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05-0516 (RPL)i BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . C05-000`005.16 Date, 2/09/05 Property Address . . . . . . 81631 PRISM DR APN: 764 -270 -999 -150 -300232 - Application description . . . POOL - RESIDENTIAL Property Zoning MEDIUM HIGH DENSITY RES Application valuation . . . . 8000 Owner Contractor -------=- - - =--- ------------------------ SHEA LA Q I CALIFORNIA POOLS & SPAS C/O JEFF C EEN P.O. BOX 1280 8800 N GA RN 350 COACHELLA CA 92236 SCOTTSDAL a C CA AZ 85258" (760) 398-9222 WCC: SEABRIGHT INS m c o WC: BB1050510 01/01/06 D CSLB: 656128 10/31/06 -- - - - - - - CCC: C8 -C27 -C29-053 = - - - - - - -- --- ----- Permit . . . . . . BLDG ---------------------------- POOL PERMIT - --------------- Additional desc Permit Fee . . . . 99.00 Plan Check Fee 64.35. Issue Date . . . . Valuation 8000 Qty Unit.Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU • - - - - - - - - - - - - - BLDG -2,001-25,000 54.00 --- - - - - - - - - - - - - - - - j 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 P.O. BOX 1504 • �� VOICE (760) 777-7012 7H-495 CALLS O FAX (760) 777-7011 LA QUINTA, CALLIFORIFOR NIA 9225344 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O S�.J/(� -�✓r' �O� Applicant: I Architect or Engineer: Date: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION ode, a I de, and Licepse is,nsf(]pforce and effect. affirm under penalty of perjury that I am licensed under provisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals License Class L,-7— i ens No. De Z �� o 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, prioi 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 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.). 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. I have and will mai Iain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is My w ers' compensation insurance carder a li y number a�e- arner Policy Number._ �� U f ape I certify that, int the performance of the work for permit is issued, I shall not ploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree at, if I sh forthwith comply with those provisions. V Id become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall OZe- �l0S WARNING: FAILURE TO SECURE WORKERS' COWEN,4AI'ION 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 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 vo' ' ork 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 i orrect. agree t mply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ter up the ab ve- ntioned property for inspection purposes. aLi to U Signature (Applicant or Agent): n Page 2 Application Number . . . . . 05-00000516 Date 2/09/05 Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue,Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00. 