05-3035 (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:
0 5 "-O 0.0 0;3.03.5
57539 SANTA ROSA TR
762-240-0.13-16 -30487
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
17000
Architect or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LIC NSED`CONTRACTOR'S -DECLARATION `
I hereby affirm under•pgnalty of,pwjury that I sed:ynder provisions of Chapter 9 (commencing with
Section 7000), of, sio f the Bus" ss an rofe sign a's Code and;my}ce�S�+ n u�/f a and effect.
License Clas . �?+' - • License No -Gp i7 : F" ' - -
Paw
2 ±ZClf�Sontractor:
OW f ER DECLARATION
I hereby affirm under penalty of perjury that, Iain exempt from the contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city orcounty,tliat requires 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 orshe 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 andProfessionsCode) or
that he or. -she is exempt therefrom and the: basis for the alleged exemption. Any violation of Section 7631.5 by
any applicant for ' ili iitsubjects the applicant to a civil penalty of not more'than five hundred -dollars'($ 500).:
(_ 1 I, as owner of„ thepropert'y,,or my,employees:with wages as their sole compensation, williio.the work, and
the structure isnot intended or offeredforsale (Sec. 7044, Business and'Professions Code: The
Contractors' State License Law does not apply, to an owner ofpropertypwho 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 forthe 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.)..
( 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.). -
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/20/05
Owner:
SANTA ROSA DEV
40847 SANDPIPER CT
PALM DESERT, CA 92260
Contractor:
CALIFORNIA POOLS & SPAS
WCC: SEABRIGHT.INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
------------------
WORKER'S 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 3700,6f the Labor Code; for the performance of the work forwhich this permit is
issued.
/t 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 andpolicynumber;ar �./.0%� /
Carrier C8 C27 C29 C53 rPolic ber IL-1! (11 l C
certify that,�in the performance of the rk f which this. permit is issued, I;shall not employ&v
person_in any mannecso as to becom sutije to the workers' compensation laws of California,
and agree that, if I shoiil come sub to he.workers' compensation provisions of Section
3700 of the Labor Co , I hall f nh th ply with those provisions.
61—k licant:
WARNING: FAILURE TO SECURE WO "ERS COMPENSATION -COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO`ONE-HUNDRED THOUSAND
DOLLARS 'I$100,000). IN ADDITioN46 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 cess tjo o ork for 180 days will subject
permit to cancellation.
I certify than I have read this application and state that the above informati is c re t. I agree to comply with all
city andel county ordinances and state laws relating tobildin co struction, nd he y authorize representatives
of t S coun to en1�r upon the above-mentioned pr perty or�ipectin p rpos
�`/(ii
`� Si�ature (Applicant or Agent):
LQPERMIT
Application Number . . . 05-00003035
:Permit . . . . . . BLDG POOL PERMIT
Additional desc .
Permit'Fee 180.00 Plan Check Fee
117.00
Issue Date Valuation . . . .
17000
.
Expiration Date,,. 1/16/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
15:.00 9.0000 THOU BLDG 2,001-25,000
135..00..
-.
Permit'- . . MECH POOL
Additional desc .
Permit Fee:". 26.00 Plan Check Fee
-6.50
Issue Date' Valuation
0
Expiration - ;Date 1/16/06
Qty Unit Charge Per:,
Extension
y 'BASE FEE"
15.00
1.00 "- 11.0000 -.EA MECH FURNACE >100K
11..00
-------------------------- ------------------------------------------
Permit ELEC'POOL PERM3T-RES
Addi`t_ional'."desc'
Permit Fee 45.00. Plan Checkk:Fee
11.25'
Issue; Date Val'uation.:
0'
Expiration Date" 1/16/06.
Qty Unit Charge Pere
- Extension
" BASE FEE
15..00
1.,00. 30.0000 EA ELEC'.PRIVATE SWIMMING POOL
30.00
4.
---------- -------------- ----- -- ---- --------------------------
`"Permt . . PLUMBING
Additional-desc:`.
"
Permit'..Fee 33.00 Plan.;Check Fee
8.25
Issue Date Valuation'
-0.
Expiration Date 1/16/06
Qty ..Unit Charge Per.
Extension
_
BASE FEE
1,'5,.00
2.00 6.0000 'EA. PLB'.''FIXTURE'
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
LQPERMIT
Application Number . . . . . 05700003035
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED I•N PERMIT.,
Fee summary, Charged Paid Credited Due
Permit Fee Total _284..00' .00 .00 284.00
Plari Check Total 143.00 .00 .00 143.00
Grand Total 427..00 .00 .00 427.00 _
LQPERMTT
Bin #
City of La Quintq
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253'- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
05
Project Address:5-7 , 53 4 RgS —M4 -1'L Owner's Name:
A. P. Number: Address:
Legal Description: City, ST, Zip:
Contractor: e h o ne
D Telephone:
C LoLs �
Address: C) t7m I zg O Project
Description:
City, ST, Zip: 6co CA ed W 2°,;( 3 0 DooL 5 PA -
Telephone: G
O
State Lic. # : 4 City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: Construction Type: Occupancy:
P Y
StateL ic. #: Project 'n Nei
o Ad ' Repair
type (circle circ one): Add
J n Alter Demo
Name of Contact Person: 4;r Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 2': rte'- n& "i Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
g$
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan -Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" 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
d4a�
IS
AUTHORIZATION
FIELD
LOVESEAT
SPILLWAY TYP /.` d EST. START
CANTILEVER 4� < EST. COMPLETION
COPING OTHER
R.B.B. - SEE STEEL 3 '6)20-
I
IS 6'20 -
!— t-11
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 SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CAUFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBIU11ES AND NOTICES ABOVE.
SIGNATURE(S) DATE
c SWIMMING POOL PLAN FOR:.,..
NAMEAL' EN1 REST DENCELOT1 G.
STREET'? X39aNTA c� TR�,iI
JOB ADDRESS ICITY
PHONE OFFICE RES
LOT IG� TRACT PAGE BOOK
MAP BOOK PAGE N0. ICITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY KED BY
..1/8 -1' _00/P4/(OS �_jC41 Jx--cK
JOB# REVISIONS DATE
-� CITY OF LA c
2 ~APP , .
-7 UH CONSTRUM-1v
IV,
�
4 DATE' l�_BY G: I
5'
SELECTIONS
STONE
SPECIFICATIONS
TILE
TYPE (23NI SIZE 23-" X
BOULDERS
SURFACE AREA OFFPPOOLr
DECK COLOR)
PERIMETER ?'1 -- I r! r ) DEPTHS MIN. ��?i V� 1,! MAX.
JANDY
SPA SPECIFICATIONS
TILE
SIZE � XTP— SQ: FT. — .
TILE TYPE
SPA DAM WALL WIDTH
WATER LINE C -
NO. OF JETS
TILE TRIM AlV
LIGHT
QUARTER ROUND:
it
RAISED SPA AT ••
R.B.B. Tn F l
SPILLWAY TYPE 5'NC %P .
SPECIAL NOTES ILA C 1
DECKING
SQ'
EXCAVATION / TEEL
TYPE 6.c
FINISH
ACCESS FROM 11
EXPANSION JOINTS
7 t
ELEVATION
CANTILEVER ves
e DEEP END RAMP
DECK DRAINS)
LOVE SEAT
DECCO DRAIN
V
CONCRETE REMOVAL "" LOADS
CURB CORE Aj
J
U�
SOD REMOVAL ' LOADS
STEPS
TREE REMOVAL BY
STEP FACE ,AJ
IRRIGATION REMOVAL
TILE BASE r
IRRIGATION REPAIR .�
SAND AND VISQUEEN
6' R.B.B. .� ft
RIBBONS
12" R.B.B.
MOW STRIP
18' R.B.B. 36' 5 x ft.
24" R.B.B. '-
30' R.B.B.
TAN SHELF DEPTH " +
MASONRY
ROCK POCKETS �
COPING TYPE dg
d
CENTERS
R.B.B. FACING I1 I- tom.
SPILLWAY TYPE &kA e A
PLUMBING
STEPS
FILTER 17 SIZE C e
PROP. EXT. WALLS N 0
I �
POOL PUMP SIZE ;Z,
PLANTER WALL
,C
BOOSTER PUMP 'met" SIZE
RETAINING WALLS 1�
.810
SIZE
EQUIP. WALLS _
ADDI PUMP
t'IREPIT
ADD'L PUMP IUQ SIZE
HEATER ._ S SIZE L) 0
TIME CLOD( ' F
SUB PANEL g S
ADD'L OU 0
Vi�L 1'IQ% P
SKIMMER TYPEFILL
LINE �
PEE/PLASTER
E sTUBs A)� t,�
GAS LINE
BBL o T !
/
FOUNTAINS/94AYHEADS �" �
LIGHTS SPA
ROLLED BOND BEAM AJ 6)
G/
BEHIND SPA {
SHEER DESC
EYEBALLS
LIGHT'S IN POOL � O SPA
FENCING
STUB SET EQUIPMENT
MISC.
° +'
FENCE TYPE L
PLUMBING SIZE
HEIGHT
GATE
GATE REVERSAL '. ,
GUNITE
DEEP END RAMP )
REMOVE & REHANG
EXTENDED 2nd STEP
AUTHORIZATION
FIELD
LOVESEAT
SPILLWAY TYP /.` d EST. START
CANTILEVER 4� < EST. COMPLETION
COPING OTHER
R.B.B. - SEE STEEL 3 '6)20-
I
IS 6'20 -
!— t-11
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 SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CAUFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBIU11ES AND NOTICES ABOVE.
SIGNATURE(S) DATE
c SWIMMING POOL PLAN FOR:.,..
NAMEAL' EN1 REST DENCELOT1 G.
STREET'? X39aNTA c� TR�,iI
JOB ADDRESS ICITY
PHONE OFFICE RES
LOT IG� TRACT PAGE BOOK
MAP BOOK PAGE N0. ICITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY KED BY
..1/8 -1' _00/P4/(OS �_jC41 Jx--cK
JOB# REVISIONS DATE
-� CITY OF LA c
2 ~APP , .
-7 UH CONSTRUM-1v
IV,
�
4 DATE' l�_BY G: I
5'
SELECTIONS
STONE
TILE
BOULDERS
DECK COLOR)
r .
JANDY
60
PEBB./PLAS
SIGNATURE
11 NKt—F'tt3tlLt DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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