06-3645 (BLCK)
58026 Aracena
IE
P.O. BGX 1504-
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
l
- 15- I
l
06-00003645
58026 ARACENA
764-200-999-4 -316812-
WALL/FENCE
LOW DENSITY RESIDENTIAL
320
Architect or Engineer:
) lA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------- --------------------------------
ENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjur am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Bu Ines Professionals Code, and my License is in full force and effect.
License Clads: C8 C27 C29 License No.: 656128
w 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pejur
ry that I exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and P fessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair an structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she i 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).:
(_ 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.).
(_ 1 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—) 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:
VALCARENGHI
58026 ARACENA
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/11/06
OCT 12 2006
CITY OF LA QUINTA
FINANCE DEPT.
-----------------------------------------------
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 SEABRIGHT Policy Number BB1060510
I certify that, in the performa a of the work for which this permit is issued, I shall not employ any
person in any manner s o become subject to the workers' compensation laws of California,
and agree that, if I Id co subject to the workers' compensation provisions of Section
3700 of the Labor e, I all fo with comply with those provisions.
WARNING: FAILURE TO SECURE WORt(i=R ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION TO TCOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTER ST, 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 theworkbeing
performed under or following issuance of this per it.
2. Any permit issued as a result of this application be mes null and void if work is not commenced
within 180 days from date of issuance of such p it, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the n tion is correct. I agree to comply with all
city and county ordinances and state laws relating to b ' 'ng c truction, nd hereby authorize representatives
offtth;'S,county to
enter upon the ve-mentioned pro e i coon p poses.
Sig ure (Applicant or Agent):
T Application Number . . . . . 06-00003645
Permit
WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 15.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 320
Expiration Date .
. 4/09/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
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Special Notes and
Comments
20 L.F. 4- EQUIPMENT WALL, CITY
STANDARD
Fee summary
Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
15.00
.00
.00
15.00
Plc.n Check Total
.00
.00
.00
.00
Grand Total
15.00
.00
.00
15.00
LQPERMIT
Bin #
Permit #
Project Address:��„0
A. P. Number:
Legal Description:
Contractor',-, X, r --
Address:
Address: t�0 ��. 12- Co
City, ST, Zip• CA
Telephone: 76C3cKf 2Z Z� .
State Lic.-#: Z
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
N Submittal
Plan Sets
Structural Cates.
Truss Cates.
Energy Cates.
Flood plain plan
Grading, plan'
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
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
Owner's Name:
Address:
City, ST, Zip: i
Project Description:
'i — 0 O. f
Lic. #: ' r t
i
Construction Type:
`^
Occupancy:
_ Project type (circle one):
Add'n Alter Repair Demo
S9• Ft.: # Stories: # Units:
Estimated Value of Projec
. O
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd TRACMG .
PERMIT FEES
Plau.Check submitted
Item Amount
Reviewed; ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
Zed Review, ready for corrections/issue
Electrical
Plumbing
Called Contact Person
Plans picked up
S.M.I.
Grading
Plans resubmitted
7r° Review, ready for correctionstissue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees
Lj e
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AUTHORIZATION
SPECIFICATIONS
J
SA S
FIELD
DIG
SURFACE AREA Of' POOL
JOB ADDRESS ANDALUSIA
FIRE-GUNITE
DEPTHS MIN. MAX.
SPAli L 5P CIFICATIONSA 1
UNDERWOUND
SIZE L:7-,-Jx s FT. f6r.
TILE TYPE`
MASONRY
WATER LINE
NO, OF JETS
DECK
LIGHT
PRE -PEBBLE
R.B.B..111 F
SPILLWAY TYPE
SPECIFICATIONS
J
K-14AO.V4 2- LA -A 65CA Pic
TYPE --(5r
SIZE x
SURFACE AREA Of' POOL
JOB ADDRESS ANDALUSIA
PERIMETER
DEPTHS MIN. MAX.
SPAli L 5P CIFICATIONSA 1
7"
SIZE L:7-,-Jx s FT. f6r.