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 . 1.00 ---------------------------------------------------------------------------- 3.0.000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments SPA ONLY. (WATER FEATURE)ALARMS/BARRIERS SHALL BE IN-PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ------------ Charged Paid Credited = Due Permit Fee ---- ---------- ---------- ---------- Total 195.00 .00 .00 ---------- 195.00 Plan Check Total 88.35 .00 .00 88.35 Grand Total 283.35 .00 .00 283.35 n ul to N M O, N N � Of � M d o U "¢ v m N X T 'n TILF a to p N O ,d, N Z Lo N W 01 N E�oJLUEF_ WA-rERFEATvE-1* Wlf*r4w a 0) U 1� 3 gASr�1� L4 SPILL[.J A`i'S AIJP 0 U AIJD UPL :GST IU SPA g�1CN 0 I r S 2 L.J;--TS P5OT N L_ 35 r ' +a ►1 1 O l • ,�.. � ,-h �JArtJRaLi-T1►�(s►-I cost DEGlc1�Gj , SIT ,Aj-. D SPItJ Af f If5I' wllr -A �. k __ ~ __ , 3' 3 w 4 U _s,.'� W I TF4 %c1' 6ALIF I F E D Lis E / ' �_ Lor-1G GAP, STca�.Iit VEt�l��i� w�v �, v.1� ^ ' 1 AI.I p PjcOL-c) E e- P E'i'A I L- e ��tS,> �'i `. �I � 1.`i DT �. L_l AT �Rf SAT LJ RQ w' TO RLJU DURI U SpA I"1ODQ E5ARE�GLJ-E STA ,, I �c::� -- f�� 1 Q V t 'i1ILE t-IATRLI►JE /EX►ST1�U 0A-i JZA.L• GGrJr~� E r h , f f Ii f 4 -- - O Ls _ O I ' f i 1 f � 0 ----- \ u _ ��•I. 1 1 r f p A O _,�- ^-+ I {{ j( _` i- i L^�I I �, �C I �a� ! 1-f G� lel A L L Ir tl _j' • l � f i j � . TIES I� f EX16fltJLj WALL j ` I A►JE> 61ATE _J1, y 1 t III 0 `\1I� II 1 J GIn MR Ole - - - o f' I �. W CONSTRUCTION AUTHORIZATION W S11I.1:S f=f1:1 1) I YKf:-GI'Nfl'I_ z t 'N Dl--RGR0VNll 0 NIAS()NR)' ...j I)I:CK NhI:-I'('I�t31 1. I fI /�� jj� j �^ SPECIFICATIONS TYPE La U 4--1 I T-C� SIZE - ---- X SURFACE AREA OF POOL ._._- PERIMETER DEPTHS MSN MAX 4- �- SPA �PECIEICATlONE TILE SIZE X so FT TILE TYPE ��'2 A M l �.•� SPA DAM WAL00 09 fL CENTERS 44 L 4MD1F1 WATER UNE NO of JETS TILE TRIM LIGHT ouARTER ROUND RAISED SPA AT R 8 8 ✓SPllt-WA -TYRE_ V �- �'� SPECIAL NOTES NOTES - - � PECKING �� EXCAVAT�'TEEL S0' � FINISH AccEss FROM �f+�• i}�•.1 EXPANSION JOINS �{,.,,•`' �- CANTN_EVER ELEVATION -j � DEEP END RAM° - DECK DRAINS � LOVE SEAT DECCO DRAIN CONCRETE REMOVAL LOADS CURB CORE SOD REMOVAL �'�•r LOADS STEPS TREE REMOVAL BY STEP TACE IRD1GAnON REMOVAL TILE BASE s IRRIGATION REPAIR SAND AND VISQUEEN 6" R 8 B RIBBONS 12" RBB - -- AtOW STRIA 18" R 8 B � --- 24"RBB 30" RBB •�"' R TAN SHELF DEPTH MASONRY ROCK POCKETS COPING TYPE R 8 8 FACING t SPILLWAY TYPE �E PLUMBING ��-- �4+ s�Ps FILTER C-'�� g� �� ti+•+ PROP EXT WALLS �� PWITER WALL - POOL PUMP RETAINING WALLS i+'r BOOSTER PDM° S2E EQUIP WALLS AOO•L PUMP SIZE FlREPIT ADD'L PUMP -� SIZE � HEATER �� TIME aoacC-Sn�S�,�1G.,�, �*� �'_.,�._ SUB PANEL ADD1 OU SKfMVER TYPE Flu. LINE PEBBLE PLASTER CAS LINE STUBS UGHTS POOL LIGHTS SPA