06-3674 (SOTB)' P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number._06-00003674-- 1
Property Address: 81644 HIDDEN LINKS DR
APN: 767-200-999-40 -312022-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000
Architect or Engineer:
Pt
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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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
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).:
(_ 1 1, 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 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 _ 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:
LQPER 11T
VOICE (760) 777-7012 ..
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/16/06
Owner:
RYBANT
81644 HIDDEN LINKS DRIVE
LA QUINTA, CA 92253
(
Contractor:
MCINTYRE POOLS & SPA NCtv—
C,
83695 AVENUE 45 006
INDIO, CA 92201 (760)342-3612Lic. No.: 614611WE�E1�
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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, 1 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 rovisions of Section
3700 of the Labor Code, I shall fort itigi comply with tho provis� . .
e�plicant: i
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 building constructio , and hereby authorize representatives
of this county to enter upon the above-mentioned property f 'nspec purposes.
gat /4, � �S' nature (Applicant or Ager 4 M�
Application Number .
. . . . 06-00003674
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee
45.00 Plan Check
Fee
29.25
Issue Date . . . .
Valuation
2000
Expiration Date . .
.4/14/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
15.00 2.0000
---------------------------------7------------------------------------------
HND BLDG 501-2,000
30.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17.25 Plan Check
Fee
4.31
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
4/14/C7
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
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Special Notes and Comments
BBQ PER APPROVED PLANS
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
2.93
STRONG MOTION (SMI)
- RES
.50
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total
62.25 .00
.00
62.25
Plan Check Total
•33.56 .00
.00
33.56
Other Fee Total
3.43` .00
.00
3.43
Grand Total
99.24 .00
.00
99.24
LQPERAIIT
9CM �u�reil
Verify the type of gas supply to be used, either
natural or L.P., and make sure the marking on the
appliance rating plate agrees with that of the supply.
The rating plate is located on the inside back wall
of the Grill. Never connect an unregulated gas line
to the appliance.
An installer supplied gas shut-off valve must be
installed in an easily accessible Iocation.All installer
supplied parts must conform to local codes, or in
the absence of local codes, with the National
Electrical Code,ANSI/NFPA 70-1990, and the
National Fuel Gas Code, ANSI Z223.1-1988.
All pipe sealants must be an approved type and
resistant to the actions of L.P. gases. Never use pipe
sealant on flare fittings.All gas connections should
be made by a competent technician and in
accordance with local codes and ordinances. In the
�Q �.
u u
BOTTOM OF UNIT
Coupling� Threading compound must
® be resistant to L.P. gas.
K NPT
Close -�
Nipple
Regulator
4.0" W.C.
K NPT
Adapter K NPT ®�- Close Nipple
to 3/8 flare
fitting
Installer supplied
Do not put threading
but -off valve must
Pe easily accessible.*
compound on these
threads
_
absence of local,codes, the Installation must comply
with the national fuel gas code ANSI Z223.1-1988. Gas conversion kits are available from the factory.
When ordering gas conversion kits have the model number, and the type of gas (natural or L.P.) from
your grill.
TOTAL GAS CONSUMPTION OF THE GRILL WITH ALL BURNERS ON HE
48BQRS - 124,000 BTU 48BQARS - 134,000 BTU 48BQS - 95,000 BTU 48BQAS - 120,000 BTU
36BQRS - 99 0 TU 36BQARS - 94,000 BTU 36 BQS - 80,000 BTU 36BQAS - 80,000 BTU
27BQR - Q4 000 BTU 2AQ - 50.M RTtJ
The appliance and its individual shut off valve must be disconnected from the gas supply piping system
during any pressure testing of that system at test pressures in excess of 1/2 PSIG (3.5 kPa.) The
appliance must be isolated from the gas supply piping system by closing its individual manual shut-off
valve during any pressure testing of the gas supply piping system at test pressures equal to or less than
1/2 PSIG (3.5 kPa.). The installation of this appliance must conform with local codes or, in the absence
of local codes, with the national fuel gas code, ANSI Z223. I a-1988. Installation in Canada must be in
accordance with the Standard Can I -b 149.1 and/or .2 (installation code for gas burning appliances and
equipment) and local codes.
NATURAL GAS HOOK UP:
Connection: 1/2" NPT male with 3/8" flare adapter. Operating pressure: 4.0"WC.
Supply pressure: 5" to 14" water column. If in excess of 14" W.C. a step down regulator is required.
Check with your local gas utility company or with local codes for instructions on installing gas supply
lines. Be sure to check on type and size of run, and how deep to bury the line. If the gas line is too
small, the grill will not function properly. Any joint sealant used must be an approved type and be
resistive to the actions of L.P. gases.
TO HOOK-UP THE FITTINGS SUPPLIED WITH THE GRILL:
Assemble as shown (fig.01). Use threading compound on male threads only. Do not use threading
compound on the male end of the 1/2 NPT to 3/8 flare adapter. Use a second pipe wrench to hold
Bin #
✓ v " L�
Cit of La
Y Quin to
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Lel
Project Address:
—�
`
Owner's Name:
A. P. Number:
Legal Description:
ddress:
G/ i "
City, ST, Zip:v �Jp
G
Contractor: kle
Address:
/i
Telephone:
,:. '.r ..
Project Description:
City, ST, Zip:
Telephone:
State Lic. #:
Arch., Engr., Designer:
City Lic. #:
IC�Ti'�c-
Address:
City, ST, Zip:
Telephone:
State Lia #:
Name of Contact Person:
,
G1
Construction Type: Occupancy:
Project type (circle one)6vv Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: 49
APPLICANT: DO NOT WRITE BELOW THIS LINE "
#
Submittal
Req'd
Recd
TRACKING . PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Callcd Contact Person Plan Check Balance
Energy Cates.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
Subcontactor List
2"a Review, ready for corrections/issue Electrical
� 3-F►xruee�5
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
Ii.O.A. Approval
Plans resubmitted . Grading
IN HOUSE:-
3dReview, ready for correctionstissue MPMPIQRC-Inlpae"�e 0-1
Planning Approval
Called Contact Person
ITYArI.a QUIRIN
Pub. Wks. Appr
Date of permit issue .
School Fees
r4 M
D TE o
/v rzr� gtec Fi