08-1932 (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:
08-00001932
79350 CANTERBURY
775-032-002- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
30000
Ti -ht 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class,, C5 ?LicenseNo.: 856835
te: G ractor:
.� 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 _ 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 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: I_
Lender's Address: Alk
LQPERMIT
Owner:
SHNEIDER
79350 CANTERBUR
LA QUINTA, 922
D.
Contractor:
VACATION PO LS
83900 AVE 45 STE
INDIO, CA 92 01
(760)775-0468
Lic. No.: 856835
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
5- D
DEC 092048
LA
Date: 12/08/08
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 DELOS INS CO Policy Number 01DKRM22003430
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
70 'of the Labor Code, I shall ff000rthhwwiii com th those provisions.
te:pplicant: ^ �// +'�7i�•
WARNING: FAIL R11OSECURE 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, an dla e authorize representatives
ofZ-0
t nt upon the above-mentioned property for insp ion p os
tura (Applicant or nt .
I
Application Number . . . . . 08-00001932
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
284.50
Plan Check
Fee
184.93
Issue Date . . . .
Valuation
. . .
. 29740
Expiration Date
6/06/09
Qty Unit Charge
Per
Extension
BASE
FEE
252.00
5.00 6.5000
---------------------------------------------------------------
THOU BLDG
25,001-50,000
32.50
-------------
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
6/06/09
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 . .
6/06/09
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 . . . .
27.00
Plan Check
Fee
6.75
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date..
6/06/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 6.0000
EA PLB
FIXTURE
6.00
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 . . . . . 08-00001932
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
260
Expiration Date 6/06/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SPOOL, FIREPIT, WATER FOUNTAIN, 12 L.F.
5- EQUIPMENT WALL, CITY STANDARD &
WATERFALL. ALARMS/BARRIERS SHALL BE IN-
PLACE AT PRE-PLASTER.INSPECTION.
Fee summary Charged Paid Credited
------------------------------
----------
Due
-----------------
Permit Fee Total 397.50 .00
.00
397.50
Plan Check Total 209.43 .00
.00
209.43
Grand Total 606.93 .00
.00
606.93
LQPERMIT
#4= TIE: .
STEEL AT:...
: TOP`COURSE
GAS .FIRE RING:
INSIDE DIMENSION ;
.` :
WATERPROOF:,-
MEMBRANE
I:C.B:O. #..
. .
(TYP...INTER I.OR
ANSI..#
SURFACES) :::
BTU' 00
#.4 -..BAR
U.L.' APPROV ED.::...::;
::.:.::, .,
VERT AT .
(TYP: )
7B
LENGTH OF- GAS PIPE::: ..:. : "
'
6x8x8OR
DIA M.` OF GAS PIPE ::....:
..:....,:.
8x8x8.:CMU-
.:....:....
:........:.. 0
OUTDOOR RINGL..
SOLID GROUT
GAS. :LINES SHALL'. BE INSTALLED
PER. CPC FOR :
.:DEPTH; .:-
COVERAGE AND; -PLACEMENT: ;
<<
8..:1211
GAS :SHUTOFF`:
VALVE:
:;
LOCATED.WITHIN
_ 6`
OF UNIT:"
F:G.
METAL. GAS :..:
RISER; :
GRAVEL SUMP,:.: .
DRAIN: OR. PROVIDE=.12" DIAN1
3 CU FT:; .
OPENING, IN:FOOT;ING :
CRUSHED:ROCK
�UTDOQR FIRE° RING`. BQULDERS:'...
5'-O" 01a.
+15" Fire Pit with
►b" Quartzite Gap
5HNEIDER PC
RESIDENCE
PC
Pool/Spa Equipment
and New Equipment
Screen Wwl�
—Exl3ting WaII••.
to- rai main .
]ao
Landscape
Area
•• Existing'•L.awn'
•t0 POMQih .'. ••
VACATION POOLS, INC.
.,e..* _ 83900 Avenue 45, Suite C
a Indio, CA 92201
Ph. (760) 775-0468, Fax(760) 775-0469
License # C-53-856835
Boulder Water
Feature with River
Gobble Basin
NOTEe
FIRE PIT BTU OUTPUT, +/- I20p00
NE 1 GHBORI NG
RESIDENCE
CONTRACTOR cannot assume responsibility for
damage to curbs, sidewalks, driveways, cement
slabs, sewers, lawns, trees, fences, retaining
walls,.5prinklers, wires, valves, telephone or
Shrubs.
When access is made through a neighbor's
property It. is understood that you, the owner,
have that neighbor's permission and assume full
responsibility.
DATE
516NATURE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE a ' '06 BY
_51ZE.
12'-O'_X ('70' _
_QQW
Natural Boulder
DEPTH
/
TILE CHOKE ..
Water FeatureL'
RBB.
/
COPING
Quartzite coping.
