06-2911 (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:
06-OTT02-911�
81577 HIDDEN LINKS DR
767-200-999-24 -312022-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Ti -ht 4 4 a"
Architect or Engineer:
Pip
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: C53 License No.: 614611
ate:
onractor: .��OWNER-BUI DER DECLARATIONI h reby affirm. under pety 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.). -
(_ 1 1, 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 ISec. 3097, Civ. C.).
Lender's Name: �'t�li
—
Lender's Address: 1`r
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/03/06
Owner:
GARY & CAROL RANCK
81577 HIDDEN LINKS DRIVE
LA QUINTA, CA 92253
( D Q LJ
Contractor: AUG CO 4 2006
MCINTYRE POOLS & SPAS,
83695 AVENUE 45
INDIO, -A 92201 rfrf Of LA QUIMTA
(760)342-3612
Lic. No.: 614611
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.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
is 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 su ject to the worke s' compensation provisions of Section
3700 of th Labor Code, I ha/ll f with comply wi those rovisions.
ate: pplicant: �.✓ ��,T
WA ING: FAILURE TO SECURE RKERS' COMPENS ION COVERAGE IS UNLAWFUL, AND SHALL
S JECT AN EMPLOYER TO CRI INAL PENALTIES AN CIVIL FINES UP TO ONE HUNDRED THOUSAND
OLLARS ($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. 1 agree to co ly with all
city and county ordinances and sta a laws relating to building construction nd hereby auth ze rep, sentatives
of this c ty enter upon t bove-mentioned property for ii9 po 0 urposes.
e: gnature (Applicant or Agent): 'moi/
Application Number, . . . . . 06-00002911
Permit
. . . BLDG POOL PERMIT
Additional
desc .
Permit Fee
. . . . 207..00 Plan Check Fee
134.55
Issue Date
. . . . Valuation . . .
. 19783
Expiration
Date 1/30/07
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 . . 1/30/07
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 1/30/07
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 1/30/07
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 .
Permit . .
. .. . . WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 06-000029,11-
6-0000291.1Permit
Permit. . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 217
Expiration Date 1/30/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
---=------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 10 L.F. 5' EQUIPMENT WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 326.00 .00 .00
326.00
Plan Check Total 160.55 .00 .00
160.55
.Grand Total 486.55 .00. .00
486.55
LQPERMIT
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Bin
City Of La Quhlt4-
Permit# Building 8C Safety. DWl0n
P.O. Box 1504, 78.495 Calle Tampico
a�\CA La Quinta, A 92253 - (760) 777.7012
' Building Permit APPlication and Tracking Sheet
Project
Address:
� s
' Owner's Name: Q
A. P. Number:
•
' Address:'
Legal -Description: /
City, ST, Zip:
Contractor:
.
Q�► Telephone: — "<::;;t;>s?f.:f;>::}:�:}}t;
Address: – , / ' �?•'>f:{?�:�'�%
City, ST, Zip: �� Project Description-
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Telephone:12
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State Lic.
City Lic. #:
Arch., Engr., Designer:
Address: ' b� --
City, ST, Zip:
Tele
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h?•..�� r�rrat, n:Wiq.t
• tea,.};'�k'sfa #
s,^ �v :• Construction Type: Occupancy.
State .
Project type (circle one)*.
Name Contact Add'n Alter Repair.
Person: � • Demo
-nv
' Sq. Fl.:
Telephone # of Contact Person: # Stories: # Units:.
��' ' Estimated Value of Project: U Y
—�
APPLICANT: DO 'NOT WRITE
N BELO
Submittal W THIS LINE
Re9'd Recd
TRACI:INC
Plan Sets PERMIT FEES
Plan Check submitted
f
Structural Cala. Item Amount
Reviewed, ready for corrections �— —"—'--
Truss'Calcs. Plan Check Deposit
Called Contact Person
Title 24 Calcs: Plan Check Balance
Plans Picked Up
Flood plain -plan Construction
Plans resubmitted
Grading plan h(echanical
2" Review, ready for corrections/issue
Subcontactor List Electrical
Called Contact Person
Grant Deed Plumbing
Plans picked up ----�.
II.O.A. A S.M.I.
peroral
Plans.resubmilled
IN IIOUSE:_Grading
Review eady for corrections/issue
Planning Approval A Developer impact Fee
Called Contact Person
Pub. Wks. Aper A.1.1'.P.
Date of permlt•issue "'—'------
School Fees
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