04-5811 (RPL)� Ti�t 4.4 Q*A�
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . .0-4=_0_0-0-058-1-1� Date 8/03/04
Property Address . . . . . . `5-8.6-97 QUARRY"RANCH RD
APN: 766-060-999-13 -306E1 -
Application description POOL - RESIDENTIAL
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 35000
Owner
------------------------
QUARRY RANCH
41865 BOARDWALK NO 214
PALM DESERT CSA 9
-- - --
--- - - - -
Permit..... --ME H
Additional desc
Permit Fee.
Issue Date . . . .
Contractor.
-----------------------
C & G CONSTRUCTION COMPANY
965 N. 2ND STREET
S 00Xk U LAND CA 911718 6
13 gyp. WC STATE FUND
C: 0440C14319 10/01/04
G��1DP�G�O CSLB: 692234 07/31/06
FAN
CCC: B
---------------------------------------------
POOL
24.00 Plan Check Fee 6.00
Valuation 0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
----------------------
9.0000
EA
MECH
FURNACE
<=100K
9.00
Permit
---------------------------------------------------
BLDG
POOL PERMIT
Additional desc
Permit Fee
317..
00 ,.
PTan,"Ch'e'ck Fee
206.05
Issue Date .
. . .
Valuation . . .
. 35000
Qty Unit
.Charge
Per
Extension
BASE
FEE
252.00
10.00
--------------------------------
6.5000
THOU
BLDG'25,001-50,000
65.00
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
30.0000
EA
ELEC
PRIVATE
SWIMMING POOL
30.00
,4
J
P.O. BOC 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: Date:
Applicant's Mailing Address:
Architect or Engineer:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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 License is i full force and effect. 2 ��
License Class 1 License No.
Date is 0 V Contractor—C 4 3
OWNER-BUILDERDECLARATION
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 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. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of pedury 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.
_ I 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 cookers' compensation insurance carrier and poli y number
Cartier TJJJJ ✓ O —Policy Number lnoi 1 y /
_ 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 ho become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisio
Date 3 Applicant
14
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
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 Ouinta, 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 n m ced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellati n.
I certify that I have read this application and state that the above inform o s ato m y with all ' and county ordinances and state laws relating to building
construction, nd h by authorize representatives of this county to en r o e abov anti roperty fo pection purposes.
Date Signature (Applicant or Agent):
j
1
Page 2
Application'Number .
. . . . 04-00005811
Date 8/03/04
-----------------------------------------------------------------------------
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
--------------------------------------
Permit . . . . . .
-------------------------------------
WALL/FENCE'PERMIT
Additional desc
Permit Fee . . . .,,
15.00 Plan Check
Fee
00
Issue.Date
Valuation
. .
. . 304
Qty Unit Charge
Per
Extension
BASE FEE
15.00
Special Notes and Comments
POOL & SPA. FOUNTAIN.
BBQ ANSI
Z21-58-1995. 496AGAL
FIREPIT: ALARMS
BARRIERS SHALL BE IN
PLACE PRIOR TO
" PREPLASTER INSPECTION.
19 LF 4' BLOCK
WALL CITY.STND. 23 'LF
2' HIGH WALL
(COURTESY)
Fee summary Charged
Paid Credited
Due
Permit Fee Total
434.00 .00
.00
434.00
Plan Check Total
231.55 .00
.00
231.55
Grand Total
665.55 .00
.00
665.55
Bin #f
City ®f La Quints7
Building 8i Safety Division
P.O.. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
"./
P�jlLa
Project Address; .5 ��9`% Q�(O�tr LI/ (Qdq
Owner's Name: Q U1a�LIL'( Pq.wtGb(� �(a e .
A. P. Number:
Address: VAAJ-I( C -%1)= {
Legal Description: Mr 30%51 L r- I3
City. ST; 'Zip: �. Qr/t,J�F71L � 92LS�
Contractor: ;;j �..�
C. G co. ��r o
FTelephom %ko . 7 % 7 7 4 55 . .
Address:
Address:-Sys.:. �.
Project Description:
City.ST.Zip:`_ .U'.:[ 4-0 (A q:1 7&� :.
