05-0932 (RPL)� oz
U
BUILDING & SAFETY DEPARTMENT
cwt P.O. Box 1504 (760).777-7012
�`yoF It9 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application "Number 0-5� 0.00009-3.2j Date 3/17/05
Property Address 49065 QUIMERA CT
APN: 646 -300 -028 -
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 17000
Owner Contractor
GOLDBERG STEVEN CALIFORNIA POOLS & SPAS
12121 WILSHIRE BLV NO 301 P.O. BOX 1280
LOS ANGELES CA 90025 COACHELLA CA 92236
(760) 398-9222
WCC: SEABRIGHT INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
CCC: C8-C277C29-053
Permit . . BLDG POOL PERMIT'
Additional desc
Permit Fee . . . . 180.00 P1an.Check Fee 117.00
Issue Date Valuation . . 17000
Qty Unit Charge Per Extension
BASE FEE 45.00
15.00 9.0000 THOU BLDG 2,001-25,000 135.00
Permit . . . . .. MECH POOL
Additional desc
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
-------------------------.---------------------------------------------------
Permit . . . . ELEC POOL PERMIT -RES
Additional desc e
.Permit Fee 45.00 P 11.25
Issue Date . . .Va u t 0
)A 2 •_ X005
Qty Unit Charge. Per. Extension
BASE FEE CITY OF LNQUINTA 15.00
1.00 30.0000 EA ELEC-PRIVATE 30.00
Permit . . . . PLUMBING
Additional desc
Permit Fee . . . 33.00 Plan Check Fee 8.25
P.O. BOX 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0 S-- 0 '73 �
Applicant:
Applicant's Mailing Address:
Iq
IW.g C 70
Date:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed u r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
C9 -enand ss License is i�Njorce and effect.
cense Class ,j
' [ 5— Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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.
�( hav and will m Iain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
M ers' compensation ins ante carld �9ticxmbe�r rel1 /
arner Polic NumbIV
a %rte �
I certify that, in the performance of the work for hich this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree t should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with thosepr
D to S- Applicani�
WARNING: FAILURE TO SECURE WORK S' 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.
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 _ r' : �
'1i'! t1 _ � '• r�l
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 rwhose tiehajf•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 applica(ion, 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 actor 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 -1 80 days,will, subject permit to cancellation.
I certify that] have read this application and stale that the above information is c e . agree to comply with all city and county ordinances and state laws relating to building
co, nstru on�7and
/hereby
�authorize representatives of this county to tevr upon.t a mentioned property for inspection purposes.
7
Date u L v ✓ Signature (Applicant or Agent):
n
Page 2
Application
Number . . . . . 05-00000932
Date 3/17/05
Issue Date
Valuation
0
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
.PLACE PRIOR
TO PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED IN
PERMIT.
Fee summary
Charged Paid Credited
Due
Permit Fee
Total. 282.00 .00 .010
282.00
Plan Check
Total 142.50 .00 .00
142.50
Grand Total
424.50 .00 .00
424.50..
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SPECIFICATIONS
TYPE, v (f l SIZE ' X "
4-1
SURFACE AREA OF POOL 7 _
PERIMETER ' S r
DEPTHS M'N. MAX.
SPA SPECIFICATIONS TILE
�/
SIZE - X & _ SO. FT. TILE TYPE c t in .e
SPA DMI WALL WOTH ' I'r WATER UNE e!
