05-1219 (RPL)_ s .
U � _
BUILDING & SAFETY DEPARTMENT
C� 9w P.O. x 1504
(760).777-7012
OF -49 ALLE TAMPICO FAX (760) 777-7011
CALIFORNIA 92253 INSPECTION REQUESTS (7 60) 777-7153
a'�®D BUILDING PERMIT
Ap, 1 oG Eder 05-00001219W� Date 4/01/05
Prx e dress . . . . . . 54200 WEST RESIDENCE CLUB DR
APN. 775-380-999-5 -31627 -
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . . . MEDIUM DENSITY RES
Application valuation . . . . 12000
Owner Contractor
------------------------ ------------------------
NADADOR, LLC CALIFORNIA POOLS & SPAS
78120 CALLE ESTADO, SUITE 203 P.O. BOX 1280
LA QUINTA CA 92253 COACHELLA CA 92236
(760) 398-9222
WCC: SEABRIGHT INS
/ WC: BB1050510 01/01/06
CSLB:. 656128 10/31/06
CCC: C8 C27 C29 C53
----------------•------------------------------------------------------------
Permit . . . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee 135.00 Plan Check Fee 87.75
Issue Date . . . . Valuation 12000
Qty Unit Charge Per Extension
BASE FEE 45.00
10.00 9.0000 THOU BLDG 2,001-25,000 90.00
----------------------------------------------------------------------------
Permit . . . . . . MECH POOL
Additional desc
Permit Fee . . . 24.00 Plan Check Fe.e . 6.00
Issue Date . . . . Valuation 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.000.0 EA MECH FURNACE <=100K 9.00
----------------------------------------------------------------------------
Permit . . . . . ELEC POOL PERMIT -RES
Additional desc r '
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
Permit Fee . . . . 27.00 Plan Check Fee 6.75
P.O. BOX 1504 •
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 65— 10 -Lig , Date: _5___ 0
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 Lic�n=e� I force and effect.
�Cicense Class [tea ` ticse. /
,,�—fSate J v ontractor /Jl - /
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, 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 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 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.).
U I am exempt under Sec. . BA P.C. for this reason
Date
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 ch t 's permit is issued.
Z&d)j�er
ai rkers' compensation insurance, as re uired by Section 3700 of the Labor Code, for the performance of the work for which this permit is
mpensation ins ance carrier a
arrier icy Number r `L CO
_ I certify ttTat, 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 agre a , I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those ovisionss
C,�
ate r�t�m ica �1
WARNING: FAILURE TO SECURE W RKERS' 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
1 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 Ouinta, 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 " rre I agree to comply with all city and county ordinances and state laws relating to building
construction, a d hereby authorize representatives of this count enter o t e ab ve-mentioned property for inspection purposes.
ate �45� ignature (Applicant or Agent
Page 2
Application Number . . . . . 05-00001219
Date 4/01/05
Issue Date . . . . Valuation . .
. . 01
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, FIRE.PIT (ANSI Z21.58-1995/CGA).
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged' Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 231.00 .00 .00
----------
231.00
Plan Check Total 111.75 .00 .00
111.75
Grand Total 342.75 .00
342.75
x.00
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CONSTRUCTION AUTHORIZATION
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DECK
'RIS-1'1:t3BI_l:
SPE CIFICAT! ONS
TYPE �-z L) N 1 't
SIZE
SURFACE AREA OF POOL--_�.-------..---.__---
PEPIMElEP OEPTHS M!4. _ MAY.
SPA SPECIFICATIONS H2 TILE
SIZE--(Ist'-. X --q—' SC. FT. T1l E TY - E _
__----_—�___---
SPA CAM WALL VV)IT1 ---__ _ WATER LINE_.___ ----.—
NO. C�' XTS -- ----- TSE TRIM --^ - —T _ - - ----^
ucHr aIAR'I ROUND
RAISED S<'A AT ^-- ..._.__—_ _ _ R.9.8. _TIE
SPILLWAY TME -
SPECIAL N07S
---A DECKING,CKIN
EXCAVATION / STEEL--- — i -" — _—
TYPE
ACCESS FROM I EXPAN%*`N JOINTS
EI.EVA?ION—_—_,-- j CAN '_E I' F`
DEEP ENO RAMP 1 ^FCK OPAN.S--------.--_—.--------..__
i ..— -- -- --- - - -
LOVE_ STAT OrC�_C DF;AIti
CONCRETE REMOVAL — LOADS I CURB CORE
SOD REMOVAL t OARS ST%rF-S "' ---_`"---
TREE REMOVAL BY STEW FACE —_
IRRIGATION PFM'TVAt. --- --_- ,- TILE BASE --
9M(',ATIM, J REPAY — - _� SAN:i AND V 70LIF EN
V R.B.B. t R17.21'NS
12' R.B.9. -_ MO'A' STI -IP
18" R.B.B.
