09-0507 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Numbei:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
�09-00000507 f
60083 PRICKLY PEAR LN
764-270-999-35 -300232-
POOL - RESIDENTIAL
MEDIUM HIGH.DENSITY RES
66000
T4tyl 4 4 Q" -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
a1A
--------------------------------------------------
ICE Co TOR'S DECLARATION
I hereby affirm under penalty of perju at 1 am li sed un r provisions of Chapter 9 (commencing with
Section 700 of Division 3 of the siness a ofessio s C in full force and effect.
License.CTass: B C53 ,
No.: 185102
OWNER -BUILDER DECLARATION
I hereby affirm under penalty perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 703 , Business and Professions Code: Any city or county that requires a permit tp
construct, alter, improve, emolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed s tement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter ommencing 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 155001.:
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 ofpropertywho 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 _ 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
Owner:
THOMAS PARK
60083 PRICKLY PEAR LANE
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
3106 E. GARVEY AVENUE SO'
WEST COVINA, CA 91791-
(760)771-6141
Lic. No.: 185102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/22/09
------------------
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.
Lhave 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 ARCHINS CO /Policv Number _ZAkLQI9090400
_ I certify that, in the peifuii)�rairue
/sof the r which this ermit is issued, I shall not employ any
person in any manneo as to be subject to the orkers' compensation laws of California,
and agree that, n "sZbeclmubject to thewers' compensation provisions of Section
370 of the Labor Chwith comp with those provisions.
P. �e-��cant:
WARNING: FAILURE TO SEC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 1 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 ac ion related to the work being
performed under or following issuance of this permit
2. Any permit issued as a result of this application�lje�mes null and v id if work is not commenced
within 180 days from date of issuance of s ch permit, or cessat' n of w 0 days will subject
permit to cancellation.
I certify that I have read this application and state t t the above inform 'on ' correct. I agr to comply with all
city and county ordinances and state laws relati to building constr on nd hereby aut rize representatives
of this c y to a ter
' upon the,above-mention d property for in io purposes.
ate: L Si ure (Applicant or Agent):
Application Number . . . . . 09-00000507
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
486.50 Plan Check
Fee
316.23
Issue Date . . . .
Valuation
. . .
. 66000
Expiration Date
11/18/09
Qty Unit Charge
Per
Extension
BASE FEE
414.50
16.00 4.5000.
-----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
72.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date
Valuation
. . .
. 0
Expiration Date..
11/18/09
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
11/18/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
EA ELEC PRIVATE SWIMMING
POOL
30.00
PermitPLUMBING
Additional desc .
Permit Fee . . . .
33.00 Plan Check
Fee
8.25
Issue Date . .
Valuation
. . .
0
Expiration Date
11/18/09
Qty Unit Charge
Extension
.Per.
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, BBQ (INCLUDES
120 L.F. GAS
LQPERMIT
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SITE MAP
-- CALIFORNIA CONTRACTOR'S LIC NO 165102
MASONRY / DECKING
QTY TYPE MATERIAL COLOR SPECIAL DETAILS / FINISH
COPIN
STEPS r'; ITV/ n a I A ni i +rr A
WALLS Ill Inv, wr• o r n` T'
WATERLINE I A a d .