FCUNTAINS/SPRAYHEADS ROLLED BOND BEAM SHEER DESCENTS BEHIND SPA EYEBALLS LIGHTS IN POOL `•-'�' IN SPA STUB SET EWtpME*IT � � (JG MISC -�— �� PLUMBING SIZEOtt r ` �.. HEIGHT GATE GUNITE GATE REVERSAL DEEP END RAMP REMOVE EXTENDED 2nd STEP IOVESEAT SPILLWAY TYP��'�'� EST START F cA�+ntFVER S EST connr�t.,mea CODING -� OTHER RBB -SEE STEEL `! OWNER t ILI OWNER TO (1) DE'EFM+>vE THE AP�ROXiMATE ELEVATION OF POOL � SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EOUIPMtNT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERM'T (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN GAYS 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 tlr THE ACCESS AREA (S) SEE THAT ALL FENCING GAZES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLAS'ER INSPECTION (6) FILL POOL IMMEDIATELY AFTER PLASTER (FOLLOW NVSTRUCnCN3 -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT TN'S DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY USE YMIHOU7 WRITTEN PERMISSION OF CALIFORNIA POOLS, INC, IS PROHIBITED 8Y LAW OWNER APPROVES PLAN. POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPON518'l1nE5 AND NOTICES ABOVE SIGNATURE(S) ATE SWIMMING POOL PLAN FOR NAM � r�L.OUNT RESIDENCE JOB ADDRESS Q -,Y CITYL•A INTA PHONE OFFICE RES �p'7- ��- l:'S•'�ta LOT �rjQ TRACT PAGE BOOK MAP BOOK PAGE NO CITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO ' SCALE �DAT�w�� DRAWN BY SOLD ,�Y CHECKED BY JOB# REVISIONS DATE 1 c�T�r of � Qu�NTA 2 P�ou� �� 3 FOR CONSTRUCTION 5 SELECTIONS STONE TILE �V BOULDERS DECK COLOR �.�� J�� t,,,._ JAN DY ��•'�--{� PEBB /PEAS SIGNATURE i I Drcl^c5: a^l ,.Y,gatian `c- p'cn`.ers c^d pc's, DRAINAGE NOTE o}kers unless otherv.Ise no+ed ul to N M O, N N � Of � M d o U "¢ v m N X T 'n TILF a to p N O ,d, N Z Lo N W 01 N E�oJLUEF_ WA-rERFEATvE-1* Wlf*r4w a 0) U 1� 3 gASr�1� L4 SPILL[.J A`i'S AIJP 0 U AIJD UPL :GST IU SPA g�1CN 0 I r S 2 L.J;--TS P5OT N L_ 35 r ' +a ►1 1 O l • ,�.. � ,-h �JArtJRaLi-T1►�(s►-I cost DEGlc1�Gj , SIT ,Aj-. D SPItJ Af f If5I' wllr -A �. k __ ~ __ , 3' 3 w 4 U _s,.'� W I TF4 %c1' 6ALIF I F E D Lis E / ' �_ Lor-1G GAP, STca�.Iit VEt�l��i� w�v �, v.1� ^ ' 1 AI.I p PjcOL-c) E e- P E'i'A I L- e ��tS,> �'i `. �I � 1.`i DT �. L_l AT �Rf SAT LJ RQ w' TO RLJU DURI U SpA I"1ODQ E5ARE�GLJ-E STA ,, I �c::� -- f�� 1 Q V t 'i1ILE t-IATRLI►JE /EX►ST1�U 0A-i JZA.L• GGrJr~� E r h , f f Ii f 4 -- - O Ls _ O I ' f i 1 f � 0 ----- \ u _ ��•I. 1 1 r f p A O _,�- ^-+ I {{ j( _` i- i L^�I I �, �C I �a� ! 1-f G� lel A L L Ir tl _j' • l � f i j � . TIES I� f EX16fltJLj WALL j ` I A►JE> 61ATE _J1, y 1 t III 0 `\1I� II 1 J GIn MR Ole - - - o f' I �. W CONSTRUCTION AUTHORIZATION W S11I.1:S f=f1:1 1) I YKf:-GI'Nfl'I_ z t 'N Dl--RGR0VNll 0 NIAS()NR)' ...j I)I:CK NhI:-I'('I�t31 1. I fI /�� jj� j �^ SPECIFICATIONS TYPE La U 4--1 I T-C� SIZE - ---- X SURFACE AREA OF POOL ._._- PERIMETER DEPTHS MSN MAX 4- �- SPA �PECIEICATlONE TILE SIZE X so FT TILE TYPE ��'2 A M l �.