05-0644 (RPL)� oz
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
(760) .777-7012
OFT4�T8=4"9i� CnCi;�aMPico FAX (760) 777-7011
Q.U,I,NTA" A S[FORNIA 92253 INSPECTION REQUESTS (760) 777-7153
FEB 2 4 2005 BUILDING PERMIT
Appik-e-atio�n��Numb�'e'�r �05 _00000_644 Date 2/22/05
Property Address 79969 RANCHO LA QUINTA DR
APN: 649-74.0-008-• - -
Application description-. POOL'- RESIDENTIAL
Property Zoning . . ... LOW DENSITY RESIDENTIAL
Application valuation-. 18000;
Owner Contractor
�w
T D DESERT DEV CALIFORNIA POOLS & SPAS
P 0 BOX 1716 P.O. BOX 1280
LA QUINTA CA,92253 COACHELLA CA 92236
(760) 398-9222
WCC: SEABRIGHT'INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
CCC: C8 -C27 -C29-053
Permit . . . . . BLDG POOL PERMIT
Additional desc
Permit Fee . . 189.00 Plan Check Fee 122.85
Issue Date . . Valuation 18000
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 . . . . 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 FURNACE <=100K 9.00
----------------------------------------------------------------------------
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 30.000.0 EA ELEC PRIVATE SWIMMING POOL` 30.00
Permit ... . . . PLUMBING
Additional desc
Permit Fee 33.00 Plan Check Fee 8.25
P.O. Box 1504 •/�/ VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: (JJr�� �� �4 Date: 2 -ZTS fQ�
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
oNTRACTO R
Architect or Engineer's Address:
/ V.A
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed un ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
/Code, and Lice?g is jp f�r4yforce and effect.
1/ License Class
to z( Zt/G0, Contractor✓
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the 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 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, 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
Xof the work for which this permit is issued.
;�Xd;,Mv Inand will maintain w kers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
w er ' mpensation insurance carr. r li e r/rt > fav n„��
/Carrier "� Policy Numbe _ CJ [!j� �
_ I certify that, in the pe ormance of the work for whhi ermit 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 th�, if I sh Id become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. /
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.).
Lender's Name / 4
N `
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 Quinta, its
officers, agents and employeesfor 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 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 co ct.2-mentioned
agree to comply with all city and county ordinances and state laws relating to building
construction,
,aand- hereby authorize representatives of this county to enter upon t b property for inspection purposes.
Date z Z L V Signature (Applicant or Agent
Page
2
Application Number . . . . . 05=00000644 Date
2/22/05
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
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . . .
128
Qty. Unit Charge Per
Extension
BASE FEE
15.00
-------------
Special Notes and Comments
POOL, SPA & WATERFEATURE. BBQ ANSI
#Z21-58-1995. 8 L.F. 4' BLOCK WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE PRIOR TO PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
IN PERMIT.
Fee summary Charged Paid
----------------- ---------- ----------
Permit Fee Total 306.00 .00
•Plan Check Total 148.35 .00
Grand Total 454.35 .00
Credited Due
---------- ----------
.00 306.00
.00 148.35
.00 454.35
1
C
I
A
SALES ' FIELD
DIG
SURFACE AREA OF POOL
PRE—GUNITE
SPA SPECIFICATIONS
UNDERGROUND -11
SI ZE G , (9 f ax &' SO FT
MASONRY
V
DECK
I I r
SPECIFICATIONS
SALES ' FIELD
DIG
SURFACE AREA OF POOL
PRE—GUNITE
SPA SPECIFICATIONS
UNDERGROUND -11
SI ZE G , (9 f ax &' SO FT
MASONRY
�� I
DECK
I I r
PRE—PEBBLE
'
SPECIFICATIONS
r C)"
?a : Gn
u Q t
TYPE SIZE X
SURFACE AREA OF POOL
PERIMETER q5 DEPTHS MIN - MAX S
SPA SPECIFICATIONS
TILE
SI ZE G , (9 f ax &' SO FT
f
S R.- t- 0 1—, r rel 4 F.. -p ON r-^, L
�-'
TILE TYPE f
SPA DAM WALL W'DTH
WATER UNE
NO OF JETS 4
TILE TRIM
LIGHT l - -2-n r-,)
QUARTER ROUND
RAND SPA AT 4.4,0'.