Poop .SPA.4...- vNrq,r�
Telephone: 1Ua (..o.[ ' /.l�"Y'�
r3 .
lCiNLid.'#::353R
13�_� /�"'S ► ZZ/
State'Lic. #: 223`f
Arch.. Engr., Designer:
. F,1s e,T G 4,G.,
C-i" Sr*+kD A-20
Address:
City. ST. Zip:
02 3
Telephone:
State Lic. #:
Name.ofContact Person: e_06915eC_
Construction Type: G t.! I Occupancy:
Project type (circle one): Add'n Alter Repair Demo
Sq. Ft.: [� 1 # Stories: # Units:
Telephone # of Contact Person: /OV 7 7 V -' 99./S
XEstimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted 11cm Ahionnt
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit
Truss Cales.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2"a Review. ready for corrections/issue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed-
Plans picked up S.M.1.
H.O.A. Approval
Plans resubmitted Grading
r
IN HOUSE:-
7rd Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.1. .P.
Pub. Wks. App r
Date of permit issue
School Fees
Total Permit Fees
u
0�
4 -11
M.
r"Are, L4W. LIN,
NTS.
4k**rL4_ oo
q4"'Worit
sone ■tgonesIAr■�liallfl■r 1`i1� ' • ��„
,�� I�i onoson as
F54 11 AMU
U
VIA
a a
..Mmnm mmmUmmu- in - - - - - -
man
71k� IMInon Monson, REM 11poo■a
.01
pawor 60.1 -1 06.
W -11i
OnsionnorILN a
onmimmn@,A%'tpb
411"amon MEN a sominsv,17%NION lion OEM
man now 0 0 on loss monsoon■
one■OMER =Sam ---- as
Mo.. No No.
a n a 0 0 0 N-Jwfi-d-1 --------
mmmmmmmw---
Bosom
sense
?A 49
'_ A
A
--I-uc
, _C0
C -A
n omennown
nommumagan
attn�&
y:
now
-TIcc FACT
r11i �P L'pA4&L cAP
ART )4(AD By 0V' -'(L5
Zai
ONAMN
Size I X 34-
GurfaceAmolPool: q69 0
POCL)
��!a
I
we
IM7
s smW'J on I
a ' 9 Z s" I
CA -
57 it) 221f per..
MOM
X
sq,
I V1
NMI
I
Ty"0150111war size
SPA Raised To:
4k**rL4_ oo
q4"'Worit
sone ■tgonesIAr■�liallfl■r 1`i1� ' • ��„
,�� I�i onoson as
F54 11 AMU
U
VIA
a a
..Mmnm mmmUmmu- in - - - - - -
man
71k� IMInon Monson, REM 11poo■a
.01
pawor 60.1 -1 06.
W -11i
OnsionnorILN a
onmimmn@,A%'tpb
411"amon MEN a sominsv,17%NION lion OEM
man now 0 0 on loss monsoon■
one■OMER =Sam ---- as
Mo.. No No.
a n a 0 0 0 N-Jwfi-d-1 --------
mmmmmmmw---
Bosom
sense
2NMMXMMNMosMoMsM
onommummonesson
n omennown
nommumagan
attn�&
y:
now
N
Zai
ONAMN
Size I X 34-
GurfaceAmolPool: q69 0
r::::::::::
��!a
I
we
IM7
s smW'J on I
a ' 9 Z s" I
Size
57 it) 221f per..
MOM
X
sq,
I V1
NMI
I
Ty"0150111war size
SPA Raised To:
zxt.spa.- S71JU0 -M 041-irA
Notes:
0i.
0
a
a:l
NMI I
Ing
I
no
a so
o n
Non
.01
-?A t/t I(< S
SAO by
5Ltc-4c- ,
AVAIIARI(
PA VEP S
� - N16
IM 64t\_ A
V
tit
"CAS
OUTWORSOLUTIONS
POOL MD NA WMONSMVU!�
ow"n MA&GOLIS Lot: * IS
Address: SS & 9 2 Qv*40-1 A-0—
a C.
