04-3863 (RPL)1
BUILDING & SAFETY DEPARTMENT
O. Box 1504 (760),777-7012
1`?UF'Ti 9 9 t ALLE TAMPICO FAX (760) 777-7011
L QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
MW 0 5 200 +
BUILDING P
ERMIT
Application Number . . . . . 04-0Q-003863' Date 5/05/04
Property Address . . . . . . 48525 BIGHORN DR
AP14: 658-140-999-169 -29436 =
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . LOW DENSITY RESIDENTIAL
Application valuation . 18000
Owner Contractor
------------------------ ------ -----------------
IVANHOE LA QUINTA COVE CALIFORNIA POOLS & SPAS
C/O R BARRY MCCOMIC P.O. BOX 1280
79.79 IVANHOE AVE .STE 550. COACHELLA CA 92235
LA JOLLA CA 92037. .(760) 398-9222
WCC: STATE FUND
WC: 04600061168 01/01/05
CSLB: 656128 10/31/04
CCC: C8=C27-C29-053.
----------------------------- -----------------------------------------------
Pezmi
---------------------------------------------------------------------------
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 -RES
Additional desc
Permit Fee 45.00 Plan Check Fee 11.25
Issue Date . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE. 15.00
P.O. Box 15044 4 �� VOICE (760) 777-7012
75-495 CALLS TAMPICO FAX (760) 777=7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date:
Applicant: ( 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 myLicenssgg.is in full force and effect. j_ `� ��
License Class, 5 3 License No. (fid
Date' Contractor `
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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 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 viclation 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 sate.).
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.).
(--) I am exempt under Sec. , BA PA. for this reason
Date Owner_,
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:.
I have and will maintain a certificate of consent to self4nsure 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
i sue . My wo rs' compqensation. insurance carrier and policc�yr��yymba
rare
:
Carrier P u 1� Policy Number D 5�(o/,/�Yi
—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.1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provis ns.
Date ` 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 3706 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 perforned•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.
1 certify that I have read this application and state that the above infopyraqon is correct 1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county ante upon above-mentioned property for inspection purposes.
Date �O / Signature (Applicant or Agent): C
Application Number . . . . . .04-00003863
Page 2
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. 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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PERIMETEF ---
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WATER LJhE
SPA SPEgFIWTi0NS
STXE K sG FT.
SPA DAM WALL WIDTH }
NC. OF JETS
TILL WIY _
LC7,T '1
RAMD SPA AT ACC—
SPIl�-WAY TYPE
DUARTIR ROUND `
SPECIAL NCITFS
DECKING r.3
so' FT
FINISH
ExPANSOK JOINTS -S
CuiT1:EVER
DECK ORAINS *7
EXCAVATION /SEE LL
TYPE T
ACCESS FR(>W F C
ETEwkT10N 1
PEEP END RA6*
LOVE SEAT
DE= ORAIN ~,—••�
OmCRETtr REMOVAL L0.«S
SW REMOVAL LOADS
CURB CORE
MEPS
TREE RE61DYAL BY �
STEP FACE
I9R1Gi'3QN RETk{]VAL RY
AFIM'.PUPr REPAIR
TILE RASE
SAND AND VISQU€EN
F' R,M
R10HUN5
12' R.B.B. "
19, R-�.D, 'C f4 fL
I+OW STRIP-
24, Rau. —
30' R B�� B. i
--
TaEN SHELF QEPTH
axx POCK
CENTERS ��
MASONRY
COPING TVPE
R,D.a. FACING
�Y�
SPILLWAY TYPE - T _ ---� g2E
PLUMBING
FILTER / !} g7r 54f t
POOL PEILDP 511E a_ 47 %4 {
PROP. "T. WALLS. -
PLAN To WALL
RETAIN1146 IRAD15
BOOSTER PUUP SIZE
AD(�L PUMP Sze a .0
.—.r.
