SOTB (07-2809)57131 Medinah
07-2809
'P.O. BOX 1504. ^' VOICE (760) 777-7012
r, 78-495 CALLE.TAMPICO • r , , , FAX (760) 777-7011' ,
LA QUINTA, CALIFORNIA 92253 - - ° - BUILDING &SAFETY• DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT C ,• r + 4
4 r t Date: 10/24/07..
:,'pplication Number :07f00002809 Owner:
4, Propert dress: ;' 57131 MEDINAH r `',' DOTTO RESIDENCE f F
APN: > 762-110-034-_ - - - 57131 MEDINAH _ +'
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUdNTA, CA 92253
k y ., .Property Zoning:,' ., LOW DENSITY RESIDENTIAL
_.w Application valuations 1200
Contractor: r
' Applicant:` Architect or Engineer PLATINUM POOLS & S
x x 77564 COUNTRY CLU I IVE
I Y } a PALM DESERT, •CA`
(760) 772-4274 f tf+e * .•
v I l 1: ` • • r h, i; r
> Lc. No. 8906 Q
-
-------------------------------
- -----------------— — —
--------.----- -- -----AN Fp MT, - -- %'
Y
J!• ' • LICENSED NTRACTOR'S DECLARATION - , - - WORKER'S COMPENSATION DEC LA ON
•^q • I hereby affirm under penalty of perjury th lit d er provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:,/
' - Section 7000) of Division 3 of the Busine and r fe si s Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
.•a_ -License Class: C53 - License No.: 890670 _ . - for by Section 3700 of the Labor Code, for theperformanceof the work for which this permit is ^
issued.
Date: I• n C ontrac • t 3 _, 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 ,
OWNER -BUILDER DECLARATION + insurance carrier and policy number are:-
- .
I hereby affirm under penalt of perjury th t I am exempt from the Contractor's State License Law for the _ Carrier STATE FUND Policy Number 1863573-07-
following
863573•07'following reason (Sec. 7031. , Business d Professions Code: Any city'or county that requires a permit to - _ I certify that, in the performance he work for which this permit is issued, I shall not employ any
h, alter, improve, dem h, or r air any structure, prior to its issuance, also requires the applicant for the - - "person in any manner so
as o bec me sect to the workers' compensation laws of California,
„ - permit to file a signed statement t or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should b come ubj t o thA wrtketrhsosceompensabon provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I s all f rth th omprovisonsthat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byovany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars -($500).: (Date::Applicants _
( 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 WARNING: FAILURE TO SEC RE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL a
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO RIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN AD ITION TO T E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
' - improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABO CODE, IN REST, AND ATTORNEY'S FEES. -
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.). APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the +
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. '
• property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for -
pursuant to the Contractors' State License Law.). - whose.benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ I I am exempt under Sec. , BAP.C. for this reason 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 ,
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: • _ a' _ ^-
Lender's Address: : 1
LQPERMIT
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 ab • 'nformati is 'orrect. I agree to comply with all -'
city and county ordinances and state laws relating to building con ructio , an hereby authorize representatives
of this county to enter upon the above-mentione _ ins trio purp _ses.
_ i..gnature l "`-
Date:' ' • - 'gnature (Applicant r Agent)
Application Number .. . . . . 07-00002809
...,Permit .. . . BUILDING PERMIT
Additional desc .
Permit Fee 29.00
Plan Check
Fee
18.85 '
Issue Date . . . .
Valuation
- 1200
Expiration Date 4/21/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
7.00 2.0000 HND BLDG 501-2,000
14.00.
Permit- . . . PLUMBING
Additional desc .
Permit Fee 18.00.
Plan Check
Fee
4.50
w,
Issue Date . . .
Valuation
. . .
. 0
Expiration Date 4/21/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA. PLB GAS
PIPE 1-.4 OUTLETS
3.00
Special Notes and Comments
---------------
FIREPIT PER APPROVED PLAN
Fee summary Charged Paid
Credited
Due
-------------------------------------
Permit Fee Total 47.00
----------
.00
----------
00
47.00 c
Plan Check Total 23.35
.00
.00
23.35
Grand Total 70.35
.00
00
70.35
i
Ilk
vIWA
NEA COWCREPAVER .'
