04-3861 (RPL)� O
BUILDING & SAFETY DEPARTMENT
O. 1504 (760),777-7012
1 204
p
78-4,5 ALLE TAMPICO FAX (760) 777-7011
C F OF LoU1 QUIN A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
CE P
BUILDING PERMIT
Application Number . . . . . 04-00003861 Date 5/05/04
Property Address . . . . . . 48431 BIG HORN DR
AP14: 658-140-999-167 -29436 -
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . . . .. LOW.DENSITY RESIDENTIAL
Application valuation . . 18000
Owner
IVANHOE LA QUINTA COVE
.0/O R BARRY MCCOMIC
79.79 IVANHOE AVE STE 550
LA JOLLA' CA 92037
Contractor
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA .CA 92236
(760) 398-9222
WCC: STATE FUND
WC: 04.600061168 01/01/05
CSLB: 656128 10/31/04
CCC: C8=C27-C29-053
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Pezmit . . . MECH POOL
Additional desc
Permit Fee 24.00 Plan Check Fee 6.00
Issue Date Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
Permit . .. . . . . BLDG POOL PERMIT
Additional desc
Permit Fee . . . . 189.00 Plan Check Fee 122.85
Issue Date . . . . Valuation . . . . 18000
Qty Unit Charge Per Extension
BASE -FEE 45.00
.16.00 9.0000 THOU BLDG 2,001'-25,000 144.00
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Permit ELEC POOL PERMIT -AES
Additional desc
Permit Fee 45.00 Plan Check Fee 11.25
Issue Date Valuation... 0
Qty Unit Charge Per Extension
BASE FEE 15.00
7.
•
P.O. BOX 15044�� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
r BUILDING & SAFETY DEPARTMENT
Application Number: co Date:
Applicant: 1 Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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 LicanssggI in full force and effect.
License ClLicense No. ct7J
4
Date "J Contractor `
OWNER43UILDER 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 ifs 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 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 or 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.).
U 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(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. . BA PA. for this reason
Date Owner.
WORKERS' COMPENSATION DECLARATION
1 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.
Z 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
i�sueQ. My worjmrs' compensation. insurance carrier and poli ymber are:
Cartier P �,(–tA., Policy Number l_a4la�2 // b
—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, It I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provis ns.
Date L-6 . Applicant
WARNING: FAILURE TO SECURE WORKERS' 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 3708 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
Lender's Address
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 building
construction, and hereby authorize representatives of this county to r upon theabove-mentied property for inspection purposes.
Date ✓ Signature (Applicant or Agent): 1!/
Page 2
Application Number . . . . . 04-00003861 Date 5/05/04
Qty Unit Charge Per
Extension
1.00 30.0000 EA ELEC
PRIVATE SWIMMING POOL
30.00
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Permit . . . . . . PLUMBING
Additional desc
Permit -Fee . . . . 33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation .
. 0
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
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Special Notes and Comments
POOL & SPA ONLY. ALARMS.
BARRIERS SHALL BE IN PLACE PRIOR
TO
PREPLASTER INSPECTION.
Fee summary Charged
Paid - Credited
Due
-------------------------------------
Permit Fee Total 291.00
--------------------
.00 .00
291.00
Plan Check Total 148.35
.00 .00
148.35
Grand Total 439.35
.00 .00
439.35
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SPECIFICATIONS
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TYPE
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SURFACE ►REA OF P16a, CP07 cl
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PERIMTTER
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SPA I SPFCIF1('FIONS
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SIZE x4 50. FT 54
7R.E TYPE
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SPA a+uW wALJk N1'H
WATER LI,+E live_ r _
ItG- OF ETS
T11 E TRIM
UGI47
CJUARTE R ROUND ��
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R.B. U. ALE
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5NLLwAY TYPE
SPSOAL NOTES
DECKING
1+#
EXCAVATION TEES
M
TYFe
ACCESS FROM 54Arw)
EPANSIGN rATS
ELEVATION tt
CANn-:EVER F7-77
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DEEP ENO RASP
OUX ORkNS Q
LOVE SEAT
OECCO DR,kw
OD14CRO-1 REMOVAL LOADS
CURB' CAE ~~
$00 REMOVAL LOADS
STEPS
TRJiE REMOVAL OY
STE¢ FACE
IRRIGATION RUCYAL SY
TILE BASE
IRR Q,A'MON REpA+R
&01) AND +ASOUL #
6' ke-$.
R15RON5 �—
W Rag, ,?- f
wow "IP -
19' P10- ft..
