04-3501 (RPL)V � _
P i "' BUILDING & SAFETY DEPARTMENT
�B0 —fSO4 (760) 777-7012
OF9 78-495 CALLE TAMPICO FAX (760).777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS.(760) 777-7153
BUILDING PERMIT _
Application Number 04-000035-01- Date 4/16/04
Property Address . . 79975 RANCHO LA QUINTA DR
APN: 649 -100 -086 -13 -249573 -
Application description POOL - RESIDENTIAL
-Property Zoning .: LOW DENSITY RESIDENTIAL
.Application valuation 1900:
Owner Contractor
T D -DESERT DEV CALIFORNIA POOLS & SPAS
P O BOX 1716 P.O. BOX -1280
LA QUINTA CA 92253 COACHELLA CA 92236
;.....
(760)
W 398 9222.
CC:" STATE FUND
WC: 046000'6.1168 .01/01/05
CSLB: 656128. 10/31/04
CCC: C8 -C27 -C29-053
Per[riit '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 FURNANCE <=100K 9.'00
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee 43.00 Plan Check Fee 27.95
Issue Date Valuation . . . .. 1900.
Qty Unit Charge Per Extension
.BASE FEE 15.00
14'. 0.0 2.0000 HND BLDG 501-2,000 28.00
..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 3.0.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
P.O. BOX 1504
'�C��j� VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS;(760) 7.77-7153
BUILDING & SAFETY DEPARTMENT
Application Number: �{ - ,3 I I Date: 4 -2,1 — o Y
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
A,4-:'
Architect or Engineer's Address:
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
Code, and my Liceis 'n full force and effect.
License Class G License No. (U 12160
Date /- -4 y Contractor
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason.(Sea 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 rive hundred dollars ($500).):
U 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. If, howeyer, 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 1, 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. , 8.8 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 seltansure 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.
_ 1 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
My grke ' ompensation insurance carrier and I -Cy number ire
Cartier Policy Number ® L' Dz'� a /o //6
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 Carifomia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, l shall
forthwith comply with those pro}dsitams. _
Date Applicants
WARNING: FAILURE TO SECURE WORKERS' 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.
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.).
Lendees 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 Le Quanta, 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.
1 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 building
constriction, and hereby authorize representatives of this county to er upon tproperty for inspection purposes.
Date v-'�7 Signature (Applicant or Agent):
Page 2
Application Number . . . . . 04-00003501
Date 4/16/04
Permit, . . . . ... PLUMBING
Additional desc
Permit Fee 33.00 Plan Check Fee
8.25
Issue Date . . . . Valuation
0
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
Special Notes and Comments
POOL & SPA. BBQ ANSI Z21-58-1995.
FIREPIT 496AGAL. ALARMS BARRIERS SHALL B
E IN PLACE PRIOR TO PREPLASTER
INSPECTION.
Fee.summary Charged Paid Credited
Due
Permit Fee Total 145.00 .00 .00
145.00
Plan.Check Total 53.45 .00 .00
53.45
Grand Total 198.45 .00 .00
198.45
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CONSTRUCTION AUTHORIZATION
SALES FIELD
DIG '
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PRE—GUNITE
UNDERGROUND
MASONRY
DECK
PRE—PEBBLE
SPECIFICATIONS
TYPE Gu►� R T F SIZE 52— X 2, 61
SURFACE AREA OF POOL "D
PERIMETER DEPTHS MIN 3 'd r, MAX. 45 `tea
SPA SPECIFICATIONS TILE
SIS X SO FT. TN.E TYPE
SPA DAM WAIL WIDTH WATER UNE
NO. OF JETS TSE TRIM
U04T OUARTER ROUND
RAISED SPA AT '
SPILLWAY TYPE !040A?
SPECIAL NOTES
DECKING �S8 t�7
EXCAVATION /,STEEL
TYPE F"15H
ACCESS FROM MANSON JOINTS
ELEVATION P CANTILEVER .0� /
DEEP END RAMP DECK DRAINS
LOVE SEAT DEMO DRAIN
CONCRETE REMOVAL "— LOADS CURB CORE `—
SOD REMOVAL LOADS STEPS pi
TREE REMOVAL BY STEP FACE,�,�
IRRIGATION REMOVAL BY TILE BASE .r._
IRRIGATION REPAIR SAND AM VISOUEEN
B' R.B B ft RIBBONS
12• R B B fL MOW STRIP
18• RBB
2e ROB
30• RBB
TAN SHET.F DEPTH I' • ��
. .�... MASONRY
ROCK P �,� •_ COPING TYPE
CENTERS R B B FACING
SPILLWAY TYPE 5L ? S ZE
PLUMBING STEPS ,._.-
FTLTER «-- •-_ SITE PROP. EXT. WALLS ®.
POOL PUMP SIZE PLANTER WALL +
RETAINING WALLS
BOOSTER PUMP SITE EOtIP WALLS
ADO'L PUMA' SIZE FIREPIT
ADD'L PUMP S7E
HEATER � 1"` = ;5-nApe %Aj t. -
TIME CLOCK L�'A �'t 'MAX 1�1}
SUB PANEL
ADD'L OU
SKIMMER TYPE
FILL Lam " P BBLE PLA E
GAS UNE STUBS F� LA, r) UCHTS POOL 2 - e► Rs
LKRITS SPA
FOUNT'AiNS/SPRAYHEADS ROLLED BOND BEAM
SHEER BEHIND SPA
EYEBALLS
LIGHTS IN POOL 42 N SPA
S" SET EQLVMENT FENCING
MISC
PLt UPrIS G 51ZE ZM� s a P4 FENCE TYPE
tIExAIT
GATE
GUNITE GATE REVERSAL
DEEP END RAMP 'REMOVE k MANG
EXTENDED 2nd STEP
LOVESEAT r P fir" A
SPILLWAY TYPE 1 "'160A j EST. START
C447XEVM EST.COlNPLL"mm
COPING OTHER
R B.B. - SEE STEEL
OWNER RESPONSIBILITIES
OWNER V. (1) DETEW% THE APPRO'fOMAIE ELEVATION OF POOL OR SPA AT LAYOUT OR DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUB,E:CT TO ACCEPTANCE OF
LOCAL SUU NG DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER WELL. IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT ftgnImSSLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURSE, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENaNG, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PRP LAM RISIECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER (FYJILOW WS11RUCTIONS -- DO NOT USE RU13M HOSE)
(`)) TAKE NOTICE THAT THIS DRAW'NG IS THE SOLE PROPERTY OF CALnWA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, MC. IS PROHIBITED BY LAW
OWNER APPROVES PLAN. POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE
SIGNATURES) DA
TE
SWIMMING POOL PLAN FOR:
NAME WILLMS RESIDENCE
STREET N40_IA,
JOB ADDRESS RANCHO LA QUINTA CITY LA QUINTA
PHONE OFFICE RES _
LOT 13 TRACT PARCEL 24 PAGE BOOK
MAP BOOK PAGE NO CITY.
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD 6Y CHECKED BY
1/8'=" 3-30-04 LY PAT
JOB# REVISIONS DATE
—11
2 r
31
4
5
SELECTIONS
STONE R —10 6,C>
TILE 'jQm5
BOULDERS PONEy ' ()� *-1
DECK COLOR ,,. i try 610 L," D
DANDY o m 5 T(9 t,J t"- P .,Pj / t PA u
PEBB./PLAS -5A Nt�; AC R
SIGNATURE
DRAINAGE NOTE: Orainage and irrigation for planters and pots, by
others, unless otherwise noted.
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