,POOL CAPACITY
II'L X 4'W X 3'H
MOTOR. HP .
2 HP
+6">"
*b'�
Low Voltage
sq. Pt. ccrtrldge. Plltor ,
HEATER _SIZE .
400,000. BTU.
SUCTION LINES
2'-
Step Lights,
Tanning ShoIP with
SKIMMER MODEL
Hayward .
typ:
Umbrella Sleeve
. 6A5LINE BY V.P.I._
FT. .
PO/OL LIGHT.. _.. _ _
A
'72
121
001
'X16'
ELECTRICAL BY VP. 1.
*b°
'.Existing Bar
O
O .spoof
A to Romain
IcapeO
Bench
J
a
Table}with (2)
O;Bar
Stools
'
.0
. •. • ." ' , •.
2' Wide'Quartztto ,E.
•
Q
Existing TableGoping'(IOO
.q. ft)
+6"
chairs In Rasped
,
Seating. or ea
<' New Pavers
Pavere 'and Pattern
Low:Voltage'Step
` .'to be selected
(2 035 '
Lightp,` BJP
sq..PtJ
ExistingG olein
Landscape
Area
Existing Covered'
Center emain
Patio ;
Landscape
Area
5HNEIDER PC
RESIDENCE
PC
Pool/Spa Equipment
and New Equipment
Screen Wwl�
—Exl3ting WaII••.
to- rai main .
]ao
Landscape
Area
•• Existing'•L.awn'
•t0 POMQih .'. ••
VACATION POOLS, INC.
.,e..* _ 83900 Avenue 45, Suite C
a Indio, CA 92201
Ph. (760) 775-0468, Fax(760) 775-0469
License # C-53-856835
Boulder Water
Feature with River
Gobble Basin
NOTEe
FIRE PIT BTU OUTPUT, +/- I20p00
NE 1 GHBORI NG
RESIDENCE
CONTRACTOR cannot assume responsibility for
damage to curbs, sidewalks, driveways, cement
slabs, sewers, lawns, trees, fences, retaining
walls,.5prinklers, wires, valves, telephone or
Shrubs.
When access is made through a neighbor's
property It. is understood that you, the owner,
have that neighbor's permission and assume full
responsibility.
DATE
516NATURE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE a ' '06 BY
_51ZE.
12'-O'_X ('70' _
AREA 110_ sq. ft_
PERIMETER . 53'-0'
DEPTH
4 -0 -
TILE CHOKE ..
Group 1-3
RBB.
COPING
Quartzite coping.
,POOL CAPACITY
5,100 6ALS
MOTOR. HP .
2 HP
MOTOR - .HP
I HP
FERILT _ _ _460
sq. Pt. ccrtrldge. Plltor ,
HEATER _SIZE .
400,000. BTU.
SUCTION LINES
2'-
RETURN- LINES
1'
SKIMMER MODEL
Hayward .
CHEEK VALVE
Yes
. 6A5LINE BY V.P.I._
FT. .
PO/OL LIGHT.. _.. _ _
0) Jazz Light
TIMER
_
ELECTRICAL BY VP. 1.
FT.'
AUTO GLEANER.,
SALT SYSTEM _
PLASTER COLOR _
PAVERS. BY V.P.I.,_ 2,035 sq. ft. (Total)
DECK TYPE Pavers
NAME: SHNEIDER RESIDENCE
ADD_ EE5 _: '14350 CANTERBURY
CITY: LA GUINTA, CALIFORNIA 42253
TRACT: POA (NEST
LT: P14ASE:
Bin #
Pe
Permit #
Project Address: _I�7V
City of La Quinta
Building & Safety Div>sion
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Y L Owner's Name: S 2 I
A. P. -Number:
Address: 7 r 3 J v Cjw�e r 6 c t Dy -,-
Legal Description:
City, ST, Zip:
Contractor:
f �� C.
Telephone:
p
Address:
Project Description:
City, ST, Zip:
Telephone: _
>>:>:>::`::::;:;;,.f;<r;;:.;:<:>:;.•.,.:<.<;:
State Lie. # : 3 trs 3 City Lic. M.
I I S .
Arch., Engr., Designer:
Address:
City, ST, Zip:
, .
b L-4). 3 V C.
Telephone:
;:::>;::<::;::;;••
:•:;•,:•;;;:.;;;:•;:•:<.;:.;;;;:•;:•;:;;.:;:;>;.:;.;;;:::;;;.;:}
Construction Typo: v Occupancy:
State Lic.#:
Project type (circle one): New Add n Alter Repair Demo .
Name of Contact Person:
` ,
Sq. FL: ,?—J# 0
# Stories:
Units:
Telephone # of Contact Person:
—
Estimated Value of Project:- .;2`V PG9r'--
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
R 'd
Rec'd
TRACKING
PERMUT FEES
Plan Sets
0�heck submitted
(
y
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
�9-&0