05-1505 (SOTB)o�
U �
BUILDING & SAFETY DEPARTMENT
' P.O. Box 1504
c� p (760).777=7012
Mp 78-495 CALLE TAMPICO FAX (760) 777-7011
G LA QUINT A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT .
Q' p on Number 0 -00001505 y Date 4/21/05
Address . . . . . . 54380 WEST RESIDENCE CLUB DR
�_ IS 775-380= -999-2 31.627
pplication description STRUCTURES OTHER THAN BUILDINGS
Property Zoning . . . . . . . MEDIUM DENSITY RES
Application valuation 758,
Owner Contractor
--------------- --- - - - -
NADADOR, LLC CALIFORNIA POOLS & SPAS
78120 CALLE ESTADO, SUITE"203 WCC: SEABRIGHT INS
LA QUINTA, CA 92253 WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
CCC: C8 C27 C29 C53
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t
P.O. BOX 1504
78-495 CALLE TAMPICO FAX (760) 777-7011 VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Qom— /5—OT I Date: zz—zqS
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
X/A
BUILDING PERMIT DECLARATIONS
ICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am license$cen
er p ovis'�ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
/ Code, and ss Lici7ff�e is5inl�ce and effect. No. 657L( Zx
✓ License Class ((�_ JJC
"nate �� �✓ Contractor
• 4ft1 OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from 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 scle 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 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 whit this permit is issued.
"haved will mainta' workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit i;
. Y?woe compensation insurance carr' rJ r fie:
rrier Policy Numb o (�/
I certifythat, in the performance of the worA h 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 agf I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwi h comply with thoAso
'ns.
P Applicant (/
WARNING: FAILURE TO SECURE WORK RS' COMPEN N 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 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 ' 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.
1 certify that I have read this application and state that the above information s ect. I agree to comply with all city and county ordinances and state laws relating to building
construction, ai�d hereby authorize representatives of this count enter u o he bov -mentioned property for inspection purposes.
Date �� C>G�l� Signature (Applicant or Agent
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Application Number . . . . . 05-00001505
------------------- ---------------------------------------------------------
.Permit . . . . PLUMBING
Additional desc
Permit Fee . . . . 18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 10/18/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
.1.00 3.0000 EA PLB GAS PIPE
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1-4 OUTLETS
3.00
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 21.00
Plan Check Fee
.00
Issue Date . . . .
Valuation
758
Expiration Date 10/18/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 2.0000 HND BLDG 501-2,000
6.00
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Special Notes and Comments
35 L.F. 51.BLOCK WALL, CITY STANDARD
AND FIREPIT ANSI #Z21-58-1995/CGA.
Fee summary Charged Paid
-----------------
Credited
Due
--------------------
Permit Fee Total 39.00
-----------=--------
.00 .00
39.00
Plan Check Total 4.50
.00 .00
4.50
Grand Total 43.50
.00 .00
43.50
I 1t
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AT 410P" W1114 e-r"r-M FAGS
GONE • GAf FY
• • ' •i � re -IML
SPECIFICATIONS
SALES
FIELD
DIG
SPA SPECIFICATIONS
,'
SIZE , X � SQ. FT. S4 42'
SPA DAM WALL WIDTH 1 Z
„TILE
TILE TYPE
WATER UNE
PRE-GUNITE
TILE TRIM
LIGHT I '2'JL.",
r-.
RAISED SPA AT
UNDERGROUND
SPILLWAY TYPE
MASONRY
SPECIAL NOTES
DECK
I'RE-PEBBLE
EXCAVATION / STEEL _
TYPE
SPECIFICATIONS
T
TYPE SIZE X
SURFACE AREA OF POOL
PERIMETER DEPTHS MIN. MAX.
SPA SPECIFICATIONS
,'
SIZE , X � SQ. FT. S4 42'
SPA DAM WALL WIDTH 1 Z
„TILE
TILE TYPE
WATER UNE
NO. OF JETS
TILE TRIM
LIGHT I '2'JL.",
r-.
RAISED SPA AT
QUARTER ROUND
R.B.B. ALF
SPILLWAY TYPE
SPECIAL NOTES
DECKING
SQ' FT
EXCAVATION / STEEL _
TYPE
FINISH
ACCESS FROM +.
