06-0353 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
`06-00000353
51701 -VIA--SORRENTO
772-250-997-76 -31349 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Architect or -Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed u er provis' ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profess' a's Code, nd my License is in full force and effect.
License Class C53 Licans o.: 4611
ion -
OWFns
ILDER DECLARATION-
ereby affirm under penalty of peri that I am exom the Contractor's State License Law for the
following reason (Sec. 7031 .5, Busi ess and Profesode: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any s ucture, 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 (55001.:
1 _-) 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 provingthat 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT '
VOICE (760), 777-7012
FAX (760) 777-7011'r
INSPECTIONS (760) 777-71.53
Date: 1/24/06
Owner:
CASTILLO
51-701 VIA SORRENTO
LA QUINTA, CA 92253
i
Contractor. JAN 2 ,7 f'
MCINTYRE S POOL & SPAS, IN - 1006
83695 AVENUE 45
INDIO, CA 92201 CAFQUl9dTA
(760)342-3612 Cl DEQ
Lic. No.: 614611
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 HRH - INS Policy Number C20060333601
I certify that, inthe 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 subjectt a workers' compens ion provisions of Section
3700 f the Labor Code, I shal hwi c mply with those pro,
ro ion
7D. �yplicant: y \
G: AILURE TO SECURE WORKER COMPENSATION CO AGE IS UNLAWFUL, AND SHALL
N EMPLOYER TO CRIMINAL P ALTIES ANDCIVIL F S UP TO ONE HUNDRED THOUSAND
($100,000). IN ADDITION TO THE COST OF COMP SATION, 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.
11 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
n of La Ouinta, 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-
I certify that I have read this application and state that the above information is correct. I agree to c ply with all
city and county ordinances and state laws relating to buildA�construn,an reby authorizer esentatives
of this cou -to nter upon the above-mentioned property p es.
Dat %� Q Signature (Applicant or Agent): //
-Application Number 06-00000353 .
Permit BLDG POOL PERMIT
.,-Additional desc .J .
Permit Fee . . . 207.00 Plan `Check Fee
134.55
Issue Date Valuation .
. 20000
Expiration Date 7/23/06
Qty Unit.:Charge Per /
Extension
BASE FEE
45.00.
1'8:00 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 7/23/06
Qty Unit Charge Per.
.'Extension
BASE FEE
- 15.00
1.00'• 11.0.000 EA MECH'FURNACE >100K c
11.00
Permit ELEC POOL PERMIT -RES_
Additional desc'.
Permit Fee-, 45.0.0: Plan Check :Fee
11.25
Issue Date Valuation
0
Expiration Date 7/23/06
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 7/23/06
_. Qty Unit Charge Per
Extension
BASE FEE
15.00
2:00 6-:00:00 EA" PLB FIXTURE
12.00
1.00 3.0000_EA PLB WATER INST/ALT/REP.
3.001
1:00 3:0000 EA PLB GAS PIPE 1-4 OUTLETS-
3.00
- --------------------------_-----
_ Special Notes and Comments
--------------
POOL &`SPA ONLY: ALARMS/BARRIERS SHALL
_-
r
• " LQPERMIT _.
-
Total Permit Fees
QtY. 0f La Quilltai ,
Building &r Safety Division
Permit 1l
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92'253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Project Address:
,
Owner's Name: i
A. P. Number:
Address:Q
Legal Description:
J '
City, ST, Zip:
Contractor:
oll!''i 111 01 tv
Telephone:
Address:
'
Project Description:
Ciq•, ST, Zip: �
'
�fO
Telephone:
12
State Lic. #
4-1611
City LIC. N: 4
Arch., Engr., Designer:
Address:
-
City' 'ST, Zip:
r. a
Telephone:
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;•'.h���%<^r'>::>w��:Y��,.::#;:>':�:•`r•,:<<�
>::.,..; s r;; :;f'<°•>s.
'
Construction T'
Type: Occupancy:
State Lic. fl:
•;.:.. �:.::.,., ,.<:><>. • %<•:•. •,;..,.,.,.,ti:
:..:.:.:. gq
Project type (circle one) eye Add'n Alter Repair Demo
Name of Contact Person:'
Sq. Ft.:
it Stories:
N Units:.
Telephone # of Contact Person:
Estimated Value of Project: .
APPLICANT: DO NOT WRITE. BELOW THIS
q
Submittal
Req'd
Reed
LINE
Plan Sets
TRACKING'
PERMIT FEFS '
Plan Check submitted
(
Structural Calu.
t �,)
Item
Amount
Reviewed, ready for corrections
Truss Calcs.
Plan Check Deposit
.Called Contact Person
Title 2'4 Cates:
Plan Cheek Balance
Plans picked up
Flood plain plan
Construction
Plans resubmitted
Grading plan
Mechanical
2•' Review, ready for corrections/issue •
lleclrical
Subcontactor List
Called Contact Person
Grant Deed
,
Plunibing
Plans picked up
II.O.A. Approval
S.M.I.
Plans. resubmitted
IN IIOUSH:.
Grading.
`
'':' Review eady for correctios/issue'
n
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. A\'ks. Appr
A.I.P.P.
Date of permit'issue
School Fees
Total Permit Fees