12-0891 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-001500891
Property Address:
51551 AVENIDA BERMUDAS
APN:
773-145-016-4 -000000-
Application description:
POOL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
33000
nF �QurKrw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CARY & OLYMPIA GRANGER
51-551 AVENIDA BERMUDAS
LA QUINTA, CA 92253
,_O�
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/09/12
LQPERMIT
Contractor: 0
Applicant: Architect or Engineer:
PALOMAR POOLS �
69676 .PLEASANT GROVE
CATHEDRAL CITY, CA 92234
7 624
a�
I
LicO,No4:912619
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
- WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licen d 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 Business and Pr ssional 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
License Class: C53 cense No.: 912619
_
�
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
/Date: I ontractor:
_ 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 penalty of perjury that I am exempt from the Contractor's State License Law for the
CarrierEX MPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
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 manner so as to become subject to the 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 should become subj to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of t e Labor Code, I shat ?comply mply with'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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: Lpplicant:
(_ 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 SECURE WORKERS' 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 CRIMINAL 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 ($100,000). 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.)..
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,
(_ 1 I am. exempt under Sec. , B.&P.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 ,
'
performed under or following issuance of this permit.
Date: Owner:
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the mf i is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.1.
city and county ordinances a d state laws relating to buildi constructi and hereby authorize representatives
is county to enter up the above-mentioned prope for inspectio urposes.
Lender's Name:
Ylfate:, 'nature (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number . . . . 12-00000891
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
304.00 Plan Check Fee
197.60
Issue Date . . . .
Valuation . . . .
33000
Expiration Date
2/05/13
Qty Unit Charge
Per
Extension
BASE FEE
252.00
8.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
52.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
2/05/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K,
11.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation . . .
. 0
Expiration Date
2/05/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
---------7------------------------------------------------------------------
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
2/05/13
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
LQPERMIT
.Application Number . . . . . 12-00000891
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 54.00 Plan Check
Fee
.00
.Issue Date . . . . Valuation
. . .
. 2122
Expiration Date 2/05/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
--------------------------------------------------------------------------=-
Special Notes and Comments
POOL/SPA, 98 L.F. 5' GARDEN WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. 2010
CODES.
----------------------------------------------------------------------------
Other Fees . . . . ... . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 462.00 .00
----------
.00
462.00
Plan Check Total 223.60 .00
.00
223.60
Other Fee Total 2.00 .00
.00
2.00
Grand Total 687.60 .00
.00
687.60
LQPERMIT
CITY OF LA QUINTA'SUB-CONTRACTOR LIST
JOB ADDRESS PERMIT NUMBER OWNER BUILDER .
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this 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
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade / Class�ficat�on
Contractor
::;;::<•:::::State;:Contractor.s Ltcertse.. • :.........:.
: ': Workers:.Com ensation;Insurance:" ::'
City Business
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12). . ..
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CONCRETE (C-8.)'::.'
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FRAMING '(C -5i: .'..
STRUCT.:.STEEL (C -51)q
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MASONRY (c•29)
PLUMBING (C-36)ikl
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LATH> PLASTER (C=35)
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8 3i 1.1
DRYWALL (C-9) ...:
HVAC. (C-20)'::.:
ELECTRICAL. (C=10)*:-_'...'
GL oe' t Cq ct t
l l�tD (
l -i
.:S METAL 10-43)
FLOORING
GLAZING (C-17)'`
INSULATION':IG-2) .:
.SEWAGE DISP (C-42)-'.
PAINTING
CERAMIC TILE (C-54)
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C-
Q 3/ _
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9 0(
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27.).-..::.--
POOL 1C-531
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Building &r Safety Division
Box 1504,78-495 Calle Tampico
la.Quinta, CA 92253--:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address: ---�5 J
Owner's Name:. Com.
A. P. Number.
Address: S J , 4
Legal Description: I ar
Contractor.aAA
City, ST, Zip: t C
Telephone
Address:
ProjectDescription:10 ob (�
City, ST, Zip:
Telephone: ` q�p" E z
State Lir.. # : City Lia #:
i
Arch, Engr., Designer
Address:
City, ST, Zip:
Telephone:
State Lic. #:, y�
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project d O J'Q
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
'Reed
TRACHIMG PERMIT FEES
Plan Stu
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance.
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionsfrssue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
1N ROUSE:-
'^' Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
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ELECTRIC
1" CONDUIT LINE —
POOL EQUIPMENT
o LA
SPA +18"
WITH TILE] SPILLWAY
EW 54 HE1GH BLOCK WALL
STUCCO TO MATCH HOUSE
1 "t •/wC)1 FeO
12'-f"1
TANNING LEDGE_...__
WITH UMBRELLA
SLEEVE
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DRIVE WAY
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GAS
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O PALAR POOLS
760-774-7624
LIC# 912619
69-6%PL ASAv[• GRDVE CATHEDRAL CTTY , G 92234
POOL SPECS
POOL SIZE: 12r6" X 28"6"
POOL AREA; 277 SF.
POOL PERIMETER: 78 LF,
POOL DEPTH: T TO 5' SPA. SPECS
SPA SIZE: 6'
SPA AREA: 28 SF,
SPA PERIMETER: 18 LF.
EQUIPMENT SPECS
PUMP- PENTAIR I HP
HEATER: PENTAIR MASTER TEMP 400K BTU -
FILTER : PENTAIR CLEAN AND CLEAR 320 SF.
POOL LIGHT. 1400 W
SPA LIGHT: I-1QQ
FINISHES
CONCRETE AREA: NATURAL GREY 586 SF.
CARRY & OLYMPIA GRANGER
51- 51 A ENIDA BERMUDA
LA QUINTA
1111=1" SCALE
DATE REVISED: 7:49 AM Monday, August 6, 2012