08-1714 (RPL)4 4a
' P.O. BOX 1504 �VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
l
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/15/08'`
Application Number: 08-00001714 Owner:
Property-Address:-J5T590 VIA SORRENTO SUTCLIFF RESIDENCE
APN: 772-250-997-148 -31349-- 51590 VIA SORRENTO
Application description: POOL - RESIDENTIAL , LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000 D
Contractor: OCT
Applicant: Architect or Engineer: LOZANO PROF POOL CONST, M 51008
P.O. BOX 11272' '
PALM DESERT, CA 92255 - CITYOFLAQBINTA
(760)275-4647 FINANCE DEPT.
LiC. No.: 840397
-----------------
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 Busines and P ofessionals Code, and my License is in full force and effect.
LicensebClass: C53LicenseNo.: 840397
Dat- F` L —IS —0r� / Contr� a' aor:
OWNE BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am ex t 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).:
(_) 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.).
(_) 1, 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
Dote:
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:
LQPERMIT
-------------------------------`---------------—
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 EXEMPT- Policy Number EXEMPT
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 shotp becqpe subi to the workers' compensation provisions of Section
3700 of the Labor Co sh forth comply with those provisions.
Date`' aI f ve—Applicant: Al AA�
WARNING: FAILURE TO SECURE WORKERS' COM SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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 permiL.
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 Wbuildinc;scood herebyauthorize representatives
of this county to enter upon the above-mentioned pr000n poses.Date: Signature (Applicant or Agent)
Application Number . . . 08-00001714
Permit . . BLDG POOL PERMIT
Additional desc .
Permit Fee' 284.50 Plan Check Fee
184.93
Issue Date Valuation
29025
Expiration Date .. 4/13/09
Qty Unit Charge Per
Extension
BASE FEE
252.00
5.00 6.5000 THOU BLDG 25,001-50,.000
----------------------------------------------------------------------------
32.50
Permit MECH POOL -
Additional desc .
Permit Fee . . . . 26.00 Plan Check -Fee
6.50
" Issue Date . . Valuation . . .
. 0
Expiration Date 4/13/09
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
Permit Fee . . . . 45.00 Plan Check Fee
11.25
Issue Date . . . . Valuation . . .
. 0
Expiration Date 4/13/09
Qty Unit Charge Per
Extension
BASE FEE
-15.00
1.00 30.0000'EA ELEC PRIVATE SWIMMING POOL
--------------------------------------------------------------
30:00
--------------
PermitPLUMBING
Additional desc .
Permit Fee . . 33.00 Plan Check Fee
8.25
Issue Date Valuation
0
Expiration Date 4/13/09
Qty Unit Charge Per -
Extension
BASE FEE
.15.00 r
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 . . .` 08-00001714
Permit WALL/FENCE PERMIT
Additional desc
`
Permit Fee 25:00
Plan Check
Fee
.00 '
Issue Date
Valuation
975
Expiration Date. 4/13/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
5.00 2.0000 HND BLDG
501-2,000
10.00
-----------------------------------------------
Special Notes and Comments
-----------------
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
(2)
CITY STANDARD EQUIPMENT WALLS, 5'
HIGH X
18 L.F./5' HIGH X 27 L,F. BBQ BLOCK
PER
APPROVED PLAN,
Fee summary Charged
Paid Credited
Due
---------- ----------
Permit Fee Total 413.50
----------
.00
----------
.00
413.50
Plan Check Total 210.93
.00
00
210.93
Grand Total 624.43
.00
.00
624.43
LIST +
CITY OF LA QUINTA SUB-CONTRACTOR_
JOB ADDRESS Sf
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PERMIT NUMBER OWNER !=n'° �'�� -I -BUILDER
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' This form shall be posted on the job with the Building Inspection Card,at all times in a conspicuous place. Only persons appearing on'this list or their employees are authorized to work
on this job. Any changes to this list must' be approved by the .Building Division prior to commencement of work. Failure to comply will .result in a stoppage of
work and/or the voidance.
'permit. For each applicable trade, all information requested below must be-completed by applicant. "On File" is not an acceptable response.
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POOL:�C
MOUNTAIN VIEW,
COUNTRY CLUB
at La Quinta
October 10", 2008
Don Sutcliff
51-590-Via Sorrento
La Quinta, CA 92253
4
y
Re% Architectural Request
51-590 Via Sorrento
i
Dear Mr. Sutcliff:
'The Architectural/La ndscape•Committee of the Mountain View Country Club
Homeowners' Association have reviewed the plans for plans,for your
improvements per the enclosed application. The committee is pleased to inform
you that it has approved the plans as submitted.
Thank you for your patience and understandingduring this approval process. If
there are any questions please contact me at 760-776-5100 ext. 351.
Sincerely,
FOR THE BOARD OF DIRECTORS
MOUNTAIN VIEW COUNTRY CLUB
4
' Bill Clifford
i Association. Manager y
enclosure
cc: Board of Directors
Unit File
}
•
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
t
Permit #
�(
Project Address:
Owner's Name: OU Su t C (.,l
A. P. Number.
c
Address: 5 (; — O( 0
Legal Description:
City, ST, Zip:
Contractor:
Mf�ldc l OZ�e/lc7 1(to�l;Sitc�v� OcSI .�tYVS6e)
Telephone:
Address:. �O�as'q �
AV -,',Project
Description: sinlla4/�1t AL) l S
City, ST,Zip: Otv
S rc"gvAlzh i L
Telephone: 7GU a? - 9t;a�
t St ��r
State Lic. #
City Lic. #: $4
g t, t`
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n ' Alter Repair Demo
Sq. Ft.: #Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: .3 o o VU
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
L
PERMIT FEES
Plan Sets
Plan Check submitted
//I
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
2a' 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 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
�1h