06-3949 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
ADDlicant:
06-00003949
81622 RANCHO SANTANA DR
767-200-999-3 -312022-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
33500
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business n Professionals Code, and my License is in full force and effect:
License Class: B C29 C53 License No.: 455121
tra or:
OWNER -BUILDER DECLARATION
I hereby affirmunder penalty of perl t 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.).
(_) 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
Date: 11/20/06
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, SUITE G
LA QUINTA, CA 92253
(760)777-9920
UFflVAINI
Contractor:
TOPMANBUILDERSP.O. BOX 102021 2006PALM DESERT, CA 92255f(760)772-7296Qu1NTqLic. No.: 455121 .,..__
------------------
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 CLARENDON Policy Number 01KR-0030-842
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 s d be me " ject to the workers' compensation provisions of Section
g 3700 of the L or ode, I sh I fo ith comply with those provisions.
Date:, `G`' �licant
WARNING: FAILURE TO SEC O KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDI N T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR COD , TEREST, 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 applicatio and state th t the above information is correct. I agree to comply with all
city an ounty ordinances and st laws relating to uilding construction, and hereby authorize representatives
of th' county to enter upon th ove-mentioned pro rty for inspection purposes.
Val
Application Number . . . . . 06-00003949
Permit . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
310.50
Plan Check
Fee
201.83
Issue Date
Valuation
. . .
. 33500
Expiration Date
5/08/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
9.00 6.5000
------------------------------------------=---------------------------------
THOU BLDG 25,001-50,000
58.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
5/08/07
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
5/08/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE
SWIMMING
POOL
30.00 .
Permit . . .
PLUMBING
Additional desc .
Permit Fee
33.00
Plan Check
Fee
8.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
5/08/07
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
POOL/SPA. ALARMS/BARRIERS
SHALL BE IN
LQPERINUT
Application Number . . . .. 06-00003949
Special Notes and Comments
'PLACE
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 414.50 .00 .00 414.50
Plan Check Total 227.83 .00 .00 227.83
Grand Total 642.33 .00 .00 642.33
LQPEINIIT
Bin ff
co -City of La Quinta
a� ,�'✓ Building U Safety Division
Permit rf (�
QI�
1,0% P.O. Box 1504, 78-495 Calle Tampico
3\1P
La Quinta,•CA 92253 - (760).777-7012
Building Permit'Application and Tracking Sheet
Project Addres .
40C) O
Owner's Name:M iclC D S
A. P. Number. gj I . �-p
Address:
Legal Description:
City, ST, Zip:
UE q 7 Z 5 3
Contractor � �
U s .
-
Address: 0 l
Project Description:
City, ST, Zips 11
eS e k -i' -Cd� 922-
N[,` ` -O'b 0 D 1 eoo L
Telephone: `Z — q Z
State Lic. # : 5S Z,1 City Lic. #:
Arch., Engr., Designer.
Address:
City,: ST, Zip:
Telephone:
Construction Type: Occup an
p cy:.
State Lie. #:
Projeof type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person: 3 sVh� C t'��f 1V�
Sq: Ft : #Stories: I# Units:
Telephone # of Contact Person: 2� �" 3 5
Estiivated Value of Project:00
APPLICANT: DO NOT WRITE
.BELOW THIS LINE
#
�
Submittal
Req'd .
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted i1
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan•Check Deposit
'
Truss Calcs.
Called Contact Person'
Plan Check Balance '
Energy .Gilts.
Plans picked up
Constriction
Flood plain plan
Pians resubmitted
Mechanical
Grading.plau
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
$.M.I.
ILO.A. Approval
Plans resubmitted .
Grading
IN HOUSE:-
.3"Review, ready for corrections/issue
Developer Impact Fee.. ;
Planning Approval Called Contact Person A.I.P.P.
Pub. Wks. Appr Date of permit issue.
School Fees
.. Total Permit Fees . ..
EXISTING
RE51 DENGE-
'
SPECIFICATIONS
0-
0—
A-
0—
A—
GUNITE
35'
10'
TYPE
51ZE X
350 5 F.