EQUIP- WALLS
FREPIT
ADYL PUMP SIZE�-�
NEATER �`� SIZE f-
TIME CLOCK
SUB PANEL�
ADD'L OU
9liriffaER TYPE
Ix
FILL UmE ItAf 01")r 4 ,r%,
GAS UK 1 5TU05 � �
PE813LE PLAST
LIGHTS POOL 2 F
UCHiS SPA
FOUNTAINS/SPRA1HT11DS
ROLLED BOND BEAM
SNEER DESUENTS j
LIGHTS IN POOL 4 IN SPA
BEHIND SPA t
EYEBALLS
J+r�,- 5
STU8 SET EOUIPMENT
FENCING
`
.\
LIrSC.
FtiLIugWO 9IE f r T
FENCE TVPE
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GATE
GUNITE
GATT: REVrI15AL
DEEP SND RAMP
REUQVL ds REHAW
: •
E]CiT;voEo 2nd STEP
4
LOVsSEAT�
EPUViAY TrF k-Apt--
CAN TILEV R
e13T.3TAFIT m V�rtil `I 1
EST. GUN PLLiTION r _
cC1P1►IG ��
OXki1=F2
R.8 9, - SEE STEEL
A -Pj 404 «A fUK; C,.l�
r
5A \j cQc- T) !
o r'ra 0 I"
OWTcER TO: (Q DETE-RMINE THE APPROXIMATE ELEVATION OF PDOL OR SPA AT LAYOUT ON DAY OF DXAvATIN
(2) Y+LKE NCTICE THAT POOL AND EOUIPilfNT LOCATIONS ARE SJOJECT TO ACERTANCE OF
LOCAL BUILDING IDEPARTAIENT AT 711E OF fZUA,NGE OF P£RWIT
(3) r+sT DOLRT CDNORETE SHELL AT LEAST TWI(F- O)ULI FOR SEVEN DAYS AFTER SHELL 15 INSTAim
(sj AQREE THAT CALIFORTCIA POOLS IS NOT RESPONSIBLE FOR UNUERGROUND CONDITIONS OR DEI,JECM
AND ANY DAMAGE TO CUR85. SIDEW rt ORIVEWAYS LAriN5, OR QTKER ITEMS 1N THE ACCESS AX4
{5) SEZ T'N.AT ALL FCgClNC. CArES, ANO GARAGE DOM MEET LOCAL OODES T'CR A PM ENCLDSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL PO04 rmmEDiATELY AP7ER PLOMR. (FaLQW INSTRUC7I R5 -- DC No? 1}5E RtIaDER HOSE)
(7) TAKE NQTPCE TFLAT THIS DRAIMNC IS THE SQLE PROPERTY DF CAUFORNIA FCOL$ AND THAT Amf
USE 1HTHOUT WRITTEN PEIRIAMON OF CALIFORNIA PMS. INC. 15 P!t . ISITEO 9Y LAW.
c%S-NER APPROVES PLAN. POOL ANI) EWIPMENT LOCATIONS kND HAS READ THE RESP(H51BIUTIE�i AND NOTICIES ABOW.
510ATUREW DATE
SWIMMING POOL PLAN FOR,
NAME HIDDEN CJ N LOT 169
STREET - *�-L-S rw4 '%-q . -+ T
JOB ADDRESS G^N x42&4 ICITY
PHONE OFFICE RES
LOT 16� TRACT PAGE BOOK
L1AP 900K PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY CHECKED BY
Jae #
F E11 ON DA,TL-
A RE-iNSPrrTIOIN uc r-
�Yf l L RE CHARGED IF THEAPPROVED;
�. r .. f„,LI IUD UARIJ H�(L PjD;i
THE SITE FOR
-
1ar5
•• uavL.Y tikJl9,j;
m
77
SELECTIONS 0
CONSTRUCTION A TH O I ATI N STONE: -(
--�� SAL1✓ 1=i)yLl TILE
DIG
VRE--GUNITE
UNDE-ROROUN
Mats0NNKY
MK K
BOULDERSBU1L�11�
OF LA QUItN
DECK COLOR
T 6,,v+� �trv� Cl, rZ)tAl- � Y U 1.j I ,
� s
! P P Qt—'vx!'�
-' JANCY}I
_ FOR NTRUCTO;q
PEED./PLA
`l''
T- DAM
` SIGNATURE
Drainage
and irrigation for planters and pats, by
DRAINAGE NOTE:
r
others, unless otherwise noted.