08-0844 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
--08-00000844
55293 RIVIERA
775-153-009- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Architect or Engineer:
alA_
I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: 13 C53 �License No.: 5`52140
ate ntractor. ��uT"/G �66/" `
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. 703i.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 therefromand 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 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.).
(_ I 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 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: I FA
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/08
Owner:
ROD & BETTY MINKLER
55293 RIVIERA D
LA QUINTA, CA 92253.
MAY 13 [m
Contractor: _
BRYAN INVESTMENTS GROUA, INC CITYOFLA1iV7A
P.O. BOX 1804 FINANCEp�pP
PALM SPRINGS, CA 92263
(760)345-8483
LiC. No.: 552140
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 NORTHERN INS NY Policy Number WCO281765000
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 become subject to the workers' compensation provisions of Section
w377100 of the Labor Co e, I shall forthwith comply with those provi�sions.s.1
atrs e '�fO K,Jb plicant: e wr L
WARNING: FAILURE TO SECUR RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI I AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 apprcation and state that the above information is correct. I agree to comply with all
city and county ordinances an tate laws relating to building construction, and hereby authorize representatives
of this ounty,tto/renter upo a above-mentioned prope for inspection purposes.
to gnature (Applicant or Agent):
Application Number . . . . .. 08-00000844
Permit BLDG POOL PERMIT'
Additional desc .
Permit Fee . . . . 207.00' Plan Check Fee 134.55
Issue Date . . . . Valuation 20000
Expiration Date 11/10/08
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 11/10/08
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 11/10/08
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 11/10/08
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
LQFERMIT
Application Number . . . . 08-00000844
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
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
-. LQPERAIIT
Bin # + t
City Of L Quinta
Building 8t Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico
MHLa Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: F� a q -Rl u i ercu
A. P. Number:
Contractor: 04
Pa-
oolS
Address: / r�,
City, ST, Zip: Trnr01 /
Telephone: 7�_ �2 a —7 8X.
Name of Contact Person: ar 3 en f /e y ►'G/G h
Telephone # of Contact Person: 766--<--3; 7 — Q A U
# Submittal Req'd
3 Plan Sets
I Structural Cales.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
If-O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
APPLICANT: DO NOT
Recd T)
Plan Check submitted
Reviewed, ready for c
Called Contact Persor
Plans picked up
Plans resubmitted
Zee Review, ready for i
Called Contact Person
Plans picked up
Plans resubmitted
''" Review, ready for c
..Called Contact Person
Date of permit issue
Owner's Name: Ppo( 4. zef-tv- M I n K le r
Address: 55 a'33 R' U 1 e r q
City, ST, Zip:
Telephone:
Project Description:
EE
FEE
Construction Type: -Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Estimated Value of Project:- a Q 000
WRITE BELOW THIS LINE
UCKING PERMIT FEES
rrections
Item
Amount
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
orrections/issue
Electrical
Plumbing
S.M:I.
Grading
irrectionsfissue
Developer Impact Fee
A.I.P.P.
Total Permit Fees
REVISIONS
-SPECIFICATIONS
SIZE. 55'-5" X 81-0"
SHAPE: RECT.
SURFACE: 525 S.F.
PERIMETER: 105' PER.
i
DEPTH- MIN: 5' MAX:
5' SPA RAISED @ +18"
REVISIONS
-SPECIFICATIONS
SIZE. 55'-5" X 81-0"
SHAPE: RECT.
SURFACE: 525 S.F.
PERIMETER: 105' PER.
DEPTH- MIN: 5' MAX:
5' SPA RAISED @ +18"
SPA SIZE: - 7',X T
BREAK / MIN: N/A
SPA DEPTH: 5'-611
SPA SURFACE: -4q S.F.
SPA PERIMETER: 28'
TOTAL GALLONS: -
�
-' EXCAVATION -
FINISH ELEVATION: SEE EXISTINS METHOD: HAND DIS -
ACCESS: LEFT SIDE
SITE PREPARATION: WATER ONLY
GRADING: N/A
CONC. REMOVAL: YES
DIRT REMOVAL: YE5
SOD REMOVAL: YE5
DRY WELL LOCATION: WA
-
POOL PLUMB I NG -
O
PUMP TYPE: JANDY
SIZE: I
H.P.
FILTER TYPE: JANDY
SIZE: 460
SQ. FT.
SKIMMER TYPE: WATERWAY
SIZE/#: - /
HEATER TYPE: JANDY
SIZE: - 400,000
B.T.U.
