10-0798 (RPL)•
P.O. BOX 1504, 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00000798 Owner:
Property Address: 81721 HIDDEN LINKS DR NAGEL
APN: 767-200-999-33 -312022- 81-721 HIDDEN LINKS DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL ( -
Application valuation: 32550
VOICE (760) 777-7012
11
53
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 1 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: 1
Lender's Address: 1v
LQPERMIT
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 construclivn, and hereby authorize esentatives
of this aunt to nter upon the above-mentioned property 'nsp ase
ate: ��°a% . ature (Applicant or Age
Contractor:
Applicant: Architect or Engineer:
MCINTYRE POOLS & SPAS, INC'. _
n n
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Lic. No.: 614611
------------------------------------------------------------------------------------------------=
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of 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 Professionals Code, and my 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 CI ss: C53 Lionse N 614611
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/
Date),,Contractor: -
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,
OWNER -BUILDER DECLARATION
- insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier GOLDEN INS Policy Number 2010010139097Z -
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
' permit to file'a signed statement that he or she is licensed pursuant to the provisions of the, Contractor's State '
and agree that, if I should become subject to the w rkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
700 of the Labor Code, I shall fo wi m ith 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 ($5001.:ate:
plicant: ,
(_ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to.an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the workhimself or herself through his or her own employees, provided that the
DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 1 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: 1
Lender's Address: 1v
LQPERMIT
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 construclivn, and hereby authorize esentatives
of this aunt to nter upon the above-mentioned property 'nsp ase
ate: ��°a% . ature (Applicant or Age
Application Number . . . . . 10-00000798
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
304.00 Plan Check Fee
197.60
Issue Date
Valuation . . .
. 32550
Expiration Date
2/21/11
Qty Unit Charge
Per
Extension
BASE FEE
252.00
8.00 6.5000
------------------------------------------
THOU BLDG 25,001-50,000
--------------------------
52.00
7
. . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation .
. 0
Expiration Date
2/21/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
-7 --------------------------------------------------------------------------
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 t
2/21/11
Qty Unit Charge
PerExtension
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
2/21/11
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 . . . . . 10-00000798
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 96
Expiration Date 2/21/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA,SLIDE, 6 L.F. 4' EQUIPMENT
ENCLOSURE CITY STANDARD. STUB -OUT FOR
BBQ TO BE BUILT BY OTHERS. ALARMS &
BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 423.00 .00 .00
423.00
Plan Check Total 223.60 .00 .00
223.60
Other Fee Total 2.00 .00 .00
2.00
Grand Total 648.60 .00 .00
648.60
LQPERMIT
Bin #
City of La Quinta..
Building a SafetyDivision '
P.O. Box 1504, 78-495 Calle Tampico
U Quints, CA 92253 - (740) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:'in
Owner's Name: c
A. P. Number:
Legal Descriptiori:
Address:_ _ G o s
to
City, ST, Zip:
.�
Contractor: 1 S
Address: 4, ..
Telephone:
Project Description:. ' 0SP
City, ST, Zip:.�\ C Z-0 I
Telephone:3.4
State Lic. # : S —
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
_
State Lit. #:
Construction Type: Occti as
P cy:
Project type (circle one): New Add'n 'Alter Repair Demo
Name of Contact Personae
Sq. Ft.:
# Stories:
# Units:
Telephone # of ContactPerson:
-Estimated Value.of Project: J -
APPLICANT:
DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd •
Rec'd
TRACMG .
PEfitMTi FEES'
Plan Sets
Plan Check submitted
9/2— _
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
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'.
--------------
tad Review, ready for correctiotisrissue
Electrical
Subeontactor-List
Called •Contact Person
Plumbing
GranfDeed
Plans. picked up
S.M.I.
A O.A.. Approval
Plans resubmitted
Grading.
IN HOUSE.
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval '
Called Contact Person
A.I•P•P-
Pub. Wks. App.r
Date of permit issue
School Fees
Total Permit Fees
POOL & SPA SPECS.
POOL SIZE 15' X 32'
POOL S.A. 420 SQ. FT
POOL PER. L. F.88
DEPTHS 3'-6" TO 5'-0"
POOL PUMP VS 3050
HEATER 400,000 BTU
FILTER CCP 420
LIGHTS 1-100 WATT
2-400 WATT
CONTROLLER EASY TOUCH REMOTE
SPA SIZE 7' X 7'
SPA PER. 22 L.F.
SPA S.A. 42 SQ. FT.
SPA DEPTH 3'-6"
JETS 6
JET PUMP
DECK AREA 900 PAVERS
0
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�- STAPING STONES
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SPA 7'X7' 18" RAISED 6 JET O S� 1. PLANTER
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CONSTRUCTION SPECIALIST
"o342-3612