AT POOL AREA,DRENTRY
IVEINAY, AND
INO NEW LANDSGAPINS
(PLATINUM POOL5 TO
RETURN EXISTING
LAND50APINS TO
I GURRETIT CONDITION
EX 15T I NG
RE51 DENCE
DAMAGE TO EXISTING 500 TO
BE REPAIRED TO E)CI5TIN6
CONDITION IMMEDIATELY AFTER
I COMPLETION OF CONSTRUCTION
• E 57-131
As
EXISTING GAS AND ELECTRIC ( o°❑0❑I ❑ 0❑ DC
METER LOCATIONS is -. __.i _____ _ oo ooDo=0oc
0=0❑0 0q
ACCESS ❑ ❑1:11 =E] _❑ C
Do00 0❑ F___1
❑ CEXISTIN6 RIVEWAY]a ❑0
AND WALKWAY TO
10OL_mwNT DOOR TO BE- ❑0
=E1 REMOVED AND C❑❑C
I 0 0 REPPAVERS ITS ] D❑ o C
❑D Do00 ❑
❑a❑aa❑❑a❑aa❑❑
NEW CONCRETE PAVER DECKING o ❑ 0 ❑ o ❑0 ❑, L -J ❑0 ❑
EAT NTRY L AREA, DRIVEWAY, AND _ I 0
❑O_❑❑( _❑❑O_❑❑O❑❑C
0
❑D
Imo-' EE INAH
J
0
GUEST
HOUSE
NEW FIREPIT AT +12" WITH STONE
GAP AND FACE, STONE TO BE
QUARTZITE TO MATCH POOL
EXISTING SPA EQUIPMENT
AND BLIND WALL TO REMAIN
AND BE UTILIZED FOR NEW
POOL
9ADJACENT
NE
I GHBOR5 "'ARD
STONE SEAT WALL AT +181
EXISTING WALL TO REMAIN
NEW CONCRETE PAVER DECKING
AT POOL AREA, DRIVEWAY, AND
ENTRY
Ij '
JL
NEW CONCRETE PAVER DECKING
AT POOL AREA, DRIVEWAY, AND
ENTRY
I
SPECIFICATIONS
TYPE GUNITE
SIZE= 24' X
121
255 S.F.
SURFACE AREA OF POOL
i
651
%°
51-011
PERIMETER
i
SPA SPECIFICATION5
i
SIZE EXISTING 5Q. FT. PER.
BY
NEW FIREPIT AT +12" WITH STONE
GAP AND FACE, STONE TO BE
QUARTZITE TO MATCH POOL
EXISTING SPA EQUIPMENT
AND BLIND WALL TO REMAIN
AND BE UTILIZED FOR NEW
POOL
9ADJACENT
NE
I GHBOR5 "'ARD
STONE SEAT WALL AT +181
EXISTING WALL TO REMAIN
NEW CONCRETE PAVER DECKING
AT POOL AREA, DRIVEWAY, AND
ENTRY
Ij '
JL
NEW CONCRETE PAVER DECKING
AT POOL AREA, DRIVEWAY, AND
ENTRY
I
_
SPECIFICATIONS
TYPE GUNITE
SIZE= 24' X
121
255 S.F.
SURFACE AREA OF POOL
i
651
%°
51-011
PERIMETER
DEPTH5 MIN. MAX
SPA SPECIFICATION5
ELECTRICAL
SIZE EXISTING 5Q. FT. PER.
BY
LENGTH Pt.
SPA DAM WALL WIDTH
TIME CLOCK 5UB PANEL
# OF JETS
#OF LI6HT5 IN POOL
LI6HT B005TER Pte'
OUTSIDE 6.F.1. L16HTS
6.F.1. OUTLET—
CA. AQUA AIR -BAR d BLOWER
EXTRA 5NITGH FOR SPA LI6HT
BLOVER ONLY
BLANK PLU65
RAISED SPA SPILLWAYS
MOTOR
15005TER
SPECIAL NOTES
BLOWER
GLEANER
MI51-1,
EXCAVATION
TYPE
ACCESS FROM
COPING 4 TILE
ELEVATION
COPING WHITE
DEEP END RAMP
COPING SPECIAL
FACE REMOVED BY
TILE TYPE
FENCE TYPE
TILE TRIM
MASTIC
TRASH REMOVAL
LOADS
6" R.B.B. ft. 12" R.B.S.
ft. 18" R.B.B. ft.
CONCRETE REMOVAL
LOADS
MI50.
TREE REMOVAL BY
STUMP REMOVAL BY
DECKING
DIRT PAD
b" RBB. —ft. 12" R.B.B. ft. IS" R.B.B.
ft.
BY
UP TO 18 5C[. ft.
WALKOUT/MISC.
