13-0353 (RPL)P.O. BOX 1504
78-495 CALLE T'AMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000353
Property Address: 48745 FULL MOON. WY
APN: 623-470-012- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 29783
Applicant: Architect or Engineer:
e4^' VOICE (760) 777-7012
r FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
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 cense is in full force and effect.
License Class: C 3 nse No.: 4611
Date: rlr(. Contractor:
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 (5500).:
(_) 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—) 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:
I.QPERNI IT
Owner:
LANDSTROM
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Lic. No.: 61461
Date: 3/26/13
WORKER'S COMPENSATION DECLARATION
1 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
..,�,,,, tt issued.
,M__ l ave 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 WESCO INS CO Policy Number QWCA1843029
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 subject to the workers' compensation provisions of Section
n�0 of the Labor
rCC�/od hall ith comply with those provisions.
Date: d� ApplicantrO ; ��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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 relatin�propert
�construc �andlshereby'uthorize representatives
of y andcou tyt enter upon the above-mentione
Date✓ ignature (Applicant or Age
Application Number . . . . . 13-00000353
Permit . . . . . . MECH POOL
Additional desc .
Permit Fee 24.00 Plan Check Fee 6.00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/22/13
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
----------------------------------------------------------------------------
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee 284.50 Plan Check Fee 184.93
Issue Date . . . . Valuation . . . . 29783
Expiration Date 9/22/13
Qty Unit Charge Per Extension
. BASE FEE 252.00
5.00 6.5000 THOU BLDG 25,001-50,000 32.50
----------------------------------------------------------------------------
Permit . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation 0
Expiration Date 9/22/13
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 . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . . 0
Expiration Date 9/22/13
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 6.0000 EA PLB FIXTURE 6.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
----------------------------------------------------------------------------
Permit . . . WALL/FENCE PERMIT
Additional desc .
LQvER-IMuT
Application Number . . . . . 13-00000353
Permit . . . . .
. WALL/FENCE PERMIT
Permit Fee . . .
. 15.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 217
Expiration Date
9/22/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and
Comments
POOL, SPA, FIRE PIT,
HEATER, 1OLF OF 5'
EQUIPMENT WALL AND
100 FT OF GAS LINE.
2010 CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid
----------
Credited
--------------------
Due
-----------------
Permit Fee Total
----------
392.50
.00 .00
392.50
Plan Check Total
208.18
.00 .00
208.18
Other Fee Total
1.00
.00 .00
1.00
Grand Total
601.68 ".00
.00
601.68
LQPE"l nT
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Bin #
UVC
CI Of La Quinta , V
�v ;
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico MAIR Z Z 013
La Quinta, CA 92253 - (760) 777-7012
CITY
Building Permit Application and Tracking She�®MM � M IN
:74P Owner's Name: S LOF
Permit #
Project Address:
A. P. Number.
Address: -
Legal Description:
City, ST, Zip:
Contractor: �� a� SX�
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Address:tl�sProject
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Telephone: �.yry n �<.rr..:••:> .: r.:c..
Description:
City,'ST,.Zip:Mil
Telephone: -3 9-360-'k�
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State Lic. # : YU 1 1.
City tic. #, S
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Arch., Engr., Designer: . f .
Address:
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City; ST, Zip:
Telephoner ::, t Construction Type: Occupancy:
State Lic. #:`
.. • • • : ' y` •�. Project type (circle one): New Add'n Alter Repair Demo
Name of Coxitact Person: Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person:... Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
ii
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cates..
Reviewed, ready.for corrections Plan Check Deposit.
Truss Calcs. '
..Called Contact Person Plan Check Balance
Title 24 Calcs.
Plans .picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
20. Review; ready for corrections/issue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
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 - ._n—�=
Pub. Wks. Appr
Date of permit issue
g�
Q! 8 BHT
School Fees
A-0 440N
Total Permit Fees
a � L BY
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TIA
'MEIVT
09-21-13
NON Ptl FROW-AVA I L NOA
7605640344 T-951 P.002/010 F-397
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March 21, 2013
Joe Landstroin
848-N. Rainbow Blvd., #2660
Las Vegas, NV 89107
RE: Architectural Request Approval
Dear Joe Landstrom,
The Architectural Committee at Hidden Canyon has approved your ARC request for
installation of a pool/spa at your property located at 48745 Full Moon Way, La Quinta, CA
92253 as submitted.
Please note the following:
- All necessary City requirements must be met and any permits must be obtained.
- Common area/streets cannot be used for equipment or material storage.
- Damage caused to common area/streets is your responsibility.
The Board asks that your contractor honors the Rules and Regulation of the association
while performing the work. Should you require a copy of the pertinent information, please
do not hesitate to call our office.
Please notify us when the project has been completed.
Sincerely;
.Nancy j-foft
Avail Property Management
service@availhoa. com
RECEIVED
MAR 2 2 2013
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
51350 Desert Club Dr., Suite 4, La Quinta, CA 92253
Tel: (760) 771-9546 Fax: (760) 771-1655