24' R.P..P. ---
30'
TAN SHELF DEPTH
YASONry
ROCK POCKETS_.- --_. __.__--.--- CDFINC TME
CENTERS
SPILLWAY TYT'E
PLUMBING STEPS
( P-tr EXT. WAkU.S .`-----------
FiLTCR---------_ -_ Slit -- -- -"_�
PLANT?' WALL
POOL PUMP 532E - ___` _ RTA NM3G +k'At l5
P001i TER PUMP -. SF?E
ADD'. 'UMP __— 9ZF —. -- -- —FjFx P! i -------'------ —_.__--
ADD'I P'.!MP —�_- S!'E —_._._ _ -----___
HvATER --- ---- - SIZEACCI
_ — ---- — - -
-------- ---- ---
SKIMMER Tl^r.PILL LJNC
UNC _.___._�_.._ PEBBLc; PL.t•.STER ___ _---_--___________
UrP'TS POOL
A ---- -- —�.—
UNF _--------. __-- SPU!iS --- _ __ _ —_. iJG+ S SFA
rOUN7A11NS-'SPRAYHEAOS -----_--__.-. ROLLED BO!i0 BEAM-----.-_--_--
SHE2E DESCE:itS.__ _--__._.__.____ BEHIND SPA—.-----------
EYEBAILS
LIG�iTS IN P0,0'1. IN SPA
STUR SET ECu1PurNT .__----._-------__--- FENCING
MISC _._ _ _._-
-'�-- ----- - - - - FENCE TYPE
PLUM9INC 92F — ___._--__----._._----_-----. HEIGHT
DATE
iNITIE i ----
'_'ATE REVFPSAI
Dfi:P E14D RAM? -- _ _-•------------_--.-- {! PEMOVF k REhA.NG _ __._ ___ _-----..._
EYTCN`r0 2.rd STP
LOVFSCA r-
-trn qy *?r---- FST.STAAT
R94 SFF S7E, - -- .— - --- -- -. __
(> i -? T0: i; DFTEPM;NC THE A-PPO)CMATT ELEVATI,^N C POOL OP SPA AT LAYOUT ON DAY OF EX',AVA WIN
i21 TAKE NOTICE THAT POO' AND E01,TMENT LOCATIONS APF SUBJECT, T3 ACCEPTANCE OF
LOCAL FvPLC'I.0 DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
3', A'T CRIWN CON1,'PETF_ SHEL! AT LEAST 70'7- DA'! Y FOP SEVEN DAYS AFTER SH MI5 !NSTA;_t M
iA) AGRFE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOP UNOFRGPOUND CONDITIONS OR OR,.ECTS,
AND ANY DAMAC' TO CUPP-, "4Cf'#ALKS, D-iVEWA.YS, LAW -IS, OR OTHER :'EMS IN THE ACCESS AREA
SCF TI!.AT A i. FT?3('!'S, .^,ATrr, ANO GAPAGf ")MI; MITT LOCAL CbOF_S FOR A POOL. ENCLO'�!I C.
PRIOR TC n,;;-P.STCR {NaF'FCPC+!
CLL PXL II6#V }!ATELY ATTER RAS"T. (FOLLOW IN'_TRUCrONS -- DO NCT USr RUBBER HO'_T)
'7: TAKF 40 iICE THAT TH!S MAWNf IS n4 SOLE PROPERTY Or CAUFORNIA P,"_S AND THAT ANY
USE W.-14011 IhT'ITTFN PEPMISSI'Yi OF CALIrCFTN+A POOLS. !NC. IS PROPiP1 Eto 8Y LAW,
OWNrR APPPOVES PLAN, ('OO(, AND FQI)I VENT LOCATIONS AND HAS PFAU THE RFSPOFIS19,UTIES AND NOTICLS ABOVE,
DAT
T SWIMNG POOL PLAN FOR: T
N4.rar RESIDENCE CLUB LCAT 5 - -_-
_S-IREET Sy -2r0 Nte: ,T Ar-,GlrrtACL eWT%- 'tOy
JOB ADDRESS Rf-�>r 1�3C rF L,j Lq - c6, y -A Ygy!,T-_ TCI i Y_`
PHONE OFFICE —+ _ RES
LGT 5 �Ti.ACT_ F`'AGE ��CK
P�!APBOOK PALL r., __--}-„
MAIL _ADDRESS
CONSTRUCTION
SCALE I DATE DR.A i'N 9y TSOLD E3Y �CHECKt=,D RY
, 1er
y
SE[_ECT110N5
STONE
TILE 11N �` °, _1Y DEP F.
—-BUILD,e�6°� ----
BOULDERS —.. alp ��'"�
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DECK COLOR FOR iD0NST1 RUC1'1ION---
JAN D Y DATE `---QS BY -
PEBBIPLAS
SIGNATURE
DRAINAGE NOTE, Drainage and irrigation for planters ano pots, by
others, unless otherwise noted.
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