07-3024 (RPL)P.O. BOX 1504 ^'
F 78-495 CALLE TAMPICO
+_ LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: CO7.-000'` 03024 Owner:
Property Address: 5306-0—AVENIDA RUBIO STEVE & JULIE EELKEMA
APN: 774-043='003-22. -000000- 53060 AVENIDA RUBIO
Application description: POOL - RESIDENTIAL LA. QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL
Application valuation: 26000
Contractor: .
Applicant: Architect or Engineer: F' P D SERVICES INC.
43653 PARKWAY' ESPL A
LPL QUINTA, CA 92253
�IA- (760,):772L1111
Lic.• No.: 82.0132
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/27/07
®
®_INA.I
------------------------------------------------------------------------------------t----------
LICENSED. CONTRACTOR'S DECLARATION -
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury t I am -licensed under 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 Bu nes and Professiona aryl 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
License Class:, C53 ose (}r 1,, 820132
_
for by'Section 3700 of the Labor Lode, for the performance of the work fo•r which this permit is -
(fA�C�
~
issued.,'
ate: r
• G tractor:
I haveand will maintain workers' compensation insurance, as required by Section 3700 of the Labor
-
Code, for the'performanc6 of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER -DECLARATION
X.m-exempt
insurance carrier.and policy number are:
I hereby affirm under penalty of perjury that from the Contractor's State License Law'for the
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec: 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or, repair any structure,', prior to its issuance, also requires the applicant for the
person in any manne o. as to become subject todhe workers' compensation laws of California,
permit. to. file. a signed statement that he: or she is licensed pursuant to the provisions of the Contractor's'State
and agree that,. if I sho Id'become subject.to• a
orkers' compensation provisionsofSection
License. Law.(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Lab Cc e, I shall forth ith com ly
ith those provisions. -
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any.applicant for apermit subjects the, applicant to a civil penalty of not more than.five hundred dollars ($500).:
1 �,l,1+ r�L
D :. icant: +I,
1 1 I, as owner of ahe property, or my employees with wages as their sole compensation wilj do the work, and
6
the structure -is not intencled or offered .for sale'(Sec. 7044; Business and'Professions Code: The.
WARNING: FAIL RE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND'SHALL
Contractors' State License Law does not apply!to an owner of property who'builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED -THOUSAND
-and who does the work himself or herself.through his or her own employees, provided that the
DOLLARS ($i00,000). IN ADDITION TO THE 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 LABOR.CODE, INTEREST,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,).
(_) I, as owner -of the property, am'exclusively contracting witli 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: '^)
Lender's Address: 1"
LQPERA11T
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the'Directorof BuiIding.ahWSafety'for a permit subject to the -
conditions and restrictions set forth on this application. -
1 . Eachperson 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 isnot commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permitto cancellation.
I certify that I have read this application and state tha the bove information is rect. I agree to comply with all
city and county ordinances and state laws relating t buildi construction, aerd(he by uthorize representatives
of this count to enter upon the above-mentioned p operty r inspecti pur oses
Da � ° S: ature (Applicant or Agent),
Application Number . . . . . 07-00003024
Permit ELEC POOL PERMIT -RES
Additional desc .
Permit Fee 45.00 Plan Check
Fee
11.25
Issue Date . . . . Valuation
. . .
. 0
Expiration Date.. 5/25/08
Qty Unit Charge Per
Extension .
BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING
-----------------------------------------------------------------------------
POOL
30.00
Permit:.. BLDG POOL PERMIT
Additional desc .
Permit Fee 252.00 Plan Check
Fee
163.80
Issue Date Valuation
. . .
. 24412
Expiration.Date.. 5/25/08
Qty Unit Charge Per.
Extension
BASE FEE
45.00
23.00 9.0000 THOU BLDG 2,-001-25,000
207.00"
Permits. PLUMBING
Ad'd'itiona1 desc
Permit'aFee 24.00 Plan Check
Fee
6..*00
Issue Date. Valuation
0
Expiration Date'. 5/25/08
Qty • Unit_ Charge Per
Extension
BASE FEE
,15.00
1-00 6.0.00.0 EA PLB FIXTURE
6.00'.
3..000.0 EA' ,PLB WATER INST/ALT/REP
'3:00-...
Permit, . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 37.00 Plan Check
Fee..
