05-4425 (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:
10-5�-^0-�0004'425
799 _8.5, ECHO LA QUINTA
649-740-016- -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
25000
Architect or En
Tityl 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-
-------------------------------------------------
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 Djv'siV4the Business and Professionals Code, and l f�ff�f and effect.
License Class License No.:
e: ' Contract r:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
fallowing 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).:
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.). _
I—) 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/03/05
Owner:
HARNER
79-985 RANCHO LA QUINTA
DRIVE
LA QUINTA, CA 92253
Contractor:
VACATION POOLS INC
WCC: STATE FUND
WC: 1795938-05
04/01/06
CSLB: 856835 _
04/30/07
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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. I
XI 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 C53 Policy Number - -- --- --- - - - - --
�' _ 1 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 become subject to the workers' compensation provisions of Section
3 0 of the Labor Code, I shall for w' co ply with those provisions.
0— /
te: 0 Applicant: 1,4
WARNING: AILURE 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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and eby authorize representatives
of this coun to ter upon the above-mentioned properfar inspect purp e
,� r
Dat€: Signature (Applicant or Agent).
Application Number . . . . . 05-00004425
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 252.00 Plan Check
Fee
163.80
Issue Date . . . . Valuation
. . .
. 25000
Expiration Date 4/01/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
23.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
207.00'
Permit . . MECH POOL
Additional desc .
' Permit Fee 26.00 Plan Check
Fee
6.50
Issue Date Valuation
. . .
. 0
Expiration Date 4/01/06
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 . . . . 15.00 Plan Check
Fee
3.75
Issue Date Valuation
0
Expiration Date 4/01/06 .
Qty Unit Charge Per
Extension
BASE FEE
15.00
Permit PLUMBING
Additional desc .
Permit Fee . . . . 33.00 —Plan Check.Fee
8.25
Issue Date . . . . Valuation
0
Expiration Date 4/01/06
fQty 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
----------------------------------------------------------------------------
Special Notes and Comments
POOL& SPA ONLY. ALARMS/BARRIERS SHALL
BE IN PLACE PRIOR TO PRE -PLASTER
LQrERMrr
Application Number . . . . .
05-00004425
-------------------------------------------------------------------------
Special Notes and Comments
INSPECTION. EQUIPMENT ENCLOSURE
NOT
INCLUDED IN PERMIT.
Fee summary Charged
---------------------------
Paid
----------
Credited
----------
Due
Permit Fee Total. 326.00
00
----------
.00
326.00
Plan Check Total 182.30
.00
.00
182.30
Grand Total 508.30
o
.00
�
.00
508.30
•
OCT -3-2005 08:42A FROM:VACATION POOLS INC 17607750469 TO:97777011 P.2
VAC1�TI . P��L;S, IAC®
83900 Avenue 45 6 • suuite C
Indio, CA 922:01.
(760) 775-0468 e (760).775-0469 Fax
License # C. 5-3.856635
ma
y -op 1'h+ i IV
CITY OF LAVQ'dH4,11 ' ABUILDING & SAFEIY UEPT.
APPROVED
FOR/ CONSTRUCTION
IR
r/
5P- -�18
D
y
II
CONTRACTOR cannot assume responsibility for
damage to curbs, sidewalks, driveways, cement
slabs, sewers, lawns, trees, fences, retaining walls,
sprinklers, telephone or shrubs.
When access is made through a neighbor's property,
it is understood that you, the owner, ave that
neighbor'ssion and assume full resp ibility.
DATE
G SP
CTF C:1TIO T
s zE
AREA. PERIMETER
DEPTH
TILE CHOICE
SQ.
RBB.
COPING
POOL CAPACITY
GALS
PUMP CAPACITY
GPM
MOTOR HP
HP
MOTOR HP
HP
FILTER
SO FT
FILTER RATE
GPM
HEATER SIZE
BTU
TURNOVER
HRS
SUCTION LINES
RETURN LINES
SKIMMER MODEL
CHECK VALVE
GASLINE BY
FT.
POOL LIGHT
CLOCK
-ELECTRICAL BY
FT
AUTO CLEANER
CHEM.FEEDER
PLASTER COLOR
DECK BY
SQ.
DECK TYPE
STEP
FT.
SPA SPECS.
SIZE
RAISED
LITE
WATTS
DUAL LEVEL SEATS
DAMWALL
DAMWALL TOP
SPILLWAY SIZE X WIDE
DATE SPILLWAY
#JETS
Name: HlqPA'Ek
Address: -7116 5 ��a �o
o -u-, .4,j4q.
4-k p`14
TRACT L' Q • LOT#
OCT-3-2005 08:42A FROM:VACATION POOLS INC 17607750469 TO:97777011 P.3
�► NN Pj(-T L am"
OCT -3-2005 08:42A FROM:VACATION POOLS INC 17607750469 TO:97777011 P.1
Bin #
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: 7 9 C18
wner's Name: 94 FPS
A. P, Number:
Address:
Legal Description:
City, ST, Zip: G
Contractor:Q ,1,
Address: —itii fe C
Telephon( 5i ,? Y
Project Description: 4
City, ST, Zip: 'o G15
Telephone t7) C X
9 .cY•Yfi�'. :?%:.S S��;t .�'�3:i;:'ti�!',
State Lie. #
City Lie. #:
Arch., Cngr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
.f�
s'"%a:a4'%';w%'` i;2-:s'a <
TYP e: Occupancy:
Project c circle one New Add'n Alter Repair Demo
J tYP
Name of Contact Person:
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person:
r •o
Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACIQNG
PERMIT FEES
l lan'sets
Inan'Check submitted
9 30
Meta
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Pian Check Balance
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2.4 Review, ready for correctionsliissuc
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 correetionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A•I•P•P•
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees