05-4172 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
F-5-- 0 0 4 T� r..2
05-00004172��
81548"HIDDEN-LINKS DR
767-200-999-46 -312022-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
T4h- t 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
SEP 2 21005
CITY OF
FINANCE p PITTA
LICENSED CONTRACTOR'S DECLARATION
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 Class: License No.:
7/ Date: tractor. /� v
OWNER -BUILDER DECLARATION J
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).:
(_ 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.).
(_) 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
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) 77.7_-701.2•-u
FAX (760) 777-7011--
INSPECTIONS
77-7011=INSPECTIONS (760) 777-7153
Date: 9/19/05
Owner:
SUTILA
81-548 HIDDEN LINKS DRIVE
LA QUINTA, CA 92253
1I(
Contractor:
MCINTYRE POOLS & SPAS, INC.
WCC: STATE FUND
WC: 1769111 01/01/06
"SLB: 614611 09/30/05
WORKER'SCOMPENSATION 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.
Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
�T Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier C53 Policy Number - - - - ----- - - - - --
_ 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 worke ' compensation laws of California,
and agree that, if I should become subject to the workers' mpensation provisions of Section
3700 of the Lab b, I sha forth comply with ose pr Bions.
Dal Applicant: GYi% -7'a WARNING: FAILURE TO SECURE WO ERS' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND IVIL FINES UP TO ONE HUNDRED THOUSAND '
DOLLARS ($100,0001. 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 building construction, a d hereby a orize representatives _
of this ounty to enter upon the above-mentioned proppeerty for ins ction rposes.
Date Signature (Applicant or Agent)Y 41
Application Number . . . . . 05-00004172
Permit
- Unit Charge Per
BLDG POOL PERMIT'
Extension
Additional
desc . .
15.00
2.00
6.0000 EA
PLB FIXTURE
Permit Fee
. . . .
207.00
Plan Check
Fee
134.55
Issue Date
. . . .
3.00
Valuation
. . .
. 20000
Expiration
Date . .
3/18/06
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
3/18/06
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
3/18/06
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 . . 3/18/06
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
LQPERMTT .
Application Number . . 05-00004172
----------------------------------------------------------------------------
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 .
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CITELIl1 RESIDENCE
r
81-588 HIDDEN LINKS DR. ""' ` "'�
LA QUINTI, CA.
::342-3812
F001. E
CITY OF LA QUINTI
BUILDING & SAFETY DEPT. ,
APPROVED
FOR CONSTRUCTION
DATE 7_=y -BY ��
Bin it
City Of La Quilit'a,
Building 8r Safety Division
P'R"it #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit AAplication and Tracking Sheet
Project Address:
Owner's Name:
A. P. Number:
Legal Description:
'Address: J _
Y'
City, ST, Zip:
Contractor:
;v
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Telephone:
Address:
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Project Description:
Gt}•, ST, Zip: ��
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Tzlephone:
12
tLic.
S:ate Lic. N :
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City
Arch., Engr., Designer:
Address:
aty, ST, Zip:
.
T:Icphonc:
.;;<�� ,, .s >:.:.Tyv,:,v,'.^.,:.: ;•f�':i:l,•.%'a`.
Viz,, Rr..: <••y>xy?r. ,
`'•''> '-<>'s<:;;>»3<%i` 's:
Con struction Type:
Sratc laic. �:
:;;#:•�:::.;,:fy<:<.�yy;.;�.;.:;y`:.<;::.:<:
Occupancy:
':•;':?:>:.,;?s:::' .:.; <<;sr:.:;:<.:.y: s:
..........:... "'•y' '
type circle one
P ) cw Add'n Alter Repair Demo
Nhme of Contact Person:
T_lephonc i of Contact Persori:
'
Sq. Ft.:
Storics:
# Units:.
Estimated Value of Project:
APPLICANT: DO NOT WRITE. BELOW THIS
k
Submittal
Rcq'd
Recd•
LINE
Plan Sets
TRACKING
PERMIT )FEES
Plan Check submitted
LI17
Item
i
�
Structural Cala.
p
Amount
'
Reviewed, ready for corrections
Truss'Calcs.
Plan Check Deposit
.Called Contact Person
Title 24 Cala:
Plan Chick Balance
Plans picked'up
Flood plant plan
Construction
Plans resubmitted
..Grading plan
ht.cchanickI
2" Revien•, ready for corrections/issue-
Electrical
Subcontaetor Lis(
Called Contact Person
Crant Deed
Plumbing
Plans picked up
fI.O.A. Approval
•
S.T I.1.
Plans.resubmhted
IN IfOUSE:-
Grading
'I Review 'cad} for corrections/issue p
Developer Impact Fee
—
Planning Approval
Called Contact Person
Pub.1N'ks. Appr
A.I.P.P.
Date of permit issue
School Fees
Total Permit Fees