06-0826 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
,06-00000826
80405 RINCON ALHAMBRA
772-410-998-29 -32453 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
19000
T4&t 4 4 Qu&m
Architect or Engineer: .
NG & SAFETY DEPARTMENT
BUI ING -E MIT
wner:
�j9
^R 21000 D75LN 4RONTASTASTEE200
111'0F COLUMBUS, OH 43215
FIN
AUI q
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 a d Professionals Code, and my License is in full force and effect.
License Class: C/8� C27 C29 License No.: 656128
uate�UJ Con
itraar.
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
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 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.).
(_) 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
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236 _�..
(760)398-9222
Lic. No.: 656128
VOICE (760) 777 -7012 -
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/28/06
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.
IXI 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 HRH INS Policy Number BB1060510
_ 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 ecome subject to the workers' compensation provisions of Section
3700 of the labor Cod sh 'I forthwith comply with those provisions.
Da " - pplicant/
WARNING: FAILURE TO SECURE WOR ERS' 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 buildinon�truction, and hereby authorize representatives
of thisscc rity to enter upon the above-mentioned propel or, nspe ion purposes.
—0
Date: J—ZSignature (Applicant or Agent).
Application Number . . . 06-00000826
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
189.00 Plan Check Fee
122.85
Issue Date . . . .
Valuation . . .
. 17886
Expiration Date
8/27/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date
8/27/06 r
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K
11.00
Permit
ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation . . . .
0
Expiration Date
8%27/06 .
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
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/27/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
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
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 06-00000826
'
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 29.00 Plan Check Fee
.00 '
Issue Date . . . . Valuation
1114
Expiration Date 8/27/06
Qty Unit Charge Per.
Extension
BASE FEE
15.00
7.00 2.0000 HND BLDG 501-2,000
14.00
----------------------------------------------------------------------
Special Notes and Comments
------
SPA ONLY.. 15 LF 42" BLOCK WALL, 26 L.F.
6' BLOCK WALL, & 14 LF 4' BLOCK WALL,
ALL CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 322.00 .00 .00
322.00
Plan Check Total 148.85 .00 .00
148.85
Grand Total 470.85 .00 .00
470.85
LQPERMIT
Bin #
City ®1 La Quinta
Building U 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 V0--05- vXCo,-,, yPs,it
Owner's Name: Lo
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:"F
\• oo �
Telephone:
Address:y- LZ 43 en
Project Description:
City, ST, Zip:GCj0.r�\ CA.. clZZ3 G
C
Telephone:700, S9 9 2 Z 'Z -
State
State Lic. # : (05 12. $ City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: N(�l��t� J'ecvice�
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 2 $C9 -q(J. 75-/12 -S Z y y
Estimated Value of Project• � , 61V
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIUNG _
PERMIT FEES
Plan Sets
Plan Check submitted
p
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
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:-
'"' 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
1
lll�
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CONSTRUCTION LEGEND:
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ER
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A
N 460
SQ. . FT.
co PUMP, CALIFORNIAN 2.5 HP BOOSTER
L4.3
PUMP,
`
CALIFORNIAN 400,000 e
BTU HEATER, PRECAST CON
CRETE PADS
R
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0 EQUIPMENT
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AND
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AND INS
T LIED
CALIFORNIA
-POOL
S (2
)TW
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ACCESS SS
DO
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_.
I , AINT
TO
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LOCATION ON F
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OTm PLUMBING: SPA:
ENTRY FOUNTAIN:
N.
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LTER.CA.IFORNIAN 460 .rT1_S
UB
MERSIB
LE PUMP ,
.
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, LIF O
RNIAN 400,000 U 00D BT[ 1
OW
_-. NER RESPONSIBILITIES
ONS
BILI
TI
ES
�- wNER ro.
1 D
, E ,
TERM
INE
THE
( APPROXIMATE R XI
MATE EL
EV TION
, OF POOL OR
SP
, AAT
LAYOUT
ON 0 >
_..- Y F I
EXCAVATION
TAKE 2
N
NOTICE
THAT POOL AND EQUIPMENT MENT L0
CA
710NS
ARE SUBJECT T TO ACCEPTANCE OF
LOCAL AL BU
ILDI
NG DEPARTMENT RTME
NT AT
ME
T1 OF
ISSUANCE NCE
OF PERMIT
RM T
3
WET
DOWN CONCRETE ETE SHELL LL AT
LEAST TWICE DAILY FOR SEVEN DAYS
AFTER
;
SHELL ISI
INSTALLED
LLED
4A REE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND
CONDITIONS IT10NS OR
OBJECTS,
AND ANY,
DAMAGE
To CURBS,
SIDEWALKS, LK� DRIVEWAYS, LAWNS, OR OTHER ITEMS IN TH
ECC 5
r
A ES AREA
i
(5)
EE THAT
ALL FENCING, GATES, r AND GARAGE E D00 S
MEET LOCAL CODES FOR A POOL
ENCLOSURE
PRIOR
,.�TO PREP
CASTERt S
IN PECTION
r.- (6) FILL
POOL
IMMEDIATELY AFTER PLASTER. (FOLLOW LOW NSTR
C tON
S
__
DO NOT USE RUBBER
HOSE)
SE
C7
O7 TA
KE NOTICE THAT THIS DRAWING ING
IS
THE SOLE PROPERTY OF "'
CALIFORNIA A RNIA POOLS AND
THAT
ANY
USE WITHOUT OT
WRITTENI� PERMISSION 0N
0
F CALIFORNIA
POOLS, INC.
IS PROHIBITED BY
LAW.
M \
t' J
I
OWNER R APPRO
VES PLAN, POOL. AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES
AND i NOTICES ABOVE.
VE.
-o
SIGNATU
RE 5
DATE
I 0
SWIMMING
_ WI M
MING
POOL P
LAN. FOR:
a
...NAM
� E
W
BUNGALOW
4T
2
j9
STREETb
DB ADDRESS
HIDEAWAY
`CIT L
Y A .QUI T
N A
PHONEOFFICE E
RES
f
LOT 29
:TRACT
PAGE
BOOK
AP
Lv
M BOOK
PAGE
N,
[CITY
MAIL ADDRESS
■
CONSTRUCTION ❑N
❑FFICE
PHONE
NO,
■
■
SCALE L
E
DATE
B,S, R
AWN BY
SOLD
8
B
Y CHECKED BY
02-28—
. 06
KPU
K NAL
GRANA s
M �.
J❑B#
}
REVISIONS I
SI❑
NS
-_ SATE
I
I
I
I
Fit ��
I
� SELECTIONS
I❑
NS
0
} CONSTRUCTION TR
UCTIo�
AUTHORIZATION
ST❑N
E
:
�
TILE BUILDING ex SAFETY DEPT.
BOULDERS tAi. �.uvItu
FOR CONSTRU
DECK COLOR 3
JANDY --- ,.
PEBB,/PLAS
SIGNATURE DMWINGno.
DRAINAGE NOTE, Drainage and irrigation for planters and pots, by L2.1
others, unless otherwise noted.
I
I
I
I I �
i
,
SALES
FIELD
DIG
PRE-GUNIT
UNDERGROUND
MA5ONRY
DEGK
PRE -PEBBLE
TILE BUILDING ex SAFETY DEPT.
BOULDERS tAi. �.uvItu
FOR CONSTRU
DECK COLOR 3
JANDY --- ,.
PEBB,/PLAS
SIGNATURE DMWINGno.
DRAINAGE NOTE, Drainage and irrigation for planters and pots, by L2.1
others, unless otherwise noted.
I
I
I
I I �
i
,