•� SPA DAM WAL00 09 fL CENTERS 44 L 4MD1F1 WATER UNE NO of JETS TILE TRIM LIGHT ouARTER ROUND RAISED SPA AT R 8 8 ✓SPllt-WA -TYRE_ V �- �'� SPECIAL NOTES NOTES - - � PECKING �� EXCAVAT�'TEEL S0' � FINISH AccEss FROM �f+�• i}�•.1 EXPANSION JOINS �{,.,,•`' �- CANTN_EVER ELEVATION -j � DEEP END RAM° - DECK DRAINS � LOVE SEAT DECCO DRAIN CONCRETE REMOVAL LOADS CURB CORE SOD REMOVAL �'�•r LOADS STEPS TREE REMOVAL BY STEP TACE IRD1GAnON REMOVAL TILE BASE s IRRIGATION REPAIR SAND AND VISQUEEN 6" R 8 B RIBBONS 12" RBB - -- AtOW STRIA 18" R 8 B � --- 24"RBB 30" RBB •�"' R TAN SHELF DEPTH MASONRY ROCK POCKETS COPING TYPE R 8 8 FACING t SPILLWAY TYPE �E PLUMBING ��-- �4+ s�Ps FILTER C-'�� g� �� ti+•+ PROP EXT WALLS �� PWITER WALL - POOL PUMP RETAINING WALLS i+'r BOOSTER PDM° S2E EQUIP WALLS AOO•L PUMP SIZE FlREPIT ADD'L PUMP -� SIZE � HEATER �� TIME aoacC-Sn�S�,�1G.,�, �*� �'_.,�._ SUB PANEL ADD1 OU SKfMVER TYPE Flu. LINE PEBBLE PLASTER CAS LINE STUBS UGHTS POOL LIGHTS SPA FCUNTAINS/SPRAYHEADS ROLLED BOND BEAM SHEER DESCENTS BEHIND SPA EYEBALLS LIGHTS IN POOL `•-'�' IN SPA STUB SET EWtpME*IT � � (JG MISC -�— �� PLUMBING SIZEOtt r ` �.. HEIGHT GATE GUNITE GATE REVERSAL DEEP END RAMP REMOVE EXTENDED 2nd STEP IOVESEAT SPILLWAY TYP��'�'� EST START F cA�+ntFVER S EST connr�t.,mea CODING -� OTHER RBB -SEE STEEL `! OWNER t ILI OWNER TO (1) DE'EFM+>vE THE AP�ROXiMATE ELEVATION OF POOL � SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EOUIPMtNT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERM'T (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN GAYS 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 tlr THE ACCESS AREA (S) SEE THAT ALL FENCING GAZES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLAS'ER INSPECTION (6) FILL POOL IMMEDIATELY AFTER PLASTER (FOLLOW NVSTRUCnCN3 -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT TN'S DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY USE YMIHOU7 WRITTEN PERMISSION OF CALIFORNIA POOLS, INC, IS PROHIBITED 8Y LAW OWNER APPROVES PLAN. POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPON518'l1nE5 AND NOTICES ABOVE SIGNATURE(S) ATE SWIMMING POOL PLAN FOR NAM � r�L.OUNT RESIDENCE JOB ADDRESS Q -,Y CITYL•A INTA PHONE OFFICE RES �p'7- ��- l:'S•'�ta LOT �rjQ TRACT PAGE BOOK MAP BOOK PAGE NO CITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO ' SCALE �DAT�w�� DRAWN BY SOLD ,�Y CHECKED BY JOB# REVISIONS DATE 1 c�T�r of � Qu�NTA 2 P�ou� �� 3 FOR CONSTRUCTION 5 SELECTIONS STONE TILE �V BOULDERS DECK COLOR �.�� J�� t,,,._ JAN DY ��•'�--{� PEBB /PEAS SIGNATURE i I Drcl^c5: a^l ,.Y,gatian `c- p'cn`.ers c^d pc's, DRAINAGE NOTE o}kers unless