08-1479 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application descriptio
Property Zoning:
Application valuation:
Applicant:
68-00001479,
78102 SAN TIMOTEO ST
646-160-025- -
n: STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
20000
Architect or Engineer:
alp
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
t
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 r {es � als Code, and my License is in full force and effect.
License Clas C5 I Li ense 856383
ate: ntrac or:
-BUIL DECLARATION
I hereby affirm under penalty of penury that exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and rofessions 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).:
(_ 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 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 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 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
BILL SAUNDERS .
78102 SAN TIMOTEOrASj LA QUINTA, CA 922
7
Contractor:
STEWART POOLS & S
P.O. BOX 961
PALM DESERT, CA 92261
(760)217-7777
Lic. No.: 856383
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/26/08
Lr -"l U
:.AUG 2 22000
CITY OF LA QUINTA -
WORKER'S COMPENSATION DECLARATION
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.
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 workers' compensation
insurance carrier and policy number are: °
Carrier EXEMPT Policy Number EXEMPT
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 California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3 -#DO of the La4ar-Qpde, I sh➢yl foahjp i comply with those provisions.
WARNING: (AILURE TO 9fiQAdECOR 1Z-e1VPENSAVION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL OFENALTIES 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. I agree to comply with all
city and county ordi ances and to laws re tin to udding construction, and hereby authorize representatives
of this cyurft)/to e�er upo tb a-�erynPA&erop rty for insyvction purposes.
Application Number
08-00001479
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
207.00
Plan Check
Fee
134.55
Issue Date . . . .
Valuation
. . .
20000
Expiration Date
2/22/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
THOU BLDG 2,001-25,000
.162.00
Permit . .
PLUMBING
Additional desc .
Permit Fee
18.00
Plan Check
Fee
4.50
Issue Date . . . _
Valuation
. . .
0
Expiration Date
2/22/09
Qty Unit Charge`
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE
1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
ADD STONE TO TOP OF CONCRETE DECK &
POOL. BUILD BBQ ISLAND, NO SINK, SIDE
BURNERS, ELECTRIC.40-L.F.
1 1/4" GAS
LINE
-------------------------------------------------------------'---------------
Other Fees . . . . .
. . . . ENERGY
REVIEW FEE
13.46
STRONG
MOTION (SMI)
- RES
2.00
Fee summary Charged
---------------------------
Paid
Credited
Due
Permit Fee Total
----------
225.00
----------
.00
----------
.00
225.00
Plan Check Total
139.05
.00
.00
139.05
Other Fee Total
15.46
.00
.00
15.46
Grand Total
379.51
.00
.00
379.51
LQPERMIT
-Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #/�1
l�
Project Address: 78 �� 2 S'�w O %z_:_O
Owner's Name: �yGc. Aviv p6IZs
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Q.
Contractor:
�%L
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Telephone:
Project Description:
Address:
Q X
City, ST, Zip: - 7
D %r of 0 TO%� V %
Telephone:
CityLic. #:�
p0 L
State Lie. # : � g
� ` r
/Gt l G�¢ry O
/ Afl_"L
Arch., Engr., Designer:
Address:
'O Swe
�O
City, ST, Zip• ejo
_
IV b �LECTiQ/G C' D�rJG
Telephone: t
State Lie. #: 3 �f
Name of Contact Person*aW
Construction Type: Occupancy:
P y:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7,60 : �217-7;77 7
Estimated Value of Project: ;+0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
307W
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Subcontactor List
Grant Deed
2" Review, ready for correctionslissue
Called Contact Person
Plans picked up
Electrical
Plumbing 6AS
S.M.I.
S
7
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' 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
/ 5
lift
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Construction Authorization
%Jr 61.%.Oi l J.%Orl 1 J-vll v%.;
Type: Size: x
Surface Area Of Pool
Perimeter Depths Min Max
Spa Specif ications
Tile
N
Tile Type
Size _x_Sq Ft
Water Line
Spa Dam Wall Width
Tile Trim
No. Of Jets
Quarter Round
Lights
R.B.B. Tile
Raised Spa At
Notes
Spillway Type
�
Special Notes
C
Decking
U)
ExcaVat I o n / ?teal
Sq Ft
Finish
Exspansion Joints
Type
Cantilever
Deck Drains
Access From
Decco Drain
Elevation
Curb Core
Deep End Ramp
Steps
Love Seat
Tile Base
Concrete Removal
Sand And Vesqueen
Sod Removal
Ribbons
Tree Removal
Notes
Irrigation Removal
Irrigation Repair
(9
6" R.B.B.
12" R.B.B.
(.)
18" R.B.B.
X
24" R.&B.
Masonry
30" R.B.B.
Tan Shelf Depth
Rock Pockets
Coping Type
Centers to
R.B.B. Facing
Spillway Type Size
Steps
U
Prop. Ext Walls
Plumbing
Planter Wall
Retanning Walls
Equipment Walls
Filter Size
Fire Pit
Pool Pump Size
Notes
Booster Pump Size
Add9 Pump Size
Add9 Pump Size
Heather Size
Time Clock
Sub Panel
Addy Outlets
Skimmer Type
Pebble / Plaster
Auto Fill
Gas Line Stubs
Fountains / Sprayheads
Pool Plaster Type
Sheer Descents
Spa Plaster Type
Lights in Pool Spa
Drain Coating
Stub Set Equipment
Rolled Bond Beam
Misc
Notes
Plumbing Size
Notes
Fencing
&unite
Fence Type
MHig i ht
IV
Deep End Ramp
Gate _
Gate Reversal
Extended 2nd Step
RemoveRehang _
Loveseat
Spillway Type
Est Start Date
Cantilever
Coping
Notes
Est Completion bate
Signature
Owner Responsibilities
Owner To: (1) Determine the approximate elevation of pool or spa at layout on day of excavation.
(2) Take notice that pool and equipment locations are sudject to acceptance of local
building department at the time of issuance of permit.
(3) Agree that Stewart Pools and Spas is not responsible for underground conditions
or objects, or any damage to Curbs, Sidewalks, Driveways, Lawns, or other
items in the access area.
(4) See that all Fencing, Gates, and Garage Doors meet local codes for a pool
enclosure prior to preplaster inspection.
(5) Fill Pool immedately after plaster..( Follow instructions, Do Not Use Rubber Hose)
(6) Take notice that this drawing is the sole property of Stewart Pools and Spas and
that any use without written permission is prohibited by law.
Owner Approves Plan, Pool, and Equipment locations and has read the responsiblites and notices above.
Owner Signature(s) Date
Builder Signature Date
Swimming Pool, Spa Plan For: 5,6,or4,w5=.
Name: New Pool Owner Residence
Street ""j f v 2 Sp,,ru "i
Job Address ,. �,�, — City
Phone: Res: Cell:
Lot Track
Mail Adress
Construction Ofrfice Phone No. ^ (o u a-1-7 --7 .1 7 -
ScaleDate
JDrawn By
Checked By
Selections
Stone Type
Tile Type
Boulder Type/Size
Deck Color
Pebb ! Plaster
Jandy Control
Job #
.'),ffl IIKITA Date
1 BUILDING & SAFETY DEPT.
2
APPROVE
3
FOR CONSTRUCTION
4
Project Note
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