04-7704 (RPL)/ !\ BUILDING & SAFETY DEPARTMENT
P. ox 1504 (760).777-7012
�T8-495, GA, LL E+TA PIC�o, FAX (760) 777-7011
L TA; CALLFORN_LA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT ,
Application -Number
04 =0°06077`04 * Date
12/09/04
Property Address . . . .
. .78217 RED HAWK LN
APN:
658-140-999-34 -29436
Application -description ..
POOL = RES.IDENTIAL
Property Zoning
LOW DENSITY RESIDENTIAL
Application valuation . .
. 17000
Owner
Contractor
IVANHOE LA QUINTA COVE.
CALIFORNIA POOLS & SPAS
C/O R BARRY MCCOMIC.
P.O. BOX 1280
7979 IVANHOE AVE STE 550
COACHELLA CA
92236
LA JOLLA.* CA 92037.
(760) 398-9222
WCC: STATE FUND
WC: 04600061168
.01/01/05
CSLB: 656128
10/31/06
CCC: C8 -C27 -C29-053
Permit BLDG
POOL PERMIT
Additional desc .
Permit Fee . . . . 180.00
Plan Check Fee
117.00.
Issue Date . . .
Valuation . . . .
17000
Qty Unit Charge Per
Extension
BASE FEE
45.00
15.00 9.0000 THOU
BLDG 2,001725,000
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
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date ..
Valuation
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 EA
---------------------------.-------------------------------------------------
ELEC PRIVATE SWIMMING POOL
30.00
Permit . . . . . PLUMBING
Additional desc
'1
P.O. BOX 1504 91?4 4 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
VOICE (760)777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: ®q - 7"R) q
Applicant: I Architect or Engineer: Date:
Applicant's Mailing Address:
Architect or Engineer's Address:
N /P
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm unclar 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.
cense Class cense No.
/ISate eC-6ntractor
OWNER -BUILDER DECLARATION
I hereby affirm undar 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 cr 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 dvil 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 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 .) an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contracbrs' 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
-4oft' work for which this permit is issued.
1 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 in�nce carrier and policy number are:
amer olicy 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 3700 of the Labor Code, I shall
forthwith comply with those provisions.
,,Date / Applicant
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.
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 LA
APPLICANTIMPORTANT Application is hereby made to the Director of Building and Sa Safety ACKNOWLEDGEMENT
o apermit ubject 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 Es a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity 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 160 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
1 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, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
ate gnature (Applicant or Agent):
Page 2
Application Number 04-00007704
Date 12/09/04
Permit Fee 33.00 Plan Check Fee
8.25
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 AT .
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited
Due
Permit Fee Total 282.00 .00 .00
282.00
Plan Check Total 142.50 ..00 .00
142-.50
Grand Total 424.50 .00 .00
424.50
,i
I'4
a
SURFACE AREA OF POOL { t
rn _
,
PERIMETER MAX
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air
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s
S
i
SPECIFICATIONS
TYPE WE x tN
SURFACE AREA OF POOL { t
rn _
PERIMETER MAX
k
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a -�
SPA SPECIFICATIONS
TILE
'StA .. x 'v SO FT
TILE Tfrr
SPA DAN WALL WD!H
WATER UNE
TPIN +
N0. #JETS _
r
TEE
QUARTER ROUND ND
zt,a y� to
to
LICILT .- ., ._ _. �..
,t #,
RBB.
C)
RAISED SPA AT
SPILLWAY TYPE
—t N z
so
SPECIAL MOTES
cn to
Q C, j
DECKING 10
EL
EXCAVA11ON S
, , S
g o
TYPE a
M MSON JOINTS .-
- v
ACCESS FROM
ri �
CANTA.EVER r, �'�t^.+
00-
_
AMON
*A
DECK ORAINS �� v'� {Sir �
a
DEEPEND RAMP
LOVE SEAT " "
'IDECCO MAN
"- - -
CONCRETE REMOVAL ------ — LOADS
CUPS CORE
SOD REMOVAL .... LOADS
SYEPS -. �..
TREE REMOVAL BY ""
STEP FACE
fR�iICATION REMOVAL BY'
....
'OLE BASE
iR%ATKNi REPAIR — -
SAND AND VASQUEEN
6' R.B 8
RtR9ONS~
«•-
Z2" R -B IL �..- fL
_ _
WOW SmP
WRBB_, fk
3O' R B 8
TAN sHf DEPTH
MASONRY
ROCK POCKETS
COPW. TYPE
CENTERS
R B B. FACING
S°'LLWAY TYPE '"iis.i'e SZE
STEPS
PLUMBING
FILTER �� SIZE
PROP EXT. WAU S — '
�
__
POOLPUMP SZE
pUp� MAIL
._{._.
