12-0621 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
12-00000621
-52450 VIA DONA
772-410-999-1 -298943-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
70000
Tit!t440"
Architect or Engineer:
PIf,
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.
LiceDse Clas : 53 License . 614611
ate ontractor:
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 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.).
(_) 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
YOUNG
54540 VIA DONA
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS & SPAS,
83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
Lic. No.: 614611
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
_ nal 6
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fs MN 082112
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CITY d
CiUINTA
l F°Wkc-E CF -PT
INC.
07/12
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
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier COMMERCE WEST I Policy Number 00330843590
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
3700 of the Labor Code, fort . t 5)!:0 those provisions.
aD �TO
nt:WARNING: FAIL URE 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 relating to building constr scion, and hereby authorize representatives
is cou y enter upon the above-mentioned props in cti rlrp
oo e5!
Date - S ature (Applicant or Age /
• � T
LQPERMIT
Application Number . . . . . 12-00000621
Permit
BLDG POOL PERMIT INV FEE
Additional desc . .
Permit Fee . . . .
1009.00 Plan Check
Fee
327.93
Issue Date . . . .
Valuation
70000
Expiration Date . .
12/04/12
Qty Unit Charge
Per
Extension
• BASE FEE
829.00
20.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
180.00
Permit
MECH POOL
Additional desc . .
Permit Fee . . . .
37.00 Plan Check
Fee
9.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
12/04/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K
22.00
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check
Fee
11.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date.. .
12/04/12
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 . . . .
39.00 Plan Check
Fee
9.75
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
12/04/12
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
3.00 6.0000
EA PLB FIXTURE
18.00
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 (2) SPAS, WATER
FEATURE, FIREPIT.
T
LQPERMIT
Application Number . . . . . 12-00000621
----------------------------------------------------------------------------
Special Notes and Comments
EQUIPMENT INCLUDES 2 HEATERS & 5 PUMPS.
ALARMS/BARRIERS SHALL BE IN PLACE AT
.PRE -PIASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM ADMINISTRATIVE
CODE §304.5 FOR WORK BEGUN WITHOUT
BUILDING PERMIT.2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
3.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 1130.00 .00
.00
1130.00
Plan Check Total 358.18 .00
.00
358.18
Other Fee Total 3.00 .00
.00
3.00
Grand Total 1491.18 .00
.00
1491.18
N
Bin #
Oty of La Qurnta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking ShEet
Permit #
�Q
2
Project Address: a _ So U j a &CO 0
Owner's Name: c�vt
A. P. Number: /'��
Address:S of V(c,L 00V7,(
Legal Description:
City, ST, Zip: � QtJcdi. C'�
Contractor:
O S 7
Telephone: j �: h:+��`J:.••AS +�<;`r�.'�:
Address: 3 — isS S
Project Description:
S � uiu
City, ST, Zip: i v 0
Z�
Telephone: 7FSO - 025b
State Lic. # : 6City Lic. #; S
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
f�� t` :. " `
' . •!te yr
Construction Type: Occupancy:
State Lic. #:Pro'ect
type circle one New Add'm Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person:
Telephone # of Contact Person:
r9
Estimated Value of Project: 20,1006
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
P.3RMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Depmsit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans -picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical �,
y%►Zt4,s'
Grading plan
2". Review, ready for corrections/issue
Electrical
t1MPS
Subcontactor List
Called Contact Person
Plumbing
..
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
1,114 HOUSE:-
''" Review, ready for corrections/Issue
Developer Impict Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
41'-10$"
2'—OL°
3'-6in"
11'-108
0
-30-108" Q�
15 -94"
1'-108"
D —18" PLAY POOL D = 5'
WS = —6"
� 0
i PB
J
0 v 0 u 0 v 0 v 0
P
0 0 0 0 0 cl.
A
yrs.
D = 5'
IWS - 24"
40'-2$"
I
-18"
D = -3'-6" 0
p3-Zj,+
v0v0v0v0-0r0 0 0 0 0 0
0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 +0 —18n
..
0 0 O 0 0 0 0 0 0 0 /� -18 "
0 0 0 0 0 0 0 0 -12
0 0 0 0 0 -6'
0 0 0 0 0 O :.
0 0 0 0 0 0
0 0 0 0 O 0
0
0,0
10/ VILIPJw'71M11
iwon■ mw ■ v K a
CONSTRUCTION SPECIALIST
7oo342-3612
YOUNG RESIDENCE
THE HIDEAWAY
LA QUINTA9 CA
52'ySo
via mac
24"
WIDTH BRIDGE\
-6" +24 s
)o o� •
-12"
PB
—6"
)o
+0" �i--�
w
MASTER SPA
,6'X8'
PUMP = VS3050
FILTER: CCP 320
HEATER: 250,00 BTU
LIGHT: 100 WATT
CONTROLER: EASY TOUICH 4
3 - SCONCES
FRONT COURT FOUNTAIN
15 HP PUMP
CCP 100
2X LOW VOLTAGE LIGHT
REVISIONS
BY
BY: LWF
�
t'— I
J
POOL & SPA SPECS.
POOL SIZE 36' X 80'
POOL S.A. 1741 SQ. FT.
POOL PER. 235 L.F.
DEPTHS S-6" TO 5'-0"
POOL PUMP VS 3050
HEATER 400,000 BTU
FILTER CCP 520
LIGHTS 6-100 WATT
2-400 WATT
CONTROLLER INTELUTOUCH 10-B
SPA SIZE 8' X 8'
SPA PER. 25 L.F.
SPA S.A. 58 SQ. FT.
SPA DEPTH S-6"
JETS 10
JET PUMP VS 3050 1.5 H.P
DECK AREA
WATER FALL PUMP 3X VS3050
CITY OF LA Q -UI T
BUILDING & SAFETY DEC -,T•
APpROVED
FOR CONSTRUCTION
�sj
1/8" = 1'-0"
DRAWN
BY: LWF
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t'— I
J
Q
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V)
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O'
PIZ�
IA
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e
o
DATE: 05/22/12
SCALE:
1/8" = 1'-0"
DRAWN
BY: LWF
IIB- YOUNG RESIDENCE REV
SHEET
OF
SHEETS