04-7128 (RPL)R.'
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BUILDING &SAFETY DEPARTMENT
P.O. Box 1504. (.760),777-7012
OF T9`;. ', 78-495 CALLE TAMPICO FAX (760) 777-7011
.LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . 04-000U7`:r2Z! � Date 11/09/04''.
Property Address . . . . . . 44660 MONTICELLO AVE
APN: 604-513-004-39 -24197 -
Application description,. POOL -.RESIDENTIAL
Property Zoning LOW DENSITY RESIDENTIAL -
Application valuation.. 15000
Owner Contractor
------------------------ ------------------------
PIMENTEL JOSEPH A OWNER
44660 MONTICELLO AVE/
LA.QUINTA CA 92253.
----------------------------------------------------------------------------
Permit BLDG POOL PERMIT
Additional desc
Permit Fee 162.00 s' Plan Check Fee 105.:30
Issue Date Valuation . . . . 15000
Expiration Date 5/09/05 i.
Qty Unit Charge Per _ _ Extension
BASE FEE 45.00'-
13.00 9..0000 THOU BLDG 2,001-25,.000 117.00
Permit . . MECH POOL
Additional desc
Permit Fee 24.00 Plan Check Fee 6.00
Issue Date Valuation 0
Expiration Date 5/09/0$
Qty Unit Charge. Per Extension
BASE FEE 15.00
1.00. 9.0000 EA MECH FURNACE <=100K 9.00
------------------------------------------------------------------------------
Permit . . . . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00 Plan Check Fee,... 11.25
Issue Date 'Valuation. '0
Expiration Date 5/09/05
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
P.O. BOX 1504 • '�G;�
78-495 CALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: /1 r 47 • D
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
A
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 3 of the Business and Professionals
Code, and my License is in full force and effect.
License Class License No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 C 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 or rough his or, r own employees, provided th � the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one r of completion, th owner -builder will have the b den of proving that he or she did not build or improve for the purpose of sale.).
(1, as owner of th roperty, am exclusive) tracting with licensed con ctors to construct.the project (Sec. 7044, Business and Professions Code: The Contractors'
State Licens Law does not apply t n owne f property who builds mproves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contra rs' State License L ).
U I am exempj u der Sec. , BA P. .for re®son . A,
19 6)
WORKERS' C PENSATION DECLARATION
I hereby affirm under penalt of . ry one of the following declarations:
_ I have and will fain 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 willmaintain workers' compensation insurance, as requirq by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' c ensation ' surance carrier and policy nu bar are:
Carrier Po' y Number
I certify that, in the performance of the w rk for which this permit is is ed, I shall not employ any person In any manner so as to become subject to the workers'
compensation la s of California, d that, i I hould becom ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
with comply ith those pr ision
ate
WARNI G: FAILURE TO SECUREOR S' OMPENSATION COVERAG UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRE T USS'
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.
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
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to
a conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request a for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the o , an pplicant, each agrees to, and sh , defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees fora act or omission re ated to the work being performe under or following issuance of this permit.
2. Any permit issued as a result oft application becomes ull and void if work is not com need within 180 days from date of issuance of such permit, or
cessation of work for 180 ' days dl subject permit to ca tion.
I certify that I have read this application and state that the abov of ion is correct. 1 agree to co ply with all city and county ordinances and state laws relating to building
construction, .d h eby authorize repre ntatives of IN a ov - ection purposes.
AI
/ J �j /
ate' L `' Sig nature (Applican FA nt)
i
}
Page 2
Application Number 04-00007128
Date 11/09/04
Expiration.Date .5/09/05
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. ALARMS/BARRIERS SHALL .BE
IN
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 264.00
.00
.00
264.00
Plan Check Total 130.80
.00
.00
130.80
Grand,Total 394.80
.00.
.00'
394.80
J J
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i = ZIn U) C t
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to �� o
m _. m
0
m
° m I a
a
N
r—
En J
POOL
0 o
Z 3 W Z
m
m
+
N
Q.
,r
0
15'5"
• y
Surface Area
N
N
10 W
U
f tai
W
N
=
W
F
N
.. N m W
Perimeter
J
281f
J
J
m
W W
I > m
c
1
En J
POOL
0 o
Z 3 W Z
m
Q J 0 0
U
ii Q i=
+ N U
15'5"
Q F
W 0
Surface Area
N
N
W a Z
a l- Q a
co W O U N
m Q
Perimeter
Z Z W
W X i W'W a: O
281f
IW V I Z 0 W
OZ
Q0 N J U m M
J
CLa a N m m P
Depth:
n Q 3 m W W
U Z 0
42" max.