HEATER VENT BY: N/A
JET PUMP TYPE: JANDY
SIZE: 2
H.P_
EQUIPMENT LOCATION: 5EE PLAN P/C SLAB / PIT: 5LAB
PLUMBING MATERIAL: PVC ECHO 40
CIRC. SUCTION SIZE: 2.511 ,
CIRC. DISCHARGE SIZE: 2.5"
BACKWASH: N/A
SIZE: N/A
RETURNS IN POOL #/SIZE: (5) I.5" RETURN INLET TYPE: PLUSH MOUNT
AUTO FILL LINE (WITH NO
OBSTRUCT.) YES
A/S VALVE LOCATION TBD '
GAS LINE BY: CAL PACIFIC
SIZE / LENGTH: 2"
AUTOMATIC CLEANER DED.
VAC LINE: YES
SIZE: 2"
CHLORINATOR(S) AQUA PURE
WATER FEATURES: N/A
SIZE: -
J
- SPA PLUMBING -
JET SUCTION SIZE: 5"
JET DISCHARGE SIZE: 5"
JETTYPE: LA5C0 `
# 6
JET AIR LINE SIZE: 2"
LENGTH: -
SELECTOR VALVE TYPE: -
SIZE /#: - / -
PUMP TYPE: -
SIZE: `` -
H.P.
FILTER TYPE: -
SIZE: -
SQ. FT.
SKIMMER TYPE: -
SIZE/NUMBER:-
HEATER TYPE: -
SIZE: ' " -
B.T.U.
HEATER VENT BY: -
OL
to
JET PUMP TYPE: DANDY
SIZE: 2
H.P.
EQUIPMENT LOCATION:' -
P/C SLAB PIT: -
PLUMBING MATERIAL: -
} Q
CIRC. SUCTION SIZE: 2.5"
CIRC. DISCHARGE SIZE: 2.5"
BACKWASH: -
SIZE / LENGTH:
RETURNS IN SPA #/SIZE:, -
RETURN INLET TYPE: -
AUTO -FILL LINE (WITH
NO OBSTRUCT): -
Lu
A/S VALVE LOCATION:
GAS LINE BY: -
SIZE/LENGTH:,-
AUTOMATIC CLEANING:
Q
Q
Q
Q
CHLORINATOR(S)-
WATER FEATURES: -
#/SIZE: - / -
_
- STEEL
�
STANDARD/SPECIAL: STANDARD SPA DAM WALL LENGTH: 5EE PLAN
RAISED BOND BEAM: +6" -
+12" 55' +18" 28' OTHER -
6" ON CENTER WA
EXTRA DEPTH: N/A
- GUNITE
CORNER RADIUS: N/A
# INLETS: el # JETS: 6
�
STEPS: SEE PLAN
AUTO -FILL LOCATION: ' SEE PLAN
POOL BENCH DEPTH: N/A
TAN LEDGE DEPTH: N/A
SPA DEPTH: -5'-01" @ BOND BEAM SPA BENCH: -24" @ BOND BEAM
GRAB RAIL: N/AHAND
RAIL: N/A CUP ANCHORS:
N/A
— MASONRY
Ale—
FENCH REMOVAL BY: N/A
REPLACED BY: N/A
�
SIZE OF OPENING: N/A
MATERIAL: -
EQUIP. WALL BY: GAL PACIFIC
SIZE/MATERIAL: MATCH EXISTING
U
BBQ:; - N/A
FIREPIT:' N/A
- DECKING -
BY WHOM: GAL PACIFIC,
FINISH: BROOM SQ. FT. 618 S.F.
COLOR: CRAY`4 COLOR
CANTILEVER: ' YE5 BRICK: -
STEPS: -
EXPANSION: YE5 RAIL ANCHORS: -
FIBER MESH: _
SAND & PLASTIC: _ YE5
- TILE AND STONE -
TILE: TBD
COLOR: TBD GROUT COLOR: TBD
OL
COPING/OTHER: NO
CANTILEVER: YES BRICK: NO
STEP TRIM: NO
NUMBERED TILE: -
,Q
<
ELECTRICAL -
BY WHOM: CAL PACIFIC, IJ-BOXLOC.: @ EQUIPMENT I SWITCH LOC.: -
�—#
LIGHTS - WATTS/CORD: -
1—
SWITCH RUN: - PANEL CHANGE: N/A I LIGHT RUN: -
REMOTE SWITCH: AQUA PALM
TYPE: < JANDY
SPA SWITCH LOC.: -
HEATER SWITCH LOC.: -
- INTERIOR FINISH -
PLASTER COLOR: N/A
PEBBLE COLOR: TBD
LIGHTS: .2-400A I -100A NAME PLATE: - A-V COVERS: -
'U
CUP ANCHORS: - RAIL ANCHORS: - RECESSED STEPS: -
COVER AND FITTING COLOR:
REVISIONS
DATE
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