00
Issue"Date Valuation
1588 -
Expiration Date 5/25/08.
Qty Unit Charge PerExtension
BASE.FEE
15.00
11.00 2.0000 HND BLDG'501-2,000
22.00
7 -------------------------------------------------
Notes and'Comments.
POOL, 14 L.F. 4' EQUIPMENT WALL & 63
L.F: 5' GARDEN WALL, BOTH CITY STANDARD.
LQPERAIIT
Application Number . . . . . 07-000.03024
---------------'--------------=----------------------------------------------
Special Notes.and Comments .
_ ALARMS/BARRIERS SHALL BE IN PLACE
AT
ENCAP INSPECTION.
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 358.00
-
.00
---------- ----------
.00
358.00
Plan Check Total 181.05
.00
.00
181.05.
Grand Total 539.05
:00
00.
539.05
LQPERAIIT
FPD SERVICES INC. dba
STOKER POOLS
43653 Parkway Esplanade East
La Quinta, CA 92253
760.324.7946 - office 760.772.0012 - fax
NOTES:
—7711 doors from hOU5C with access tote pool
shall be equipped with an audible alarm.
2. All gates with access to the pool shall be self
closing, self latching, and open out.
3. See IC50 report #PFC-3608
A NEW FIBERGLASS POOL FOR:
ExIStlnq Block Wall on P. L. +/- 100.00'
LED
NOV E t 2007 lU
planter
'—x63' Masonry Wall
8 per city approved detail
CLEARWATER stucco to match exist.
I �
IU
L
_____ -/- GOA
I " U.G. elec conduit to pool equip /
Ex15ting Block Wall on P.L. +/- 100.
I
I
I
I
3'-4"
i
�5awcut across driveway
i for pool plumbing 4 replace
i
Exl5tlncg Driveway
New -4x l 4' Masonry screen wall;
i per city approved detail
. stucco to match exist.
Mr. * Mrs. Steve * J U I le Ed kema
53060 Avenida Rubio, La Quinta, Ca. 92253
Existing masonry
screen wall
LP Tank
Remove exi5t. all
L
5NEET:
FSLEGACY REPORT PFC-3608
017w Reissued January 1, 2004
.0NE001•'.
ICC Evaluation Service, Inc. EkslwsWPMw office a 5360 Worlortan Mia POW' Wer' Caff0rrm WWI a (562) 69945Q
RegWial Off= ■ 900 Montclair Road. Stake A, B"rerViam, Ahabarna 35213 ■ (205) 599-98M
WWW.icc-es.org Reglorial Ofrwe•4051West FlossmomRoad,CampyClub Hills, Ilfmois60478•(708)7W2305
Legacy report on the 1997 Uniform Building CodeTu
DIVISION: 13—SPECIAL CONSTRUCTION
Section: 13150 --Swimming Pools
FIBERGLASS ONE-PIECE SWIMMING POOLS AND SPAS
VIKING POOLS, INC.
POST OFFICE BOX 96
WILLIAMS, CALIFORNIA 95987
1.0 SUBJECT
Fiberglass One-piece Swimming Pools and Spas.
2.0 DESCRIPTION
2.1 General:
The swimming pools and spas consist of one-piece fiberglass
construction shop -formed over a mold. The material is
fiberglass reinforced plastic (FRP), a minimum of/, inch (6.4
mm) thick, composed of isophtalic resin, vinyl ester resin,
fiberglass, and ceramic. The surface finish is a neo pentyl
glycol gel coat. Viking Pools produces various styles of
swimming pools and spas. When installed in accordance with
this evaluation report, the pools and spas comply with
applicable requirements of the following codes:
• 2000 Intemational Building Code® (IBC
• 1997 Uniform Building CodeTM (UBC)
• BOCA® National Building Code/1999 (BNBC)
• 1999 Standard Building Code® (SBC)
• 2000 International Plumbing Code® (IPC)
• 2000 IAPMO Uniform Plumbing Code (UPC) -
The overall pool dimensions, depths and capacities are
shown in Table 1. For minH=ls, see Table 2; for spas, see
Table 3. The units comply with ANSI/NSPI-5, specified in
Section AG103.1 of the IRC, and IAPMO IGC -2000',
specified in the UPC.