NO. OF JETS LT TILE TRIM •`
LIGHT QUARTER ROUND �•"�
RAISED SPA AT �¢'• R.B.B, TILE -
SPILLWAY TYPE -
SPECIAL NOTES
DECKINGcJ�t04-*
so. FT
EXCAVATION k E FINISH
TYPE O Le
ACCESS FROMIn-,lP EXPANSION JOINTS Y
ELEVATION CANTILEVER {�
DEEP END RAMP DECK DRAINS
LOVE SEAT DECCO DRAN
CONCRETE REMOVAL LOADS CURB C
1
SOD REMOVAL _ye- Z LOADS STEPS
TREE REMOVAL BY w N G R. STEP FACE
IRRIGATION REMOVAL BY W N TILE BASE
IRRIGATION REPAIR WNSAND AND VISOUEEN j>
6' R.B.B. ft P!990NS
12' R.B.B. MOW STRIP
1B" R.RS'
24' R.B.B. — —
30' R.B.B. --- R
I Ch I
TAN SHELF DEPTH
MASONRY
ROCK POCKETS
COPING TYPE
CENTERS R.B.B. FACING
SPILLWAY TYPE Sosb SIZE
PLUMBING STEPS
O PROP. EXT. WALLS S
FILTER � SIZE i�
POOL PUMP _ tl'- jf�_ ' SIZE PLANTER WALL
RETAINING WALLS
BOOSTER PUMP SZE EOUIP. WALLS
ADDI PUMP �- SIZE FIREPIT
ADD'L PUMP SZE
HEATER SIZE
TIME CLOCK
SUB PANEL
ADD'L OVnm
SKIMMER TYPE
FILL LINE .��t PEBBLE PLASTER _r
GAS LINE '� STUBS LIGHTS POOL 1
LIGHTS SPA -
FOUNTAINS/SPRAYHEADS ROLLED BOND BEAM
SHEER DESC BEHIND SPA
_ EYEBALLS 3
LIGHTS IN POOL I IN SPA S
STUB SET EWrME.NT eS FENCING
• MISC.
. FENCE TYPE
PLUMBING SZE HEIGHT
GATE
GUNITE GATE REVERSAL
DEEP END RAMP REMOVE & REMANG
' EXTENDED 2nd STEP
LOVESEAT rte''
SPILLWAY 7`M -� D S aAn EST. START
rrU^, c Nj EST. COMPLETION
COPrNG OTHER
R.B.B. - SEE STEEL
OWNER RESPONSIBILI TIES
OWNER TO; (1) DETERMINE THE APPROXIMATE C.EVATON OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL. AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUWNG DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWCE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA MS IS NOT RESPONSBLE FOR UNDERGROUND CONDITIONS OR OBJECTS.
AND ANY DAMAGE TO CURBS, SIDEWALKS, DP!VEWAYS. LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- 00 NOT USE RUBBER HOSE)
(r TAKE NOTICE THAT THIS CRAW'NS IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROMBITED BY LAW.
OWNER APPROVES PLAN. POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONS!B''JTIES AND NO.110ES.A00VE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME SHANNON RESIDENCE
STREET GrtIMl±r'�
�'^ c� �A� JOB ADDRESS CITY u4 zt;>trJ .t,
PHONE OFFICE RES
LOT TRACT PAGE BOOK
MAP BOOK PAGE N0, CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
�-• SCALE DATE DRAWN BY SOLD BY CHECKED
JOB#
REVISIONS ,. DATE
-U[--c�tNT
2BUILDING & SAFETY DEPT.
311
FOR CfONSTRUCLIQ
T � 3I17/ds BY I -A
SELECTIONS
CONSTRUCTION AUTHORIZATION STONE -L-)
S }=1 } :1.1)
SA><.r:� TILE
DIG BOULDERS
DECK COLOR
I'RE-GUNm- ( }
ITNDERGROI- D DANDY
A, 1A 41 A
MASONRY PEBB./PEAS
DECK SIGNATURE
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others unless otherwise noted.
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SPECIFICATIONS
TYPE, v (f l SIZE ' X "
4-1
SURFACE AREA OF POOL 7 _
PERIMETER ' S r
DEPTHS M'N. MAX.
SPA SPECIFICATIONS TILE
�/
SIZE - X & _ SO. FT. TILE TYPE c t in .e
SPA DMI WALL WOTH ' I'r WATER UNE e!
