07-1394 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001394
--Property Address:' 54035 AVENIDA OBREGON
APN: 774 -2.03 -026 -2 -000000 -
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 28000
Applicant: Architect or Engineer:
00
-----------------
LICENSED CONTRACTOR'S .DECLARATION
I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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-ycense is in full force and effect.
License Class: C8 C53 p / /JLicense No.: 2872
Date: Contractor. 7T7 �(� /(�! -
OWNER -BUILDER DECLARATION
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).:
(_) 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 _ 1 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.).
1 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
INSPECTIONS (760) 777-7153
Date: 5/09/07
Owner:
RAUL A. HERNANDEZ
54055 AVENIDA OBREGON'
LA QUINTA, CA 92253
(760)564-2633
Contractor: D 0
TROPIC SWIMMIN OLS INC
P.O. BOX 1772 RAY 1 2007
INDIO, CA 9220
(760)347--3218 CITY®FLAQUIITA
LiC. No.: 3128 FIMMagnair -
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 STATE FUND Policy Number 229-0006377
_ I 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 should beco .subject to the workers' compens n pr visions of Section
37 0 of the Labor Code, I sl; forthwith co wi those pro si s.,
%l- � m
f Date: Applicant: -
t
WARNING: FAILURE TO SECURE WORKERS' COM NSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL S 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 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 certify that I have read this application and state that the above i ormation is correct. I agree to comply with all
city and county ordinances and state laws relating to building co trusion, and hereby authorize represen tives
of this cou,41Y t %enter upon the above-mentioned property Io nspection purposes.
Date /� / Signature (Applicant or Agentl:
10,
Application Number . . . 07-00001394
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee ". . . .
271.50
Plan Check Fee
176.48
Issue Date
Valuation
28000
Expiration Date
11/05/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
19.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/0.5/07
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
11/05/07
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
11/05/07
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 3.0000
---------------------------------------------------------------
EA PLB GAS PIPE
1-4 OUTLETS
3.00
Special Notes and Comments
-------------
POOL, SPA, ALARMS/BARRIERS SHALL BE IN
LQPERMIT
J
Application Number. 07-00001394
----------------------------------------------
Special Notes and Comments
------------
PLACE AT PRE -PLASTER INSPECTION-.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary "Charged
Paid
Credited
Due
Permit Fee Total 375.50
.00
.00
375.50
- Plan Check Total 202.48
00,
.00
202.48
Grand Total 577.98
.00
.00
577.98
LQPERMIT -
Bin #
City 6f La Quanta
Building at Safety.Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinti, CA 92253 - (760) 777-7012
Building Permit -Application and Tracking' Sheet
Permit #
Project Address: -
Owner's Name: �" 1
A. P. Number:
Address:
Legal Description:
City, ST; Zip:
Contractor:
0 j
Telephone:.,
Address:-
Project Description:
City, ST, Zip:
Telephone:
State Lic.`# :
City Lic. #:
Arch., Engr., Designer:
VA 914
Address:
City, ST, Zip: '
+
,Telephone:
d
State Lia`#:
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: �IO pp
.APPLICANT: DO NOT WRITE BELOW THIS LINE '
#
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"d Review, ready for correctionsdssue
• Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-'
'"d 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
4
Total Permit Fees
F.
14)
N,
?A %!� �1 cv X11+
I rl
i
F"dL, FVP
- �eA�ek-
j
O
MAP PAGE
LOT
TRACT
___. POOL PE01FiCA'lONS
StzE; T7 ' sHAPf Z1J s
P'ERIME7;n AREA
(oRs�� OEtTTH ' _ x§� v0LUME
EXCAVATION
' (',RADINC1/_ gn1upS
i�
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
pq � __7BY
RAIAP_..L. ---
jvyiup�jT FENCE
�A 7/ CoNCRETE RAISED 5-a—
MisG
STEEL
SWIAaW LOVESEAT _ RAMP
SURCHAp,i! POOL LIGHT
RAISED 81 IND BEAL& SPA !�
AMSC.
PLUMLIING '
SUCT9!0 AET_7 PUMP X6,0
SOLAR --FOOL SwP. ,
HTR22a, iILTER s/jP4_ FILL LINE
SPA '>l SPA LGHT '-�RE'�_ JE7S—�
BONDING
PATIOS_ DIV. BO.
SLIDE _ OTHER
GUNITE-
�i RAup /tia_ NOTCH &B'- LOVESEAT
RAISED gt,ND 13EAM F.S. STUB
r , SWIMOUT _ SPp/�'� L ANC
v AMSC. _
TILE & COPING
TILE 1� ' ' COPING
TILE TRIM _. SPA WALL WIDTH
SPCnA' C � rtAISED ELIL ,;
AMSC. _
0 TPL4N -PPPR VAL PLASTER j SPA
cE*,.oj; ;;;PICA !S OWNER'S APPROVAL COLOR 1
�::'=',4EN.1 LOCATIONS. ANO ALL DECKING
---�,t;:ES AS 4STE-3 HEREON.
gam.: TYPE SO
FINISH _
ELECT nY G
SPC.IN9T- -
j GAS eY _ _' L•
SPC. INST
FOR ILL.JSTRATION ONLY ADDITIf)NAL NOTES:
A CUSTOM POOL DESIGNED
ESPECIALLY FOR:
NAME A . U
ACCRESS
a -Y
X S mEET
HCME PH Bus. PH
P_a':S 9Y Cr -K. 9Y
SEA
POOL AA. • lu It[ FCNCEO. PER COUNTY CR CITY
ORDINANf i (.A t t:', TO BE SELF-CLCSiNG AN0 SELF
LATCHINt-
WET DOwN Cot1C111 TE SHELL AT LEAST TWICE
DA:LY F:)° ' IIAC.
nn ung nrt 1N 1,001 -LIGHT WHEN POOL IS