Models described in Table 4 can be placed up to 19%
inches (49.5 mm) above ground. Vertical supports consisting
of 1 -inch -by -1'/Z inch -by -36 -inch -long (25 mm by 38 mm by
914 mm), Douglas fir, No. 2 wood members encapsulated in
the FRP process at 4'/2 foot (1372 mm) intervals are required.
These pools and spas may be placed with or without concrete
or wood decking. Unless elevated portions of the units are
protected from sunlight by soil berms, decking, etc., these
portions must be coated with a UV -inhibiting opaque paint
that is compatible with the laminate.
All plumbing must comply with the IPC or UPC. Electrical
work must comply with the code in effect at the construction
site. The pool and spa must remain full of water at all times.
A permanent sign, bearing the following statement, must be
attached to the pumping equipment:
Notice—The pool or spa is designed to remain full of water
at all times. The pool shell may be damaged if the water
level is allowed to drop below the skimmer. When
appreciable draw -down is noticed or if it becomes
necessary to drain the pool or spa, contact Viking Pools or
its dealers for instructions.
A permanent label must be installed adjacent to the above
sign indicating the Viking Pool dealer's name, address and
telephone number.
2.2 Installation:
Viking pools and spas may be installed without a soil
investigation by a registered design professional (RDP),
subject to the building official's approval, provided none of the
following conditions are encountered at the site:
1. The existence of groundwater within the depth of the pool
or spa excavation.
2. The existence of an uncompacted fill in contact with any
portion of the pool or spa.
3. The existence of any expansive or adobe -type soils.
4. The existence of any soil types with an angle of repose
that will not support the walls of the excavation at desired
slopes.
5. Danger to adjacent structures posed by the proposed pool
or spa location.
6. The existence of any cracks or openings in soil that would
not confine sand bedding.
If any of the conditions above is encountered, excavation
must cease immediately. The specified conditions at the site
must then be reviewed and recommendations made by the
RDP. The building official must approve the RDP s report
before work is continued.
The pool or spa excavation profile must coincide with the
contours of the pool. The overexcavation is approximately 6
'The Uniform P/rmmbing Code and IGC -2000 are copyrighted publications of the International Association of Plumbing and Mechanical
Officials, 5001 East Philadelphia Street, Ontario, Cafifomia 91761.
ICC -ES legacy reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as
an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, Inc., express or implied, as to \\ t
any finding or other matter in this report, or as to any product covered by the report.
Copyright 6 2004 Page 1 of 6
Page 2 of 6 1 PFC-3608
to 12 inches (152 to 305 mm) on the sides and ends. The
overexcavation at the pool bottom is approximately 4 to 8
inches (102 to 203 mm). The backfill for the pool or spa
bottom is a layer of 3 -inch -thick (76 mm) bedding sand
matching the pool or spa profile. This sand layer is
compacted using a manual tamper and water. The pool or
spa is then set into place using a crane or excavator. A
property placed pool or spa must sit firmly on the sand and be
within 1 inch (25 mm) of level. Simultaneous waterfill and
sand backfill operations then commence. The sand is
compacted with a tamper and water. The installer must
ensure that the backfill level and water level are
approximately the same throughout this procedure.
Atter completion of the backfill and plumbing, the decking is
placed. Decks are prepared as indicated in Figures 1 through
4:
1. Cantilevered concrete decks are constructed as noted in
Figure 2 in all cases.
2. Cantilevered decks are constructed with brick or stone as
noted Figure 3 in all cases.
3. Noncantilevered concrete decks are constructed as noted
in Figure 1 in all cases.
4. Raised bond beams are constructed as noted in Figure 4
in all cases.
5. Aboveground installations are constructed as noted in
Figure 5 in all cases.
Barriers are required where pools are on premises of UBC
Group R, Division 3, Occupancies or IBC Group R
Occupancies. The barriers must comply with Appendix
Chapter 4, Division I, of the UBC or Section 3109.4 of the
IBC.
2.3 BNBC:
Viking pools and spas may be used as public swimming pools
or private swimming pools, in connection with Group R-3
Occupancies only. In addition to other requirements in this
report, swimming pools used under the BNBC must satisfy
the following items:
2.3.1 Location: Swimming pool and spa walls shall maintain
distances from property lines required in Section 421.4 of the
BNBC.
