SOTB (07-2823)P.O: BOX 1504-
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253
to
i -Application Number: 07-00002823
Property Address: _ 79960 MERION '
APN: 762-110-029- - -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4800
Applicant: Architect or Engineer:
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines an Pro io s Code, and my License is in full force and effect. -
License Class: C53 License No.: 890670
Date: �' O Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty f perjury tha I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031. Business a Professions Code: Any city or county that requires a permit to
construct, alter, improve, demo' h, or rep r any structure, prior to its issuance, also requires the applicant for the
'permit to file a signed statement t he r she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 Icommencing 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, 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
propertywho 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.1.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
GILLES RESIDENCE
79--960 MERION
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/25/07
Contractor:
11
11
r9
n
PLATINUM POOLS &
qBA"S
77564 COUNTRY CLURIVE
#108
PALM DESERT, CA
TO,
NOV 20 2007
(760)772-4274
Lic. No.: 890670
!
Fd19AiVCE DEPT:
j
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.
1 have and will maintain workers"compensation insurance, as required by Section 3700ofthe 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 1863573-07
1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so a ecom ubject to the workers' compensation laws of California,
and agree that, if I should ,co a su je t to the workers' compensation provisions of Section
II 3700 of the Labor Code, I fort N' h mply with those provisions.
`
Date: l Applica
WARNING: FAILURE TO SEC RE WORKE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADD IONTO HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR DE, I EREST, 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 ove info atio s orrect. I ag�tocomply withall
city and county ordinances and state laws relatingto buildi constru ion,nd ereby authentatives'
of this c unt to�elnter upon the above-mentioned property f r ins tion rp e
Date: 0 1 Signature (Applicant or Agen
Application Number
07-00002823
Permit . . .
BUILDING PERMIT'
Additional desc .
Permit Fee . . . ..
72.00.
Plan Check Fee
46.'80
Issue.Date
Valuation
4800
Expiration Date
4/22/08
Qty. Unit Charge
Per
Extension
BASE
FEE
45.00
3.00 9.0000
THOU BLDG
2,001-25,000'
27.00
Permit ..
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25
Plan Check Fee
4.31
Issue Date"..
Valuation . . .
. 0'
Expiration Date...
4/22/08
Qty. Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .750.0
PER ELEC
DEVICE/FIXTURE 1ST 20,
2.25
Permit ..
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
P1ah-Check Fee
4.50
Issue Date
Valuation .
. 0
Expiration Date
4/22/08
. 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
BBQ & FIREPIT PER APPROVED PLAN
Fee summary. Charged
Paid Credited
Due"
Permit Fee Total
107.25
.00 .00
107.25
Plan Check Total
55.61
.00 .00
55.61
Grand Total
162.86
.00 00
162.86
LQPERMIT .
4
W
«
FIREPIT AT +3" WITH STONE GAP
AND FACE
REMOVE EXISTIN6 CONCRETE
DEGKIN6 AND REPLACE WITH NI
PAVER -5
'ADJACENT
NE I GH5OR5 YARD
I LA QUI NTA, GA.
NEW PAYER DEGKIN6
NEW SPA AT —O— WITH STONE
GOP I NG PEBBLE FINISH AND STONE
WATERLINE
ADJACENT
NE I GHBOR5 YARD
ADJACENT
RE51 DENOE
SPECIFICATIONS
TYPE &UNITE
51ZE X
SURFACE AREA OF POOL
PERIMETER
, —
SPA SPECIFICATIONS
f
8'-6" X -1'-0"
48 25'
BY LENGTH Ft.
SIZE 50. FT. PER.
. • • .
MAP BOOK PAGE #
,- F.
{
TIME CLOCK SUB PANEL
SPA DAM WALL WIDTH
f jFP
1 '-8" 101
# OF LI6HT5 IN POOL
LIGHT BOOSTER PUMP
:.:.
OUTSIDE G.F.I. LIGHTS 6.F.1. OUTLET
BARBECUE WITH STONE COUNTERTOP,
_ _..
BLOWER ONLY
'N
..., ......
RA15EP SPA 5PILLAAY5
5TUGCO FACE TO MATCH HOUSE AND
5PECIAL NOTES
BLOAER GLEANER
M15&.
EXCAVATION
5TAINLE55 STEEL ALFRESCO GRILL
TYPE "
i 1
ACCE55 FROM
ELEVATION
COPING AHITE
COPING SPECIAL
DEEP END RAMP
_.
TILE TYPE
FENCE TYPE
'r
T'
TILE TRIM MASTIC
C
b" R.B.B. ft. 12" R.B.B. ft. IS" R.B.B. ft.
CONCRETE REMOVAL LOAD5
MI50.
