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05-4266 (RPL)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT LDING PERMIT r -- Application Number: OS -000-042666 U a Property Address: 54485 EAST RESIDENCE CLUB DR APN: 775-390_999-28 -31627 - (1�n Application description: POOL - RESIDENTIAL u /� Property Zoning: MEDIUM DENSITY RES Application valuation: 10000 v Applicant: Architect or Engineer: ------------------- 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 Licensg. is in full force and effect. License Class: 3 License No.: % IT -(a L2 Tr (�ir Z/�. te: '(-n.6 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 permitto 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).: (_) 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 ownei 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.). ( 1 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: 9/21/05 Owner: NADADOR, LLC 78120 CALLE ESTADO, SUITE 203 A QUINTA, CA 92253 Ones Contractor: Tr'4 CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1.050510 01/01/06 CSLB: 656128 10/31/06 ----------------------------------------------— 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. JC: 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 CB C27 C29 C53 • Policy 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. ^7� Cat e• 'C ` dV—Applican� 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. 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 application and state that the above information is correct. I agree to comply with'all city and county ordinances and state laws relating to buildinconstruction, and hereby, authorize representatives ofd, bis county to enter upon the above-mentioned grope for inspection purposes. , Date: LZ Signature (Applicant or AgentL, — Application Number ... . . . 05-00004266 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation 10000 Expiration Date 3/20/06 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 72.00 Permit. . ... MECH POOL Additional desc .. Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/20/06 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 _ 3/20/06 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 . . . . • 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation 0 Expiration Date 3/20/06 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 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------=------------------------------------------------------------------ Special Notes and Comments SPA ONLY. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number 05-00004266 Special Notes and Comments PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 213.00 .00 .00 213.00 Plan Check Total 100.05 .00 .00 100.05 Grand Total 313.05 .00 .00 313.05 Bin.# City ot La quinta Date of ptyznit issue Building 8r Safety Division School Fees P.O. Box ]504, 78-495 Calle Tampico Permit # to CA 92253 - (760) 777-7012 .Quinta, Building Permit Application and Tracking. Sheet Project Address: �t : �p - Club Owner's Namd: ?C -);s- w e k-- A. P. Number: a Address: Legal Description: City, ST, Zip: Contractor: 6aL • POOLS &QRS Telephone: f{ Address: C) 19®%; 1 IO Project Description: City, ST, Zip: 6ca ed Lfl CA IR 1 30 i .ti l Tel hone:e <s t ? <i,•.: ;: w { .. h • 4 State Lie. # City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: _ _. 1 ., s. Construction Type:Occupancy: f{; ��_ .ry V.- Lie. #: . �r°'• ' �, Project type (circle one): Ne Add'n Alter Repair Demo State {., „:>� ;:�: s�::.•k�3:.. ,.%'o:: n... Name of Contact Person: D• �' Sq. Ft.: #Stories: T#_Units:- Telephone # of Contact Person: 2��1�.��� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan SetsPlan Check submitted item Amount Structural Calcs.Reviewed, ready for corrections Plan- Check Deposit Truss Calcs. Called Contact Person Plan Check Balance - Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for correctionsliissue Electrical Subcontactor List Called Contact.Person Plumbing Grant Deed Plans picked up S.M.I. Gradine E:- Review, ready for corrections/issue Developer Impact Fee Approval Called Contact Person A.Y.P.P. EPub. , Appr Date of ptyznit issue School Fees To.tai Perm it- ees Km r'IRF- PIT AT + 121i WITH STSwF_ rA4P_ AD CAPaTHF_Ri� - A7 4 r ..EiTS _ 5X 40THSI"S :&'FA A I °. w,: M X — MAX. SALES SPECIFICATIONS DIG TYPE SIZE SURFACE AREA OF POOL PERIMETER DEPTHS MIN. R.B.B. FACING SPA SPECIFICATIONS TILE MASONRY SIZE X SQ. FT. TILE TYPE SPILLWAY TYPE SIZE SPA DAM WALL WIDTH WATER UNE _ PLUMBING NO. OF JETS TILE TRIM STEPS LIGHT QUARTER ROUND _ R.B.B. TILE RAISED SPA AT SIZE SPILLWAY TYPE SPECIAL NOTES DECKING POOL PUMP SIZE SO. FT_ EXCAVATION / STEEL TYPE FINISH RETAINING WALLS ACCESS FROM EXPANSION JOINTS SIZE ELEVATION CANTILEVER DEEP END RAMP DECK DRAINS _ SIZE LOVE SEAT DECCO DRAIN _ CONCRETE REMOVAL LOADS CURB CORE SOD REMOVAL LOADS STEPS HEATER TREE REMOVAL BY STEP FACE IRRIGATION REMOVAL By TILE BASE IRRIGATION REPAIR SAND AND VISQUEEN 6' R.B.B. ft RIBBONS 12' R.B.B. ft MOW STRIP 16' R.B.B. ft. ADD'L OUTLETS 24' R.B.B. ft 30' R.B.B. ft SKIMMER TYPE TAN SHELF DEPTH MASONRY ROCK POCKETS X — MAX. 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 DOORS 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 NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY 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. SIGNATURES) DATE SWIMMING POOL PLAN FOR: NAME RESIDENCE CLUB LOT 28 STREET 5-V- V65 E. i c.wlb 'Dc , JOB ADDRESS R9SIb5N,-CLll !t3 L W t<J RST ICITY u I F l -r PHONE OFFICE RES LOT 28 TRACT PAGE BOOK MAP BOOK PAGE N0. ICITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE DATE DRAWN BY SOLD BY CHECKED BY 1/8"=1' 01-21-J 5 �4c 1 SC40TT JOB# REVISIONS DATE LIT to N N I Nco CSI C) d o U � n -1 x'00 -j N W U Q N Q I� w 0 N O d N Z Lo NW In 00 w .� 0) U J O C) 4 cD U to v 00 CL ?Il_ -- I N 3 �-- 4 01 J 5 m SELECTIONS CONSTRUCTION AUTHORIZATION STONE U w SALES FIELD DIG COPING TYPE CENTERS R.B.B. FACING MASONRY SPILLWAY TYPE SIZE PLUMBING STEPS PROP. EXT. WALLS FILTER SIZE PLANTER WALL POOL PUMP SIZE RETAINING WALLS BOOSTER PUMP SIZE EQUIP. WALLS ADVL PUMP SIZE FIREPIT ADVL PUMP SIZE HEATER SIZE TIME CLOCK SUB PANEL ADD'L OUTLETS SKIMMER TYPE FILL LINE PEBBLE PLASTER POOL GAS UNE STUBS LIGHTS SPA LIGHTS FOUNTAINS/SPRAYHEADS ROLLED BOND BEAM SHEER DESC BEHIND SPA EYEBALLS LIGHTS IN POOL IN SPA -- STUB SET EQUIPMENT FENCING MISC. FENCE TYPE PLUMBING SIZE HEIGHT GATE GUNITE GATE REVERSAL DEEP END RAMP REMOVE & REHANG EXTENDED 2nd STEP LOVESEAT - --- SPILLWAY I EST. START CANTILEVER EST. COMPLETION COPING OTHER R.B.B. - SEE STEEL 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 DOORS 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 NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY 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. SIGNATURES) DATE SWIMMING POOL PLAN FOR: NAME RESIDENCE CLUB LOT 28 STREET 5-V- V65 E. i c.wlb 'Dc , JOB ADDRESS R9SIb5N,-CLll !t3 L W t<J RST ICITY u I F l -r PHONE OFFICE RES LOT 28 TRACT PAGE BOOK MAP BOOK PAGE N0. ICITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE DATE DRAWN BY SOLD BY CHECKED BY 1/8"=1' 01-21-J 5 �4c 1 SC40TT JOB# REVISIONS DATE LIT to N N I Nco CSI C) d o U � n -1 x'00 -j N W U Q N Q I� w 0 N O d N Z Lo NW In 00 w .� 0) U J O C) 4 cD U to v 00 CL ?Il_ -- I N 3 �-- 4 01 J 5 m SELECTIONS CONSTRUCTION AUTHORIZATION STONE U w TILE CITY OF LA QUINTA BOULDERS BUILDING & SAFETY DEPT. Z DECK COLOR JZLJ w FOR CON d JANDY PEBB./PLAS w w SIGNATURE r.:ainage - an -irrigation, for- planters .and pots, by DRAINAGE NOTE: others, unless otherwise noted. SALES FIELD DIG PRE-GUNITE UNDERGROUND MASONRY DECK PRE -PEBBLE TILE CITY OF LA QUINTA BOULDERS BUILDING & SAFETY DEPT. Z DECK COLOR JZLJ w FOR CON d JANDY PEBB./PLAS w w SIGNATURE r.:ainage - an -irrigation, for- planters .and pots, by DRAINAGE NOTE: others, unless otherwise noted.