05-3838 (RPL)r
40
p
e
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
11
51184 AVEN I DA HE RRERA
+
773-064-010-1 --
L - RESIDENTIAL
COVE RESIDENTIAL
15000
t .
cant: ��
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nomC11ry OF QUINTA
FINANCE DEPT
-
Architect or Engineer:
7.
.
BUILDING & SAFETY DEPARTMENT
BUILDING.PERMIT
4 Owner:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter B f commencing with
Section 7000) of Division 3 of the Business and Pro 'onals Code, a y License is in full force and effect.
Lice a ass: License o..
To"Contra r',
M/NER-BUILLDER DEC RATION
I hereby affirm under penalty of perjury that I arra exempt from the Contr tor
State License Law for the i
following reason (Sec. 703 1. , 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 regfjires 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 S (commencing with Section 7000) of Division S 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 subiects the applicant to a civil penalty of not more than five hundred dollars ($500).-.
{ I, as owner of the property or my employees with gages 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 ars 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 contractors) 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 i issued (Sec. 3097, Cir. C.).
Lender's Name-
Lender's
a e:Leader's Address:
LQPERMIT
10
MORGAN HILL
i
51-184 AETDA HERRERA
LA QUINTA, CA 92253
Contractor:
VACAT I N POOLS INC
WCC: STATE FUND
WC: 1795938-.
SLS : 856835
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/30/05
04/o1/as
04/30/0
■
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 i
issued. I r _
F I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work forwhich-this permit is issued. My workers' compensation 1
insurance carrier and policy number are: .
Carrier C53 Policy Number _-___-______-_�
i� 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 worker ' pensation provisions of Section
3700 of the Labo I shall forthwith comply with ose rsio
Dat ,� A licant-
low
11A IN FAILURE TO SECURE WORKERS' iPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER ER T CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($1000000). 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.
. 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 correct. I ogre comply with all
city and cou y ordinances and state laws relating to building construction+ a k auth i e r resentatives
of this c u to rater upon the above-mentioned pr or inspection R pose
D e: i ignatur (Applicant or Agent) .
F
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■
0
PET
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Application- Number
0- 00003
Permit . i
BLDG POOL PERMIT
+Additional desc
i
Permit Fee • i
162-00 Plan Check
Fee
105 .3
o
Issue Date Is i
Valuation
i i
15000
+
Qty Unit
Charge
erg
ori
BASE FEE
4 5.
0 0
13.00
*0000
THOU BLDG 2 001-25, 000
117.00
+
Permit
MECrH POOL
Add i i oa-1 desc
r
Permit Fi
i
+ 26-00 Plan Check
Fee
6*50
Issue Date
- Valuation
o
.Expiration Date
2/26/06
ni
yQty Unit'
Charge
Per
Exterision.
BASE PEE
15-00
1. 00 i11*
--------------- ............. r
0000
EA MECH FURNACE.1000
z
----------------------------------------------
11#00
PermitEL
EC POOL PERMIT -RES
Additional desc
-
+ Permit Fee
45*00 Plan Check
Fee i
11.25
is-sueis-sue Date
Valuation
.0 #
o
-Expiration Date
2/26/06
+ Qty Uni t
Charge
Per
Extension
BASE FEE
15-00
i
y + 1000 30.
! ! f! i i i ii i i F •i i
0000
it i
A ELEC PRIVATE SWIMMING
r s----------------------------------------------
iiiii
POOL
ssiii
30-00
s -Permit
Permit
PLYING
f +
Additional desc
4
Permit Fee
33-00 Plan Check
Fee
8*25
+Issue Date
Valuation
o
Expiration Dat
2/26/06
i
F Qty Unit
Charge
Per
Extension
-
BASE FEE
-
15-00.
f
2.00
6. 0000
EA PLH FIXTURE
12.00
1,00
3. o000
EA PLB WATER INST/AL'T/REP
3.00
1.00
3. 0000
EA PLGAS. PIPE 1-4 OUTLETS
3.00
-----------
rr --------- r r f wRf f r : f r - - - - - - - - - - - -
*
+ - Special Notes and Commns
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.
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POOL & SPA ONLY
'
_
4 ALARMS/BARRIERS SHALL
a+
PET
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0
w
6
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0
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6
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Application Number 0 - 00003 83 8
- - - - - - - - -- ----------
Special Notes and CommentsBE IN PLACE PRIOR TO PRE-PLASTER #
INSPECTION* EQUIPMENT ENCLOSURE E TOT
INCLUDED IN PERMIT.
