05-5206 (RPL)l 4��r.�/
P.O. BOX 1504 _ VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/29/05
Application Number: 05=00005206 .� Owner:
Property Address: 81148 RED -ROCK RD HELMHOLTZ
APN: 764-270-999-153 -300233- 81148 RED ROCK ROAD -
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253.
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000 d D
Contractor: D
Applicant: Architect or Engineer: 'CALIFORNIA POOLS & SPAS�C 12005
P.O. BOX 1280
COACHELLA, CA 92236
I A (760) 398-9222 Cl NSF QUI14 A
n ( Lic. No.: 656128
V
---------------------------------------------------
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: C8 C27 C29 License No.: 656128
Date: II' o 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, 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. ($5001.:
(_ 1 1, 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 contractors) 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: ch
Lender's Address:
LQPERMIT
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 numbei are:
Carrier SEABRIGHT INS Policy Number BB1050510
_ 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 Cod I shall forthwith comply with those provisions.
'JpeteCT— cant:
WARNING: FAILURE TO SECURE WOR ERS' 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 Y
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 bove information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi g construction, and hereby authorize representatives
of this county to enter upon the above-mentioned pr inspection purposes.
�
iDate:�130'05 Sign (Applicant or Agent):
Application Number . . . . . 05-00005206
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee 207.00 Plan Check
Fee
134.55
Issue Date Valuation
20000
Expiration Date.. 5/28/06
Qty Unit Charge Per•
Extension
BASE FEE
45.00
18.00 9.0000 THOU BLDG 2,001-25,000
162.00
Permit MECH POOL
Additional desc'.
Permit Fee 24.00 Plan Check
Fee
6.00
Issue Date Valuation
`0
Expiration Date 5/28/06
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
Permit Fee 45.00 Plan Check
Fee
11.25
Issue Date Valuation
. . . .
0
Expiration Date 5/28/06
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 5/28/06
Qty Unit Charge Per
Extension .
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
1.00 3.0000 EAPLB 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, GAS & ELECTRICAL STUB OUTS
LQPERMIT
Application Number . . . . . 05-00005206
---------------------------------------------- -----------------------------
Special Notes'and Comments
FOR FUTURE APPROVED APPLIANCES.
- - APPLIANCES NOT INCLUDED IN THIS PERMIT.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
Permit Fee Total 309.00 .00 .00 309.00
Plan Check .Total 160.05 .00 .00 160.05
Grand Total 469.05 .00 .00 469.05
i
I
►,JorEp Pool- H14 *-rqt-JE./riL.E WATEP--LIv4F,
001"F-10, PALM,-,-, etc. j"ij6-rr_A-rIotj OOL-(
Wm4 � ie)i 6,4Lj F. - i✓c>cq e (-rc.> 56 5 I✓1-:A
DECK- FoP-TL.E 6--( C
t,c>cA_r6j> AT OF
c0L_0v_Ec> br_00H Fl�l
SKIMMER TYPE
FILL LINE PEBBLE7PLASTER
LIGHTS' POOL
GAS UNE STUBS
LIGHTS SPA
FOUNTAINS/SPRAYHEAD$ ROLLED ED BOND BEAM
BEHIND SPA
,4
DEEP END RAMP
EXTENDED 2nd STEP
LOVESEAT
SPILLWAY TWF "EST. START A
CANTILEVER EST. COMPLETIO
COPING
OTHER
R.B.B. - SEE STEEL
OWNER RESPONSIBILITIES
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DDORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE N0710E THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT MY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
CMIMAIK10 OAnl 01 ANI C"nD-
CONSTRUCTION AUTHORIZATION.
SALES FIELD
DIG
PRE-GUNITE
UNDERGROUND
MASONRY
STONE
A
TI LE
SPECIFICATIONS
BOULDERS
DECK COLOR
JANDY
su (R*
PEBB./PLAS
61 LJ t iF,
SIZE x
TYPE
LO
LO
SURFACE AREA OF POOL 14,
"S Lp
C14
to cy)
K)
'4
PERIMETER
DEPTHS MIN. MAX.
cq rn
,t A
ro
SPFCI
TILE
SPA .111;�TIONS
a.orrv� IL
SIZE X Q. FT.
TILE TYPE
co
SPA DAM WALL WIDn4 x,
WATER
00
C14
NO. OF JETS
TILE TRIM
QUARTER ROUND
X —
< to
c t
LIGHT
R.B.B. TILE
L0
to
70
RAISED SPA AT
d
SPILLWAY TYPE IE
N
04 z
SPECIAL NOTES
Ln C14 En
DECKING
FT-
z
> 00 U
0) W
EXCAVATION
FINISH NL
:3
0
TYPE
0 0
co
.0-
S FROM
EXPANSION JOINTS
C A
OD
ELEVATION eTAQ
1;�4 -01-1)
Lx—: r _j
DEEP END RAMP,
`4"
DEGKk DRAINS �RAIN41
AN
RAN
a_
LOVE SEAT
S
CONCRETE REMOVAL LOADS
CURB CORE
SOD REMOVAL LOADS
STEPS
STEP FACE
TREE REMOVAL BY
IRRIGATION REMOVALBY
11LE BASE
IRRIGATION REPAIRSAND
AND VISQU 4(
6* R.B.B.
RIBBONS
12' R.B.B.
OW mi
IS' R.B.B. ft.
2e R.B.B.
30*
TAN SHELF DEPTH
MASONRY
ROCK POCK
COPING TYPE,
CENTERS
o 0 A mki e%
SKIMMER TYPE
FILL LINE PEBBLE7PLASTER
LIGHTS' POOL
GAS UNE STUBS
LIGHTS SPA
FOUNTAINS/SPRAYHEAD$ ROLLED ED BOND BEAM
BEHIND SPA
,4
DEEP END RAMP
EXTENDED 2nd STEP
LOVESEAT
SPILLWAY TWF "EST. START A
CANTILEVER EST. COMPLETIO
COPING
OTHER
R.B.B. - SEE STEEL
OWNER RESPONSIBILITIES
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DDORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE N0710E THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT MY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
CMIMAIK10 OAnl 01 ANI C"nD-
CONSTRUCTION AUTHORIZATION.
SALES FIELD
DIG
PRE-GUNITE
UNDERGROUND
MASONRY
STONE
A
TI LE
BOULDERS
DECK COLOR
JANDY
su (R*
PEBB./PLAS
SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
PRE -PEBBLE others, unless otherwise noted.
W
0
z
W
(0
W