05-5318 (BLCK)Yt,,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t�v 4 4 Q"
Application Number:05-00005318
Property Address:
544-85—EAST-RES'IDENCE CLUB DR
APN:
775-390-999-28 -31627 -
Application description:
WALL/FENCE
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
272
Applicant:
Architect or Engineer:
0/P
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
NADADOR, LLC
78120 CALLE ESTADO,
CA 92253
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.
Licens Class: C8 C27 C29 License No.: 656128
Date: �"7 ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury tA 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 ($500).:
1 _ 1 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 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, 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.).
( ) 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
SUITE 203
A POOLS & SPAS
1280
CA 92236
9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/05/05
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
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.
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 SEA.BRIGHT 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 bor Code, I shall forthwith comply with those provisions.
.Pale: pplicant:
WARNING: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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'SFEES.
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 theapplicant, 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 building nstruction, and hereby authorize representatives
Zof t is county to enter up n the above-mentioned property f tion purposes.
at '��ignature (Applicant or Agent):
LQPERMIT
Application Number 05-00005318 .
Permit . . . . WALL/FENCE
PERMIT
Additional desc
Permit Fee 15.00
Plan Check
Fee
.00
Issue Date
Valuation
272
.Expiration Date 6/03/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
--=-----=-------------------------------------------------------------------
Special Notes and Comments
17 L.F. 4' EQUIPMENT WALL, CITY
STANDARD
Fee summary Charged'
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total 15.00
.00
.00
15.00
Plan Check Total 00
.0.0
.00
.00
Grand Total 15.00
.00
00
15.00
---- .,.._------ _.,
GAS SHUTOFF
VALVE GRAVEL
LOCATED GAS LOG SAND. WATER PROOF
SE
WITHIN 36° LIGHTER MEMBRANE
OF UNIT
(TYP.) STONE CAP
3-U2' #4 TIE STEEL
• #4 BAR VERT. AT 32" O.C.
8x8x8 CMU; SOLID GROUT
F.S. F.S.
L3"
CLR
METAL GAS RISER GRAVEL SUMP
2" DRAIN OR PROVIDE 12" DIAM. 3 CU. FT.
OPENING IN FOOTING CRUSHED ROCK
7A OUTDOOR FIRE RING „ STONE CAP
I/2 -I -0 ,
#4 TIE
STEEL AT 36" DIAM.
TOP COURSE
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MAP BOOK PAGE NO. CITY
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SCALE
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DATE
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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 RESPONSIBIUTIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
SPECIFICATIONS
STREET Gov lz�v_%Jc.
JOB ADDRESS(zE51b N �: CLll � (t P, W T CITY L c�?U I HIT'
TYPE J r..3 a
SIZE X
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
SURFACE AREA OF POOL
SCALE
1 /8"_l'
DATE
9-21-0 S
DRAWN BY
NG {
PERIMETER
DEPTHS MIN. MAX.
JCB#7q
SPAS
TILE
ISP%CJ�FIC SO. FT. `�� ��,
�
1111E TYPE
0FLA01 uu
SPA DAM WALL WIDTH I.ynL
WATER LINE 1>
APL x 6AFr7, DEPT
NO. OF JETS 4
TILE TRIM
I -O4 CONSTRUCTIO N
117 ��
QUARTER ROUND
BY.�
LIGHT
R.B.B. 311 F ' -
RAISED SPA AT
SPILLWAY TYPE
SPECIAL NOTES
DECKING
EXCAVATIO / STEEL
SQ' FT
TYPE
ACCESS FROM ���`
EXPANSION JOINTS
�^+ h
CANTILEVER
ELEVATION
DEEP END RAMP�
DECK DRAINS
LOVE SEAT _Y P
DECCO DRAIN
CONCRETE REMOVAL LOADS
CURB CORE
SOD REMOVAL LOADS
STEPS
TREE REMOVAL BY
STEP FACE
IRRIGATION REMOVAL "�
TILE BASE
IRRIGATION REPAIR "'
SAND AND VISQUEEN
61 R.B.B. ''
RIBBONS
12' R.B.B. ft
MOW STRIP
18' R.B.B. 'R
--^
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24' R.B.B.
to
ft
30' R.B.B.
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ADD'L OU1LETS
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FILL LINE
PEBBLE PLASTER
LIGHTS POOL
GAS UNE f��LG°S1UBSI L
LIGHTS SPA 1 -Tr
FOUNTAINS/SPRAYHEADS
ROLLED BOND BEAM '
SHEER DESCENTSr
BEHIND SPA
EYEBALLS
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LIGHTS IN POOL IN SPA
FENCING
--
STUB SET EQUIPMENT S
MISC. "'r
_
PLUMBING SIZE
tIITYPE
FENCE
GATE
GUNITE
GATE REVERSAL
DEEP END RAMP
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SPILLWAY TYPF
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rpe"
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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 RESPONSIBIUTIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
SELECTIONS
CONSTRUCTION AUTHORIZATION STONE
SALES FIELD TILE
DIG BOULDERS
DECK COLOR
PRE—GUNITE
UNDERGROUND JANDY
MASONRY PEBB./PLAS
DECK - SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
PRE—PEBBLE others, unless otherwise noted.
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PHONE OFFICE RES
LOT 28 TRACT PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE
1 /8"_l'
DATE
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REVISIONSDATE
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CONSTRUCTION AUTHORIZATION STONE
SALES FIELD TILE
DIG BOULDERS
DECK COLOR
PRE—GUNITE
UNDERGROUND JANDY
MASONRY PEBB./PLAS
DECK - SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
PRE—PEBBLE others, unless otherwise noted.
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Bin #
City of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 1t37[/_ Vg�5 6.. �es1 Glv�
Owner's
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor..........r
Telephone:
=
V. - ."
Address: 20R)ox2_'90
Project Description:
City, ST, C, 922 Jr,
C"') C
Telephone:760Z6 D'7Z2 2
:
�c'
State Lic. #_:.(Q
CityLica#: - --
— - _ - - - — - - - - -
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: O`f✓�� Je��
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: 26-0--
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.Reviewed,
ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
i
Total Permit Fees