08-0989 (RPL)P.O. BOX 1.504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
• Application Number: 08-000009891
Property Address: 49241 AVENIDA VISTA BONITA
APN: 773-350-029-29 -14496
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4800
Applicant: Architect or Engineer:
�on�na��" Isla
--------------------
LICENSED ONTRAC R'S DECLARATION
I hereby affirm under penalty of perjury that I am tic nsed unde rovisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and P fession s de, and my License is in full force and effect.
License Class: C53 nse No.: 614611
` Dater ontractor: I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjur h 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 t0 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.).
(_) 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. , BAP.C. for this reason '
Owner:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Date:
i' 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/08
Owner:
BETTS RESID C
C ''//
49241 AVEN A SA*IJTA
LA QUINTA, A 9�NA
Contractor:
MCINTYRE POOLS & SPAS, INC
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Lic. No.: 614611
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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
certify that, in the performance of the work for hich this permit is issued, I shall not employ any
person in any manner So/bee'
toeCOme Sub to the workers' Compensation laws of California,
and agree that, if I shoule subj the workers' compensation provisions of Section
/n°i _ X70 o the Labor Codeforth i omply with those provisions.
Date: Applicant: i
WARNING: FAILURE TO SECURE RKERS' 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.
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 Quima, 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 w rk for 180 days will.subject
permit to cancellation.
I certify that I have read this application and state that the above information is c r ct. I agree to comply with all
city and county ordinances and state laws relating to building const /A tion, an eby authorize representatives
of this county to enter upon the above-mentioned property;r ins coon pu s.
�rDate. Signature (Applicant or Ageml,
1
Application Number
08-00000989
Permit
BLDG POOL PERMIT
Additional desc .
5'. Permit Fee _
72.00 Plan Check
Fee
46.80
Issue`.Date
Valuation
. . . .
4800
Expiration Date
12/20/08
Qty Unit Charge
Per
Extension
BASE. -FEE
45.0.0 ,
3.00 9.0000
--------------------------
THOU' BLDG 2,001-25,000
-----------------------------
---------
27.00 -
------------
Permit . . .
MECH POOL
Additional desc .
Permit. Fee
26.00 Plan Check
Fee
6.50'
Issue Date . .
Valuation
. . . .
0
Expiration Date".
12/20/08
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
12/20/08
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
27.00 Plan Check
Fee
6..75.
Issue Date
Valuation
0
Expiration Date
12/20/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
'1.00 6.0000
EA PLB FIXTURE
6.00
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
--------
SPA. .ALARMS/BARRIERS
SHALL BE IN PLACE
LQPE"11T
-
Application Number . . 08-00000989
----------------- -------------------------------------------------------
Special Notes and Comments
F•
.
.i
"'AT PRE -PLASTER INSPECTION. EQUIPMENT'
ENCLOSURE NOT INCLUDED.
•'
Fee summary,''' t Charged Paid.
Credited
Due.
_
------------ _----
Permit Fee Total 170.00. .00
----- ----------
..00
170.00
'
Plan Check Total 71.30 .00
.00•
71.30
'
Grand Total 241.30 .00
.00
241.30
r.
LQPERAUT
- -
r
'Bin #
City of La Quint!
..Building U Safety -Division
P.O. Box 1504, 78-495 Calle Tampico
U Quinta, CA 92253 - (740) 777-7012
Building. Permit Application and Tracking Sheet
Peiinit #
Project Address; '42--241 o
Owner's Name:
S"
A. P. Number:
Address: 4q- T41
Legal Description:
City, ST, Zip:IQ 9E Q
Contractor:
06,
Telephone:
Project Description:.
Q
Address:
City, ST, Zip: •
Telephone: 4
State Lie. # : 53 6
Arch., Engr.; Designer:
Address:
City, ST, Zip:
Telephone:
State Lib. #:
Name of Contact Person: r
Construction Type: Occupancy:
p cY:
Project type (circle one): New Add'n ' Alter Repair Demo
Sq. Ft :
#Stories:
# Units:
Telephone #, of Contact-Perso . ' —
Estimated Value.of Project: --r
14. 8W
APPUCANT: DO NOT WRITE BELOW THIS UNE .
N
Submittal
Req 'd •
Roca
TRACKING
{ . PERMIT FEES
Plan Sets
Plan Check submitted
'Item
Amount
Structural Calcs.
Reviewed, rea for correc '
L
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"' Review, ready for correctib issue
Electrical' .
Subcontactor.List '
Called'ContactPerson
Plumbing
GranfDeed
Plans. picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading.
IN HOUSE:
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval '
Called Contact Person
A•I•P,P.,
Pub. Wks. Appr '
Date of permit issue
School Fees
s
Total Permit Fees