05-3821 (RPL)1111111 VIII III VIII (III 34Tihf 4
P.O. BOX 1504 - -- IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
i
Application Number: 05-00003821
Property Address: '_60955 AZUL CT
APN: 764-270-999-89 -300234- ��j� `� 2GG5
Application description: POOL - RESIDENTIAL
Property Zoning:, MEDIUM HIGH DENSITY RES c�®pl�►QUINTI
Application valuation: 18000 FINANCE0 PT.
Applicant: . Architect or Engineer:
IL,l t:Z%
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 of the Business and Professionals Code, and my Lic�nse . in force and effect.
cense Class: License No.: GQI�
p �
Date:/ -34 -Of Contractor".
ontracto . r
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. 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 _) 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.).
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.I.
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/29/05
Owner:
SHEA LA QUINTA
!C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
CALIFORNIA POOLS & SPAS
WCC: SEABRIGHT INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
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 C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - - -
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
3700 of the Labor Code, I shall forthwith comply with those provisions.
Dat '470Applican_ti
WARNING: FAILURE TO SECURE WORKERS' 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.
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 information is correct. I agree to comply with all
city and coun�y ordinances and state laws relating to building construction, and hereby authorize representatives
of this cou to enter upon the above-mentioned property for insperAion purposes.
Date: 0'o rSignature (Applicant or Agent
Application Number . . . . . 05-00003821
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
189.00
Plan Check
Fee
122.85
Issue Date . . . .
Valuation
17112
Expiration Date
2/25/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
144.00
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
2/25/06
Oty 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
2/25/06
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
2/25/06
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
LQPERMIT
Application Number . . . . . 05-00003821
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 288
Expiration Date 2/25/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. 18 L.F. 4' BLOCK WALL,
CITY STANDARD. ALAMS/BARRIERS SHALL BE
IN PLACE PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary Charged Paid Credited
-----------------------------------------
Due
-----------------
Permit Fee Total 308.00 .00
.00
308.00
Plan Check Total 148.85 .00
.00
148.85
Grand Total 456.85 .00
.00
456.85
0
LQPERMIT
Bin. #
Permit #
Project Address: _
City Of LQ Quint
Building 8I Safety Division
P.O. Box 1504, 78-495 Calle Tampico
-La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
/�cZt, l Owner's Name: S
A. P. Number:
Address:
Legal Description:
Contractor: CQLb"rb M ( a OO ,s &SPas
City, ST, Zip:
Telephone:
Address: 0�
Project Description: -
City, ST, Zip: 6x4 CA el t
0L;( 3 40
Telephone: 391? - 9ZZ
<}::;{<{.�}};:..;;r•;:}.�<:;:<:}:>}�;::>•;«<;;t.
4, 11SE11 Ie
State Lic. # 0
City Lic. ifil.-
Arch., Engr., Designer:
'
Address:
City., ST, Zip:
Telephone:
State Lic. #:
4 a••.:f•..'.:' r <:ys;:<<;•.:
'>.>:x<3{s<'>•v::>>r;><:;; _;<.>:>'> :,
Construction Type: Occupancy:
Project type (circle one): Ne Add , n Alter Repair Demo
Nalne of Contact Person: D• Aj
Sq. Ft.:
# Stories:
#Units:
Telephone # bf Contact Person: .2
Estimated Value of Project:. 0 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
,4.9 D
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionslissue
Electrical
Subcontactor List
Called ContactPerson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE:- .
3 d Review, ready for corrections/issue
Developer Impact Fee.:
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of peirmit issue '
School Fees
Total PermiVFees
(7 71A
�o .
.91►�8
ti
�ati�ti V�IT�
F �
�T e
DECK
PRE -PEBBLE
UTHORIZATION
FIELD
SPECIFICATIONS
TYPE Cy V I
�Df !
SIZE 4-� x
�i
BOULDERS
SURFACE AREA OF POOL 7
DECK COLOR
PERIMETER ��
DEPTHS MIN. �- CG7 / MAX.
�PAECIF�CATIONS
Z
PEBB./PLAS
TILE '
SIZE x SO. FT. _„
TILE TYPE
SPA DAM WAIL WIDTH' L Y�
WATER LINE
Na OF JETS T
TILE TRIMr
LIGHT �' '0
QUARTER ROUND
RAISED SPA AT� tti
R.B.B. TILE "�-
SPILLWAY TYPE S'
SPECIAL NOTES �-
EXCAVATION /TYPE, ST�%, ..
ACCESS FROM 5S&' J
ELEVATION
DEEP END RAMP
LOVE SEAT
CONCRETE REMOVAL
SOD REMOVAL
TREE REMOVAL BY
IRRIGATION REMOVAL BY
IRRIGATION REPAIR
6' R.B.B.
12' R.B.B. 2b 6
1W R.B.B.
24' R.B.B.
30' R.B.B.
TAN SHELF DEPTH —�
ROCK POCKETS
CENTERS
PLUMBING
FILTER CAL4f SIZE w �'
POOL PUMP LU_ SIZE '2--< 4
BOOSTER PUMP SIZE _�-
ADD'L PUMP SIZE
ADD'L PUMP
. SIZE
DATER �-� � S,^IIZE
TIME CLOCK
SUB PANEL
ADD'L OUTLEtS dppr �' ' � Smip
rry�—
SKIMMER TYPP�E{{��L
FILL LINE PAP ft&JIrS
GAS UNE M6 -T41- STUBS
FOUNTAINS/SPRAYHEADS
SHEER DESCENTS
v�-
LIGHTS IN POOL S, - 1 () 0 IN SPA -1Si
STUB SET EQUIPMENT
MISC.
PLUMBING SIZE II
GUNITE
DEEP END RAMP
EXTENDED 2nd STEP
LOVESCAT
SPILLWAY TYPE.
CANTILEVER
COPING
R.B.B. - SEE STEEL
DECKING
SQ. FT_
FINISH Ste+
EXPANSION JOINTS
CANTILEVER
DECK DRAINS
DECCO DRAIN --�'
LOADS CURB OORE
LOADS STEPS
STEP FACE
TILE BASE
SAND AND VISQUEEN
ft RIBBONS
MOW STRIP
fL
ft
MASONRY
COPING TYPE
R.B.B. FACING
SPILLWAY TYPE iW14 6"+rt"5 SIZE
STEPS
PROP. EXT. WALLS
j PLANTER WALL
RETAINING WALLS
EQUIP. WALLS
FIREPIT
PEBBLE PLASTER
LIGHTS POOL
LIGHTS SPA
ROLLED BOND BEAM
BEHIND SPA
EYEBALLS �—
l 1 m A ✓4�� E "� � '? 'y tom;,
F NG
FENCE TYPE --
HEIGHT
GATE
GATE REVERSAL
REMOVE do
EST. START
BST. COMPLETIONI ' t�i'r R)
OTHER
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 ACCEPTANCE 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, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS THE 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 EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURES) DATE
SWIMMING POOL PLAN FOR:
NAME
NOE
STREET < PtZ% , (=r
JOB ADDRESS T iz.l I...O CITY L" A 4;2 1 T_
PHONE OFFICES . - 3240 -(oZv5 RES 1�1 (-moi L - 1
LOT 06)q TRACT PAGE BOOK
MAP BOOK PAGE N0. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY CHECKED BY
JE FF
J08# REVISIONS DATE
1
211 BUILDING & SAFEVI TY EPT.
3 FOR CONSTRUCT N
4 My
1511
SELECTIONS
STONE
TILE
76
BOULDERS
DECK COLOR
JANDYC,—�
PEBB./PLAS
SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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