2.3.2 Construction: Requirements in Section 421.5 of the
BNBC, concerning slopes, cleaning devices, walkways, steps
and ladders, must be observed.
2.3.3 Water Supply: The water supply and drainage must
comply with Section 421.6 of the BNBC.
2.3.4 Barriers: Barriers for private swimming pools must
comply with requirements in Section 421.10 of the BNBC.
2.3.5 Diving Boards: Diving board distances and water
depths must comply with Section 421.11 of the BNBC.
2.4 Identification:
Viking pools and spas are identified by the following
information imprinted on the top step of the pool or spa:
manufacturer's name (Viking Pools, Inc., Viking Pools
Central, or Viking Pools Northeast) and address, pool or spa
model designation, a coded serial number and the evaluation
report number (PFC-3608).
The units also bear the label of the quality control agency,
Columbia Research & Testing Corporation (AA -527).
3.0 EVIDENCE SUBMITTED
Plans, fabrication and installation data, calculations and a
quality control manual.
4.0 FINDINGS
Thatthe Fiberglass One-piece Swimming Pools and Spas
comply with the 2000 International Building Code® (IBC),
the 1997 Uniform Building CodeTm (UBC), the 1999
Standard Building Code®, the BOCO National Building
CodeN999 (BNBC), the 2000 International Plumbing
Code®, and the 2000 IAPMO UnUbrm Plumbing Code,
subject to the following conditions:
4.1 The construction and poolispa installation comply
with this reportand the manufacturer's instructions.
4.2 Electrical and plumbing installation complywith the
respective codes in effect at the construction site.
4.3 The pools and spas are installed by trained dealers,
agents or customers approved by Viking Pools, Inc.,
Viking Pools Central, or Viking Pools Northeast
4.4 Clearances from slopes are observed as set forth in
Section 1806.5.4 of the UBC, Section 1805.3.3 of the
IBC or Sections 421.4 and 421.5 of the BNBC.
4.5 The pools and spas produced by Viking Pools
Northeast, Inc.,176 Viking Drive Industrial Park, Jane
Lew, West Virginia; Viking Pools Central, Inc., 10600
West Interstate 20 East, Midland, Texas; and Viking
Pools, Inc., 121 Crawford Road, Williams, Califomia,
are manufactured under a quality control program
with inspections by Columbia Research & Testing
Corporation (AA -27).
This report is subject to re-examination in two years.
Page 3 of 6
TABLE 1 --POOLS
PFC-3608
SERIES
LENGTH (fL4n.)
WIDTH (ft.4n.)
Deep End (fL4n.)
DEPTH
Shallow End (fL4n.)
CAPACrY (gal.)
L
31-0
14-0
7-0
3-0
13,700
N
37-0
15-0
8.3
3-5
20,000
B
25-2
11-10
4-6
Uniform depth
8,100
K
34-0
15-0
8-3
3-5
16,000
MK
2"
14-0
15-10
3-0
10,000
8L
40-0
11-10
4-0
Uniform depth
14,000
BFF
25.7
12-0
6-0
3.6
9,000
FF
30-0
14-0
6-0
3-0
12,000
BKD
24-0
12-0
5-0
3.6
6,000
SL
39-0
7-0
4-0
Uniform depth
6,500
BP
38-0
16-0
6-0
3-0
17,000
SFF
24-0
12-0
6-0
3.6
9,000
RS
30-0
14-0
6-0
3-0
12,500
GC
40-0
16-0
8-0
3-0
19,600
GS
35-0
16-0
5-10
3-6
15,000
RP
31-0
14-0
5.10
3-0
12,800
FP
250
12-0
55
3b
6,000
co
33-0
16-0
5-0
3-0
15,000
BPD
38-0
16-0
8-0
3-0
20,000
CP
31-0
12-0
5-0
3-0
10,500
MT
35-0
14-0
5-0
3.6
12,400
AC
39-0
16-0
6-0
3-0
16,700
OB
40-0
16-0
5.8
3-6
18,900
BN
40-0
16.0
8-0
3-0
22,000
TN
30-0
14-0
6-0
3-7
13,500
PS
40-0
16-0
7-0
3.6
23,000
LG
30-0
14-0
6-0
3-0
14,800
CC
35-0
16-0
66
3-6
15,000
AL
24-0
12-0
5-0
3-6
7,000
CL
30-0
12-0
6-0
3-0
10,000
MN
24-0
12-0
5-0
38
7,000
CY
30-0
14-0
6-0
3-0
12,500
BR
35-0
16-0
6 6
3-0
16,000
MR
40-0
16-0
8-0
3-0
22,000
For Sl: i inch = 25.4 mm, 1 foot = 305 mm, 1 gallon = 3.785 L.
