04-5606 (RPL). I 1
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . .C.::04-00'0056065 Date 7/22/04
Property Address 57-780"BLACK DI n
APN: 762-370-030-
Application description . POOL - RESIDENTIA
Property Zoning . . . LOW DENSITY RESI�DENTIA � 2 2004
Application valuation 19000 g
Owner ContractoY� C`FIPIANCED PT.A
GORDON MCCLYMONT' CALIFORNIA POOLS & SPAS
57780 BLACK DIAMOND P.O. BOX 1280
LA QUINTA CA 92253 COACHELLA CA 92236
(760) '398-9222
WCC: STATE FUND
WC: 04600061168 01/01/05
CSLB: 656128 10/31/04
CCC: C8 -C27 -C29-053
---------------------------------------------- -----------------------------
Permit . . . . BLDG POOL PERMIT
Additional desc
Permit Fee 198.00 Plan Check Fee 128.70
Issue Date . . . . Valuation .19000
Qty Unit Charge Per Extension
BASE FEE 45.00
17.00 9.0000 THOU BLDG 2,001-25,000 153.00
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Permit . . . . 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
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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
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
P.O. Box 1504• �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 TINSPECTIONS, (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: D 4' 500 (-::> IDate:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICE S ONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under pro s' ns of hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Ctde, and Licey§e is f force and effect:
icense Class
(, n Licen�k c
OW ER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Con radors' 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 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 P.C. for this reason
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 self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this grtnit is issued.
I have and will maintain w ers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
iss d. M workers' c pensalion ins ce came an policy number�re:
amer S �� icy Number ��
600.0', t 0
_ 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 f/sh d b come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those prgyriFions. 'f
Date
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.perfornance 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 s fend, indemnity and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being pero,d
d and or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is noenced 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 cored. 1 reemply ith all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to � upon the abovm enpoprty for inspection purposes.
Date 2(� nature (Applicant or Agent):
Page 2
Application Number . . . . . 04-00005606 Date 7/22/04
7 ----------------------------------------------------------------------
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, BBQ(ANSI Z21-58-1995)
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged
----------------- ----------
Permit Fee Total 300.00
Plan Check Total 154.20
Grand Total 454.20
Paid Credited Due
---------- ---------- ----------
.00 .00 300.00
.00 .00 154.20
.00 .00 454.20
FAIRWAYS ASSOCIATION
July 20, 2004
Mr. & Mrs. Gordon McClymont
57-780 Black Diamond
La Quinta CA 92253
RE: Pool, Spa, & Deck
Dear Mr. & Mrs. McClymont:
On July 12th, 2004, the Architectural/Landscape Committee reviewed the
submitted plans. The committee requested the definition of "P/A" which you have
given as "planter area". Approval is therefore given to begin installation.
If you have any questions, please contact me.
Sincerely,
Nancy . . Parki son
Asst. ion Manager
CC: California Pools & Spas — Jim Parks
file
Post Officc .Box 1658 • .La Qui.nta, California 92253 • Phone (760) 776-5100 • Fax (760) 776-5111
i• 1 Bing#
Permft # r _
(n�
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—� Project Address: j
A. P. Number:
Contractor: CQ I j-' Ormck
Address: -PO Btx%<' IZ
City, ST, Zip:
............Telephone:-: _ - - ---- - - -
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--� State Lic. #
Arch., Engr.. Designer:
Address:
City, ST, Zip:
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
-.5o Owner's Name:(��
9 Address:
-� City, ST. Zip:
Po -&IS 4 SFxa. Telephone:
91 City Lic. #:
Telephone:
State Lic. #:
- Name of Contact Person:
--3 'Telephone # of Contact Person:
#. Submittal
Plan Sets
e
Granter
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
Ree
Project Description:
.................. ..................:
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Occupancy:
U
Project type (circle one): Add'n' Alter Repair Demt
AStories:
♦ 1 .
WRITE
�-EES
Plan Check submitted
\
Re'viewedreadv for corrections
Called Cont2Ct,r Person
ONPlans picked up
Plans resubmitted
' AQ, /�r�
Called Contact Person % 11 I&A
Plans picked up X MMINJA /0/5j,
■Plans
resubmitted I
�i�. A AN VMi
Review, readv for 94;'At FAU/
YO NTNG ENGI)VEER NG SER ACES
• Eno neering •,Irchitectttre•Surveying- Building & Safety Services
Letter of Transmittal
To: %.— waa T� Date:. - .. .
Project:
Attn: PC#:
Tel No.:- Tract No.:.
We are forwarding: By Messenger By Mail Your Picltup.
No. of Copies Description:
Comments: �-e. CPrt L.S pr2 Ft�P`�a:LPr(�lL
THANK YOU
This -Material Sentfor:
Your Files P.er,Your Request
Your Review Approval
�ST Checking A the request of.
Other
By.
Phone # (760) 360-5770
"7-804 Wildcat Drive, Suite C, Plam Desert. C.1 9 7171 (760) 360-.177 0
Bronz Young
YOKING ENGLYjEER VG SERVICES
Eno neering • Architectzire•Surveying- Building & Safety Services
Letter 'of Transmittal
Attn:
Tel No,
We are forwarding:
No. of Copies
Date.,
. _-.._ ..
8 -
Project:28C>
�1�e w1p
PC#:
Tract*No.: .
This Material Sen tfvr:
Your Files
Your Review
Checking
Other
By: M. M`
Phone # (760) 360-5770
Per,Your Request
Approval
At the request of:
-7-804 Wildcat Drive, Suite C, Plam Desert. CA 92111 (760) 360-5770
Bronz Young
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
Finance Department, Please Collect The Following Fees For The Services Rendered
HTE APPLICATION No. 04- 5606
PROJECT: Revisions to swimming pool construction
ADDRESS: 57-780 BLACK DIAMOND DRIVE
CUSTOMER: CALIFORNIA POOLS & SPAS
SERVICES RENDERED: ADDITIONAL PLAN REVIEW FOR REVISED STRUCTURAL
CALCULATIONS FOR POOL DESIGN SUPPLEMENTAL TO
ISSUED PERMIT # 04-5606.
Fees
PlanReview: ............................................................................. 35.00
(1 X $35/hr)
TOTAL FEES NOW DUE: ................................. $ 35.00
Date: —August 27, 2004
Initials. Or