• F
Fee summary Charged Paid Credited Dine
Permit Fee Tota. 266.00 ..0.0 .00 266.00
Plan Check 'Total 131-30 .00 . 0 0 131-30
Grand Total 397.30 .00 .00 397.30
5
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Construction is NOT PERAMIMD
on the following Code Holidays:
New Year's Day
Dr. Martin Luther King Jr. Day
President's Day
Memorial Day
Independence Day
Labor Day
Veteran's Day
Thanksgiving Day
Christmas Day
_\V
INSPECTION FEE OF $30
A RE VED
TH
ILL BE CHARGED IF E APPRO
VN NOT ON
AND 108 CARD ARE
jE SITE. FOR A SCHEDULED
I
INJSPECTION.
N4 EXCEPTIONS'
CITY OF LA QU I NTA
BUILDING &SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
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VACATION POOLS, INC*
83900 Avenue 45�� Suite C
Indio, CA 92201
(760) 775-0468 • (760) 775-0469 Fax
License # C-53=856835
1
CEIYERAS. SPECIFICATION
SIZE . X 2
AREA PERIMETER G r
DEPTH '3 � 5 ;
i
TILE,CHOICE .
4 RBB.
POOL CAPACITY /D s?7D-GALS
MOTOR HP j HP R
MOTOR HP - - HP
FILTER / : 4j 'SCS FT 9?06
HEATER / ,, 40 SIZE BTU 4'ox
SUCTION LINES
RETURN LINES
SKIMMER MODEL
CHECK VALVE
GASLINE BY z;4 92 FT
POOL LIGHT, � 4,z z - ZiM
TIMER S
ELECTRICAL BY 1 470 FT
AUTO CLEANER
SALT SYSTEM
PLASTER COLORy
DECK BY � FeBU
DECK TYPEr�lt�
STEP
SPA, SPECS.
SIZE 7# 7
LITE 1�;� ry JETS
BACK. ��"" .LEG �'
DUAL LEVEL SEATS S
DAMWALL .
DAMWALL TOP t [.
SPILLWAY SIZE l X � WIDE
SPILLWAY r'L L&Ad
CONTRAQTOR cr n t assume .responsibility for
damage to t curbs, sidewalks, driveways, cement
slabs, sewers lGwns, trees, fences, retaining
walls, spinners, hers, Wires, valves, telephone or NAME:174.146A)
p
shrubs.
Wh d th h n hb ADDRESS 57//,?C/ Al
en a es. ig ma a roug a egg or s
prc,., is ,der tood that you, the owner, have ,
-
CITY:
th • ..� t 0ermission and assume full
re onsi ility.
'�r TRACT:
!
E. �ELICE�G�A
T� V2.5-3
Y r
VACATION POOLS, INC*
83900 Avenue 45�� Suite C
Indio, CA 92201
(760) 775-0468 • (760) 775-0469 Fax
License # C-53=856835
1
CEIYERAS. SPECIFICATION
SIZE . X 2
AREA PERIMETER G r
DEPTH '3 � 5 ;
i
TILE,CHOICE .
4 RBB.
POOL CAPACITY /D s?7D-GALS
MOTOR HP j HP R
MOTOR HP - - HP
FILTER / : 4j 'SCS FT 9?06
HEATER / ,, 40 SIZE BTU 4'ox
SUCTION LINES
RETURN LINES
SKIMMER MODEL
CHECK VALVE
GASLINE BY z;4 92 FT
POOL LIGHT, � 4,z z - ZiM
TIMER S
ELECTRICAL BY 1 470 FT
AUTO CLEANER
SALT SYSTEM
PLASTER COLORy
DECK BY � FeBU
DECK TYPEr�lt�
STEP
SPA, SPECS.
SIZE 7# 7
LITE 1�;� ry JETS
BACK. ��"" .LEG �'
DUAL LEVEL SEATS S
DAMWALL .
DAMWALL TOP t [.
SPILLWAY SIZE l X � WIDE
SPILLWAY r'L L&Ad
CONTRAQTOR cr n t assume .responsibility for
damage to t curbs, sidewalks, driveways, cement
slabs, sewers lGwns, trees, fences, retaining
walls, spinners, hers, Wires, valves, telephone or NAME:174.146A)
p
shrubs.
