06-2839 (RPL)79923 Amora Dr
06-2839
IE
• P.O. BOX 1504 .------ -_
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002839
Property Address:
79923 AMORA DR
APN:
609-380-999-68 -293234-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
25000
Applicant: Architect or Engineer:
W00 _ 0 I
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisiofxof Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu ' s a Professio , an . my License is in full force and effect.
License Cla C5 Licens : 618892
Dater ntractor. -
OWNER-BUI R DECLARATION
I her by 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 70001 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 1$500).:
1 _ 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 proving that 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 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:
LQPERMIT
Owner:
HUFFORD, DINA
79923 AMORA DRIVE
LA QUINTA, CA
LA QUINTA, CA 9225
Contractor:
BLUE HAVEN POOLS
2318 S. VINEYARD A
ONTARIO, CA 91761
(909)947-6474
Lic. No.: 618892
VOICE (760).777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
8/06
-----------------------------------------------
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 INS CO OF PA Policy Number WC3422016
I certify that, in the performa ce of the work for which this permit is issued, I shall not employ any
person in any manner as o b Ome subject to the w kers' compensation laws of California,
and agree that, if I ould b c e subje the or rs' compensation provisions of Section
7 of the lab Code, all forth h com ly 6 those provisions.
,Date Applica
WARNIy : FAILURE TO SE RERKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO C M NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITI6N 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, o cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state the a abo i ormation i rrect. gree comply with all
city and cou ord' nces and state laws relating building c truction nd hereby au representatives
of this c u to(/,t/.ef'r uport the above-mentioned roperty r spection urposes.
Date: Signature (Applicant or Age
Application Number
06-00002839
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00 Plan Check Fee
163.80
Issue Date . . . .
Valuation . . .
. 25000
Expiration Date
1/24/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
------------- ---------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiratic_= bate*.
1/24/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA. MECH FURNACE >1100K
11.00
i----------------------------------------------------------------------------
Permit. . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1/24/07.
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 ..
1/24/07
Qty Unit Charge
.Per
Extension -
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE.
12.00
1.00 3.0000
EA IPLB 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
Application Number . . . . . 06-00002839
----------------------------------------------------------------------------
Special Notes and Comments
' PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged
Paid
Credited
Due
---------------=---------------------
Permit Fee Total 356.00
.00
--------------------
.00
356.00
_
Plan Check Total 189.80
.00
.00
189.80
Grand Total 545.80
.00
.00
545.80
LQPERMIT
Bin #
City of La . Quinta
Building & Safety. Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: '9'J
C 3
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:S
City, ST, Zip: i g
J
Telephone:
Address:
-.51,
Project Description:
City, ST, Zip: D
Telephone:
59
k :
LJ
State Lic. # :
CityLic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Tele hone:
P
State Lic. #:
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. 109
1 Estimated Value of Project:
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.
upConstruction
Flood plain plan
rPlaansicked
esubmitted
Mechanical
Grading plan
iew, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" 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
Total Permit Fees
The Most Dependable
Custom Pool Builder in
Southern California
Since 1454.
CUSTOM DESIGN FOR:
NAME: '
ADDRESS:
CITY
'HOME TELEPHONt1# ft OFFICE*:
LOT TRACT.
APN* T
t
MAP BOON PAGE k M7
CROSS STREET:
SPECIFICATIONS , 1
TYPE
SURFACE AR POOL:
PERIMETER DEPTHS: MW. ( MAX
SPA SPECIFICATIONS:
ELECTRICAL
SIZE:
BY:
TIME CLOCK. 6Y1B PANEL
DAM WALL WIDTH: —
NO OF JETS _
LIGHTS IN POOL: SAA;
SPILLWAY(S): SIZE
POOL PUMP- SPA SLOWER
BLOWER. HP
WATERFEATURE PUMP:
BOOSTER PUMP HP
SPA BOOSTER _
FREE STANDING SPA - 8': _12._STUBS:
MISC.
IR' 21'
ma.
GUNITE
ROPE RINGS. GRAB RAILS
T9a8. ---- IZ'R.S.B. I8.PBS.
24*R B 8. _ 3A' R.B B.
-
EXCAVATION:
LOVESEAT EXTENDED 2nd STEPS:
TYPE:
NOTCH RAISED BOND SEAM:
DEEP END RAID: _
SPA DAM WALL WIDTH:
PENCE REMOVED BY; _
NOTCH SPA DAM WALL:
S`A.Sb. t2' RSA -_ IW R.B.S:
#VBG
'GO rETE'X "dir ..''
TREE REMOVAL BY:
STD WHITE. _____BUL L40SE BRICK.
SMMP REMOVAL BY:
FLAGSTONE: OTHER
TILE flWA— TILE TRIM:
Now
S'RSB: t2'R.S.B. tS'R.SB.
24'14.19.11. JD A.88
DECxm
SLIACKAPOE. _
LOVESEAT INISIDE: SWIMCW
BY UP TO SQ- Fr
SPA WALLWIPTHi;
FIMSN COLOR:
1rILSC.
STEPS;
CANTILEVER
MASTIC: CURB C01
DEOCO DRAINS:
F(LTER' SIZE
AREA DRAWS:
POOL PUMP: --MP:—SD,
HEATER BTiys:`_..
PATIO FOOTING SIZE:
SPA BOOSTER PUMP HP
PLASTER.
WATERFEATURE PUMP. _HP
SAW CUT: __P•TRAP.
STANDARD:
SMART BRITS:
GAS LINE: STUBS:
SHEER DESCENTS/ RAIN:
07HER:
LIGHTS IN POOL. M SPA.
SPECIAL
MISC
DELUXE MAINT K(T:
POOL COVER
DIVING ewfR
SLIDE;
SMARLFAIC,
OTHER
OWNER RESPORSIRILITIES
OWNER TO: (t) Detemane the approxinXtu elevation of peal or spa at payout Ofvmy of excavatgn-
(2) Take notice that pool and equsrmW%t location is kt*d Sit Scceptance of local Molding
department at time of issuance ol.perm .
(3) YYet down concrete Shah at least Mice dally for s"n (7) des'atier shell is installed..
(A) Take ndM a that BLUE HAVEN POOLS IS NOT RESPONSIBLIE liov underground conditions
or dtilecls, and any damage to ouros, s0ewefa. drweways, beans or other items in access area.
(5) See that all lancmg, gates. and Qarage doors msec local codeslor a;pool enclosure prior to
pre-ptasasr inspection.
(S) FAI pool rm mMately atter plaster. (Follow Instructions: do AM Use rubber er telae)
(7) NO VERBAL AGREEMENTS APPLY.
(B) Fencing to meet all local code requirements Cy buyer prior to pre -plaster inspection.
Owner approves pkn, pout. eGuoff*m locations and wderstends decking is for isustrason ONLY.
Owner understands they are to receive so fL of decking per contract
SK2ned _ _. Date: