RPL (05-5556)�P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: CO
5=150005556
Property Address: .5 -678'5 -MOUNTAIN VIEW
APN: 762-320-009-8 -29147
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000
Applicant:
Architect or Engine
------------------
LICENSED CONTRACTOR'S DECLARATION
. Ta!t4-4Q"
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 Busine and Professionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 LicenseNo.: 656128
ate: ntractor:
OWNER-BUILDER DECLARATION
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 ($500).:
(_ 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.).
(_ 1
1, 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 I am exempt under Sec. , B.&P.C. fdr 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:
Lender's Address: -
f
LQPERMTf
Ovvner:
ROOS
56785 -MOUNTAIN VIEW
LA QUINTA, CA 92253,
Contractor: .
CALIFORNIA POOLS & SPAS
P.O: BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/23/05 r, .
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 SEABRIGHT INS Policy Number BB1050510
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 sh Id become subject to the workers'. compensation provisions of Section
3700 of the Labor e, I shall forthwith comply with those provisions. -
��t Q,',"�'(ic/ant: .
WARNING: FAIL REU TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND
;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.
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 above information is correct. I agree to comply with all
city and county, ordinances and state laws relating to buildi g construction, and' hereby authorize representatives
of thi ounty to enter upon t above-mentioned proper r inspection purposes..
ate: Z?R ature (Applicant or Agent):
4
Application Number
. . . . 05-00005556
Permit
MECH POOL
Additional desc .
Permit Fee.
26.100 Plan Check Fee
6.50
Issue Date . . . .
Valuation .' : .
:. .0
Expiration. Date
6/21/06.
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00, 11.0000
----------------------- =----------------------------
EA MECH FURNACE >100K
------------------------------
11.00
Permit . . .
BLDG POOL PERMIT
Additional desc .
' Permit Fee
284.50 Plan Check Fee
184.93
Issue Date
Valuation
29760
Expiration Date
6/21/06
Qty Unit Charge.
Per:
:Extension
BASE 'FEE
.252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
32.'50
' Permit
ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . .
45.00 Plan Check Fee
11.25
Issue Date wValuation
0
Expiration.Date
6/21/06
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
6/21/06
_.
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
Permit . . . . .
WALL/FENCE PERMIT
-> Application Number . . . . 0.5-00005556
Permit . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 15.00 Plan Check
Fee
..00
Issue Date Valuation.
. . .
. 240
:Expiration Date 6/21/06
-
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA; 15 L.F. 4' EQUIPMENT WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL. BE
IN PLACE AT PRE -PLASTER INSPECTION
Fee summary Charged -Paid Credited
Due
Permit Fee Total 403.50 .00
.00.
403:50
Plan Check Total 210.93 .00
.00
210.93
Grand Total 614.43 ..•00
.00
614.43
I., . 7777-1 I
SPECIFICATIONS
,+gyp L t
( 1 1: 45'L rhe!
TYPE SIZE :,
X
LO
SURFACE AREA OF POOL
N
m (3)
PERIMETER' DEPTHS MIN. 'MAX.rc
CA ca
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SPA SPECIFICATIONS
TILE
SIZE '7' X '%' SQ. FT.
TILE TYPE -T
U o
CO
SPA DAM WALL WIDTH
WATER LINE YE S
J y
NO. OF JETS
TILE TRIM - _
w .. [V
LIGHT '!
QUARTER ROUND
V Q
L` LO
RAISED SPA AT "�` ,.
R.B.B.
a co
SPILLWAY TYPE'
SPECIAL NOTES Jk
Z
TAPA,4414 4404* AT 0 WD WIN Of4f.
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_
DECKING '"6
umLi
SQ. �`
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EXCAVATION STEEL
TYPE . L
FINISH
ACCESS FROM "cf 5F-�
EXPANSION JOINTS S !U 4 .:./ F= C?
i to U
ELEVATION
CANTILEVER
00 ..
J
DEEP END RAMP
DECK DRAINS
a.
LOVE SEATO 1
DECCO DRAIN
CONCRETE REMOVAL -"'lTCRS LOADS
CURB CORE
SOD REMOVAL LOADS
STEPS '
TREE REMOVAL BY
STEP FACE
_
(
..
IRRIGATION REMOVAL BY
13 LAN CAPE74
TILE BASE
1�#
i�f
IRRIGATION REPAIR
6' R.B.B.
SAND AND VISQUEEN
RIBBONS
W4-
12" R.B.B. ft
MOW STRIP
18" R.B.B. . , .?� ft.
5-rbN I~ �f-tJEE 2 •lO yC'f'EN�+ I` 1 L ISi� 1">1A.TC{1 c.tNL
`
2e R.B.B.
30" R.B.B. ft
` `\
\D
i
TAN SHELF DEPTH
MASONRY
COPING TYPE o !�) ca;gym
_ +b
_ 5
.+ P"
ROCK POCKS
4S i>C 0
n i
U �"'�lN•-T t,l
_ :1zE
e
CEN
CENTERS
R.B.B.RBB FACING f
�N / ' �` .may
l 1" r� �
�. :
I/ r I
SPILLWAY TYPE
STEPS "I C �k!/�J
LI M B G
PLUMBING
PROP. EXT. WALLS
1.r
L
FILTER - SIZE
I
C�
POOL PUMP SIZE
PLANTER WALL
(1
c5
_
BOOSTER PUMP SIZE
RETAINING WALLS
EQUIP. WALLS � Q��
ADD L PUMP SIZE
_
ADD'L PUMP SIZE
FIREPIT
HEATER -� SIZE
WITH 301t
ill
f
{
TIME CLOCK" tra
-
SUB PANELIiL
LIT
-' -
ADD'L OUTLEIB
SKIMMER TYPE b" L. +
FILL LINE
PEBBLE PLASTER
{�
GAS LINE STUBS
LIGHTS SPA���
'i
FOUNTAINS/SPRAYHEADS "`
ROLLED BOND BEAM —
', I
SHEER DESCENTS
LIGHTS CSG " !^• "�.'� """'a
BEHIND SPA _
EYEBALLS yt Is
!!
IN POOL' I N SPA
FENCING r
STUB SET EQUIPMENT
misc. �lkc L.11V
N)y
�
W
u
a
N
PLUMBING SIZE Ll ab
FENCE TYPE
HEIGHT /'
co
Y
z
a
w
Ly
LL
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GATE
GATE REVERSAL
G U N I TE
�w-
m
DEEP END RAMP -
REMOVE REHANG
do
r
z
}
EXTENDED 2nd STEP
co
I w
_ _
i
_
LOVESEAT
SPILLWAY TYP s
"CANTILEVER
p
EST. START L� C c-
EST. COMPLETION
�
•
.. 7
-._
3 I 2 z i I>
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I O
r
COPING CpscE ice-
4"
OTHER c,1►m' W
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Z
I I I
I Z
!
R.B.B. - SEE STEEL
I� I iu
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w
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--_
I
OWNER RESPONSIBILITIES
-- w °0 1
! , L_—_ I a �>
i
a
I-
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
ono _ i c°,
000 '
a
O
m I
-
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
T a
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WE f DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
\ ~ / a w
tr CALIFORNIA
i
I I�../
•5�7 ,,
(4) AGREE THAT POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,—�
i''
f
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
Q
r� I
WO x I
0
/
I�
z
Iv I'r 1` J,k�• 3.-
T� /tet +4•.
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRU0110NS -- DO NOT USE RUBBER HOSE)
TAKE THAT
vi
� N I
,
I
,
w
J w I
(7) NOTICE THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
---
OWNER APPROVES PLAN, POOL. AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBIU11ES AND NOTICES ABOVE.
4
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SIGNATURE(S)
\,
vJ
p
DATE
N
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SWIMMING POOL PLAN FOR:
NAME
C ,.
W o �'o = __
i a z .
g0
j m
� Ow
u-
F -w
STREET 640-104 i MOPP Ir
Z
a
C�
JOB ADDRESS fVnA KO#Vr CITY LA,,,,44
I—-
a
PHONE OFFICE RES
--
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LOT TRACT PAGE BOOK
4c ' Z w
.,
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
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�—ll —mow
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CONSTRUCTION OFFICE PHONE NO.
-
SCALE
DATE
DRAWN BY
SOLD BY
CHECKE B
Q
JOB#
�:` I m ° �.�0scAP�r�
REVISIONS SI ON S SATE
<�
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1
1
2
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3
uu
4
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5t
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SELECTIONS
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CONSTRUCTION AUTHORIZATION
STONE
L.
TILE
CITY OF LA QUINTA
SALES FIELD
DIG
BOULDERS
ADD
Vu aj
PRE-GUNITE
DECK COLOR
FOR CONSTRUCTION
O
DANDYevooLA
ruvm LA• A (I
UNDERGROUND
PEBB./PLAT
MASONRY
DECK
SIGNATURE
Drainage and irrigation for planters and pots, by
rpRE—PEBBL—E--r
DRAINAGE NOTE:
others, unless otherwise noted.
I., . 7777-1 I
Bin # y -•
City of La Quinta
Building 8L Safety Division
perntit !#F�i� P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Owner's Name: C7- -
A. P. Number: -7 (D a 3 oto co -1 Address:
Legal Description: City, ST, Zip:
L—�'•- C'�C-V 1�
Contractor
S Telephone:
Address: Q
Project Description: a
City,-
Telephone:700) . �7 ? /,U 2-
State Lic. # : (p57Co l 2 `�K
-State
City Lic. #: _ �� �% �- - i L
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:C�iQ/ L JerJ Sq. Ft.: 7 # Stories: # Units:
—
Telephone # of Contact Person: ,`ZQ -C� _� Estimated Value of Prajec 3�d
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd
TRACING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit
Truss Cates.
Called Contact Person Plan Check Balance
Energy Cates.
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:
Review, 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
30
aOO
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