30' R.B.B. f
701 $HEY OEFTH I
MASONRY
ROCK PW
�y
COPfNG TYPE
CEMIRS
Il.VZ, FADING �'" -
SP LLwAr TY?E <
_ qZZ
PLUMBING
smps —
FILTER koo t—
PREP EXT_ WALLS
POOL PUN? C}1�, F 51ZE +�•
PLANTER WALL
RE'AIHINC W'AU-S
BOOSTER PUMP `� 42£
E9u+P- wALLs
AWL PUMP
ADVL PUP SZE
HEATER { } F-_ SEA �L�O
TI,1C C00K 5 -
SUB PA?EL
ADD'L QV
SKIMMER TYPE
HTu LINE r P ' PEBBLE BLASTER
4;k5 G'NE 1N STUBS . EIGHTS POOL - _1DKl
LIGHTS SPA —�+7
FOUkTAJH5jWRtAW]EA0S — ROLLED nano OLU
STEER DESCENTS OcH IND SPA
E RTALL5
LIGHTS JN POOL rt, a -,l JN SPA (R rut 64? —L J
STUD SET EGUIPMENT 4k` `- FENCING
MI$O.
PLUIIMINr, SIZE 1 I C FEHCE TIFE
v HEIGHT
GATE
GUNITE GATE RE'FRSAL
DEEP END 19AMP KMovt dt
SRLLWAY TYPE—�� I EST. START —
CANTILEVER 7 EST. cum PLEroN
WCPING _ OTHER
SEE
ySTEEL
Yr",�J.1� L1ik J1+�.4J�.3
4Vh R F`µ IBILIT
U,1NER Tf) (1) OMRMINE THE APPRCW-MATE E-EVA71ON OF P(XX OR 59A. AT LAgluT ON OAY aP EXGAV„TT N
(3) TAKE NOTPUE RtAT FQ0I- AND EWIPMENT LOCATIONS ARE WlJ CCT TV AQUPTA,JC OF
LOCAL BUILDING DEPA4TVENT AT TIME OF IssuANGE OF PE MIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVDq DAn AFTER SHED IS INSTALLED
(4} AMEE ,THAT CAUFCRNiA POOLS IS NOT AESPCNSIBL5 FOR UNDERGROUND CONDITIONS OR ooxGrS,
AND ANY DAEIAGE 70 CUR95. $ZEWALXS, DRIVEWAYS, LAWS. OR OTKER !T£MS IN THE ACCESG AREA
(5) SEE THAT ALL FfxarC, GATES, ANO GARAGE DOORS MEET LOCAL CODES FOR A POOL ETVGLMRE
PROP ID PREPLASTER INSPECTION
(5) FiLL PC41L IMMM ATTLY AFTER PL ASTM {FOLLOW INSTRQCiTCNS -- DO N01 USE RUBBER HIM
(7) TAKE NoTTOE THAT THIS DRAkMNG IS THE SOLE P9OpERT7 CIF CAUFORNIA Pp-5 AND Wr ANY
L+SE MT1+0UT WRITTEN Pi SSM OF CALSOANtA POOLS, IN- 15 PRON19TU BY LAW
-Zl`wNER APPRMS PLAN, POOL. AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSI6IU E5 AND NOTICES AE!Q E
`
SIGNATURE(S) DA _
SWIMM'N POOL PLAN! FOR.
NAME HIDDEN -
LET 1
STREET - 31 ti
JOB ADDRESS !-{ I tZt—: '
PHONE OFFICE ?DES
f LQT I67 TRACT PAGE BOOM
MAP BOOK PACE NO, ICITY
MAID ADDRESS
I CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY , CHTCKE-D BY
Jae#
�IREVISONS DATE
BUILDING & rat
APPHU
ZIL
. __ EL_E
CTIONS
CON T I U T I O i 0T F� f AT I I STONE .--_�
SALES
J;II LU
DIG
PRE-G U N ITIE
UNDURGROUNDI
NLASONRY
DECK
PRE-1111 13111..E:
TILE �-Ir�rr�ECTIO�, FEE 0'
BOULDERS - --,t� >s �#NCC4atU �F FFTt wYFi7,:
PI ANS ❑Mn ! a Apr) AT3r Pi—
OECK COLOR THE SITE FOR
■ r1
PFBB./PLAs i+v Lr14,L1 I U11;
IGNArJRE :J
DRAINAGE rs an
GE NOTE: Drainage and irrigotion fOr PlOriteb Pals, by
ethers. unlpsc nf1",Rru,,�a nn+,-r� r