05-1220 (RPL)Box 1504
BUILDING & SAFETY DEPARTMENT
5 CALLE TAMPICo s (7 60).777-7012
FAX (760) 777-7011
LA NTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
ppl- ion Number E0_5=0-0-00-1-22-0--� Date 4/01/05
o erty Address . . . . . . 54260 WEST RESIDENCE CLUB DR
APN: 775-380-999-4. -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 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
Permit Fee . . . . 27.00 Plan Check Fee 6.75
P.O. BOX 1504•
VOICE (7 60) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QuINTA, CALIFORNIA 9225344 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: _ OS^ fap p . Date:
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
PIA
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
C e, and my Li T' ja �1 force and effect / �ff
--cense Class
Date ontractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thelollowing 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 1, 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 Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declaraticns:
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�th's permit is issued.
ave will maintainrkers' compensation insurance, as required by Se tion 3700 of the Labor Code, for the performance of the work for which this permit is
i ers'pensation ince carrier}rid i e
ner icil y Number zjG�(J lCa�
I certify that, in the performance o the work, fo 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 agr tha It
should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forth ith comply with those provisions.
(�f 1
--nate
WARNING: FAILURE TO SECURE WORKERS' C�SMPENSATION 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 fora 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 v id 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 i o)ret. 1 agree to comply with all city and county ordinances and state laws relating to building
construction, nd hheereby authorize representatives of tiis county t nter upo ove-mentioned property for inspection purposes.
Date [ �L 63 Signature (Applicant or Agent):
Page 2
Application Number . . . . . 05-00001220
Date 4/01/05
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 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
---------------------------------_---•---------L--------------
-----------------
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 .00
342.75
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POOL PUMP SIZE
TAN sHE1f DEPTH
MASONRY
SPA DAM WALL W'OTf1
WhTEP LINE
ROCK POCK
N0. OF `JETS - ------ '.
TiLE TR?M
_
LICHT
pUARTER ROUND
R.B. H ,
.ill..—..
RAISED SPA AT
HEATER_______ �!ZE
SPILLWAY TYPE S17E
_.
'
SPILLWAY TYPE
y
SPECIAL NOTES
DECKING .
(7) TAVr NQT?CE THAT TV!S LPAi*1-, IS 111E SOLE PROP` -_TY OF CAUFOI-41A POTX.S AND T!AT ANY
U�'F WTHOUT VnITTEN PEWS"_ CC' CAUrOPNA POOL^, INC. IS PIP ''TD BY LA's:
EYT. WALLS
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i
-
FILTER SIZE
EXCAVATION f STEEL
rfPEEYP-
may,
ACCESS FROM
AN JOINTS .
PLANTER WALL
ELEVATION
TION
NAME fESIL CE CLUB �_.C_ � -
I
DEEP ENO RAM? .
DE CK DRAINS
GAS UNE ,__ _. __ _� STUBS
LAVE SEAT
DECCO DRAIN
rouNTAtNSjSPPAYHEADS
A
CONCRETE REMOVAL .: - :-. LOADS
rl
CURa' CCA's
SHEEP
WD REMOVAL LOADS
STEPS
UCHTS IN POOL IN SPA
REMOVAL BY
TREEf
A�
STEP "E
MAIL ADDRESS
.
I?RIGATICN REMOVAL Rv
TILE BASE
MSC.
'
IRRIGATION REPAIR
SAND AND VISDUM
PtuMHINc SEE
6' R.H.H. ft
RIBHONS�
12' A.B.B.MOW
GATE
STR;P
GATE REVERSAL
REVISIONS DATE
DEEP END RAPP
(
�'�`---
R B B
ExTE Im 2m STEP
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30 ' R.H.H. ft
3C,
-
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POOL PUMP SIZE
TAN sHE1f DEPTH
MASONRY
,• �
ta..v. WALLS
ROCK POCK
COPING TYPE
k
_
CENTERS
P.B.B. FACING
i!
HEATER_______ �!ZE
SPILLWAY TYPE S17E
(5) SEE THAT ALL FENQNG, GATES, AN^ CAflACf 04CPS MzfT LOCAL CO^ES FOR A PO^L ENC—[
"RMF CLOCK
STEPS
PLUMBING
SUB PANEL
(7) TAVr NQT?CE THAT TV!S LPAi*1-, IS 111E SOLE PROP` -_TY OF CAUFOI-41A POTX.S AND T!AT ANY
U�'F WTHOUT VnITTEN PEWS"_ CC' CAUrOPNA POOL^, INC. IS PIP ''TD BY LA's:
EYT. WALLS
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ADD L OUn
FILTER SIZE
SKIMMER TYPE
S'GN ATUPE(S) CA LL:
S%1 !'MIN^ POOL PLAN FOR:
PLANTER WALL
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BOOSTER PUMP SIZE
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ACO'L PUMP iE
it!'EFlT
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(5) SEE THAT ALL FENQNG, GATES, AN^ CAflACf 04CPS MzfT LOCAL CO^ES FOR A PO^L ENC—[
"RMF CLOCK
PP*OP TO PR'cPLAS", INSQ'eCTt^di
(e) ELIC POOL tMAA'ri!ATFiY ArTE4 PLAS'!T. (FO(iOW INSTPUC'T yr, -_ DO NOT USE RUAf?TT? HOS
SUB PANEL
(7) TAVr NQT?CE THAT TV!S LPAi*1-, IS 111E SOLE PROP` -_TY OF CAUFOI-41A POTX.S AND T!AT ANY
U�'F WTHOUT VnITTEN PEWS"_ CC' CAUrOPNA POOL^, INC. IS PIP ''TD BY LA's:
ADD L OUn
.-.
