12-0561 (RPL)P.O. BOX 1504"
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 1`� 2-00000561
T4tyl 4'4 Q"
Property Address:
49475 VISTA LUNA
APN:
602-180-999-3 -294574-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
47780
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
Nl� ,
Owner:
BRANDT
49475 VISTA LUNA
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS & SPAS, INC
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
LiC No • 614611
VOICE (760) 777-7012
FAX (760) '777-7011
INSPECTIONS (760) 777-7153
Date: 5/21/12
MAY 29 2U12 IL
CITY OF LA QUINTA
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. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
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: A
Lender's Address:
LQPERMIT
'15a-te: VILURE�
pplicant:
WARNING: TO SECURVKERS' NSATION COVERAGE IS UNLAWFUL, AND SHALLSUBJECT AN EMPLOYER TO CRND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDIF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR D 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 voi f rk is not commenced
within 180 days from date of issuance of such permit, r cessatio of w rk for 180 days will subject
permit to cancellation.
certify that I have read this application and state that the above ' ormatio s c ect. 1 agree to comply with all .
city and county ordinances d state laws relating to building co tructio nd ereby authorize representatives
oft ' :county to enter u n the above-mentioned property for ' spectio ur ses.
ate: S~ . S'gnature (Applicant or A m):
LICENSED NJuLARATION -
- - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am lice sedof 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 Pro ssioy 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: C53 14611
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
te:;e� tor:
issued. -
(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
WNER-BUILDER DECLARATION
insurance carrier and policy number are: ,
I hereby affirm under penalty of perjur that I exempt from the Contractor's State License Law for the
Carrier COMMERCE WEST I Policy Numb 003 0 43590
following reason (Sec. 7031.5, Busin ss an rofessions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the wo/fowhich s p mit is issued, I shall not employ any
construct, alter, improve, demolish, rep ' any structure, prior to its issuance, also requires -the applicant for the
person in any manner so as to become sto t w ers' compensation laws of California,
permit to file a signed statement that e r she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subjehe or rs' compensation provisions of Section
the/
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or -
3700 of the Labor Code, I shall forthwitpl th those provisions.
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. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
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: A
Lender's Address:
LQPERMIT
'15a-te: VILURE�
pplicant:
WARNING: TO SECURVKERS' NSATION COVERAGE IS UNLAWFUL, AND SHALLSUBJECT AN EMPLOYER TO CRND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDIF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR D 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 voi f rk is not commenced
within 180 days from date of issuance of such permit, r cessatio of w rk for 180 days will subject
permit to cancellation.
certify that I have read this application and state that the above ' ormatio s c ect. 1 agree to comply with all .
city and county ordinances d state laws relating to building co tructio nd ereby authorize representatives
oft ' :county to enter u n the above-mentioned property for ' spectio ur ses.
ate: S~ . S'gnature (Applicant or A m):
Application Number
12-00000561
Permit . •BLDG
POOL PERMIT
Additional desc .
Permit Fee•401.50
Plan Check Fee
260.98
Issue Date
Valuation"
47780.'
Expiration Date
11/17/12
Qty Unit Charge
Per
Extension
BASE FEE
252.00
23.00 6.5000
THOU BLDG 25,001-50,000.
149.50
Permit
MECH POOL
Additional desc .
Permit Fee . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation . .
0
Expiration Date
11/17/1-2,
Qty Unit ,Charge
Per
Extension
BASE FEE,
15.00
1.00 11.0000
EA MECH FURNACE >100K
-----------------------------------------
11.00
Permit . .r
ELEC POOL .PERMIT -RES
Additional desc
Permit Fee45c00
Plan Check Fee
11.25
Issue Date -. _
Valuation _
0
Expiration Date .,
11/17/12
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
11/17/12
Qty Unit Charge
Per
Extension
BASE,FEE
15.00
2.00 6.000.0
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, WATER FEATURE ATTACHED TO
LQPERMIT
-
y
B14#
City of La Quin ta
Buitding gr Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Wnta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Pennit #
1 a
Project Add[ess:_
5 U'
L
Owner's Name:.
A. P. Number.
Address: —475 -
75 -Legal
Legal Description:
Contractor.
If P
1 C2 7
City, ST, Zip: o l C,
Telephone:
Address: v 3— 6 Q
45'
Project Description:
r
City: ST, Zip:
Telephone: , _3 2
State Lia #: — 614611
e 201
; " £v
City Lic. u;
r�
Arch., Engr., Designer.
Address:
City., ST. Zip:
'
Telephone:
State Lic. #:
N
r ...
Construction Type:. Occupaacy:
Project type (circle one): New Add'n Alter Repair.
Demo
Name of Contact Person:
�r�
r
Sq. FL:
# Stories:
#Unit$
Telephone # of Contact Person: C .760
2 .�O — $ Z
Estimated Value of Proj
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rec'd
TRACMG
PERMIT FEES'
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
P6a Check Deposit. .
Tess Cates.
Called Contact Person
Pian Check Balaucc.
Mile 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanics[
Grading plan
2'! Review, ready for correetionsfissue
Electrical
Snbeontaetor List
Called Contact Person
Plumbing '
Grant Deed
Pians picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
70 Review; ready for cormcdonslissne
Developer ImpaetTee
Planning Approval
Called Contact Person
A I P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
i� � v _ _ -_
�'