05-3833 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-0000-3833
80472-5 CAMARILLO WY
772-250-997-117 -31349 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
19000
eo - y U, Zia_ �_
TA*hf
4i,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
IL,/.,-/
Owner:
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW
SCOTTSDALE, AZ 85258
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of D' ision of the Business and Professionals Code, and my .cense} m ful r nd effect.
License Class: / License No.:
A
Date��Contract
c
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 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 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 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
POOLS &
EABRIGHT
B1050510
56128
200
SPAS
INS
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
01/01/06
10/31/06
Date: 8/30/05
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:
Carrier C8 C27 C29 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' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions. .
aD te:��� ��APPlican�Ci�
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 a d county ordinances and state laws relating to building construction, and hereby authorize representatives
of is coulnty to enter upon the above-mentioned pr perty for insp,Iction purposes.
Date: (0 Signature (Applicant or Agent):
Application Number . . . . . 05-00003833
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
198.00 Plan Check Fee
128.70
Issue Date . . . .
Valuation
18760
Expiration Date
2/.26/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
17.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,•001-25,000
153.00
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date'
Valuation . . .
. 0
Expiration Date
2/26/06
Qty . Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
---------------------------------------=
EA MECH FURNACE >100K
--------=---------- ----------------
11.00 e
Permit . . .
ELEC POOL_PERMIT-RES
'Additional desc .
Permit Fee45.00
Plan Check Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
2/26/06
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
2/26/06
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
Permit WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 05-00003833
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date Valuation
. . .
. 240
Expiration Date 2/26/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. 15 L.F. 4' BLOCK WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL BE
y
IN PLACE PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary Charged Paid Credited
--------------------
Due
-------------------------------------
Permit Fee Total 317.00 .00
.00
317.00
Plan Check Total 154.70 .00
.00
154.70
Grand Total 471.70 .00
.00
471..70
LQPERMIT
Bin. #
Permit #
OY-' 30033
Project Address:190
City Of La Quin to
Building 8t Safety Division
P.O. Box 1SO4, 78-495 Calle Tampico
_Ca Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
-% l c) (,,)c,- Y Owner's Name:
A. P. Number: :;
Address:
Legal Description:
City, ST, Zip:
Contractor: COLLamla ROOLSCOLL. &,spas
Telephone:
Address: 0 19ox C�(�
Project Description:
City, ST, Zip: 66CA CA e-1 14
C12.9
Telephone: 9 9
: ;:}:s •:>::>>::<z `•` } s:<> <><:f{
State Lic. #
City Lic. #•:
e
Arch., Engr., Designer:
Address:
r�
City., ST, Zip:
Telephone:?
inti ^.rl tr` Y{'{:<$r{i;{.;}F,{[y}•: Y{:??:�::::f }5:�.;:�$�;
z:;;;: > ::: }>}• .1z?<:::
n:\;. yr :•.: y.; Y�.:'i.�r�}ti{ •?c �::'}"•$:. L
X XX
Construction Type: Occupancy:
State Lic.#:"}::'"}}}'''';};;".,`.'`{;">{?
Project type circle one): Ne Add'n Alter Repair Demo
Name of Contact Person: b AJ
Aj;eA57467
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: .2 '4i
Estimated Value of Project: Q p
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
10
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan. Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs..
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2n° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact.Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Pians 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 peFmit issue
School Fees
Total PermitFees
,:, �' s ;.;�. .,:" ' ,i � �,,," � Via.. j' � '� •
1T A N O S P1 !� 9Pam, ^-T 1 [1 Imo! 17 H L.-r.r. .
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CONSTRUCTION AUTHORIZATION
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MASONRY
DECK
PRE —PEBBLE
SPECHCATIONS
r. Lj W 1_r `
'r' f
TYPE
six
"FAM ARU OF PID01,-
PERIMETER
DEPTHS MIN. t mm. �' - 61
SPA 6PNfiJC4LTr0NS
'TILE
CIE K ' 5R. FT.�J
TlE TjPE f '•
SPA DAM WALL, Y, +
WATER LOC
NO. OF.EM
TQE TRIM-
L16HT I- lr 3
9UAII RaUND
RAI5EU SPA AT�-
sPK;LWAY TYPE
-
SIRMAL NOTEE-
DECKING ,
EXCAVA-MIN f STEEL
SQ FT-
TYaE 15. e-
FInISN
ACCESS FROM 7
ESPAN" ,JaWIS
ELEVATION ' ,
CANTILEVER S
SEER ENO RAWP
DECKS DRAINS - _ 1f), To s- f j _
LOVE SEAT T
DECXX! GRAIN
CDNDFETE 'RO,IOVAL LOAD&
O.IRB CORE
5OD REMOVAL - L❑ADS
5fEP5
TREE REMOVAL BY
STEP FACE -
IwGAIim REMUVAL F1Y
TILE BASE
IRWIAV0 F'EPAIM
S)M AID msu FS
r RB E1. ftRI9B0t;S
{2' Rae. n tc
maw STW -
Ur R,II ft
y
24' JtELB.
