06-1734 (RPL),Ab
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
'06-00001734
Property Address:
57840 BLACK DIAMOND
APN:
762-370-025- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
25000
T4ht 4 4 Q"
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I 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 License is in full force and effect.
License Class: C53 Licen o.: 856835
Contractor/ .ti
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 ISec. 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 _) 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.).
(_) 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—) 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 ISec. 3097, Civ. C.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
FRANCO
57-840 BLACK DIAMOND
LA QUINTA, CA 92253
Contractor:
VACATION POOLS INC
83900 AVE 45 STE C
TNDIO, CA 92201
(760)775-0468
Lic. No.: 856835
VOICE (760) 777-7012
FAX'(760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/04/06
D
MAY o4 2006 FJ
-----------------------------------------------
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.
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 STATE FUND Policy Number 1795938-2006
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 I should become subject to the workers' compensation provisions of Section
00 of the Labor Code, I shall { 1 orthwi co pltt with those provisions.
A
Date: f �� Applicant: /"41'0
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.
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 her authorize representatives
of this county to ter upon the above-mentioned proper�stionose/[�t
Dates J y gnature (Applicant or Agent)"
I
LQPERMIT
.k
Application Number . . . . . 06-00001734
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00 Plan Check Fee
163.80
Issue Date . . . .
Valuation . . .
. 25000
Expiration Date
10/31/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU .BLDG 2,001-25,000
207.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan'Check Fee
6.50
Issue Date . . . .
Valuation . . .
. . 0
Expiration Date
1;'31/06
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
10/31/06
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
10/31/06
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 ONLY. ALARMS/BARRIERS SHALL
Application
Number . . . . . 06-00001734
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
-----------------
Charged Paid
--------------------
Credited
----------
Due
Permit Fee
Total 356.00 .00
----------
.00
356.00
Plan Check
Total 189.80 .00
.00
189.80
Grand Total
545.80 .00
.00
545.80
i
LQPERMIT
CAi
P= . ......
IVACATIOIN POOLSO INC,
•
83900 Avenue 45 Suite C
Indio, CA 92201
"J4, 7-,
(760) 775-0468 * (760) 775-0469 Fax
License # C-53-856835
GENERAL SPECIFICATION
SIZE X
AREA PERIMETER
DEPTH
TILE CHOICE
DOP
SKIMMER MODEL
CHECK VALVE
GASLINE BY FT
POOL LIGHT
TIMER
ELECTRICAL BY FT
AUTO CLEANER
SALT SYSTEM
V V PLASTER COLOR
cT DECK BY so
CIA-? DEC "TYPE
STEP
SPA SPECS.
SIZE'__
LITE- JETS
_ BACK LEG
DUAL LEVEL SEATS
DAMWALL
DAMWALL TOP
SPILLWAY S]ZE-, X WIDE
7
SPILLWAY
DATE
CONTRACTOR cannot assume .responsibility for
dam"age to curbs, sidewalks, driveways, cement
slabs, sewers, lawns,,'trees,., fences, retaining
walls, sprinklers, wires, valves; telephone or NAME:
shrubs.
When access is made through a neighbor's ADDRESS
property itis understood that you, the .owner,have q
• ,
that I neighbor's permission and .assume full CITY:
responsibility.
TRACT.
SG:
DATE- SIdNATURE7
-
COPING
POOL CAPACITY
GALS
MOTOR HP
HP
MOTOR HP
HP
FILTER
SQ FT
HEATER SIZE
BTU
SUCTION LINES
RETURN LINES
SKIMMER MODEL
CHECK VALVE
GASLINE BY FT
POOL LIGHT
TIMER
ELECTRICAL BY FT
AUTO CLEANER
SALT SYSTEM
V V PLASTER COLOR
cT DECK BY so
CIA-? DEC "TYPE
STEP
SPA SPECS.
SIZE'__
LITE- JETS
_ BACK LEG
DUAL LEVEL SEATS
DAMWALL
DAMWALL TOP
SPILLWAY S]ZE-, X WIDE
7
SPILLWAY
DATE
CONTRACTOR cannot assume .responsibility for
dam"age to curbs, sidewalks, driveways, cement
slabs, sewers, lawns,,'trees,., fences, retaining
walls, sprinklers, wires, valves; telephone or NAME:
shrubs.
When access is made through a neighbor's ADDRESS
property itis understood that you, the .owner,have q
• ,
that I neighbor's permission and .assume full CITY:
responsibility.
TRACT.
SG:
DATE- SIdNATURE7
-
Bin #
Permit #
4- lfs�
City of La Quinta
Building U Safety Division
P:O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:' 7 — 8 yQ
81a C k. ?)Ti tM a,. Owner's Name: F lr2 K L �
A. P. Number:
Address: ,j 7 O to 3 (2 �[ D t oZ p
Legal Description:
Contractor:
City, ST, Zip: (�
�[ S. Telephon
Address:
Address: �3 d� s
w L Project Description: �po1 S d'
City, ST, Zip: ��k0
3
Telephone - v 77 . — `
Structural Calcs.
State Lie. # : �3 a S
City'Lic. #:
Arch., Engr., Designer: '
Called Contact Person Plan Check Balance
Address:
Encrgy Calcs.
City, ST, Zip:
Plans picked up Construction
Telephone: ,
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: S yA 3 4 Sq. Ft.: #Stories:
#Units:
Telephone* of Contact Person: -Estimated value ofProject:��—
APPUCANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd TRACMG PERMIT FEES',
Plan Sets
Plan Checksubmitted 3 Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Encrgy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading.plan
tad Review, ready for correctionstissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.T.
I1.0.A. Approval
Plans resubmitted Grading
IN ROUSE:-
7rd 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 Pirmif Fees
February 17, 2006
W Dearme Franco
57-840 slack Diamond
La Quints CA. 92253
Re: Architectural Applications
Pool, Spa, Landscaping
Dear W Franco:
At the February 6`h; 2006, Architectt=l Committee meeting the committee reviewed the
submitted puns. The pool and spa are appr ved. However, it is requested that the owner
resubmit the landscape plans showing further specifications, i.e. distance of trees from
property lines.
If you should have any.questxons in regard to this correspondence, please do not hesitate to
contact me at any time.
Sincerely,
Nancy GZion CCAK CMCA
Operations Manager
For the Architectural Committee
Cc: Architectural Committee
Post Office Box 1690 - La Quinta, California 92247• Phone (760) 776-5100 • Fax (760) 776-5111