Page 4 of 6 PFC-3608
TABLE 2—MINI POOLS
SERIES
LENGTH ft-ln.)
WIDTH (fL4n.)
Deep End (ft. -In.)
DEPTH
Shallow End (ft.4n.)
CAPACITY (gal.)
SP
20-0
11-0
5-0
35
3,600
SK
20-0
10-0
5-0
3-0
2,750
MP
14-0
9-6
4-0
Uniform depth
2,500
MFF
14-0
8-6
4-0
Uniform depth
2,100
MLL
15-10
85
4-0
Uniform depth
2,200
MTK
16-0
9-3
4-0
34
2,300
HL
22-0
75
4-0
Uniform depth
3,500
WGA
18-0
8-0
6-0
Uniform depth
4,500
WGB
18-0
8E
6-0
5.6
4,300
WGC
18-0
8.6
5.6
Uniform depth
4,050
WGD
18-0
8-6
55
5-0
3,850
WGE
18-0
8-0
5-0
Uniform depth
3,600
WGF
18-0
86
5-0
4-0
3,400
WGG
1 9-0 1
85
4-0
Uniform depth
1,200
WGH
I9-0
8 6
5-0
Uniform depth
1,350
WGDXL
1 21-0 195
3-0
4-0
Uniform depth
3,000
WGDLXS
1 18-0 1
8-0
5-0
Uniform depth
2,800
For SI: 1 inch = 25A mm, 1 foot = 305 mm, 1 gallon = 3.785 L
TABLE 3 --SPAS
SERIES
SHAPE
WIDTH OR DIAMETER
(&-in.)
DEPTH
(&4n.)
CAPACITY
(gal-)
RS
Round
5S
3-0
275
RSSW
Round
5-8
3-0
275
RSSP
Round
5-0
1$
150
OS
Octagonal
6-0
3-0
375
OSSW
Octagonal
6-0
3-0
375
OSSP
Octagonal
6-0
1-6
125
SS
Square
6-0
3-0
295
SSSW
Square
6-0
3-0
295
SSSP
Square
6-0
1-0
150
LOS
Octagonal
7-0
3-0
450
LOSSW
Octagonal
7$
3-0
450
LOSSP
Octagonal
7-0
1$
220
LRS
Round
7-0
3-0
420
LR SSW
Round
7-0
3-0
420
LRSSP
Round
7-0
1-6
180
BOS
Octagonal
8-0
3-0
475
BOSSW
Octagonal
8-0
3-0
475
BOSSP
Octagonal
8-0
1$
270
CS
Octagonal
8-0 x 12-0
3-0
700
CSSW
Octagonal
8-0 x 12-0
3-0
700
CSSP
Octagonal
8-0 x 12-0
1-0
430
RG
Freeform
8-0 x 11-0
34
600
RGSW
Freeform
8-0 x 11-0
3-4
600
RGSP
Freeform
8-0 x 11-0
15
470
RY
Rectangle
8-0 x 10-0
34
600
RYSW
Rectangle
8-0 x 10-0
34
600
RYSP
Rectangle
8-0 x 10-0
1-0
330
M
Round
10-0
34
550
MSW
Round
10-0
34
550
MSP
Round
10-0
1-0
325
CB
Kidney
8-0 x 10-0
34
525
CBSW
Kidney
8-0 x 10-0
34
525
CBSP
IGdney
8-0 x 10-0
1.6
275
LCS
Rectangle
8-6 x 17-0 1
3-0
1 1,840
For SI: 1 inch = 25.4 mm, 1 foot = 305 mm, 1 gallon = 3.785 L.