SKIMMER TYPE
S'GN ATUPE(S) CA LL:
S%1 !'MIN^ POOL PLAN FOR:
FILL LINE
PEBE+LE PLASTER
NAME fESIL CE CLUB �_.C_ � -
I
LIGHTS POOL
GAS UNE ,__ _. __ _� STUBS
UCHTS SPA
.
rouNTAtNSjSPPAYHEADS
ROILED BOND HFAM
SHEEP
BEHIND SPA
MPALLS
LOT H TRACT PACE BOCK
UCHTS IN POOL IN SPA
FENCING
MAIL ADDRESS
S7M SET EOLI PUrNT
MSC.
'
FE141-CE TYPE
SCALE
PtuMHINc SEE
HEIGNT
SOLD BY
CHECKED BY
GATE
GUNITE
GATE REVERSAL
REVISIONS DATE
DEEP END RAPP
MID F.EHANG - — -
ExTE Im 2m STEP
�
•
LOVESEAT
-
SPi(1Y,'h" •w _._.._1------- - _..._._._.
EBT.!TA.gT �- -----.-"_-- ------_...._------
EST. CO'A"LrTION _
CAN; 71LFti"'R
OTHFR
P.H.B. - S7 STEE7
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OWNERESPOPJSIBILI IES
OM'KTi TO: (1) DETT'FV— TN_ APP>CVVkTE ELEVATION O. P0� OR SPA AT LAYOUT CN CAY 0' ExCAVA11f*7
(2) TAKE NOTICE THAT PODL A►A7 EDl!!OM`N* L1V'h''"$7S q f C1R-IFMT TO ACCFPTA!JC3: OF
LOCAL F,111_0114-, DEPARTMENT AT TY- OF IS UANrT OF PEPM"r:
(3) >A --T OCu'7 CON PETE SKILL AT LEAS" TWICE DAILY FOR xVrN! DAYS A S4, 7j_ tS INSTAIJED
(11 AGPEE n'AT CASOP. POOLS IS NOT RESPON'.;! 3iE FOP Lain PrP NO CONntT!OPaS OR 0(3,f ,-rN
AND ANY DAMA E TO OJt'21% S!:F"NALKS, DP!VLWAYS, LPANS. Or OTH£s? I'EMS IN THE ACCESS AREA
(5) SEE THAT ALL FENQNG, GATES, AN^ CAflACf 04CPS MzfT LOCAL CO^ES FOR A PO^L ENC—[
PP*OP TO PR'cPLAS", INSQ'eCTt^di
(e) ELIC POOL tMAA'ri!ATFiY ArTE4 PLAS'!T. (FO(iOW INSTPUC'T yr, -_ DO NOT USE RUAf?TT? HOS
(7) TAVr NQT?CE THAT TV!S LPAi*1-, IS 111E SOLE PROP` -_TY OF CAUFOI-41A POTX.S AND T!AT ANY
U�'F WTHOUT VnITTEN PEWS"_ CC' CAUrOPNA POOL^, INC. IS PIP ''TD BY LA's:
A., 0T CES AE7,
C14"7ER APPROVES PLAN, PO^AND EO J!PMfNT LOCA1!!AVS Am HAS Prk) WE R£Si'r I "R'L;T,ES AND h
.-.
S'GN ATUPE(S) CA LL:
S%1 !'MIN^ POOL PLAN FOR:
NAME fESIL CE CLUB �_.C_ � -
I
STREET 411- 1tc9 V4C5' r>FS IOE?4t.0 e,"V'
JG ADDRESS r�.rc r' _ GWS' 6 r rrv�e-fi JC;ITY
PHONi; OFFICE RES
i
LOT H TRACT PACE BOCK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFF=ICE PHONE NO.
SCALE
DATE
DRAVN BY
f -IF,
SOLD BY
CHECKED BY
'
JOB
REVISIONS DATE
�
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3
41
SELECTIONS
STONE
CONSTRUCTION AUTHORIZATION
SALES
I=II=1.13
_
CITY OF LA QUINTA _
TILE
CJICDI!`AiG�t-SAFETYUEP?:
MG
eoutaRs
----A PROVED- _
DECK COLOR
FOR CONSTRUCTION
1'R1-G11`1'1"T:
(_'NI)1'RG11Z01 TN13
J.ANDY
DATE
PEBE. f PLAS
_
•
jIASON `
SIGNATURE
1)ICI:
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise r.oted.
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