SURFACE AREA OF POOL
q0,
3i_6n
�✓ilbn
PERIMETER
DEPTHS MIN MAX
SPA SPECIFICATIONS
ELECTRICAL
51ZE 6-01" X '1" 50 FT 61 PER
32'
BY
LENGTH ft
SPA DAM HALL WIDTH
TIME CLOCK SUB PANEL
# OF JETS
# OF LIGHTS IN POOL
LIGHT B005TER PUMP
OUTSIDE G F 1 1-I61475
G F I OUTLET
GA AQUA AIR -BAR 4 BLOWER
EXTRA SAITCH FOR SPA LIGHT
BLOAER ONLY
BLANK FLU65
RAISED SPA SPILLWAYS
MOTOR
BOOSTER
SPECIAL NOTES
BLOWER
GLEANER
M15G
EXCAVATION
TYPE
COPING 4 TILE
ACCESS FROM
ELEVATION
00FIN6 WHITE
DEEP END RAMP
COPING SPECIAL
FENCE REMOVED BY
TILE TYPE
FENCE TYPE
TILE TRIM
MASTIC
TRASH REMOVAL
LOADS
6" RBB ft 12"F55
ft 15" RBB Ft
CONCRETE REMOVAL
LOADS
MISC
TREE REMOVAL BY
STUMP REMOVAL BY
DECKING
DIRT PAD
6' RBB ft 12" RBB ft 18" RBB
Ft
BY
UP TO "74q so ft
WALKOUT/MI SG
FINISH
COLOR
ROCK PACK
EXPANSION JOINTS
MASTIC
FOOTING
STEEL
STEPS
TYPE
EXPAN51VE SOIL
CANTILEVER
6" RBB ft 12" RBB ft. IS" RBB
ft
DECK DRAINS
CURB GORE
SURGHAROE DEEP END RAMP
DEGGO DRAIN
DIVING BOARD JIG
LOVESEAT INSIDE ft OUTSIDE
ft
51 -IDE INSTALLTION
SPA WALL WIDTH In OTHER
In
MASONRY
WALL DOWEL/MISG
COPINS TYPE
PLANTER WALL
PLUMB I N6
FILTER SIZE
TYPE
POOL PUMP SIZE
GAP
BACK UP WALL fh
HEATER SIZE
FOOTINGS
RB8 FACINr�
BOOSTER PUMP SIZE
FIREPIT TYPE
51ZE
SKIMMER TYPE
EQUIP WALL TYPE
ft X
CARETAKER # OF HEADS
FENG I NG
OTHER GLEANER STUB ONLY
MISC
FILL LINE SLIDE LINE
F -TRAP BACK AASH TO
PEBBLE
LIGH75 POOL
5FA
&A5 LINE 5TUB5
FOUNTAINS/SPRAYHEADS
ROPE RINGS
EYEBALLS REQUIRED
1-I6H75 IN FOOL IN SPA
COLOR
NAME TILE
STUB SET EOU IPMENT
SPECIAL EQUIPMENT
SAACUT AUGER
DIVING BOARD
SIZE
MISG
MODEL
COLOR
51 -IDE
SIZE
GUNITE
MODEL
COLOR
GUNITE INSPECTION REOUIRED YES NO
POOL COVER
SOLAR HEATING, YES NO
ROPE FIN65 GRAB RAILS
FENGIN6
DEEP END RAMP
TO MEET ALL LOCAL CODE REOUIREMENTS BY BUYER PRIOR TO
6" RBB ft 12" RBB ft I6" RBB
PREPLASTER I NSPEOTI ON
OTHER
LOVESEAT EXTENDED 2nd STEP
NOTCHED BOND BEAM
COPING CANTILEVER
Ft
SAP DAM WALL WIDTH
OWNER RESPONSIBILITIES
CANER TO (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BUILDING
DEPARTMENT AT TIME
OF ISSUANCE OF PERMIT
(2) TAKE NOTICE THAT PLATINUM FOOLS 15 NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS AND ANY DAMAGE
TO CURES, 51DEAALK5, DRIVEWAYS, LAANS, OR OTHER ITEMS IN THE ACCESS AREA
I
(5) SEE THAT ALL FENCING, GATES, AND 6ARA6E DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION
(4) FILL POOL IMMEDIATELY AFTER PLASTER (FOLLOW IN5TRU07ION5,DO NOT USE RUBBER HOSE)
(5) TAKE NOTICE THAT THIS DRAWING 15 THE
SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION
OF PLATINUM POOLS 15 PROHIBITED BY LAW
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES
ABOVE
516NA7URE(5)
DATE
516NATURE(5)
DATE
REV1510145
Delta Date By Description of Change
MATERIAL SELECTIONS
MA'T'ERIAL CHOICE
0-
0—
A-
0—
A—
SWIIV MWG POOL PLAN FOR:
M A 5 RESIDENCE
STi E77' ..:�-RANGHO 5ANTANA DR G1TY LA QUINTA, GA
JOB ADDRESS QUAIL RUN ® RANGHO 5ANTANA
PHONE #'S OFFICE HOME
LOT # TRACT # PASE BOOK
MAP BOOK PAGE #
MAIL ADDRESS CITY
CONSTRUGTION OFFICE PHONE #
SCALE DATE DRAWN BY SOLD BY CHECKED BY
118"=1'-0"
1112/06 JOHN GHARLENE
CI ry OF QUI A RE-INSPEC I FEE OF $30
BUOLDiNG SAF iVTq WILL BE CHAR , THE A P UED
�PP�®� DEPT, PLANS AND J ARD 1 ,� •
°R CONS7-RUCE® THE SITE FORA ® N
oNH E D
DA IN Eb
NO EXCEPTIONS!