05-0678 (RPL)BOX 1504
95 CALLE TAMPICO
?UINTA, CALIFORNIA 92253
mber
ss
BUILDING PERMIT
Application description . . .
Property Zoning . . . . . . .
Application valuation . . . .
Owner
------------------------
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 852.58
IIIIIII ILII III VIII IIII 73
IE
ul�cv__
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
05-00000678 Date 2/25/05
60316 ALOE CIR
764-270-999-175 -300233-
POOL - RESIDENTIAL
MEDIUM HIGH DENSITY RES
18000
Contractor
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA CA 92236
(760) 398-9222
WCC: SEABRIGHT INS
WC: BB1050510
01/01/06
CSLB: 656128
10/31/06
CCC: C8-C27-C29-053
----------------------------------------------------------------------------
Permit . .
. .
BLDG POOL PERMIT
Additional desc
.
Permit Fee . .
. .
189.00
Plan Check Fee
122.85
Issue Date . .
. .
Valuation . . . .
17280
Qty Unit
Charge
Per
Extension
BASE
'FEE
45.00
16.OQ
9.0000
THOU BLDG
2,001-25,000
144.00
----------------------------------------------------------------------------
Permit . . . .
. ..
MECH POOL
Additional desc
. .
Permit Fee
24.00
Plan Check Fee
6.00
Issue Date . .
. .
Valuation . . . .
0
Qty Unit
Charge
Pet
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9.00
----------------------------------------------------------------------------
Permit
ELEC POOL PERMIT -RES
Additional desc
. .
Permit Fee . .
. .
45.00
Plan Check Fee
11.25
Issue Date . .
. .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00 30.0000
EA ELEC
PRIVATE SWIMMING POOL
30.00
-------------7--------------------------------------------------------------
Permit . . . .
. .
PLUMBING
Additional desc
. .
P.O. Boa 1504• �G/ VOICE (760) 777-7012
78-495 CALLE TAMPICO �I FAX (760) 777-701 1
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 05-- D� 78 Date: 3 /$�• OS
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
co/yTR,4 G TO R
Architect or Engineer's Address:
IVIA
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 Lice i F force and effect.
✓License Class
Xte 3 1 WO.S"' Contractor ✓ '
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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 co-itractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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 mainta* orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is work compensation insurance carrier art : /
�arrier /i[ Policy NumbertN�lllrJil"
I certify that, in the performance of the work f r ich this permit is issued, I shall not emp oy any person in any manner so as to become subject to the workers'
compensation laws of California, and agr that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date 3/s—` o.�— A.,plican
WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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.
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
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 wo being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void' o of 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 tort I agr a to comply with all city and county ordinances and state laws relating to building
construction, and -hereby authorize representatives of this county to ter upo the bo - entioned property for inspection purposes.
D ✓ �� "✓ Signature (Applicant or Agent).
Fee summary Charged
----------------- ----------
Permit Fee Total 312.00
Plan Check Total 148.35
Grand Total 460.35
Paid Credited Due
---------- ---------- ----------
.00 .00 312.00
.00 .00 148.35
.00 .00 460.35
Page
2
Application Number . . .
. . 05-00000678 Date
2/25/05
Permit Fee . . . .
33.00 Plan Check Fee . .
8.25
Issue Date . . . .
Valuation . . . .
0
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
----------------------------------------------------------------------------
Permit . . . . . . WALL/FENCE
PERMIT
Additional desc
Permit Fee . . . .
21.00 Plan Check Fee
.00
Issue Date . . . .
Valuation
720
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 2.0000 HND
BLDG 501-2,000
6.00
------------------------------------------=--------7------------------------
Special Notes and Comments
POOL & SPA. 45 L.F. 4' BLOCK
WALL, CITY
STANDARD. ALARMS/BARRIERS
SHALL BE IN
PLACE PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
IN
PERMIT.
Fee summary Charged
----------------- ----------
Permit Fee Total 312.00
Plan Check Total 148.35
Grand Total 460.35
Paid Credited Due
---------- ---------- ----------
.00 .00 312.00
.00 .00 148.35
.00 .00 460.35
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LOT TRACT .. BOOK
MAPBOOK PAGE NO. CITY
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SCALE 1 DATE DRAWN BY SOLD BY CHECKED BY
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# ...REVISIONS DATE
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TILE
BOULDERS
DECK COLOR
DANDY,
PEBB./PLAS
SIGNATURE
DRAINAGE NOTE- Drainage and irrigation for planters and pots, by
others, -unless otherwise noted.
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SPA PP�CIFICATJONS
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SPECIAL NOTES
PECKING
ISo. -T
EXCAVATION ST&
TYPE
AC= FROM
I F"SH St"04 0,*N
EWAN" JOINTS
DEEP EW RAW
LOVE VAT f9
CANTILEW
DECK DRAINS
DECW DRAW
CONCKM REMOVAL LOOS
I IRB OW
SOD REMOVAL LOADS
STEPS
j STEP FACE
TREE REMOVAL BY
MGATION REMOVAL BY
i Tu BASE
111116"T)ON REPAIR
SAND AND 'ASOUED4
tLRIBBONS
12' R.B.B. *��k 12 a k Wt-o-M&AL IL
mow STRIP
Is" R.B.B. 4A.;fJ4xrk*" fl
24' R.B.B.-
30' R.B.B. fJ
TAN %W DEPTH
ROCK PO0TTS____:= �MASONRY
CENTERS
COPING TYPE
R.B.B. FACK
SPILLWAY TYPE At-, sz,
PLUMBING
S7EPS — ---
PROP. EXT, WALLS
PLANTER WALL A64
MTER _.l:_44(1 F SZE
POOL PUMP C_As�r- SIZE _4 t>
BOOSTER PUMP SIZE
ADD'L PUMP SIZE
RETAINING WALLS
EQUIP WALLS
ADD'L PUMP SIZEFIREPIT
SIZ VJ
HEATERL1
j
TIMEO-M-1,004
SUB PAM!
ADD'L DU
WWII-
SKIIAIER INK►
rg,- LINE e
CAS UK eAf!ln� snm
PEBM/PLASTE4ER -
UGM POOL
LIMM SPA
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9mn Dnands—
BEIM r2k, n #.A ft
MAUS
LOM IN POOL 14 SPA
fA
FENCING
MIS SET EWIPMW
Wisc. t
mumem SZE . -A
FENCE TYPE
rAX
GUNITE
GATE RE)OSAL
DEEP 00 RAW
A RIENAK
DOVIIDED 2rW M
ebgtA"
LOW -VAT
WT. STAM C
74LLWAY TYI� S4144,4;OCA
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SALES
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PRE-11"F113BLE
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SOATJRE(-S)
STREET 1y C'e'*
JOB ADDRESS it CI TY
PHONE OFFICE -1-71-1,1 4- RES -N I- 0q-7 I
LOT TRACT .. BOOK
MAPBOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE 1 DATE DRAWN BY SOLD BY CHECKED BY
J E_ P F
JOB
# ...REVISIONS DATE
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IN 0 N&,WA M W=1&1vA1WJ I h: a WAam
•
MUM-�-
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•-
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SELECTIONS
STONE
TILE
BOULDERS
DECK COLOR
DANDY,
PEBB./PLAS
SIGNATURE
DRAINAGE NOTE- Drainage and irrigation for planters and pots, by
others, -unless otherwise noted.
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