ELEVATION
EXPANSION JOINTS
CANTILEVER
DEEP END RAMP "„
LOVE SEAT
DECK DRAINS
DECCO DRAIN
CONCRETE REMOVAL " LOADS
CURB CORE Lie
SOD REMOVAL LOADS
STEPS
TREE REMOVAL BY " ""
STEP FACE
IRRIGATION REMOVAL
TILE BASE
IRRIGATION REPAIR
SAND AND VISQUEEN
6" R.B.B. ft,
RIBBONS
12" R.B.B. ft,
MOW STRIP
18" R.B.B.4"
0"i `IA -.s
2 R.B.B. ,.,,,„
. ,
Aiv :' VZ o,
30" R.B.B. ftCA4
...'
TAN SHELF DEPTH
ROCK POCKETS �--�
CENTERS
', y
MASONRY
COPING TYPE
R.B.B. FACING ZMNL' OPT Z IS4'n
SPILLWAY TYPE SZE
STEPS
PLUMBING
FILTER Cts« SIZE
"
POOL PUMP SIZE
BOOSTER PUMP SIZE """
ADD'L PUMP SIZE
PROP. EXT. WALLS
PLANTER WALL
RETAINING WALLS
EQUIP. WALLS
FIREPIT
ADD'L PUMP "" SIZE
HEATER SIZE G„t 20
TIME CLOCKZkf� A QJ4r 6' )
SUB PANEL
ADD'L OUTLETS
SKIMMER TYPE
FILL LINE Av*�
PEBBLE PLASTER
GAS UNE` STUBS ""
,�..
LIGHTS L
LIGHTS SPA_
FOUNTAINS/SPRAYHEADS
ROLLED BOND BEAM
SHEER DESCENTS
LIGHTSIN POOL IN SPA
BEHIND SPA
EYEBALLS
STUB S=T EQUIPMENT `�
FENCING
MISC.
�r
FENCE TYPE
HEIGHT
GATE
PLUMBING SIZEG
p
G U N I TE
GATE REVERSAL
DEEP END RAMP
REMOVE & REHANG
EXTENDED 2nd STEP
LOVESEAT P'P v"'�
SPILLWAY TYP
EST. START
+�
CANTILEVER . Sr
EST. COMPLETION
COPING
OTHER
` R.B.B. - SEE STEEL
_
OWNER RESPONSIBILITIES
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 INSTRUG11ONS -- 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.
SIGNATURE(S) DATE
SWIMWNG POOL PLAN FOR:
NAME RESIDENCE CLUB LOT 2
STREET "- 3rvO )ce41 cN4-E GLUa 009V .
JOB ADDRESS 7o t reWelg reSAWC171CITYLA 00INTP
PHONE OFFICE RES
LOT A TRACT PAGE BOOK
MAP BOOK PAGE NO. ICITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE
DATE
DRAWN BY
SOLD BY
CHE _
1
JOB
REVISIONS DATE
2
3
4
5
SELECTIONS
STONE
TILE
CIT`( OF LCI QUINTA
BOULDERS
E3UILD NG & SAFETY DEPT.
"
FOR CONSTRUC71ON
DECK GOLOR&EP
DANDY
41z&
PEBB./PEAS
SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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Bi, #
City of La Quinta
Building 8r 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: :51 3 $� CC O ;s Name:
A. P. Number: Address:
Legal Description: City, ST, Zip:
Cont ractor: �•{••
Telephone: ?�z>t� «<�'•.�?<`��'
Address: o Box n0 Project Description:
City, ST, Zip: ed la 2,;L 3 0
Telephone: 39,?_ 9
State Lic. #
City Lic. #;
Arch., Engr., Designer: 9194
Address: �(60 06k W o+L L_ C// Jl rZ)
City, ST, Zip: -
Telephone: Construction Type: Occupancy:
State Lic. #:.>< =:s:>::{•;:> :;::;:.>. Project type (circle one): Ne Add'n Alter Repair Demo
;:....::
Name of Contact Person: ZJ-405;$Z7_:_Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:-%� �j =d�� Estimated Value of Project:• , POO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Flood plain plan
Plan Sets
Plans resubmitted
Plan 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°" 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:-
''a 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
Total Permit Fees