OWVa
Z> U U
m
i @
Q
c
1
DIMENSIONS:
POOL
OW<
�_ W
m
U)0
U
Width:
15'5"
co a L
Surface Area
N
N
a rox :
W U U...
W
Perimeter
1021f
281f
U) j 0
W W
o
LJ'7
CV
Depth:
�aEnU
42" max.
IJ
EO N
Approx, 7'4 x 8'8 freeform spa,
SPA DETAILS:
m
JW
1O
-�
to
❑m=
Pebble Sheen, interior (Tahoe Blue),
[9
Cast Concrete Cap, 6 jets
U1to
DEMO WORK'
N/A
MASONRY:
Approx 30' long, 18" wide beam,
d
stepped elevations at +6", .+12",
m
4-j
Raised Bond Beam:
+18", Quartzite Veneer Face,
Stucco Back, Concrete Ca
�
to
Quartzite Veneer Damwall and
Shell
exterior shell
ai
Q
o
v
c
Ct7
S
C O
CM
I
, in
r
m
N/A
FINISHES:
Pool/Spa a Finish:
O
Waterline Tile:
130, if selected
�
76 sf quartzite veneer
Step Trim:
i0
Paint/Stucco/Plaster:
0
a
o� � T
G
CL
0
m
W W
0o
c
O]
r
N
200 LF
PLUMBING'
m
Plumb Pump to Spa:
55 ft
Raised Spa Bypass
yes
z�
a z
c
E
Vac. Line:
Yes
z0
O�
41 ft
Heater:
Q WW
W z
38 ft
BBQ/Fire Pit:
L7 In
"
Pump(s):
Two -- 2.0 HP Hayward Northstar
Filter:
W�+ V IW-
= tj
Z 0 0
Heater:
400,000 BTU Hayward Lo-NOx
Controller:
In home controller
1.
Two - Colored SAM Light
Spa Light:
One - Colored SAL Light
3
ogn�o
\
lya
n
i
Pool
Particulars
o
a
3
z
DIMENSIONS:
POOL
SPA
Length:
38'6"
818"
Width:
15'5"
7'4"
Surface Area
470 sf
55 sf
a rox :
Perimeter
1021f
281f
a rox ..
o
LJ'7
CV
Depth:
3 ft- 7 ft
42" max.
Approx, 7'4 x 8'8 freeform spa,
SPA DETAILS:
Quartzite Veneer Damwall and
shell, 8'6 stacked quartzite spillway,
-�
Pebble Sheen, interior (Tahoe Blue),
Cast Concrete Cap, 6 jets
p
I
Q
c11
DEMO WORK'
N/A
MASONRY:
Approx 30' long, 18" wide beam,
stepped elevations at +6", .+12",
m
4-j
Raised Bond Beam:
+18", Quartzite Veneer Face,
Stucco Back, Concrete Ca
�
Dam Wall and
Quartzite Veneer Damwall and
Shell
exterior shell
ai
Q
o
v
c
Ct7
S
C O
CM
I
Equipment Wall:
N/A
Fire pit w/ as line:
N/A
FINISHES:
Pool/Spa a Finish:
Pebble Sheen, Tahoe Blue'
Waterline Tile:
130, if selected
Raised Tile Dam:
76 sf quartzite veneer
Step Trim:
N/A
Paint/Stucco/Plaster:
50 sf
DECKING:
1133 sf total (inc caps and side
Decking:
yard pad) color and texture to be
CU
determined
c
O]
r
Cantilever Edge:
200 LF
PLUMBING'
Plumb Pump to Spa:
55 ft
Raised Spa Bypass
yes
w/ck valve:
c
E
Vac. Line:
Yes
Gas Line Meter to
41 ft
Heater:
Gas Line for
38 ft
BBQ/Fire Pit:
E UIPMENT:
"
Pump(s):
Two -- 2.0 HP Hayward Northstar
Filter:
300 SQ FT Hayward Cartridge .
Heater:
400,000 BTU Hayward Lo-NOx
Controller:
In home controller
Pool Light:
Two - Colored SAM Light
Spa Light:
One - Colored SAL Light
' :. , .~ t ,..
CITY OF LA Q' A -TOR LIS 7 1 /VII
L), 1.
UINTA SUB-CONTR ff
JOB ADDRESS —46GD MMj—k6— 10' 4 -- PERMIT NUMBER OWNER—LtIWM�T BUILDER
j
shall be Mated on the job with the Building Inspection Card at all times in a conaRic ous place. Only persons appearing on this list or their employees are authorized to work
on this *0 changes Any che - to tNs*list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance,
W d below must be completed agplicant. 'On. File" is not an acceptable res p nse.
of buildina Permit.' For each applicable trade, all information requeste
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