R B B. TILE
i
SPILLWAY TYPE S, -P C t<..- .4.J►L�o H�
SPECIAL NOTES
DECKING
EXCAVATION / STEEL SO Fl. ����
TYPE f c� a �..� 1-:c'
T
ACCESS FROM ':l ' jn` . rs EXPANSION JOINTS --fF s
ELEVATION CANTILEVER-,(I—
DEEP END RAMP "-^ DECK DRAINS OO "r Q2- ✓` t
LOVE SEAT 1.-^a DEOCIDDRAIN
CONCRETE REMOVAL !L �•�' ` LOADS CUPB CORE
SOD REMOVAL �� A> LOADS STEPS
': 4- "" r gt
TREE REMOVAL BY N r' F' e STEP FACE
IRRIGATION REMOVAL HY TILE BASE
IRRIGATION REPAIR L -f-1 P Ada t> SAND AND VISOUEEN YF
V RBB '�^�F'` ReSONS -'-�
12' R B B h MOW STR,c '
1B• RBB
-
24• RBB "'�fL
30• RBB
TAN SHELF DEp'H
M A SON R"
ROCK POCKETS _ _ __
COP'NG TYPE
!7 4Z L'
CENTERS �J �..�.
PEE FAiNG `""r?2`'` O. 14r �S✓neZA
SPSIWA Y '>ocP
SZE
PLUMB NGpal
FILTER
POOL PJV-- L� SZEZ , �� • 1 PLAN"£• VA.,.
r
Boos" PUMP S'ZE -- $
ADD i n,�p W • C .e,, .. „_. yZrr � � � ..a 4- t +�'�►
ADO'L PIUW SIP
r{EA r ST. CocF-1 70
'y!E CLOCX Al i
a
AX L CC: �rTS
gemit
POOL •- .+ �' ? -
GAS LInE S,BS
FOL*dTA1NS/SPRAv°EA.^c R'JL= 27dC SEAM
SH'Er-F DESCENTS BE• hC SP+
LIGHTS W POOL _ srn� IN SFA +
S'ZA4W:-i0:l'PIkIk' - J 4> ' ` 'A L°i I• m V G
1MSC r
GA7
GU NI TE I GATE REWSRS&
t
DEEP END RAMP REMO+E�-
Ex-ENDED 2nd STEP ia.a g4a„� 11,
,OSA-SEA'T
�^�
SPUWAY _ 'S "'1,,�,,,,1.t'+.•� -^'119'+G. 6� � EST. START ^-\ " ® 7
�.
CAN T°„E+E9 1 EST C4Mt'LETtOtt
-
COF'ti
P.e B - SEE S?Ef`
0V-NER PESPONSIB,UTIES
OM"1rR m (1) DETEvW%f 'K AFA—ELEVATM OF POOL OP SPA AT LA -11T Ok CAI {7r ptr,AYA'10f,
(2) TAKE MOTHS NA- PDX ANC E310VE:T LOCA"CNS A7x St'i jEC' T^Ar s"^ ?'A+e^£ CF
LOCA_ E- R :NC DEPA.a-W"- A' Ta/c Or ISS ANCE OF '
(3) DoE- DO*, CCNETE 9+£.i A' LEAS T" DAA,T roP SE'^- DAYS A=BED 9+p. IS pPS ALy-
(4) A<;'EE THAT CALF0F„tA POOLS PS NO- E FPR LI C7..%C Caprj-ice Cp MK:-,
AJC: ANY DAMAGE TO CUPS_ WIE'rkyS, L'PWilIt,S, LAA'S, OR E -.C2 t'SIS ON -,4E AC= A'%A
(5) SEE '4A- ALL FEVW GATES, APC GARAGE DOOPS Wa- LOCAL CODES F7 A P^ Et+,_C Lpr_
POOP 'C Par-PtAS'ER PEC"ON
(Al F'LL PpCI WAt= A"EiY Af'TER Pt.1�5TE'P (FOt..LO� *k.7C"MS -- DO N4- VSE R°.1E 'R ► 'j
(7) TAKE NOTA THA -'+#S DRAWNS tS THE SOLE FgOPEZ"r OF CALF'V%OA POOLS AND ",-AT AN -0
USE W-WOUT '-TEN P OF CA1FOWA PDDLS, Imo. IS PpopB'E.,'" f*' .+w
OWE APPROVES PLAN POOL. AD EOUt'PVEY' LOCAlOiS ANC HAS READ ,-T RESPONW I' ES A r, NC'°CES A9 C%'E
SGMA,JREtSt DAR
SVA"MMING POOL PLAN FCR -
n�� T
NAME I�l�t VI]S0NT/CUSHING RESIDENCE
STREET -7'�N-"ti to a, P_L_C- L9-
JOB ADDRESS RANCHE LA GJlN T A C("'v A G'__'NTA
PHONE OFFICE RES
LOT 10 TRACT PARCEL 24 PAGE E3010�
MAP BOOK PAGE NO CIT"
MAIL ADDRESS
CONS T RUC`;Oti` OFFICE PHONE NO
SCALE D47 DRAW\ E" S3_� BV C�_�IlCC a r
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