0
a
a:l
NMI I
Ing
I
no
a so
o n
Non
.01
-?A t/t I(< S
SAO by
5Ltc-4c- ,
AVAIIARI(
PA VEP S
� - N16
IM 64t\_ A
V
tit
"CAS
OUTWORSOLUTIONS
POOL MD NA WMONSMVU!�
ow"n MA&GOLIS Lot: * IS
Address: SS & 9 2 Qv*40-1 A-0—
attn�&
y:
State:
Foolowdications
T" &U13 ITE
Size I X 34-
GurfaceAmolPool: q69 0
r::::::::::
��!a
I
we
IM7
s smW'J on I
a ' 9 Z s" I
0
a
a:l
NMI I
Ing
I
no
a so
o n
Non
.01
-?A t/t I(< S
SAO by
5Ltc-4c- ,
AVAIIARI(
PA VEP S
� - N16
IM 64t\_ A
V
tit
"CAS
OUTWORSOLUTIONS
POOL MD NA WMONSMVU!�
ow"n MA&GOLIS Lot: * IS
Address: SS & 9 2 Qv*40-1 A-0—
attn�&
y:
State:
Foolowdications
T" &U13 ITE
Size I X 34-
GurfaceAmolPool: q69 0
JiGnInater. U If POOL -
Depth: to to 3
Size
57 it) 221f per..
MOM
X
sq,
I V1
Ty"0150111war size
SPA Raised To:
zxt.spa.- S71JU0 -M 041-irA
Notes:
0i.
Excavation'
Vile
TypeolTile 182
AmmYrom: L -0'r NO -Or 0404-
Color. 9-0 T>
ElevetwnAt: Tib
wait -.line
Ramp:
Trim Tile:
Too quylleft'alu yiers - 59;6 PLA .1
OB- ac -a a;_
Dow Dior ib Srhy o#J
QiiarterRound:
tvr At -ler Door
Notes.
Notes; I24601011a"' V%A-r f�fi_* FIRIT-i8)
map
,pn&CoLvA1JirJW. 16'
Sq unrefoot a
757cSC 10 A.SC41442CC4P
C'L SPIE + Ze*L,
24"10&—
r/1577.
Typeagseek-
Lo"Sul/DendL. W-5 —5fCAA,4
Cantilever.
Tan8htllV*p&--.18" Pd;2-fL4c4
Sand/Vi9queen Yd -S
Special Hnglneentig:
Sub -base Yn FOW-571be-to rY
RockPockeir.
steps. F&V45OLS
Centers:
Stop Face
Notes
Deck Drams: A'$
Expansion joints. AS 36f5aGo
• flumbin Notes:
Heater. SA40'1 Size. Ifoo K,
Pool Fump: Sze. 2. 5
Type of Coping: Pik VC -4?- S
Booster Pump: 7A. -JA y sIze; 2 6
RB8 Face SrV c- Le I -n LIs
PumpiTA00y Size Z__
�JIC+t SrACM
V.f,r;b Pump; _.L.�A Mtpy SJz'W
Waterline T, t-6
Timecloct ZN'4t' y
Steps: MES Stapfaca:
Xandy:Nd 7b 'J CM
Equipment Wall:
Add'1 Outlets: 880. eavwm,&_
Planter Walk YCS
Brass from light to WX Retaining Walls., TC -7r
—Auto fill2lefrom W41* 500ACE BBQ. Yf%- �,-Wy4c_
Poet. V
✓Gist line I mat to
F P
zvilchne oftI40 yn..'
*-foe r-6siovywid.
waterraturen.
Qw Nom 1 000, I'r CPA-. Boulders:
(2),IjshmtsPool:
C U'0 r, Stonework T4 w4e. SVA'ako
Y
!Saitsystem A Qv"0-6 1t4whW) Vibtify 0#4 Sri%,#_%Pqkf
Notes: 51rome Aks
IJ
too P 6M. f L A -J
rem
&IiA
Tan s'-wh po*oI. R-� Type ollencinp.
Vench- F'vLL 1_"C.Nfk- Height% &&LA -3 Gate(S)i
TypeofSpillwar. 4M ICK STWC
Type of Copmr. PAV" 5
Cantilever.
Raised AM; '14" SA P'l I"y
Color. -A ('tj
Not Pft Ext. Spa Wall.. larry 0- C-40
(1) IJ TA -3 S&lfXC- SPA Lights in Pool: Z ,
Additiong! Not Lights in Spa:
Recessed Byebaur.
Notes:
OUTDOOR SOLUTIONS r
F -00L &MAU sale
Owner.cot: A P- 60L I S Lot:
Address: 596 9% QQ4" 'I 12 4 c 1A W- A C,
Gly: LA 0 OM TA StateC A. 0
0
NORTH
Ave. 64
p.
PGA WEST
to
Qua" 'LLi
ntronce Ave. 58
OUA RY RANCH ROAD
§f 7-7-
A f -N I I #;7_77J,
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE J