12-1241 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _ 12-00001241
Property Address: 78175 CALLE CADIZ
APN: 770-156-005-5 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8000
Applicant:
wd�1440"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
PIA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under prowss ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals CgtSe my License is in full force and effect.
License Clas))C53 'mss
Date: (� d' ontractor:
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) 6r
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).:
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.).
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. , 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
Owner:
MALCOLM O'DONNELL
78175 CALLE CADIZ
LA QUINTA, CA 92253
Contractor:
SUNKIST POOLS &
255 N EL CIELO R
PALM SPRINGS, CP.
(760)327-9422
Lic. No.: 672453
RENOVA7
.D #600
92262
VOICE (7-7 2
FAX (760) - 011
INSPECTIONS (760) 777-7153
Date: 10/17/12
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.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 1948791-2012
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' compensation provisions of Section
3700 of the Labor Cod shall forthwith c S.
Pd e: / % /W, plicant:
WARNING: FAILURE TO SECURE WORK OMPENSATION 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 a Lee to comply with all
city and county ordinances and state laws relating to buildin n ruction, and her uth a representatives
of chi cou ty t enter upon t above-mentioned grope for ' pec[ion pur s.
te:/0 Si cure (Applicant or Agentl:
X.
Application Number . . . . . 12-00001241
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 99.00 Plan Check Fee
64.35
Issue Date Valuation . . .
. 8000
Expiration Date 4/15/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
6.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
54.00
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 18.00 Plan Check Fee
4.50
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 4/15/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
REMODEL EXISTING POOL. BREAK OUT POOL
BOND BEAM TO INCREASE POOL PERIMETER.
TIE IN STEEL TO EXISTING STRUCTURE &
GUNITE NEW TANNING SHELF & BOND BEAM.
RUN 90 L.F. 3/4" GAS•LINE WITH 2 STUBS
FOR FIRE PITS & FUTURE SEPARATELY
PERMITTED FIREPLACE. 2010 CODES.
--------------------------------------------- ------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
--------------------
Due
-------------------------------------
Permit Fee Total 117.00 .00 .0.0
117.00
Plan Check Total 68.85 .00 .00
68.85
Other Fee Total 1.00 .00 .00
1.00
Grand Total 186.85 .00 .00
186.85
LQPERMIT
" Bin. #
i
Ciiy of La Quihta
Building &r Safety Division
Permit #
P.O. Box 1504,18-495 Calle Tampico
la.Quinta, CA 92253 - (760) 777-7012
Building Permit' Application and Tracking Sheet
Project Address: �S C
�� COwner's Name:. f+'1 �� N f u—, --
A P. Number.
Address:
i Legal Description:
City, ST, Zip: L� (/ q� j 31
Contractor. &/kls
Telephone: c�•
Address: G0 Project Description: U pa,/
City, ST, Zip:LA,, `t 5, CA (t f-1 AZ •,, 'a Fd
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Telephone: G. >;, p ✓i�%C" n\IS 13KA v GUS &,L)0
State Lic.
City Lic. #:al "tom �,n K. /✓ 6
Arch, Engr., Designer.
rrj /✓Ct �j (.0 Uvv rTt t6c
Address:
/
7_A&/K/ (/l�"1/S h % 2 .
City, ST, Zip:
Telephone:
P
.
t" Construction Type:. Occupancy:
State Lia #:'
Project type (circle one): New Add n Alw'2Repair Demo
Name of Contact Person:
rff/riR !� Sq. Ft : # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project 000- 00
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd
Recd TRACKNG PERMIT FEES
Pian Sets
Pian Check submitted Item Amount
i
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cates.
Called Contact Person Plan Check Balance -
Tide 24 Cities.
Plans picked up CanstrncHon "
-Plans.resubmitted -- - ----- --- -Mechanical -
- - --
—
Grading plan
2' Review, ready for correctioas/issue " -
_
Electrical - — -- "
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Flaus picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I P.P.
Pub. Wks. Apps
Date of permit issue
School Fees "
Total Permit Fees
Gas stub
for fireplace
I I P.L.
I
3'2"-
+
'2"+ 12" Elevation
P.L.
Proposed New
Tanning Shelf
Existing Pool
step Water Line
0" Elevation
+ 6" Elevation
❑ ❑ ❑
Doors to have approved alarms
HOUSE
5' high block wall
around property
CITY OF LA QUINTA
BUILDING & SAFE DEPKi80N
APPROVED
FOR CONSTRUCTION
Z BY�� "L4DA �
1
\ Re -plum Spa Jets
i�
+ 6" Elevation
1
• � Q
90 ft of
3/4" Gas line
,,,-j
P.L.
sea -1
�N P�oolsy& SQA
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n
1
255 N. EI Cielo Rd. #600 Palm Springs,
Ca. 92262 Office 760-327-9422
Fax 760-327-1944 Lic.672453
Owner: Malcolm O'Donnell State: CA
Address: 78175 Calle Cadiz Zip: 92253
City: La Quinta
Phone: 949.533.0044
Length: 32'
Width: 11'
Depth: 3' to 5'
Perimeter: 88'
Square Footage: 650
Capacity: Approx. 9,000 gal.
Material: Pebble Tec
Water Features: N/A
Spa Specifications
Length: ---
Width: 7' Dia.
Depth: 3'
Perimeter: 22'
Square Footage: 118
Capacity: Approx. g� al
Material: Pebble Tec
Water Features: 1 Spillway