Wh d th h n hb ADDRESS 57//,?C/ Al
en a es. ig ma a roug a egg or s
prc,., is ,der tood that you, the owner, have ,
-
CITY:
th • ..� t 0ermission and assume full
re onsi ility.
'�r TRACT:
!
E. �ELICE�G�A
T� V2.5-3
CEIYERAS. SPECIFICATION
SIZE . X 2
AREA PERIMETER G r
DEPTH '3 � 5 ;
i
TILE,CHOICE .
4 RBB.
POOL CAPACITY /D s?7D-GALS
MOTOR HP j HP R
MOTOR HP - - HP
FILTER / : 4j 'SCS FT 9?06
HEATER / ,, 40 SIZE BTU 4'ox
SUCTION LINES
RETURN LINES
SKIMMER MODEL
CHECK VALVE
GASLINE BY z;4 92 FT
POOL LIGHT, � 4,z z - ZiM
TIMER S
ELECTRICAL BY 1 470 FT
AUTO CLEANER
SALT SYSTEM
PLASTER COLORy
DECK BY � FeBU
DECK TYPEr�lt�
STEP
SPA, SPECS.
SIZE 7# 7
LITE 1�;� ry JETS
BACK. ��"" .LEG �'
DUAL LEVEL SEATS S
DAMWALL .
DAMWALL TOP t [.
SPILLWAY SIZE l X � WIDE
SPILLWAY r'L L&Ad
CONTRAQTOR cr n t assume .responsibility for
damage to t curbs, sidewalks, driveways, cement
slabs, sewers lGwns, trees, fences, retaining
walls, spinners, hers, Wires, valves, telephone or NAME:174.146A)
p
shrubs.
Wh d th h n hb ADDRESS 57//,?C/ Al
en a es. ig ma a roug a egg or s
prc,., is ,der tood that you, the owner, have ,
-
CITY:
th • ..� t 0ermission and assume full
re onsi ility.
'�r TRACT:
!
E. �ELICE�G�A
T� V2.5-3
A°
C
VA CA. .-L- 0 I_ I !".N
X39®.® Menue 45 Swte C w
1 —� 11d'1o, sCA 92201.
(60) 775046 (760) 75=069 FaX
5 Licen-se Cm53=6566835
GENERAL
�,PECI VI.CA TI �
SIZE 3 . _ X r.•2. 607
AREA PERIMETER
��J� dD�► _ DEPTH
TILE --CHOICE - :� - _• 1.Pff
.-
ri7�Q _ 'i :........ Y ..RBB. o
POOL CAPACITYY/49-;M0.GAL-S
MOTOE HP / �GJ FHP o?.•A f'
MOTOR HP _ , HP
FILTER :: / :: j SQ FT �taD
.,HEATER At- # c7• SIZE 7 BTU. 40A. .
r.SU.CTION"LINES.:
�. RETURN LINES'._
Z, `Y SKIMMER MODEL �•�a.�d:
CH,ECK'VALV.EE ,S
..,._GAS.LINE BY. ....tO FT.
P O'O L LIGHT .�T.q z z Zl�z1:�
..TIMER
ELECTRICAL B,Y.:.J FT
mo Pg
r �• AUTO CLEANER
SALT SYSTEM ..
PLASTER COLORP�
K BY
DEC
_ a' �e
DECK TYPE
:
�- STEP � •3
o -- SPA• .�PE.CS'
SIZE ?.
LITE' t B� w : _ . JETS'
BACK..' LEG V~. .
jk DUAL LEVEL -SEAT'S
1000,
-DAMWALL 1 '�
--��. , - • _ DAMINALL- TOP z
f S ` SPILLWAY SIZE 'X ,2 WIDE
p SPILLWAY., Z.&e&
✓�'Zz La7
i
r—fri—Nz-
1 DAT.
CO RA TOR c n , t assume responsibility for DATE
damage
t curb, sidewalks, driveways,- cement
slabs, se ers I �vns, trees, fences,. retaining
wails, sp in hers, wires, valves, telephone or NAME: � 1rE L9 kc�I G�-7"�Q�
shrubs.
