10-0245 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000245
Property Address: _ 79180 BIG HORN TR
APN: 776-030-015- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8000
c&t!t 4 4a Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SKACEL LIVING TRUST
24330 135TH AVE SE
KENT, WA 98042.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant: Architect or Engineer: VACATION POOLS INC D d
83900 AVE 45 STE C
INDIO, CA 92201%�v Aa
(760)775-0468
j1 Lic. No.: 856835 ZOIQ
G1T'p•�� a
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th I am lice ed and provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin and Pr es lona ode, and my license is in full force and effect.
License Class: C53 ense 856835
ate) /G Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
1 _ 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
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 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.).
1 _ I 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.).
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.I.
Lender's Name:
Lender's Address: `
LQPERMIT
Date: 3/24/10
---------------------------- - - - - -- - -- - - - -
WORKER'S COMPENSATION DECLARATION
I 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.
U_ 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
insurance carrier and policy number are:
Carrier EVEREST NATL Policy Number 7600001662091
1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manne as t co subject to the workers' compensation laws of California,
and agree that, if 1 o Id b o e fact to the workers' compensation provisions of Section
lG3700 of the Lab Co e, h f with comply with those provisions.
ITat� pplica `
WARNING: FAILURE TO S URE 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.
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 thea ve inf m ion is correct. I agree to comply with all
city and county ordinances and state laws relating to buil ' g co ruc on, d hereby authorize representatives
of this�fyounfty to enter u n the above-mentioned prope y f r ' sp ion rposes.
ta. /'�' Signature (Applicant or Agen
Application Number . . . . . 10-00000245
Permit . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 99.00 Plan Check Fee 64.35
Issue Date . . . . Valuation 8000
Expiration Date 9/20/10
Qty Unit Charge Per Extension
BASE FEE 45.00
6.00 9.0000 THOU BLDG 2,001-25,000. 54.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 9/20/10
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 9/20/10
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 : . . . 27.00 Plan Check Fee 6.75
Issue Date . . . . Valuation . . . . 0
Expiration Date.. 9/20/10
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 6.0000 EA PLB FIXTURE 6.00
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
-7 --------------------------------------------------------------------------
Special Notes and Comments
SPA. ALARMS/BARRIERS SHALL BE IN PLACE
LQPERMIT
Application Number . . . . . 10-00000245
----------------------------------------------------------------------------
Special Notes and
Comments
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
----------
197.00
.00
.00
197.00
Plan Check Total
88.85
.00
.00
88.85
Other Fee Total
1.00
.00
.00
1.00
Grand Total
286.85
.00
.00.
286.85"
LQPERM IT
Bin #
Qty of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: '2?190 /3/9 hol-,v %q, L
Owner's Name:
A. P. Number: 772- 0X o 1 —1 — .23 P1 4244Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone,.
..
:........;:.:»':»::::>'>:':'><:>:<:>::;.;::;::.:>::
Address:
Project Descr*iption:
City, ST, Zip: 9
Telephone: 1W
'X—xx
State Lic. #:
City Lic. #.-..
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
.....
Construction Type: kAko Occupancy:
State Lic.(circle
one Project type ZS>dd'n Alter Repair Demo
Name of Contact Person: f Cc
Sq. Ft:
#I Stories: nits: F#U
Telephone # of Contact Person: 260 -2-7-5' —0'/ V' -Y
Estimated Value of Project: 0�zl
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec!d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
51 j
Item Amount
Structural Ca cs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance.
Title 24 Caics.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
New +Ie "% 6 Dia. Spa (not
attached to pool) with
Concrete Gap and Tile
Veneer
PA
01
PA
NOTE:
Demo 'approx. 100 sq. ft. of
concreto docking to
accomodate now spa.
P --pour around spa.
PA
PA
PA
`-- Add new Pump
and Filter for
Spa to existing
egyipment
I
600
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
-W IT9 ' AIVTeS +4'f7AAL
VACATION POOLS, INC.
P.O. Box 10940
�- Indio, CA 92202
Ph. (760) 775-0468, Fax(760) 775-0469
License # C-53-856835
�~ OPTION:
�/� PA ` Install Tile, Veneer to
24" X 24" X 24" Pool RIE CF:1-P-11—E)
� Columns (100 sct. ftp
MAR 2 3 2010
BY:
Existing Pool
PA
SKAGEL
RE51DENGE
�1
1
}
�1
ii
NOTE:
Landscape elements (Trees, Shrubs, Vines and
Lawn) and Patio Furniture shown for
illustration only.
Unless by separate bid.
CONTRACTOR cannot assume responsibility for
damage to curbs, sidewalks, driveways, cement
slabs, sewers, lawns, trees, fences, retaining
walls, sprinklers, wires, valves, telephone or
shrubs.
Man access is -mode, through a neighbor's
property it is understood that you, the owner,
have that neighbor's permission and assume full
responsibility.
rL
51GNATURE
Seale: I/8"=1' -O"
DATE
DATE
I REVI5ED
1/20/10
NAME:
SKAGEL RESIDENCE
ADDRE55: 19-180 516 HORN TRAIL.
CITY:
LA QUINTA, CALIFORNIA 92253
TRACT:
PAINTED COVE
LOT:
PHASE:
51GNATURE
Seale: I/8"=1' -O"
W
GUNITE: Spa Only Per Plan
Notes
SPECIAL H155 Heat Pump for spa and valved to
REQUIREMENTS: pool and valve existing heater.
Install stone on existing. columns veneer
and cap and existing,planter wall.
FE -NCE:.
TILE:
Vacation Pools,
Inc. Low Desert
Construction, Work. Sheet
Job Number
2007-0137
Home Phone (760) 771-5348
Customer's. Name
SKACEL, Hans &. I
Work Phone (253) 631-4042
Street Address
79180 Big Horn Trail
Lot Tract
City
La Quinta, Ca 92253-
Map Book
Cross Street
Painted Cove
Date sold 03/19/2010 By Gerald,
Pool Size 6'
- Poor Dep_31•/2
Pool Shape Round Pool Code
: a o ou Tlavlomi Sol
DECKS:
1 f.
00s
EXCAVATION:
Hand dig 18" Raised Spa EQUIPMENT: 460s.f. Cartridge Filter Jandy
Match to Existinq.Color TB
Grade for decking E
2 HP Jandy Pump
Demo some concrete
5 Jets
White Plaster
'
Salt System Chlorinator
Eyeballs
H155 Heat Pump
PLUMBING:
Spa Only
Time Clock
5 Jets in Spa (4 Back, 1 Leg)
Anto Fi11-Water Level Control.
Deep Heat Return
Valve heater, heat pump to both sets of
equipment. (See GH)
STEEL:
Spa Only Per Plan
GUNITE: Spa Only Per Plan
Notes
SPECIAL H155 Heat Pump for spa and valved to
REQUIREMENTS: pool and valve existing heater.
Install stone on existing. columns veneer
and cap and existing,planter wall.
FE -NCE:.
TILE:
Group 1-3
Match to Tile in Pool
Stone veneer on spa
EXTRAS:
COPING--
.Cantilever. """"""`""`
0�-�---^—
`�' '1
SPECIAL
+f�t W H f�n FS
oP.r.IpHs, 0A US
ELECTRICAL:
Salt system (�"
v g < s 9
Spa Light
: a o ou Tlavlomi Sol
DECKS:
1 f.
00s
'Y#ISC. NWES,6.,
Ala
Match to Existinq.Color TB
PLASTER:
White Plaster
'
Eyeballs
d
Printed on 3/22/2010 5:03:47 PM
Entered by: Giovanna