RPL (09-0623)51141 Marbella Ct
09-0623
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000623
Property Address: 51141 MARBELLA CT
APN: 777-320-001- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 32000
c&ht 4 4 Q"
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 License is in full force and effect.
License Class: C53 License No.: 833313
ate: G: 2 -,'by ontr.ctor:
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 (5500).:
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 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 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.).
Lender's Name: ` 1 &
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/17/09
Owner:
LANCE CHARLESWORTH
16652 GENINI LANE
8901 E MOUNTAINML9221NAVI'ACEDP7
a l
HUNTINGTON BEACH`
Contractor: 2fy 3
LINDLY'S POOLS O
30805 DESERT PALTA
THOUSAND PALMS, ---
(760)343-0600
Lic. No.: 833313
-----------------------------------------------
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 STATE FUND Policy Number 1769855-2009
_ 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 bec a subject to the workers' compensation laws of California,
and agree that, if I should become ubjectto the workers' compensation provisions of Section
3700 of the Labor Code, I shall f hwith comply with those provisions.
(p°- Z pplicant:
WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AD ION 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 1.80 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 county ordinances aDd state laws relating to building constru tion, and hereby authorize representatives
of this unty to enter u the above-mentioned property r inspect in purposes.
ate
Signature (Applicant or Agent):
Application Number . . . . . 09-00000623
Permit . . .
BLDG POOL PERMIT
Additional desc
Permit Fee . . . .
297.50 Plan Check Fee
193.38
Issue Date
Valuation . . .
. 32000
Expiration Date
12/14/09.
Qty Unit Charge
Per
Extension
BASE FEE
252.00
7.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
45.50
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/14/09
Qty 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
12/14/09
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
12/14/09
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, SUNKEN BBQ,
FIREPIT.
LQPERMIT
Application Number . . . . . 09-00000623
----------------------------------------------------------------------------
Special Notes and Comments
ALARMS/BARRIERS SHALL BE IN PLACE
AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged
-------------------------------------
Paid
Credited
--------------------
Due
Permit Fee Total 401.50
.00
.00
401.50
Plan Check Total 219.38
.00
.00
219.38
Other Fee Total 2.00
.00
.00.
2.00
Grand Total 622.88
.00
.00
622.88
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 # 3
d LJ, (p
Project Address: 5 I1A M m-& m cor
Owner's Name:
A. P. Number:
Address: 5 ( y i
Legal Description:
City, ST, Zip: 6 %i \,\t (A CA
Contractor: NO Ly 3 031L_ 5 l L,
Telephone:
Address: J '' rJs S T Rok,
City, ST, Zip: j V\ Ps - Q ec\f/ A
Project Description: Q>A 17 rUW
Telephone.
vvw :::::::>'•>::>;:;:;;;>:;:<:s>•:...::
State Lic. #
City Lic. #..
Arch., Engr., Designer: L
Address:
City., ST, Zip: fXwt-, M
Telephone: > :;£:?:zi:;>::,.< s:•'::::i>n'r•#<
<:'•::: ? % ..... :»;» ;::; >:;.:;;
State Lic. #: 1:•>:.;»:>s:;>.:<::;f::>:z;•>:•:;?::::r::::::;::;:>:...:
Y ::;::ff;J•^:i?'ii
:::.><:r,;;;:.<::
Name of Contact Person: J JJlq Q
Construct'
ton Type: Occupancy:
Project type (circle one) New'. Add'n Alter Repair Demo
Sq. Ft.: # Stories:# Units:
Telephone # of Contact Person: 1.a , - 5 \I C\
Estimated Value of Project:
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, 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:-
3d Reyiew,.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
Property Line
Sunk -in BAQ
Spa raised 18"
"Ity Edge Pool -3'6" _3@6" 1
1
1
1 Fire pit 0 -12" 1
1 a 1
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Pool +12" rNv
14= 80' _ -
. now
• t
D/A 1
1
D/A 1
D/A D/A i
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1
1
Pool Equipment i
1
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1
Lindly's Pools of California Inc.
30755 Desert Palm Drive
Thousand Palms CA 92276
License 833313
Charlesworth Residence
51141 Marbella
La Quinta, CA 92253
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 6- b BY
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1/2" Gas line
Gate to code
1/811
/V" = 11
Waterline tile: Quartzite Stone
Pool and spa finish: Pebble
Pool rasied area: Quartzite stone
Length: 34'
Length: 8'
Filter Pump: 1 hp
Width: 17'
Width: 8'
Filter Type: 325 sq. ft.
. 6in. aft. 6in. 3R. 6in.
Depth: 3'6"-5'6"
Perimeter: 199 In ft
Depth: 42"
Perimeter: 29 In ft
Spa Pump: 2 hp jet pump
5ft. bin. :
Square Footage: 779
Square Footage: 62 sq. ft.
Other Pumps: 3 hp Infinity pump
Capacity: 17,340 gal
Capacity: 1920 gal
Heater: 400,000 B1U
Material: Pebble finish
Material: Pebble finish
Sanitation: Aqua Logic Salt System
Water Features: Infinity edge
Water Features: stacked stone spillway
Pool Lights : 2-100 watt Color Logic
18ft.4in. 18ft. 11ft.9in.
'`
1 -100 -watt Color logic
Waterline tile: Quartzite Stone
Pool and spa finish: Pebble
Pool rasied area: Quartzite stone