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06-4407 (RPL)%' P.O. BOX 1504 4 • �� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00004407 Property Address: 78653 COMO CT APN: 609-530-025-25 -28457 - Application description: POOL '- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 12000 Applicant: Architect or Engint tA -------------------------------------------------- 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: License No.: Date: Contractor: 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, atter, 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 anyiipplicant 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 1, 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. , 8.&P.C. for this reason 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: DREW CLARK 78653 COMO COURT LA QUINTA, CA 92253 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: 12/29/06 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 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 700 of the r Code, I shsh forthwith comply with those provisions. te: licant: /a AW. 7-7 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 co my ordinances and state laws relating to building construction, and hereby authorize representatives of this unt to enter upon a above-mentioned property for in coon purposes. Zeta �gnature (Applicant or Agent): Application Number ... . . . 06-00004407 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 135.00 Plan Check Fee 87.75 Issue Date . . . . . Valuation 12000 Expiration Date . . 6/27/07 Qty Unit Charge Per Extension BASE FEE 45.00 10.00 9.0000 THOU BLDG 2,001-25,000 ---------------=------------------------------------------------------------ 90.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 E:--piration Date 6/27/07 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 6/27/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000•EA ELEC PRIVATE SWIMMING --------------------------------------------------------------------------=-= POOL 30.00 Permit: . . . . PLUMBING Additional desc . ,t• Permit Fee . . . '''. . 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date 6/27/07 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 ------------------ INSTALL DROP-IN POOL AND EQUIPMENT PER r ,. ' e•. ` LQYERMIT -,4 z Application Number . . . . . 06-00004401 ---------------------------------------------------------------------------- Special Notes and Comments MANUFACTURER'S SPECS. ALARMS/BARRIERS SHALL BE IN PLACE.PRIOR TO FILLING WITH WATER Fee summary ---- --------- Charged Paid Credited Due - --- Permit Fee Fee Total ---------- ---------- 239.00 .00 ---------- ------- .00 239.00 Plan Check Total 113.75 .00 .00 113.75 . Grand.Total 352.75 .00 .00 352.75 LQPERAIIT ".wa l Ai3 'ViNint) vl :10 x.1+0 � J 53.61' _...� FG ol o 0 co . FL—GB 75 26 PAD 109.5 F.F. 110.00 ,PLAN 3A 09.20 N HP 134.00' m 4.58X 20'— 08.23 20' 24 PAD 108.9 F.F. 109.40 PLAN 3A R 0.50X- MIN. .^ 08.47 Fr, \ rg S9 % 08.71 6,.5. PAD 109.5 F.F. 110.00 \\\ .PLAN ZB 1 0 �r �i 9 NN. 09:00 , h _ 08.93 O' S0MlN. N ® (PAD 110.8) Tw a 1 \ T F 9.90 A\ V 15.9. 87 15.50 TF 20.13' 08. FL zo ,:50� M1N• 0 09.5 FG 58.0V 0 �o 0 } j90 HP m 0 0 c6 r- d 2 f . 79' n Ll Q Tw 17 _ -TW17.,971. Tr A 0 � 1 10 I ,� 00 Q. +n: - - - - - - - - - - ---- --------- -- I l �. I I - 08.04 TC TC t A A 08.19 \t \\ TC �' ; 08.17 08. 32. �- 832 \ t � J 53.61' _...� FG ol o 0 co . FL—GB 75 26 PAD 109.5 F.F. 110.00 ,PLAN 3A 09.20 N HP 134.00' m 4.58X 20'— 08.23 20' 24 PAD 108.9 F.F. 109.40 PLAN 3A R 0.50X- MIN. .^ 08.47 Fr, \ rg S9 % 08.71 6,.5. PAD 109.5 F.F. 110.00 \\\ .PLAN ZB 1 0 �r �i 9 NN. 09:00 , h _ 08.93 O' S0MlN. N ® (PAD 110.8) Tw a 1 \ T F 9.90 A\ V 15.9. 87 15.50 TF 20.13' 08. FL zo ,:50� M1N• 0 09.5 FG 58.0V 0 �o 0 } j90 HP m 0 0 c6 r- d 2 f . 79' n Ll Q Tw 17 _ -TW17.,971. Tr A TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 4,4�� OWNER'S SIGNATU /DATE -7 8 &s;F Coo. a Cr. PROPERTY ADDRESS olo - L444"7 PERMIT NUMBER(S) 'Bin # 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 Permit # ✓` Project Address:' %$(off C --Yu ® Z Owner's Name: �� � d 69�,o A. P. Number: Address: C�� (2 - Legal Description: City, ST, Zip: Contractor: QL , N" 4 r,- Telephone:(,?