RETAINING WALLS
BOOSTER PUMP 'SIZE v-
MUM 'WALLS "� M
ADD'L PUMP SIZE
fiREPt'.
AWL PLUP WE
HEATER
TIME QDac
SUB PANEL
ADD'L OUTLLiS .-.-
V'Kt. arm
SXIMMER TYPE
PEBBLE; PLASTER a
FILL LME_1�v'�?
GAS UNE M i STUB5 '�"�
LIGHTS POOL
LIGHTS SPA
fOUMTAINS/SPRAYNEADS '"'
ROLLED BOND BEAN ••—•
-`
ONO SPA
SEER DESCFHIS
4-50CIN1 VIS
EYEBALLS ...
LIGHTS IN POOL. SPA
FENCING
STUB SET Ewpum
MISC. """"-
#
f !"ICE
PLUMBING SZE -..----.
HEIGHT
CATE
GUNI T E
CATE REVERSAL,
DEEP END RAMP
REMOVE & REHANG —
EM*DED 2nd STEP
LOVESEATSPILLWAY .._..
Typj` w
EST START
q tb j t f
ERT. COMPLETION
CA`:7' �f7T11
OTHER
COPING "'
R Ls B — SEE STEEL _
OWNER,u L=
OWN£R TO- (T) Df.`TEPVIW THE APPROxMATE £LEVATKIM OF POOL OR SPA AT LAYOVY 04 DAY OF Er-AVATICN
(2) TAPE NOTICE THAT POOL AND EGU HENT LMATIONS ARE "XCT TO ACCEPTANCE OF
LOCAL BU ;DING DEPAPTIMENT AT WE Or MANCE OF PERMI
(3) WET DOW COWCRETE SHELL AT LEAST TWOS DAILY FOR SEVEN DAYS AFTER 9 -TU IS YVSTALLEO
(4) AGREE THAT CALIFORNIA PM -5 IS NOT SLE FOR UND£RGR(II:!'R? COWMNS OR OBJECTS.
AND ANY DAMAGE TQ CUPBS. S'"ALKS, DR`VEWAYS, LAWNS. OR OTHER ITEMS IN 1K ACCESS AREA
(5) SEE THAT ALL MNCINC, CATES, AND CARAGE DOORS MM LOCAL CODS FM A POOL ENCLOS}JRE
�
PRIOR TO PREPLASIfR 0SPEC-ON
(6) FILL POOL I s%WATELY AF TER PLASTER (FOLLOW INSTRLJC m -- DO NOT USE RUBBER HOSE)
(7) TAKE NMCE THAT M DRAW49 IS T'aE SOLE PROPERTY OF CAUFOPNiA POOLS AM THAT ANY
USE WiHWT WR+TTEN PERL"`SIGN OF CALIF9P*'MA POOLS, M IS PR 'TED BY LAW
OWNER APPROVES PLA►+ POOL, AND E0- PMENT LOCATOVS AND HAS READ THE RESPONv'SIM11£S AND NOTICES ABOVE
O
P
ATE
SM74ATURE(S}
SWIMMING POOL PLAN FOR:
p"`�
NAMEL IN Eta D o,J
STREET - z
JOB ADDRESS � t � CITY
PHONE OFFICE RES
LOT TRACT PAGE C350K
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE
DATE
DRAWN 8Y
SOLO BY
CHECKED BY
9- 21
j"# W
REVISIONS DATE
L OF LA
ILDIN� SAF
AP OV
Q IN -1-1
DEP' o
D
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3
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FOR STRU
Y
ON
-
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SELECTIONS
cc
CONSTRUCTION AUTHORIZATIONSTONE - -
-
51�7.i?; I �I:I,T1 TILE F $30
BOULDERS _ ���
G —�E��D iF THE Af'PROV "
kill
Dt ,
DECK COLOR LAMS AND 10B CARD
PR1 ~-GtT,ti'I'I7? SIT E
itti'T�7►►I:RGR(�[T�' DANDY -FILE
} PEBB./PLAS SPEC E°�c� �'iIONSI
MASONRY
SIGNATURE C
1'lzI:- i �AiNA E NOTE. C -c rcc Gird Ir' ,g tlon 4G. Cnd -pot S, by
I'll' I others, unless otherwise
noted
Al