TREE REMOVAL BY
STUMP REMOVAL BY
DIRT PAD
P B.
X17
6" R.B.B. ft. 12" R.B.B. ft. IS•" R.B.B.
ft.
BY UP TO ft.
:' ...
FIN15H COLOR
ROCK PACK
..l ...
I' + ., ......f
J
''w
STEEL
EXPANSIVE SOIL
w
0-
CANTILEVER
(
T
DECK DRAINS CURB GORE
n
i/
DEGCO DRAIN DIVING BOARD JIG
LOVE5EAT INSIDE ft. OUTSIDE
ft'
ILU
SPA WALL WIDTH in. OTHER
n.
MASONRY
WALL DOAEL/MI5C.
.
COPING TYPE
PLANTER WALL
PLUMING
FILTER 51ZE
i
POOL DUMP 51ZE
�`
HEATER 51ZE
FOOTINGS R.B.B. FACINr,
.... f
P.S. _.
FIREPIT TYPE 51ZE
SKIMMER TYPE
EQUIP. HALL TYPE ft. X
CARETAKER # OF HEADS
FENCING cF
OTHER GLEANER 5lU5 ONLY
MIS&.
FILL LINE SLIDE LINE
I
P -TRAP BACK AA5H TO
ADJACENT
RE51 DENOE
SPECIFICATIONS
TYPE &UNITE
51ZE X
SURFACE AREA OF POOL
PERIMETER
DEPTHS MIN. MAX
SPA SPECIFICATIONS
ELECTRICAL..
8'-6" X -1'-0"
48 25'
BY LENGTH Ft.
SIZE 50. FT. PER.
. • • .
MAP BOOK PAGE #
,- F.
{
TIME CLOCK SUB PANEL
SPA DAM WALL WIDTH
# OF JETS
MAIL ADDRESS
# OF LI6HT5 IN POOL
LIGHT BOOSTER PUMP
OUTSIDE G.F.I. LIGHTS 6.F.1. OUTLET
CA. AQUA AIR -BAR 8 BLOWER
EXTRA 5AITCH FOR SPA LIGHT
BLOWER ONLY
BLANK PLU65
RA15EP SPA 5PILLAAY5
MOTOR 5005TFR
5PECIAL NOTES
BLOAER GLEANER
M15&.
EXCAVATION
TYPE "
COPING 4 TILE
ACCE55 FROM
ELEVATION
COPING AHITE
COPING SPECIAL
DEEP END RAMP
FENCE REMOVED BY
TILE TYPE
FENCE TYPE
TILE TRIM MASTIC
TRASH REMOVAL LOADS
b" R.B.B. ft. 12" R.B.B. ft. IS" R.B.B. ft.
CONCRETE REMOVAL LOAD5
MI50.
TREE REMOVAL BY
STUMP REMOVAL BY
DIRT PAD
DECKING
6" R.B.B. ft. 12" R.B.B. ft. IS•" R.B.B.
ft.
BY UP TO ft.
AALKOUT/MISG.
FIN15H COLOR
ROCK PACK
EXPANSION JOINTS
MASTIC FOOTING
5TEP5 TYPE
STEEL
EXPANSIVE SOIL
CANTILEVER
61, R.B.S. ft. 12" R.B.B. ft., 15" R.B.B.
ft'
DECK DRAINS CURB GORE
5URCHAR6E DEEP END RAMP
DEGCO DRAIN DIVING BOARD JIG
LOVE5EAT INSIDE ft. OUTSIDE
ft'
SLIDE IN57ALL71ON
SPA WALL WIDTH in. OTHER
n.
MASONRY
WALL DOAEL/MI5C.
COPING TYPE
PLANTER WALL
PLUMING
FILTER 51ZE
TYPE ft. X
POOL DUMP 51ZE
GAP BACK UP WALL Ft
HEATER 51ZE
FOOTINGS R.B.B. FACINr,
BOOSTER PUMP 51ZE
FIREPIT TYPE 51ZE
SKIMMER TYPE
EQUIP. HALL TYPE ft. X
CARETAKER # OF HEADS
FENCING cF
OTHER GLEANER 5lU5 ONLY
MIS&.
FILL LINE SLIDE LINE
P -TRAP BACK AA5H TO
PEBBLE
LIGHTS POOL SPA
GAS LINE 57UBS
FOUNTAINS/5PRAYHEADS
ROPE RINGS EYEBALLS REQUIRED
COLOR NAME TILE
LIGHTS IN POOL IN SPA
SPECIAL EQUIPMENT
STUB SET EQUIPMENT
5AWGU7 AUGER
DIVING BOARD SIZE
MIS&.
