07-2656 (SOTB)Jrr - 1
T4.4
P.O. BOX 1504�^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760).777-
7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY, DEPARTMENT' INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/02/07
Application Number: X07-00002656 Owner:
Property Address: 51197 VIA SORRENTO MIKE KINWORTHY
APN: 777-330-013- - - 51197 VIA SORRENTO
Application description: STRUCTURES OTHER THAN .BUILDINGS LA QUINTA,.,CA 92253 D
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1200
Contractor: OC 9
Applicant: Architect or Engineer: REMBRANDT POOLS & PA INC 03 CQQ�
P.O- BOX 6411 C1
LA QUINTA, CA 9225 FN�FLgQv
(760)771-2121 ANCE OFPN?A
Lic- No.: 800680
---------------------------------------------------------------------------------------=---------
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 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C53 . License No.: 800680 for by Section 3700. of the Labor Code; for the performance of the work for which this permit is
issued.
ate: ontractor: _• 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 EXEMPT Policy Number EXEMPT.
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 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 workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7600) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions.
' that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: pplicant:
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 T URE 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 work himself 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 370.6 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.). - APPLICANT ACKNOWLEDGEMENT -
1 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044; Business and Professions Code: The Contractors' State License Law does not apply to an owner`of conditions and restrictions set forth on this application. -
property who builds or improves thereon, andwhocontracts for the projects with a contractorls) licensed ....:r., 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application;-
(= I I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and.hold harmless the City
b 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation. -
I.hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I -have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purpo
Lender's Name: _ -
te: ( Signature (Applicant or Agent):
Lender's Address:
LQPERM[T -
-Application Number 07-00002656 '
Permit BUILDING PERMIT
Additional desc .
Permit Fee. 25.00 Plan Check Fee .'
16.25
Issue Date .'. :. Valuation
962
Expiration Date 3/30/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 HND BLDG 501-2,000
------------------------------------------------------------------------------
10.00
Permit . . ELEC-MISCELLANEOUS
Additional desc
Permit Fee 15.75 Plan-Check Fee
3.94
Issue Date . . Valuation ..
0:
Expiration Date 3/30/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 7500 PER ELEC DEVICE/FIXTURE 1ST 20
.75
Permit PLUMBING '
Additional desc .
Permit Fee 18°.00 Plan Check Fee
4.50'" •
Issue Date Valuation
0
Expiration Date 3/30/08
Qty Unit Charge Per
Extension
BASE. FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
------------------------------------------------------------- ---------------
3.00
Permit . . . WALL/FENCE PERMIT
Additional.desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00.
Issue Date . . . . Valuation . .
238
Expiration Date 3/30/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
-----•-------------------------------
Special Notes and Comments•
-
" BBQ (ANSI #3020914), FIREPIT (ANSI
#Z,-21-58=1995), 70 L.F. 1/12" GAS LINE
' & 11 L.F. 5' EQUIPMENT WALL, CITY
STANDARD
Application Number
07-00002656 `
y
.,------------ ------ __________-
--------------------
------------------
----_ _ _
Other Fees
ENERGY REVIEW FEE-.
1.63
Fee summary
Charged
Paid Credited
Due
--------
-------------- --
Permit Fee Total
----------
73.75
-------------------
.00 .00
Plan Check Total
24.69
00 .00
24.69 t
Other Fee Total
1.63
.00 _ .00
1.63
Grand Total
100..07
.00 .00
_100.07
-Bin #
City of La Quinta
Building,& Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �^
J
Project Address: S = Q % VC., $0,rr-t- 'U
Owner's Name: i o{
A. P. Number:
s�t„I
Address:
Legal Description:
City, ST, Zip: L p, S J
Contractor: km b rotwlT uA-
aj e-
Telephone:
Address: ';9`%.L( N Id)
Project Description: 1 8 wrr��C
City, ST, Zip: ti (l1
Tel hone: '77
t;o
s�
State Lic. # .
Arch., Engr., Designer:
City Lic. #:
r LZA6Z 7
L
Address
Z �. �. �,
cL
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Pers
x.
Construction Type: Qd o� Occupancy:
Project type (circle one) ew Add'n Alter Repair
Sq. Ft.: #Stories: #Units:
Demo
Telephone # of Contact erson:
Estimated Value of Project: (
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
q
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'
2"" Review,. ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3,d Review, ready or corrections/issue
Developer Impact Fee '
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
STONE,
TILE, OR POURED CONC.
=-3/8" STEEL PLATE
A-36
�I2" 0 A.B. x Z' L.
AT 16" O.C. .
1/4" FILLET WELD
AT STEEL PLATE
CAN .
#4 BAR VERT.. AT
6x8x16 CMU;
k CELLS WITH
24" O.C. (TYP. )
GROUT
STEEL
244 BARS HORIZ. CONT.
OUNTERTOP
11211=11-011 /2"=1'-0"
COURSE
:SAND WATER PROOF
MEMBRANE
STONE
#4 TIE
STEEL AT
TOP COURSE
GAS FIRE RING:
I.C.B.O.
ANSI #_Lb's 1-G'M gy
BTU -
U.L. APPROVED.
36" DIAM.
NSIDE DIMENSION
WATERPROOF
MEMBRANE
SURFACES) IOR
- #4 BAR
VERT AT
32" O.C.
(TYP. )
7.A
LENGTH OF GAS PIPE y _ 6x8x8 OR
IDIAM. OF GAS PIPE 1 a SLID CMU
'' _ SOt_ID GROUT
OUTDOOR FIRE RINGO,
I/2
GAS LINES SHALL BE INSTALLED
PER CPC FOR DEPTH,
COVERAGE, AND PLACEMENT.
f r.
.r
l
S.
rl\
f
12" i_ 8" L \�6" DIAM. l 8" L. 12"
1P.
16':0. C. TYP
7 --
PATIO SLAB
'ION
00 0
Lu 00
::
IGHT- SWITCH,!
PRE-HUNG 00 0U1 DUPLEX*.:...'
TLET.
S.S. DOORS
6X8XI6 CMU* AT
PPOKIT AND Olur- WALLS
SOLID GROUT
�E►vcrH of GAs PIPE LENGTH VARIES
2&OUTDOOR KITCHEN
N_EAR
POOLFRONT ELEVATION
.1/2"=1-011
I BBQ:
I.C.B.O.
ANSI #c7L_30.;lvljcl
BTU
U.L. APPROVED.