TILE TYPE`
SPA DAM WALL WIDTH
WATER LINE
NO, OF JETS
TILE TRIM
QUARTER ROUND
LIGHT
RAISED SPA AT i lD
R.B.B..111 F
SPILLWAY TYPE
"iM3
SPECIAL NOTES
REVISHINS
' f DATE
DECKING
SQ. FT
EXCAVATION STEEL
TYPE C^:-' -
FINISH
EXPANPON.JOINTS
ACCESS FROM
ELEVATION
CANIILIE,vt
DEEP END RAMP
DECK DRAINS
LOVE SEAT
DECCO DRAIN
CONCRETE REMOVAL LOADS
CURB GORE
SOD REMOVAL LOADS
STEPS
TREE REMOVAL BY
STEP FACE
IRRIGATION REMOVAL B
TILE BASE
IRRIGATION REPAIR
SAND AND VISQUEEN -4 4
6" R.B.B., ft-
RIBBONS
12" R.B.B. __--ft
MOW STRIP
18" R.B.B. ft.
24" R.B.B. ft,
30' R.B.B.-12) ft.
fR
TAN SHELF DEPTH
MASONRY
ROCK POCI(ETS-
COPING TYPE CO Pj tA f
CENTERS
R.B.B. FACING
SPILLWAY TYPE,
PLUMBING c-
STEPSfrYD
Q. n, L; 1
PROP. EXT. WALLS
FILTER SIZE
POOL PUMP ( A u.f: SIZE 2.,5 0
PLANTER WALL
BOOSTER PUMP SIZE
RETAINING WALLS
ADD'L PUMP CAi;(=' SIZE
EQUIP. WALLS
ADD'L PUMF( -:tT _Q" ' MKE
FIREPIT
HEATER SIZE
TIME CLOCK
f1okJ AlLSo
SUB PANEL
ADD'L OUTLEUL_
SKIMMER TYPE _h !!A _>q
--
FILL LINE
PEBBLE 7PLASTER
GAS LINE STUBS
LIGHTS PO
LIGHTS SPOAL
FOUNTAINS/SPRAYHEADS
ROLLED BOND BEAM
SHEER DESCERTS.- —5coo4cok-5 ,5
BEHIND SPA
EYEBALLS
LIGHTS IN POOL IN SPA
0A i
STUB SET EQUIPMENT `&S,
FEK NG
mi.sc.
PLUMBING SIZE
FENCE
HEIGHT
GATE —
GU NITE
GATE REVERSAL
DEEP END RAMP
REMOVE & I 6
EXTENDED 2nd STEP
LOVESEAT
SPILLWAY TYPE-
EST. START
CANTILEVER
r8f. COMPLETION
COPING
OTHER aQlk-04e t,(T
R.B.B. - SEE STEEL
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEEPTANCE.- OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE. FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, A140 GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOU -OW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS 1HE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW,
OWNER APPROVES PLAN, POOL, AND EQUIIIME14T LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE(S)
SWIMMING POOL PLAN FOR:
NAME
K-14AO.V4 2- LA -A 65CA Pic
STREET "5Q -().Z6 6 A A
JOB ADDRESS ANDALUSIA
ICITY LA QUINTA
PHONE OFFICE J, RES
LOT 4--C TRACT-
PAGE
BOOK
MAP BOOK PAGE NO.
Tff f
MAIL ADDRESS
CONSTRUCTION OFFICE
PHONE NO,
SCALE DATE
DRAWN BY SOLD BY
EC H E CD B
"iM3
REVISHINS
' f DATE
_S E L E Cl T I El N
STONE
TILE
BOULDERS
DECK COLOR
JANDY
PEBB JID LAS jhA OCTA t 41, (2,6
SIGNATURE
N E5
DRAINAGE NOTE, Drainage and irrigation for planters and pots, by
others, LAnless otherwise noted.
:E:
CL
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CITY OF
13UILDIING &
DATE [0(I
K-14AO.V4 2- LA -A 65CA Pic
3
WF 6k*+c, 014 c O'c'" I -v-
_S E L E Cl T I El N
STONE
TILE
BOULDERS
DECK COLOR
JANDY
PEBB JID LAS jhA OCTA t 41, (2,6
SIGNATURE
N E5
DRAINAGE NOTE, Drainage and irrigation for planters and pots, by
others, LAnless otherwise noted.
:E:
CL
L
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CITY OF
13UILDIING &
DATE [0(I