_
TAN SHEiF DEPTH
MASONRY
R4Cx POG
Ate g1"'%
COPING TYPE
CENTERS
FAgW
SPILLWAY TYPE - iE
PLUMBING
STEPS ftdVAJZ
FLTJ:R _—c-FI' 93.E i&
PROP, EXT. WALLS .�
t
POOL PUMP- ' WEI'fdp
PLANTER 'MIDI
R€iAIIJING WAIL JS
800S IER PUMP --- SZE
� -r
EQUIP, WALLS - --
AIDA PLJ14R SIZE
FIREPIT P
ADIA PUMP SF2E
12 S .
H£ATEER ma r xs # fJ
1 �{YQ P"
TIME CLOCK s -+
5" PANEL
AWL,. RU r
EIKIMMER TYPE
FILL LJNE
PFBFLE LA TER
�7
GAS uNE STUJ35 r
UGHT5 POOL Mo `'".+
uGffm SPA
F4UNTAINS%SPRA*1IEADS
ROL.4.F.D 800 BE M `
SHIIBR DESCIERTS
BEANO SPA f
SIN
EL, $A4L5
LIGHTS IH M L SPA
STUB SET EQWFNERT
FENC[NG
Esc. J
PLIJMBNC SIZE 2x2
FENCE 7JPE
HEIGHT '
GATE
GU N I TE
GATE REVERSAL _
DEEP END RAMP
REMOVE & REJ
E1CiFNDED 2nd STEP
- -
L94ESEAT r"
SPILJ,WAY TynS C
EOi_ &r+4RT -
CAJffLEYEE
M. DOMPULM14
G��G}� �--+ F�
GOPRIC
OTHER •.?A 1Jis:�
R.II � SEE STEEL
OWNER RESP_0N9ffUTIFS -- —
MER M (1) VETERIANF THE APPROftAT'E FIEVATJON OF FOOL CR SPA AT LAYGIJT % LAY OF EXCAVATION
{2) TAKE NOTICE THAT POOL AND MIPMOT LIXATICNI5 ARE 51JT3, 7 TO AGGFPTAHCE OF
LOCAL BIJUXIIG LJEPAJTTMENT AT TINE OF MIJANCE OF PERMIT
(4) X f DM CONG✓AETE SHELL AT LEAST TIHCE DA V f{11? SEVEN DAYS AFTER 5HELL 15 IN57ALLM
(4) AGKE THAT CALFGRNIA PUCL5 IS PLOT RESPOHS53LE FOR UNDERGROUND CCNIAT11IONS OR OBrM
AND AJI1t DAMAGE TO CM111", SIDEWALKS, CPoVEWAM LAWNS, OR OTHER MG IN THE ACCESS AREA
(5) SEE THAT ALL FTr1t3NG, GATES, " CAAAGE ❑Dogs MEET LOCAL OOCES FOR A POOL ENCLO5URI=
PRIOR TO WM PLASTER WI
(6) FLL POOH. IMMJ!LAT¢Y AFTER RASTER. (FOLLOW nsIRUCTME; -- DO N❑T 115E RUBRER HOSE)
(1) SAKE NOTICE THAT THIS D1AMNG 5 THE 50LE PROPERTY tF ❑ALJFORNLA POMS AND 7HAT ANI,
LJSE WTHOUT riRrT1EN PUNSSI4N Or CAJJNRNIA POOLS, INC. IS PROHIBITED BY L YL
OWNER APP VES PLAN, POOL AND EOUIPWENT iOCATIO NS AND MS READ TL•ff FhfSP❑N50LIT u AND NOTIM ABVYF.
':tGNATURE(s) pp
Sw11tuIINO Pool PLAN FQR.
NAME QDH 266 -LAI D RESIDENCE:
STREET
JOB ADDRESS- ..F'47 CITY a.W IN 7^
PHONE OFFICE RES
LOT &C- , TRACT PAGE 300K
MAP BOOK PAGE ND, CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO, —
SCAI.E 7F DATE DRAWN BY SOLID BY CHECKED BY
JC)B# R F S I N DATE
UP,' OF u, u W
,�.
4 F I * CON aT -; C; i ui
DATE 3o A
SELECTIONS w
rr
STONE
TILE
E('.I� '` IFTH
BCULDERS
JANOY
N0 DTEPTIO�?:
_ y
SIGNATURE
;
iOvE ,
T G,��I
cc
DRAINAGE NOTE; Drainage and irrigation for plarTters and {pots, by
others, Unless otherwise noted.
;V