FINISH
COLOR
ROCK PACK
EXPANSION JOINTS
MASTIC
FOOTING
STEL
STEPS
TYPE
EXPANSIVE 501L
CANTILEVER
6" R.B.B. ft • 12" R.B.B. ft. 18" R.B.B.
ft'
DECK DRAINS
CURB GORE
SURCHARGE DEEP END RAMP
DECCO DRAIN
DIVING BOARD JI6
LOVESEAT INSIDE ft. OUTSIDE
ft
SLIDE INSTALLTION
SPA WALL WIDTH In• OTHER
'"
MASONRY
WALL DOWEL/MISG'
COPING TYPE
PLANTER WALL
PLUMB NG
FILTER SIZE
TYPE
ft. X
POOL PUMP SIZE
GAP
BACK UP WALL Ft
HEATER 51ZE
FOOTING5
R.B.B. FAGIN6
BOOS'ER PUMP 51ZE
FIREPIT TYPE
SIZE
SKIMMER TYPE
EQUIP. WALL TYPE
ft• X
CARETAKER * OF HEADS
FENCING
of
OTHER GLEANER STUB ONLY
MI50.
FILL LINE SLIDE LINE
P -TRAP BACK WASH TO
PEBBLE
LIGHT5 POOL
SPA
SAS LINE 57UBS
FOUNTAIN5/5PRAYHEA75
ROPE RING5
EYEBALLS REQUIRED
LIGHTS IN POOL IN SPA
COLOR NAME
TILE
STUB SET EQUIPMENT
SPECIAL EQUIPMENT
SAWCUT AUGER
DIVING BOARD
SIZE
MISC.
MODEL
COLOR
SLIDE
SIZE
ISUNITIE
MODEL
COLOR
SUNITE INSPECTION REQUIRED YES NO
POOL COVER
SOLAR HEATING YES NO
ROPE RIN65 GRAB RAIL5
FENCING
DEEP END RAMP
TO MEET ALL LOCAL CODE REQUIREMENT5 BY BUYM PRIOR TO
b" R.BB.—ft. 12" R.S.B. ft. IS" R.B.B.
PRt EPLLASTER INSPECTION
OTHER
LOVE5EAT EXTENDED 2nd STEP
NOTCHED BOND BEAM
GOPIN& CANTILEVER
ft,
,-WA0 DAM WALL WIDTH
OWNER RESPONSIBILITIES
OWNER TO: (1) TAKE NOTICE THAT POOL AND EQt11PMENT LOCATION 15 SUBJECT TO ACCEPTANCE OF LOGAL:BULLVIN&VEFRRTMENT AT TIME
OF ISSUANCE OF PERMIT
(2) TAKE NOTICE THAT PLATINUM POOLS 15 NOT RESPONSIBLE FOR: UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE
TO CURBS, SIDEWALKS, DRIVENAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND 6ARA&E DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION
(4) FILL POOL IMMEDIATELY AFTER PLASTER.
(FOLLOW IN5TRUCTION5p0 NOT USE RUBBER HOSE)
(5) TAKE NOTICE THAT THI5 DRAWING 15 THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION
OF PLATINUM POOLS 15 PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HA5 READ THE RF5PON51BILtTIES AND NOTICES ABOVE.
516NATURE(5)
DATE
516NATURE(5)
DATE
_
MATERIAL
■ I _m
i !I!!!! •L0M ■
_ ■i l • ► b- Q_
i
ii
I
DO 0 RESIDECOINCE
NAME(S)
s,aEE. 57-131 MED I NAH CI,. LA QUINTA. GA
JOB ADDRESS 1 P66 WEST 11
Bin #
' of La -
City Qulnta
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 #
Q
U
Project Address: ' j 19)(NA '1
Owner's'Name:
A. P. Number:
Address: "S I ( W-) I N 60
Legal Description:
City, ST, Zip:QA 0722-53
Contractor: u STelephone: (po-
`j j
Address: %7 y lw jam, .
Project Description:
City, ST, Zip:
Telephone: IU8 'l? S
a,
State Lie. # : 39J ('71 City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
k
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person:
Telephone # of Contact Person: (pq , 5 72>
Estimated Value of Project: J
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
`J 73
Item
Amount
Structural Calcs.
Reviewed, rjs
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
SoTa
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person-
Plumbingis
P4
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
Pub. Wks. Appr.
School Fees
iiiiiiiiw_`
1019
'.
I.® J
A.I.P.P.
Total Permit Fees