05-4127 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �05=00004127V`�
Property Address: 43424 BORDEAUX DR
APN: 609-380-997-58 -293233-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 24000
T4'!t
4 4 "
BUILDING & SAFETY DEPARTMENT
D MQUINTA
ERMIT
Owner:
SARRIBAS
43-424 BORDEAUX
LA QUINTA, CA
CLA QUINTA, CA 92253
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and rofessionals Code, and my License is in full force and effect.
License Class: License N •71fe' 914
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ate: T�+vScontractUl_tz�^�
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).:
(_) 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Coder 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ 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.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
DEVINE SWIMMING POOL DESIGN
WCC: STATE FUND
WC: 1641733-2005 07/01/06
CSLB: 786814 11/30/06
Date: 9/14/05
------------'----------------------------------—
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: 16 1`4
Carrier C53 Policy Number
_ 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' compensatlon laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I sha hwith comply ose provisions.
A -- 1W►\ -
Date: plica
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 hereby autho ' representatives
of this county to enter upon the above-mentioned property for inspec o purposes.
Dat mature (Applicant or Agentl: 1
Application Number . . . 05-00004127
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
243.00 Plan Check Fee
157.95
Issue Date . . . .
Valuation
24000
Expiration Date.. .
3/13/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
22.00 9.0000
THOU BLDG 2,001-25,000
198.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date
Valuation
0
Expiration Date
3/13/06
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
3/13/06
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 . . . .
33.0.0 Plan Check Fee
8.25
Issue Date
Valuation . . .
. 0
Expiration Date
3/13/06
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
LQPERMIT
Application
Number . . . . . 05-00004127
----------------------------------------------------------------------------
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 347.00 .00
.00
347.00
Plan Check
Total 183.95 .00
.00
183.95
Grand Total
530.95 .00
.00
530.95
LQPERMIT
F'
R Devine Pools and Spas
O C-53 RIC 786814
M (760) 989-0354
Page No. 1
PROPOSAL
= of 1 Pages
We hereby submit specifications and estimate for:
Construction of new swimming pool and spa.Pool to be symmetrical approximately 16' X 40' (640 square feet). Tanning shelves with
umbrella sleeves as per plan. Depth to be 3.5' to 5'. 10'. spa raised 24" above pool level with 5' wide quartzite spillway into pool. 10
jets, tri level bench. One spray head on each side of spa dam wall. Quartzite waterline. Outside of spa to be quartzite. All quartzite to
be dark gray or charcoal color (variations are inherant). Tahoe Blue pebble finish. 500 square feet of colored broom finished concrete.
Seperate vac line for future auto cleaner (not included).
Equipment as follows:
1- Goldline PS -4 Aqualogic controller w/ indoor remote and integral salt chlorine generator
1- Pentair 2hp Whisperflo circ/jet pump
1- Pentair 320 sq. ft. cartridge filter
1- Pentair 400,000 BTU Minimax heater
1- Pentair 1 h jet booster pump
2- Waterways standard skimmer
1- MP Industries auto fill w/ anti syphon valve
2- American Products standard 400w pool light
1- American Products standard 100w spa light
41'
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DATE
PROPOSAL SUBMITTED TO:
Apil 2005 Revised July 19th, 2005
NAME
JOB NAME
Mr. Femando Arribas
STREET
STREET
43424 Bordeaux Drive
CITY
CITY
STATE
La inta
STATE
PHONE
Ca. 92253
We hereby submit specifications and estimate for:
Construction of new swimming pool and spa.Pool to be symmetrical approximately 16' X 40' (640 square feet). Tanning shelves with
umbrella sleeves as per plan. Depth to be 3.5' to 5'. 10'. spa raised 24" above pool level with 5' wide quartzite spillway into pool. 10
jets, tri level bench. One spray head on each side of spa dam wall. Quartzite waterline. Outside of spa to be quartzite. All quartzite to
be dark gray or charcoal color (variations are inherant). Tahoe Blue pebble finish. 500 square feet of colored broom finished concrete.
Seperate vac line for future auto cleaner (not included).
Equipment as follows:
1- Goldline PS -4 Aqualogic controller w/ indoor remote and integral salt chlorine generator
1- Pentair 2hp Whisperflo circ/jet pump
1- Pentair 320 sq. ft. cartridge filter
1- Pentair 400,000 BTU Minimax heater
1- Pentair 1 h jet booster pump
2- Waterways standard skimmer
1- MP Industries auto fill w/ anti syphon valve
2- American Products standard 400w pool light
1- American Products standard 100w spa light
41'
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