ADDRESS
When a esu iEt made through a neighbors/
prt", : is I ,der to:od that you, the owner, have
- CITY: L.� � 1 9z�53
thNerr>�ission and assume full
re onsi ill#y. -.
TT-r-r.�.�L. `--�•` _, � t -��� s TRACT:
LOT: PHASE:
DATE SIGNATU - z
t
•
A°
C
VA CA. .-L- 0 I_ I !".N
X39®.® Menue 45 Swte C w
1 —� 11d'1o, sCA 92201.
(60) 775046 (760) 75=069 FaX
5 Licen-se Cm53=6566835
GENERAL
�,PECI VI.CA TI �
SIZE 3 . _ X r.•2. 607
AREA PERIMETER
��J� dD�► _ DEPTH
TILE --CHOICE - :� - _• 1.Pff
.-
ri7�Q _ 'i :........ Y ..RBB. o
POOL CAPACITYY/49-;M0.GAL-S
MOTOE HP / �GJ FHP o?.•A f'
MOTOR HP _ , HP
FILTER :: / :: j SQ FT �taD
.,HEATER At- # c7• SIZE 7 BTU. 40A. .
r.SU.CTION"LINES.:
�. RETURN LINES'._
Z, `Y SKIMMER MODEL �•�a.�d:
CH,ECK'VALV.EE ,S
..,._GAS.LINE BY. ....tO FT.
P O'O L LIGHT .�T.q z z Zl�z1:�
..TIMER
ELECTRICAL B,Y.:.J FT
mo Pg
r �• AUTO CLEANER
SALT SYSTEM ..
PLASTER COLORP�
K BY
DEC
_ a' �e
DECK TYPE
:
�- STEP � •3
o -- SPA• .�PE.CS'
SIZE ?.
LITE' t B� w : _ . JETS'
BACK..' LEG V~. .
jk DUAL LEVEL -SEAT'S
1000,
-DAMWALL 1 '�
--��. , - • _ DAMINALL- TOP z
f S ` SPILLWAY SIZE 'X ,2 WIDE
p SPILLWAY., Z.&e&
✓�'Zz La7
i
r—fri—Nz-
1 DAT.
CO RA TOR c n , t assume responsibility for DATE
damage
t curb, sidewalks, driveways,- cement
slabs, se ers I �vns, trees, fences,. retaining
wails, sp in hers, wires, valves, telephone or NAME: � 1rE L9 kc�I G�-7"�Q�
shrubs.
ADDRESS
When a esu iEt made through a neighbors/
prt", : is I ,der to:od that you, the owner, have
- CITY: L.� � 1 9z�53
thNerr>�ission and assume full
re onsi ill#y. -.
TT-r-r.�.�L. `--�•` _, � t -��� s TRACT:
LOT: PHASE:
DATE SIGNATU - z
Ld
rx
:h
L
Job Number
Customer's Name
Street Address
City
Cross Street
Pool Size 13' X 25`
Vacation Pools, Inc. Low Desert
Construction Work Sheet
2005-1016
MIKEN CONST.,
51184 Avenida Herrera
LaQuinta, Ca 92253 -
Avenida Montezuma
Pool Depth 3%'-5'
Home Phone
Work Phone
Lot
Map Book
Date sold
,Pool Shape Custom
( 7148
Tract j
849-E7 V
08/19/2005 By Jim N.,
Pool Code 76-325
EXCAVATION: Pool & Spa EQUIPMENT: 2HP Pump
, � '�•. mat• -+r,
No raised 400 Cartridge Filter
400,000 Heater
_ Aquadyne 3-L
Water Level Control
2 Jazz Lites
PLUMBING: Pool &Spa Maintenance Kit
Auto Fill Water Level Control Pole
5 Jets in Spa (4 Back, 1 Leg)
Gas Line
2 Retums
STEEL: Pool & Spa
Bench in deep end
GUNITE: Pool & Spa
Bench in deep end
TILE: Group 1-3
COPING: Standard White
ELECTRICAL! Aquadyne 3-L
Jazz lights
DECKS: By Others
PLASTER: 3M White, Eyeballs, 2 Jazz Lights
Printed on 8130/20051:45:54 PM
Notes
SPECIAL '* Owner to do own decking
REQUIREMENTS:
FENCE:
EXTRAS:
SPECIAL
OPTIONS:
MISC. NOTES:
Entered by: Jessica