Page 5 of 6 PFC-308
TABLE 4—ABOVEGROUND (19% INCHES MAXIMUM ABOVE GRADE)
1 Z.rt7 Non r.:.> Ert� • m I u
POOLS
X6' - V1.4 X WL4
SPAS
VIRE MESH OR
RE MESH OR
B
MFF
SK
RS
LOS
CS
M
BFF
MK
SL
RSSW
LOSSW
CSSW
MSW
BKD
MLL
SP
RSSP
LOSSP
CSSP
MSP
FP
MP
AL
OS
LRS
RG
CB
HL
MTK
MN
OSSW
LRSSW
RGSW
CBSW
WGA
WGB
WGC
OSSP
LRSSP
RGSP
CBSP
WGD
WGE
WGF
SS
BOS
RY
LCS
WGG
WGH
WGDXL
SSSW
BOSSW
RYSW
WGDXLS
FIBERGLASS
SSSP
BOSSP
RYSP
1 Z.rt7 Non r.:.> Ert� • m I u
10-
X6' - V1.4 X WL4
VIRE MESH OR
RE MESH OR
3'AUN.
9' A9NBAR
NO. 3, @ 2• - 0 -
EACH WAY.
EACH
CH WAY.
,jDPED
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IT
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'— POOL SHELL
(ADOBE) SOIL ONLY.
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POOL SHELL
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FIGURE 1 -TYPICAL CONCRETE DECK FIGURE 2—TYPICAL CANTILEVER CONCRETE DECK
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FIBERGLASS
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FIGURE 1 -TYPICAL CONCRETE DECK FIGURE 2—TYPICAL CANTILEVER CONCRETE DECK
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City of La Quinta
" Building &Safety. Division
P.Q. ,Boz 1504, 78-495 Calle Tampico
La .0dinta; CA'.92253 - (760) 77777012
Blaild1nk' Permit Application ,and Trackin Sheet
. a g
Permit #
Project Address: 5':? Ou 0 Av- /11 OA- 2lJ % ) p
Owners Name: <� `]UL� C A-
A. P. Number:Address:
`�1301dt371(DfF ' P^U�1 p
Legal Description:
City, ST; Zip: Q L) I j" OIL_ ci Z?�5 3
Contractor:
''Tcle hone:.~"
Address: `f3u53 : PAe4C--"0..1 ESptr'r t�ia gf' �
; Project Description:
1 P
City, ST, Zip: Lp,- QW n Tvq C', 922'S3° •
'! . Xlt?w ; 0'. xI2o' F16t`i2t'o S
Telephone: 7_ I (I I
State Lic. X:
City Lic.
Arch., Engr., Designer:
� � t:• � S , 5
Address:
wl Sll 1.1� �ID�LNL
City, ST, Zip:
v
Telephone:
State Lic.'#: _.
Name of Contact Person: a,a
`Construction Type: Occupancy:
Pro•e -. -
ct type (circle one): New : Add'n Alter Repair Demo
Sq. Ft::
# Stories:
# Units:
Telephone # of Contact'Person:
Estimated Value of Project: (Q 000—
00—APPLICANT::
APPLICANT::DO NO TM BELOW THIS LINE,
#
Submittal
Req'd
Reed:;;
y TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted .Amount
Structural Calcs.
Reviewed, ready foe corrections
PladCheck Deposit
Truss Calcs.
Called Contact Person
..Plan -Check Balance
Energy Calcs.
Plans picked upConstruction
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
H.O.A. Approval.
Plans resubmitted" -
Grading
IN HOUSE:-
''d 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
To6l Permit Fees
a 000.
2.4
CITY OF LA .QV!!4TA�SUB-CQNT.RACTOR LIST
.SOB ADDRESS 3%00 Prcl�r0.- V-42610PERMITNUMBER OWNER'�'� A � L ve Vo yema , BUILDER FP2 Vtc't-S 1„SC
This form shall be posted on the -job with the Bui♦ding' Inspection Card et -ail times In a -conspicuous placg..Ohly' persons appearing -on this list or their employees are authorized to work
of building permit—For each applicable trade, all information reapested below must be completed by aaplicant.. "Ora File" is not an acceptable response. -
Trade ! Classification
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C y. n �
A(!�q-12),
company Name
ClassiCiafdon
(e.g. A, B, C-8)
- -License Number
.: f xxxixx)
Exp. Date
lxx/xx/xxl
'Carrier Name
te.g. 5.tate Fund: CelCompl
Policy Number-
(Format Varies)
Exp. Date .
Ga/xx7xx)
License Number " Exp. Date
(xxxx) (xxlxx/x0
EART>f•IWORK
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MASONRY td -29.)
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