MODEL COLOR
SLIDE SIZE
&UNITE
MODEL COLOR
5UNITE INSPECTION REQUIRED YES NO
POOL COVER SOLAR HEATING YES NO
ROPE RINGS GRAB RAILS
FENCING
DEEP END RAMP
TO MEET ALL LOCAL CODE REOUIREMENT5 BY BUYER PRIOR TO
6" R.B.B. Ft. 12" R.S.B. ft. IS" R.B.B.
PREPLA5TER INSPECTION
ll
OTHER
LOVESEAT EXTENDED 2nd STEP
NOTCHED BOND BEAM
!
COPING CANTILEVER
ft.
e
SAP DAM HALL AIDTH
OWNER RESPONSIBILITIES
F OWNER TO:
� (I) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BULP*&•`DEPARTiviENT AT TIME
OF ISSUANCE OF PERMIT
(2) TAKE NOTICE THAT PLATINUM POOLS 15 NOT RE5PON515LE.F LNOERCROUND CONDITIONS OR 05JEGT5, AND ANY DAMAGE
j TO CURBS, SIDEAALKS, DRIVEAAYS, LAAN5, OR OTHER
ITEMS IN THE ACCESS AREA
1 (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION
(4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW
IN5TRUCTION5,DO NOT USE RUBBER HOSE)
(5) TAKE NOTICE THAT THI5 DRAAING 15 THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE A1744OUT WRITTEN FERM155ION
OF PLATINUM POOLS 15 PROHIBITED BY LAA.
1 OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTIGE5 ABOVE.
d
j 515NATURE(5)
DATE
SLONATURE�15)
DATE
_ SVID&G1ING POOL -pt" FaOlt:
01"BRESIDENCE
NAME(S)
STREET 7cf-q60 MERION CITY L4 QUINTA, GA
a,o_1 A UAII=C.'I'
. —1-1 1 _
PHONE #'S OFFICE
�
T 2 E U M E
HOME
LOT #
It
. • • .
MAP BOOK PAGE #
,- F.
{
_ SVID&G1ING POOL -pt" FaOlt:
01"BRESIDENCE
NAME(S)
STREET 7cf-q60 MERION CITY L4 QUINTA, GA
a,o_1 A UAII=C.'I'
. —1-1 1 _
PHONE #'S OFFICE
�
T 2 E U M E
HOME
LOT #
It
PAGE BOOK
MAP BOOK PAGE #
MAIL ADDRESS
by
CITY
CONSTRUCTION OFFICE PHONE #
SCALE: DATE: DRAAN BY: SOLD BY: CHECKED BY:
1/8"=1'-0"
q-7-07 JOHN GHARLENE
P AV
latinum Pis
77-564 Country Club Dr. #108
Palm Desert,_ 1A. 92211
Ph. 760-772-4274
k890670 Fax. 760-772-4264
$
Bin
.#City
-
of ta'Q Ino. th
' $uilding u Safety Division.
-.,P. 0. Box 1504,. 78=495 Calle Tampico. a
La Quinta, CA 92253: (760) 777-7012 ;
Building Permit Application and Tracking, Sheet•.:..
Permit #.
Q2�
' 2
Project Address: : �lpv ML 2i ory
Owner's Name: il.L.l _S 2�
A. P. Number:
Address:t� > '
' I —1 9U,::� 2 rJv�
t
Legal Description: a #, _ .
City, ST, Zip:
Contractor: 1 IJI% h„ �` �:
Address:', •' -5L Li
-Telephone:
Project Description:
City, ST, Zip: 22t. 1.
°
- -
q_€$gyp
Telephone:—�(QJp q�1� ri 1�6
State Lic: # i Co�� City Lic: #:
Arch., Engr., Designer:
d' _ •
,
Address:
City, ST, Zip: :.
..
Telephone:. _
"
Construction Type Occupancy: .
State Lic. #:
Project type (circle one): New Add'n Alter . Repair Demo
Name of Contact Person: f Jcl-'Vj rJ
Sq. Ft.:
# Stories
# Units:. ,
Telephone # of Contact Person: 7 LP0, • 15, 9 _2> 1511
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
-
flan SetsPlan
Check submitted . 6 Item '
Amount
Structural Calcs.'
Reviewed, d Plan'Check Deposit •. „
Truss.Calcs.
Called Contact Person t L Plan Check BalainceK
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted - Mechanical
Grading plan' y
2nd Review, ready for correctionElectrical
Subcontactor List
. •,
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M111._
E.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'`d Review, ready for corrections/issue. - Developer Impact Fee
Planning Approval
Called Contact Person 1 A.I.P.P.
Pub. Wks. Appr
Date of per
it'
OF 6A
School Fees
t
G M o ' j
U F
FOR CONSTRU TION, • To I PermitFees
.
DATE .. y BY z R7
Y