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A
BOND BEAM DETAILa
1 .�. �In
ELECTRICAL: R PLAN SET NUMBER
TYPE POOL ;PA
BY LENGTH
SQFT POOL`�Z� SPA COMB
TIME CLOCK SUB PANEL
PERIM POOL qO r SPA COMB
0 OF LIGHT IN POOL t SPA
DEPTHS POOL � - - SPA
OUTSIDE G F I LIGHTS G F I OUTLETT
SIZE POOL � X - SPA '' X *
EXTRA SWITCH FOR SPA LIGHT
RBB 6" 12" 18' 24" —" —
BLANK PLUGS
MISC
MOTOR BOOSTER
BLOWER — CLEANER
CHLORINATOR REVISION NOTES I UPDATES
.sr
DAM WALL THICKNESS
REMOTE SPA SWITCH RI ORIGINAL
NO OF JETS
MISC
LIGHT IDD �T
SPA ELEVATION 1r SPILLWAYS .L X
OTHER I
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AIR BAR SPA SIDE SWITCH
MISC
•
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EXCAVATION
R
TYPE 606 CA► ACCESS MIN
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SET ELEV FROM NAM AT ftAA
CAP sr0 1,_!F_ v EIJ E EIZ 3" E5EL_O I --J
DEEP END DIEM N BENCHES
FENCING'
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_ W L- A.J D ST -AC -1<512 ST -00E SP I L_ Lr i --J 'r
REEF _Y BEACH
ACCESS REMOVAL
PE ��� ��� �cc�, �t�
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ATE COLOR
-
WALLS
TY SIZE
CONC y—
OOR ALARMS BY OWNER QTY
MISC
CCESS REPLACE
GRADING � n l.tagF
ISC
FORM W -FEATURE
RBB 6" 12" 18" aii%_7 24" _" _
0 MEET LOCAL CODE REQUIREMENTS BY BUYER
EXCESS WALKOUT Y I N ROCK PACK Y 1 N
RIOR TO FENCE & GATE INSPECTION
HYDROSTAT VALVE Y I N
MISC
r�
_72
C
LEGEND
R
•.
e
SPECIAL EQUIPMENT
• _
STEEL-
R
_ _ =
4 LQiT EMOWNT
rr
EXPANSIVE SOIL Y /
WBOARD COLOR TYPE • = JETS s RETURN = TILE TRIM
' 3�LJ p
SPECIAL ENGINEERING —
IOE COLOR TYPE = SKIMMER E = FkTER
^`URES — y S4
�� G''
•� • ,01,
RB8 6" 12" 18" � 24" —" —
2/ — ®= OVERFLOW C=) =PUMP
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P•
DEEP END RAMPV/ N
/FEATIFIER URES
9ENCHES _REEF r�r ��_
COVER X TYPE G =GAS METER � =HEATER
,- ' • J PB
BEACH SPA WALL WIDTH
BEACH
= VALVE
COVER X TYPE 9 =GAS STUB VALVE
Pte L f 4460;7--
W/FALL
E = ELECT METER = CLEANER STUB
\o,Jl
w lam" PIA V_ MN 6u4l l GSLIDE
ISC
@ = ELCT STUB / OUTLET L = L*HT SWITCH
•�rl� 7DAUC__--NOTCH
LIGHT I SPA —i—
J = J Box H = HYDROSTATIC VALVE
�K=
Y /POOL
RBBNICHES
MISC
PLASTER
FILL LINE SOURCE [� =AIR BAR
R
= FILL LINE PL = PROPt:RTY LINE
PLUMBING:
IR
PLANTER AREA
�urz���T p�
31 RaDtL)5 �
-for
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FILTER -.� • SIZE -34 a
PUMP SIZE f ✓ k Y
LR
-
R = REMOTE CONTROL 80
= SPA SWITCH = ROPE RING
i
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HEATER .T— SIZE YWK
ITTING COLOR ®'
BOOSTER SIZE =�S �T_
IGHTS POOL SPA = CASCADES = EXISTING TREE
T
WIFEATURES SIZE
OPE RINGS EYE BALLS = sP►LLwAr+1 = ELEVATMONS
SKIMMER � ' '.OWER
PS TILE = ar���N '12 = sTA.nTec eLOla*wa PT
�� ���
CLEANER TYPE
LOOK CLEANER
=EXISTING DRAIN =AUTO FILL
FILL LINE_ SLI`)E LINE
IR BAR
F =STEP LOCATION 0 = DEPTHS
GAS LINE — GAS STUBS Y'
ISC
BACK WASH TO FIBER STUBS Y / N
=ACCESS
-- _
W/FEATURES NOTES
LIGHTS POOL ¢
Owm RESPONS01.11Mr
SPA-
HYDROSTAT VALVE Y / N
spaat layout
Debmwo to Pool
owr>mr To (2)
E r i,.l F -I 0" Q _�
0 E COU kJ T 12 OP I T ��
isAWCUT
SOLAR H2O ST JBS
Taia notlaw IhW aa� Ioca lion N o to d local Bw
�TO
LEx L_!6 H r o f..J E LJ t-18R-�L-L_A S L_ E ,
POOL RETURNS —_ SAk BYPASS
Wet da a"t w t� d awmce d perrr"t
(3) yNst dawn AraMDr sFNN d!� twice darty for rtlMrnNarn aran (7) days atter day slreU a
C j
_17,171 1J �A I,..l T` H (�" ,_
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NO OF SPA JETS �.
iratalad.