(. Address: Project Description: City, ST, Zip:P✓®e. ¢ ��� /k.�iv��rt r.t£-C Telephone:�X,4 c State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL:. # Stories: # Units: Telephone # of Contact Person: '7�o) Estimated Value of Project: Z Urr2=� APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd :. Reed TRACIMG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready fo firections Plan Check Deposit. Truss Caics. Called Coutact.Persoo Plan Check Balance Energy Calcs- Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2" Review, ready for corrections/issue Electrical Subcoutactor 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. corrections/issue Developer Impact Fee Planning Approval Called Contact Pe A I.P.P. Pub. Wks. Appr Date of per issue b9 School Fees Total Permit Fees , E'REPO'RTTM ESR -2193* Issued July 1, 2006 This report is subject to re-examination in one year. ICC Evaluation Service, Inc. Business/Regional Office' 5.360 Workman Mill Road, Whittier, California 90601 ■ (562) 699.05x3 Regional Office ■ 900 Montclair Road, Suite A Birmingham, Alabama 35213 ■ (205) 599.9800 www.icc-es.org Regional Office ■ 4051 West Rossmoor Road, Country Club Hills, Illinois 60478 ■ (708) 799-2305 'DIVISION: 13—SPECIAL CONSTRUCTION Section: 13170—Tubs and Pools REPORT HOLDER: RIO PLASTICS, INC. POST OFFICE BOX 3707 BROWNSVILLE, TEXAS 78523 (956) 831-2715 www.rioswimspas.com infoorioswimspas.com EVALUATION SUBJECT: AQUASWIM-NSPA PREFABRICATED PLASTIC SWIMSPA SHELLS 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2003 International Residential Code® (IRC) ■ 1997 Uniform Building CodeT°" (UBC) Properties evaluated: ■ Physical ■ Durability 2.0 USES AquaSwim-N-Spa Prefabricated Plastic SwimSpa Shells are products intended for recreational use with heated water circulated in a closed system. The SwimSpas are permanently installed either above or below ground, and complywith the American National Standards Institute (ANSI) . Z124.2-1997, referenced in Section AG104.1 of the IRC through ANSI/NSPI-3-1999. 3.0 DESCRIPTION The SwimSpa shells consist of thermoplastic polymer material, overlaid with two or three layers of fiberglass -reinforced resin. The SwimSpas are a minimum of V, inch (6.4 mm) thick, depending on the SwimSpa design and the location within the SwimSpa. The models listed in Table 1 are recognized in this evaluation report. Notice: The spa is designed to remain full of water at all times. The shell may be damaged if the water level is allowed to drop below the skimmer. When appreciable draw -down is noticed or if it becomes necessary to drain the spa, contact Rio Plastics or its dealers for instructions. 4.0 INSTALLATION The SwimSpa shells are permanently installed either -above or below ground level, as described in this report. All plumbing and electrical work must comply with the relevant codes in effect at the construction site at the time of construction. The SwimSpas must be installed in accordance with this report and the manufacturer's published installation instructions. SwimSpas installed above ground or in the ground must rest on a 3- to 4 -inch -thick (76 to 102 mm) concrete slab, poured against the grade and extending a minimum of 6 inches (152 mm) beyond the SwimSpa perimeter. Concrete strength must comply with Section R402.2 of the IRC and Section 1922.2.4 of the UBC. Preservative -treated wood. posts must be installed in accordance with the manufacturer's installation instructions when installation is above ground or partially above ground. Subject to the code official's approval, the SwimSpas may be installed below ground level without a soil investigation by a registered design professional, provided none of ,the following conditions is encountered at the site: 1. The existence of groundwater within the excavation, where'the spa floor will contact the soil at the time of installation. 2. The existence of an uncompacted fill in contact with any portion of the SwimSpa shell. 