10-1306 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4&t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/01/10
Application Number: 10-00001306 Owner:
Property Address: 48112 BIG HORN DR STEPHANIE PEARSON
APN: 623-490-024- - - 48112 BIG HORN DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1800'0
Contractor:
Applicant: Architect or Engineer: TRAVER CONSTRUCTION, INC. A
80580 VIA TERRACINA O
LA QUINTA, CA 92253
(760) 609-0911
1 Lic. No.: 631395
N
/ ---------------------------------------------------------------------------- — - -------------
UCENS CONTRACTOR'S DECLARATION WORKER'S COMPENSATION CLARATION
I hereby affirm under penalty of perjury that 1 is nsed 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 Busines nd P onals 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
Licens lass: CS C53 License No.: 631395 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/issued.
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 DECLARATIONinsurance 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 Carrier SOUTHERN INS Policy Number WSIOOIO63402
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 manner so as to!COM
ject 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 be b' ct 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 the Labor Code, ith comply 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: fv plicant:
( _) 1, 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 SECU WORKERS'PENSATION 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.).
(_ 1 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
property who builds or improves thereon, and who contracts for the projects with a contractor(sl licensed
pursuant to the Contractors' State License Law.l.
(_ ) 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: ^u
Lender's Address: r
LQPERMIT
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 applicatioh and state that the abov nfor do ' 'orrect. I agree to comply with all
city and county ordinances and state laws relating to buildi c St Ci hereby authorize representatives
of this county to enter up o the above-mentioned prope fo ti rposes.
'batignature (Applicant or Agan
Application Number . . . . . 10-00001306
Permit . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 189.00 Plan Check Fee 122.85
Issue Date . . . . Valuation 18000
Expiration Date 5/30/11
Qty Unit Charge Per Extension
BASE FEE 45.00
16.00 9.0000 THOU BLDG 2,001-25,000 144.,00
------------------------------------------------------- --------------------
Permit . . . MECH POOL
Additional desc . .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/30/11
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 5/30/11 —
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 5/30/11
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, BBQ & FIREPIT. ALARMS/BARRIERS
LQPERMIT
Application Number . . . . . .10-00001306
----------------------------------------------------------------------------
Special Notes and
Comments
SHALL BE IN PLACE
AT PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG
STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged Paid
----------
Credited
---------- ----------
Due
.Permit Fee Total
----------
293.00
.00
.00
293.00
Plan Check Total
148.85
.00
.00
148.85
Other Fee Total
1.00
.00
.00
1.00
Grand Total
442.85
.00
.00
442.85
LQPERMIT
Bin #
Qty of La Qulnta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: L{8/lZ r r ,
owner's Name: S'te to a / e.J—SQdl
A. P. Number:
Address: 4(,?//2
Legal Description:
City, ST, Zip: Q2Z S3
r: 4✓er.
Telephone:
Address: Dar80
Project Description: a. �✓ Q
City, ST, Zip: Z4
1/4a" G x/v .
Telephone: ,"�'. �.,�'"*': ..fin.• ^
a � �!" CT
State Lic. # : G�/�395 City Li C. #.: j020S3
Arch., Engr., Designer:
Address: 77,8/O �ac
City., ST, Zip: s�st1<< '.2p
Telephone: 60^3
HE"¢
ss
Construction Type: Cowcr+e�e Occupancy:
State Lic. #:wx
Project type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person: Er/C Q ly/ f 7 T 7&.1.4f
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person. Estimated Value of Project: /8 000 '
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
`
Item Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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 correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees
7,_4"
6"X6"X16" MASONRY
BLOCK
# 4 REBARS
GRADE
POOL EQUIPMENT
EQUIPMENT WALL +5
TANNING LEDGE
WITH TWO UMBRELLA
SLEEVES
=
I
7'-4"
TOP VIEW
OL7 OD C1 G7 � `"
a
6"XOW16" MASONRY
3 #4 REBARS BLOCK
CONTINUOUS
AT BOTTOM SECTION
COLUMN
0
n
VERTICAL # 4 REBARS
TOP VIEW
2'-6"
F-4 FRONT VIEW
#4 REE
CONTINUO
FOOTING
'SIDE VIEW
R
# 4 REBARS
POOL EQUIPMENT
EQUIPMENT WALL+5'
TANNING LEDGE
WITH TWO UMBRELLA
SLEEVES
WITH STA
7'-4" 7r_4ii
TOP VIEW
W W
0
6"X6"XI6" MASONRY
3 44 REBARS BLOCK
CONTINUOUS
AT BOTTOM SECTION•
COLD MN
0
0
VERTICAL # 4 REBARS
TOP VIEW
BBQ SECTIONS
FIREPIT CROSSECTION
e" & "
#4 REBAR
CONTINUOUS
a+ fi
f.I
FOOTING
STUCCO. -
PAINT TO MATCH
HOUSE
1f2"=1' SCALE
— COUNTER
-VERTICAL # 4 REBARS
GRADE
;-a
SIDE VIE
1r -h1.
1 2" OVERHANG
1 /"= I ' SCALE
POOL EQUIP 1-NT
EQUIPMENT WALL+5'
TANNING LEDGE
WITH TWO UMBRELLA
SLEEVES
.rll- Tlrr_lr, 1 IA1r---
.E PIT +20"
' CONDUIT LINE
GASLINE
ITH TRACING WIRE
ELECTRIC
METER
GAS METER
DESERT PAVERS
CUSTOM CONCRETE
80-580 VIA TERRACINA
LA QUINTA , CA 92253
LIC # 631385
POOL SPECS
POOL SIZE: 12'X 30'
POOLAREA. 360 SF,
POOL PERIMETER: 84 LF.
POOL DEPTH: Y TO 5"
SPA SPECS
PS SIZE: 8'X6'
SPA AREA 48 5F.
SPA PERIMETER- 28 L.F.
EQUIPMENT
PUMP: PENTAIR 2 HPTWO SPEED WHISPER FLO
HEATER: PENTAIR MASTER -TEMP 400K BTU
CONTROLLER: PENTAIR EASYTOUCH A
POOL EIGHT: Z-iWW
SPA L1GHT: 1-250
FILTER: PENTAIR CLEAN AND CLEAR 420 SF
PENTAIR SALT WATER CHLORINATOR
FINISHES
WATERLINE:
INTF_R 0R FINISH.,
CONCRETE- 1,350 SF. OMAFIA TAN) SAND WASH FINISH
STEPHANIE PEARSON
48-112 BIG HORN DR.
LA QUINTA
118"=1' SCALE