C/� I-1T`I L- EvE AI..1 D a. t✓ d �/ � �
Q
CHLORINATOR TAMOV41'
(4) Tale noboe that CaMorrna Pools IS NOT RESPONSIBLE for Ur4mrgmund condrtiora or d*cts,
MISC
and any dmrdpe to curbs, skfswalds, dnwways, lawns, or other Aura In access arae
(5) So 1Nrat all %no% pales, and prop doors meset local coda for a pool enclosure pm to pre -
PLOT PLAN
P'rapecin `
1O) I1 Pool snradta" after Oad r (Follow kvkuc m Do not mnrbber hose)
GUNITE: R
(7) Tela notice that tha draawsrg a 1M sole pmputy d California Pools; and any use wlthoW
GUNITE INSPECTION READ Y IS
~ permtssm of California Poole, Inc a p vh b W by law
ROPE RING NOTCHES
Owner appy Pwn. Pool, aid E"p roM Locaftno and has rod the RESPONSOLITIES and NOTICES above
OF ENTRY r<
P END RAMP 14a N
Pm Km:
BB 6" 12" 18" -27 24" —' —
NAME
JOB
PLAN SET 0
NOTCH BOND BEAM Y / N
CALL
S (V 9 - 101
COPING TYPE Pze
P•C''
SPA WALL THICKNESS 2 y
STREET _ 01B:5 gg
SPA WALL NOTCH Y / N
JOB ADDRESS
CITY kirA
SPASPl
IFOR
NOTCH OVERFLOW Y / 11
PHONEice{ 30q 111q OFFICE RES
SPECIAL ENGIN ERING __
LOT 3 s TRACT PAGE BOOK
W/FEATURE W O
MAP BOOK PAGE NO
CROSS STREET
SLIDE
BEACH RE;:F
CONST OFFICE
NOTCH FOR BOULDERS Y / hl
CONST OFFICE PHONE NO.
FAX
RADIUS ON STEPS & BENCH:: S NNE
_
MISC
SCALE
DATE
DRAWN BY
SOLID BY
H
CHECKED BY
va" = r-{-09
L��
L-.�-01 -
/'�t�\�
rift
mrullflu% NMI a SM
SITE MAP
-- CALIFORNIA CONTRACTOR'S LIC NO 165102
MASONRY / DECKING
QTY TYPE MATERIAL COLOR SPECIAL DETAILS / FINISH
COPIN
STEPS r'; ITV/ n a I A ni i +rr A
WALLS Ill Inv, wr• o r n` T'
WATERLINE I A a d .
TILE TRIM
®.t+vVL_
• ..• vv+vv I illlLr i Ii1tV
RBB
DRAIN
MASTIC I
K
CURB CORE Y I N JIGS Y/ N PATIO STRAPS Y/ N
0
Bin #
Qy of La Quinta
Building Br 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:
Owner's Name:
A. P. Number:
Address: 1L L , eA 12--
Legal Description:
ContractorTelephone:
Ll
City, ST, Zip: A cA- °t2Z-5-'.> -
:;rs:::•<»<:;.:;;;:> .<;:.;:.;:;<..:•:
Telephone:�L{.�
Address: _ (� AVV '
Project Description:
City, ST, Zip: IL6-
Tele h n e:
Po
-Z�l
State Lic. # : �5rj rQ 2.
City Lic. logLitze—
--a 4
Arch., Engr., Designer:
Address:
City., ST, Zip:
iiii::: }:iiiii ii::•?,w:n:,w::
Tel P %%? ::;sii:;<.:•:i:>:<:::;.:;::.;i:.;...::: ;;::
all
State Lic. # ;..., tt ;:•.i.:! ..:;;;:<.<;::z<ii<;s:.i:..
;v
Construction Type: Occupancy:
Project
o� ct type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person
j�lwpalg:-
V Sq. Ft.:
# Stories:
# Units:
Telephgre # of Contact Person: 9-t - 2 E57
I Estimated Value of Project: QWCAP,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
.� tem
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:-
3"d 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