3. The existence of any expansive -type soils. 4. The existence of any soil types with an angle of repose that will not support the walls of the excavation at desired slopes. 5. Danger to adjacent structures posed by the proposed spa location. If any of the above conditions is encountered, excavation must cease immediately. The specified conditions at the site must then be reviewed, and recommendations made, by a qualified engineer. The code official must approve the engineer's report before work is resumed. Details specifically for installations in expansive, clay, or adobe soils apply only when supported by the registered design professional's recommendations and approved by the code official. 5.0 CONDITIONS OF USE The Aquaswim-N-Spa Prefabricated Plastic SwimSpa Shells described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: *Revised October 2006 '_4; REPORTS" are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, Inc., express or implied, as to any finding or other matter in this report, or as to any product covered by the report. =)l um.oe�.aaaneva. Copyright O 2006 Page 1 of 2 ' -'--,Page 2 of 2 ESR -2193 5.1 The Aquaswim-N-Spa Prefabricated Plastic SwimSpa compliance with Sections 5.4.1, 5.6.3.2 and 5.6.4.4 of shells must be constructed and installed in accordance ANSI/NSPI-3 must be submitted to code official for with this report and the manufacturer's published approval. installation instructions. In the event of conflict, this 5.7 The units are fabricated by Rio Plastics, Inc., at their report governs. manufacturing facility located in Brownsville, Texas, 5.2 Electrical and plumbing installations must comply with under a quality control program with inspections by the relevant codes in effect at the construction site at Smith -Emery Laboratories (AA -554). the time of construction. 6.0 EVIDENCE SUBMITTED 5.3 Clearances of the SwimSpas from slopes, set forth in Section 1806.5.4 of the UBC and Section R403.1.7 of IRC, as applicable, must be observed. 5.4 SwimSpa shells having maximum water depth, measured from the waterline, higher than 4 feet (1219 mm) must be approved by the code official (ANSI/NSPI- 3-1999, Section 5.2). 5.5 A barrier is required where SwimSpas are installed on the premises of a Group R, Division 3, Occupancy. In jurisdictions adopting the IRC, barriers must comply with Section AG105. In jurisdictions adopting the UBC, barriers must comply with Appendix Chapter 4, Division I. 5.6 Slip resistance is outside the scope of this evaluation report. Reports of slip resistance tests that demonstrate Data in accordance with the ICC -ES Acceptance Criteria for In -ground, Residential, Fiber -reinforced Plastic Swimming Pools and Permanently Installed Plastic Spas (AC274), dated October 2005. 7.0 IDENTIFICATION Each SwimSpa shell bears a label with the Rio Plastics, Inc., name; the manufacturing plant location; the model designation; the name of the inspection agency (Smith -Emery Laboratories); the words "Shell Only" and "ANSI Z124.7- 1.997"; and the evaluation report number (ESR -2193). A permanent label must be attached to the spa equipment by the SwimSpa shell manufacturer or distributor, and must give the distributor's name, address and telephone number. TABLE I—MODELS RECOGNIZED IN THIS EVALUATION REPORT' MODEL WEIGHT (pounds) LENGTH (feet -Inches) WIDTH (feet -inches) DEPTH (feet -inches) TOTAL SPA AREA TOTAL VOLUME (sq. feet) (gallons) AS'N'S-19 1,100 19-0 7-6 4-0 125 1,800 AS'N'S-16 900 16-0 7-6 4-0 110 1,528 ASJ-SP-14 800 14-0 7-6 4-0 95 1,400 ASJ-SS-14 800 14-0 7-6 4-0 95 1,100 AS -RG -14 700 14-0 7-6 4-0 95 960 AS -9 500 9-0 7-6 4-0 61 800 AS -9L 500 9-0 7-6 4-0 61 800 AS -7.5 425 7-6 7-6 4-0 51 750 A8-14.5 1,160 14-6 7-6 4-6 70 2,100 A5/13-14.5 960 14-6 7-6 4-6 98 2,133 AS -RG -14.5 1,080 14-6 7-6 4-6 98 1,698 AS/S-16.5 1,280 16-6 7-6 4-6 100 1,681 AS/S-19 1,700 19-0 7-6 5-0 107 2,676 APT -9 600 9-0 7-6 5-0 73 1,150 APT -14 900 14-0 7-6 5-0 95 2,100 APT -19 1,200 19-0 7-6 5-0 135 3,040 For SI: 1 inch = 25.4 mm, 1 foot = 305 mm, 1 pound = 4.45 N, 1 ftz = 0.09 m2, 1 gallon = 3.785 L. 'Based on a minimum shell thickness of inch.