issue
Total Permit Fees
Amount