NO. OF JETS LT TILE TRIM •`
LIGHT QUARTER ROUND �•"�
RAISED SPA AT �¢'• R.B.B, TILE -
SPILLWAY TYPE -
SPECIAL NOTES
DECKINGcJ�t04-*
so. FT
EXCAVATION k E FINISH
TYPE O Le
ACCESS FROMIn-,lP EXPANSION JOINTS Y
ELEVATION CANTILEVER {�
DEEP END RAMP DECK DRAINS
LOVE SEAT DECCO DRAN
CONCRETE REMOVAL LOADS CURB C
1
SOD REMOVAL _ye- Z LOADS STEPS
TREE REMOVAL BY w N G R. STEP FACE
IRRIGATION REMOVAL BY W N TILE BASE
IRRIGATION REPAIR WNSAND AND VISOUEEN j>
6' R.B.B. ft P!990NS
12' R.B.B. MOW STRIP
1B" R.RS'
24' R.B.B. — —
30' R.B.B. --- R
I Ch I
TAN SHELF DEPTH
MASONRY
ROCK POCKETS
COPING TYPE
CENTERS R.B.B. FACING
SPILLWAY TYPE Sosb SIZE
PLUMBING STEPS
O PROP. EXT. WALLS S
FILTER � SIZE i�
POOL PUMP _ tl'- jf�_ ' SIZE PLANTER WALL
RETAINING WALLS
BOOSTER PUMP SZE EOUIP. WALLS
ADDI PUMP �- SIZE FIREPIT
ADD'L PUMP SZE
HEATER SIZE
TIME CLOCK
SUB PANEL
ADD'L OVnm
SKIMMER TYPE
FILL LINE .��t PEBBLE PLASTER _r
GAS LINE '� STUBS LIGHTS POOL 1
LIGHTS SPA -
FOUNTAINS/SPRAYHEADS ROLLED BOND BEAM
SHEER DESC BEHIND SPA
_ EYEBALLS 3
LIGHTS IN POOL I IN SPA S
STUB SET EWrME.NT eS FENCING
• MISC.
. FENCE TYPE
PLUMBING SZE HEIGHT
GATE
GUNITE GATE REVERSAL
DEEP END RAMP REMOVE & REMANG
' EXTENDED 2nd STEP
LOVESEAT rte''
SPILLWAY 7`M -� D S aAn EST. START
rrU^, c Nj EST. COMPLETION
COPrNG OTHER
R.B.B. - SEE STEEL
OWNER RESPONSIBILI TIES
OWNER TO; (1) DETERMINE THE APPROXIMATE C.EVATON OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL. AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUWNG DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWCE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA MS IS NOT RESPONSBLE FOR UNDERGROUND CONDITIONS OR OBJECTS.
AND ANY DAMAGE TO CURBS, SIDEWALKS, DP!VEWAYS. LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- 00 NOT USE RUBBER HOSE)
(r TAKE NOTICE THAT THIS CRAW'NS IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROMBITED BY LAW.
OWNER APPROVES PLAN. POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONS!B''JTIES AND NO.110ES.A00VE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME SHANNON RESIDENCE
STREET GrtIMl±r'�
�'^ c� �A� JOB ADDRESS CITY u4 zt;>trJ .t,
PHONE OFFICE RES
LOT TRACT PAGE BOOK
MAP BOOK PAGE N0, CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
�-• SCALE DATE DRAWN BY SOLD BY CHECKED
JOB#
REVISIONS ,. DATE
-U[--c�tNT
2BUILDING & SAFETY DEPT.
311
FOR CfONSTRUCLIQ
T � 3I17/ds BY I -A
SELECTIONS
CONSTRUCTION AUTHORIZATION STONE -L-)
S }=1 } :1.1)
SA><.r:� TILE
DIG BOULDERS
DECK COLOR
I'RE-GUNm- ( }
ITNDERGROI- D DANDY
A, 1A 41 A
MASONRY PEBB./PEAS
DECK SIGNATURE
i'RI _}�};};};} }; DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others unless otherwise noted.
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