06-1591 (RPL)y P.O. BOX 1504' VOICE (760) 777=7012-
_. 78-495 CALLE TAMPICO " FAX (760) 777-70R
` LA QUINTA, CALIFORNIA 92253 BUILDING .& SAFETY DEPARTMENT. INSPECTIONS (760) 77.7-7153\,
BUILDING PERMIT
Date: 4/20/06 \�
Application Number: 06-0_0001591 _ Owner:
Property Address: 51686 VIA SORRENTO GLUCK
r APN: 772-250-997-152 -31349.- 51-686 VIA SORRENTO
Application description: POOL- RESIDENTIAL D 4 LA QUINTA, CA 92253
Property Zoning: LOW DENSITY 'RESIDENTIAL
Application valuation: 20000
APR
n ,} q
�G `� '(��6 Contractor:
Applicant: Architect or Engi Q/MCINTYRE POOLS & SPAS, INC:
83695 AVENUE 45'
INDIO,.CA 92201
r (760)342-3612•
LiC. No.: 614611
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I herebyaffirm under penalty of perjury one of the following declarations: �.
Section 7000) of Division 3. of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate,of consent to-self-insure for workers' compensation, as provided '
License I C53 License No.: 614611 for by Section 3700 of the Labor Code, for the performance bf the work for which this permit is
'/�^A� issued.
Da Contr or: U YIVY 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 HRH INS Policy Number C20060333601 - -
following reason (Seo. 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 a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should became subject to the workers' compensation provisions of Section,
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C I shall forthwith comply with those provisions. ,
that she exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by .
any applicant
cant for a permit subjects the applicant to a civil penalty'ofnot more than five hundred dollars IS5001.: D e: Applicant:
(_) 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 TO SECURE 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 3706 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
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca 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, and who contracts for the projects with a contractor(s)' licensed 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 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
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. - -
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
1 oft
his Spunty to enter upon the above-mentioned prop y r ' s 'on pulAcsesIV/j`
.� Lender's Name: U
Da a: _gSignature (Applicant or Agent):
- ' Lender's Address: N—)�
LQPERMIT - - .
Application Number 06-00001591
Permit BLDG POOL PERMIT
Additional desc
'Permit Fee 207.00 Plan Check Fee
1.34.55
Issue Date . . . Valuation . . .
. 20000
Expiration Date 10/17/06 '
Qty Unit Charge Per
Extension
BASE FEE
45.00
18.00• 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
162.00
Permit . . . MECH POOL
Additional desc
Permit Fee . . . . 26.00 Plan Check Fee
6.50
Issue Date. . . . . Valuation
0
Expiration Date 10/17/06
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 .
Permit Fee . . . . 45.00 Plan Check Fee..
11.25
Issue Date . . . . Valuation"
0
Expiration Date 10/17/06
_ 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 . . . 33.00 Plan Check Fee
8.25
Issue Date . . . . Valuation . . .
. 0
Expiration Date 10/17/06
Qty Unit -Charge Per
Extension
BASE FEE
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 3.0'000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
• LQPERMIT
Application
Number . . . . . 06-00001591
-------- - --------------- -----------------------------------
---- -- ---------------------------------------------Special Notes and Comments
Special
7
_
BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.:EQUIPMENT
ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary—
Charged. Paid
Credited
Due
Permit Fee
Total 311.00 .00
.00
311.00
Plan Check
Total 160.55 .00
.00
160.55•
Grand Total
471.55 .00
.00
471.55
_
Permit #
a �— /J -
11C Project Address:
A. P. Number:
X Contractor.
Address: ^ l
City, ST, Zip: - r
Telephone. '-t2:
State Lie. # ;
Arch., Engr.. Designer:
Address:
City. ST. Zip:
Telephone:
State Lie. #:
.1C Name of Contact Person:
X Telephone # of Contact Person:R
tt Submittal
Z, Plan Sets
Structural Cales.
Truss Calcs.
Energy Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub.1A'ks. Appr
School Fees
City of LauI
Q nta
Building a Safety Division
P•O. Box 1 SO4, 78-49S Calle Tampico
La Quints, CA 922S3 - (760) 777.7012
Building Permit Application and Tracking Sheet
Y. f�nOWner's Name: (--— 1l "MM_
City. ST. Zip: CA
v�e
Description:
4. - —
.1
Vit►
Lie. #:
ezi
r•i -� Construction Type:
Occupancy:
Project type (circle one): New
Add'n Alter Repair Demo
Sq. Ft.:11 #Stories:
# Units:
_.., stimated Value of proiec• "� -N - -
AeLh.ANT: 00 NOT WRITE BELOW THIS LINE
Reed TRACKING
Plan Check submitted A
Reviewed. ready for corrections 4
Called Contact Person
Plans Alcked up
Plans resubmitted
2" Review, ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
Review, ready for corrections/issue
Called Contact Person
�Dxttpermit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
plumbing
S.�t.l.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount
MATERIAL
STONE
TILE,
BOULDERS,
DECK COLOR
CONTROLLER
PEBBLE
PLASTER
DAM WALL
EQ WALL
eVI51QN5 [3Y
p 5P� ,
POOL SIZE 33'-6" x1a
POOL S.A. 43O 5Q. rf.
POOL PER. 9-7 L, 50,
DEPTHS 3'-6" TO 5'-O"
POOL PUMP 0 H.P.
HEATER 400.000 M
FILTER ccy 420
LIGHTS 1-100 WAff
2-400 WAff
CONTROLLER
SPA SIZE -7' vA
SPA PER. 22'L , Ff,
SPA S.A. 38' 50, Ff.
SPA DEPTH 3(2"
JETS 5
JET PUMP 1.5 w
DECK AREA 935 50 ff,
PAVER AREA
W.F.
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POOL SIZE 33'-6" x1a
POOL S.A. 43O 5Q. rf.
POOL PER. 9-7 L, 50,
DEPTHS 3'-6" TO 5'-O"
POOL PUMP 0 H.P.
HEATER 400.000 M
FILTER ccy 420
LIGHTS 1-100 WAff
2-400 WAff
CONTROLLER
SPA SIZE -7' vA
SPA PER. 22'L , Ff,
SPA S.A. 38' 50, Ff.
SPA DEPTH 3(2"
JETS 5
JET PUMP 1.5 w
DECK AREA 935 50 ff,
PAVER AREA
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