06-0036 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:. 0-6-00000036 ~°>
Property Address:- 51518 VIA SORRENTO
APN: 772-250-997-145 -31349 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Applicant:
Tu�v 4 4Q�t«rw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
-----------------
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
Date: Contra or:
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 I, as owner ofthe property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intendedor offered for sale (Sec: 7044, Business acid 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 contractorls) 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
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011'
INSPECTIONS (760) 777-7153
Date: 1/09/06
Owner-
PETTIT
51-518 VIA SORRENTO
LA QUINTA•, CA 92253
Contractor:
MCINTYRE POOLS & SPAS, INC.
/ 83695 AVENUE 45
I'NDIO, CA 92201
(760)342-3612
Lic..No.: 614611
-------------------------------------------------
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. -
/t i have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
T 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 i ed, I shall not employ any
person in any manner so as to become subject to the workers' c nonsation laws of California,
nd agree that, if I should become subject to the workers' co ensa ' provisions of Section
3700 of the LPor Code, I s rt th comply with tho Prov' ons.
a�' APPIicaC
W ((((( NING: FAILURE TO SECURE WORKERS' COMPEN/MPENSATION,
VE AGE IS UNLAWFUL, AND SHALL
�tuBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANClES UP TO ONE HUNDRED THOUSAND
./DOLLARS 1$100,0001. IN ADDITION TO THE COST ODAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND'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 andemployeesfor 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 k for 180 days will subject
permit to cancellation.
I certify that I have read ;this application and state that the above information ' orrect. I agree compl It all
city a tiunty ordinances and state laws relating to building const tion n hereby author' a repre taatives
Of s count o enter upon the above-mentioned pr erty for ' ecti purposes.
Date, Signature (Applicant or Agent): -
Application Number .
. . . . 06-00000036
Permit
BLDG POOL PERMIT
Additional desc
Permit Fee . .
207.00 Plan Check Fee
134.55
Issue Date
Valuation
20000
-_ Expiration -Date,.
7/08/06
Qty Unit Charge
Per
Extension
BASE. FEE
45.00
18.00 9.0000
-----------------------------------------------------------------------------
THOU BLDG 2,001725,000
162.00
Permit
MECH POOL
Additional desc
Permit. Fee
26.00 Plan Check Fee
6.50.
Issue Date
Valuation
0
" Expiration Date
7/08/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
Permit.
ELEC POOL PERMIT -RES
Additional desc
J.
Permit Fee
45.00 Plan Check Fee ..
11,.25
Issue Date
Valuation
0
Expiration Date
7/08%06
v Qty Unit Charge
Per
Extension,-,
xtension -
BASE FEE
BASE
15.00
1.00 30,00,00
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,_.
7/08/06
Qty Unit'Charge
Per
Extension-
xtensionBASE
BASEFEE
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
-------------- ---------------------------
Special Notes and Comments
-------
- POOL & SPA ONLY. ALARMS/BARRIERS SHALL
LQPERMTT
Bin #
City of La Quinta
Building u Safety Division
P.O. Box. 1504, 78-495 Calle Tampico
La Quinta, .CA 92253 -.(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name �.
A. P. Number:
Address:
Legal Description:
Contractor. _ �S
City, ST, Zip: ,,,7 X
Telephone:
Project Description:
Address:
City, ST, Zip:
Telephoner
State Lic. # : �G
City Lic. #:
Arch., Engr., Designer:
Address: �S
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: '�
Construction Type: Occupancy:
Project type (circle one): e Add'n Alter Repair Demo
Sq. Ft.: es
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:.
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
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.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2°" Review, ready t'or 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 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
a
1 lig I, r