05-2870 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
0 570 0 0 0-2-8-17-0—W
Property Address:
57576 SANTA ROSA TR
APN:
762-240-013720 -34087 -
Application -description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
17000
Applicant: Architect or
Co AJ i Ra C� ro/C
11
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
AUG 0 3 2005
CITY OF LA t UINTA
-- ------------- -- ---- ----------a.�..-
- LICENSED CONTRACTOR'S:DECLARATION
I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3�of the Business and Professionals Code, and rLicense is in full force and effect.
License Class: 3 License No.: �p (o / Z
te:Contractor-
OWNER-BUILDER DECLARATION
I.hereby.affirm under -penalty of'perjury that I am exempt from the Contractor's 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 signedstatement that he or she is licensed. pursuant to the provisions of the Contramor'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, normore than. five hundred dollars (5500).:
(_ 1 l; 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.applyto.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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044; Business and Professions Code: The Contractors' State LicenseiLaw•does not apply to an owner of
property wfio.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:
LQPERmrr
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/11/05
Owner:
SANTA ROSA DEV
40847 SANDPIPER CT
PALM DESERT, CA 92260
Contractor: .
CALIFORNIA POOLS & SPAS
WCC: SEABRIGHT.INS
WC: BB1050510 0:1/01/06
CSLB: 656128, 10/31/06
-f - - - - - - - - - - - - - - 7 - - - - - - - - - - - - - 7 - - - - - - - - - - - - - —
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 of'the-Labor Code, for the performance of the work for which this permit is
Y 'issued: -
/V I have and. will maintain workers' compensation insurance,. as required by Section 3700 of the Labor
Tt Code, for the performance ofthe work'for which this permit is issued. My workers' compensation
insurance carrier and policy number are: , /
Carrier C8 C27 C29..' C53 ' Policy Number C�Cf �-C�'tl/6 i—
I certify that, in the performance of the, work for which this permit is issued, 1 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 subjecf to the workers' compensation provisions of Section
�3-C3�'7
of the Labor
5/ode I sha hwith comply with those. provisions.
.6ate'. Applicanty
T'
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.
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 issues 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 ordinances and state laws relating building construction, and hereby authorize representatives
of this county to eennter upon the above -mention property for ' e on purposes.
ate: �J Signature (Applicant or Agent):
Application Number . . . . . 05-00002870
Permit . . . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 180.00 Plan Check Fee 117.00
Issue Date Valuation . . . . 17000
Expiration Date 1/07/06
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 1/07/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
----------------------------------------------------------------------------
Permit ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . 45.00 Plan Check Fee 11.25
Issue Date . . Valuation 0
Expiration•Date 1/07/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
----------------------------------------------------------------------------
Permit PLUMBING
Additional desc ...
Permit Fee . . 33.00 Plan Check Fee 8.25
Issue Date . . . Valuation . . . . 0
Expiration Date 1/07/06
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
Application Number . . . . . 05-00002870
----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 284.00 .00 .00 284.00
_ Plan Check Total 143.00 .00 .00 143.00
Grand Total 427.00 .00 .00 427.00
LQPERMIT
•
- lir' n •
#Units:
Telephone # of Contact Person:'-� �dA 7 ; Estimated Value of Pro�eiit: O
APPLICANT: DO NOT.,WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd Y
'Buildih 8L Safety Division
P O.?Box 1504, 78=49S Carle Tampico
i x PERMIT FEES
Permit #
Plan Sets
Tlan Check submitted, ?_a
La Qurnta, CA 92253 - (760) 77777012
ltem� ti Amount
Building Permit Application and Tracking Sheet
Project Address: S —�+
S Owners Name:
A. P. Number:3
. �..
Address:
;Plan Check Deposit
M -
*', -Legal Description:
City, ST, Zip:
Contractor: C Cl. L- , d11
Tele hone: F
-t�0 Gsit-spas P
Address: Q �� ��� . Project Description: ' -
City, ST, Zip;.Caaaed L
•,a 3. 0 ... L, i alor
Telephone: 391?—
9.W/I �fuP]
.:,{>,Y:::•.f:.:;"^#:r:<.;.:�,:>i-:xf:�?:;r':i:<.ti}s�{}::i.ii:±:}•<:.r:.:}rhs:<i$ii-Yii::}<�Y><]„jYti}v•:$„r};?:•.
�
Plans,picked.up „ .
State Lic. #
CttyL icf # a
'Arch., Engr., Designer:
Flood plain plan
Address:
City, ST, Zip:
.arm
'Mechanical
'Telephone:
-`< {,cj'•. , t..
Constructton Type: Occupancy:
;State Lic: #:
.vi n}•.,IF
Mx.° } { ff ;h +.:+, •,. Project type (circle one): Ne Add'n k Alter Repair Demo
t�.
.Name of Contact Person: b A A JJ°5Sq. Ft
v# 'Stories: ,
#Units:
Telephone # of Contact Person:'-� �dA 7 ; Estimated Value of Pro�eiit: O
APPLICANT: DO NOT.,WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd Y
' TRACKING_
i x PERMIT FEES
Plan Sets
Tlan Check submitted, ?_a
ltem� ti Amount
Structural Calcs.
Reviewed, ready for corrections
;Plan Check Deposit
Truss Calcs.
`Called Contact Person r', ` :
'Plan Check Balance
Title 24 Calcs.
Plans,picked.up „ .
;Construction
Flood plain plan
Plans resubmitted
'Mechanical
Grading plan
V Review,,ready for corre_clionsfissue
;Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
'S.M.L
H.O.A. Approval
cPlans resubmitted i
Grading
a
AN HOUSE:-
'”' Review, re_ady,for correctionsrssue
Developer Impact Fee
Planning ApprovalCalled
Contact Person
Pub. Wks. Appr
;Date of permit issue
School Fees
"
Total Permit Fees
i
E- J'ET5 AT RAID p4P M H'r,. 16 HTS
RA Isar sPA, AT -� 1011 W 17H 5114 T�+ C6
g �Nr 0 .7 I L 5-P i L1.
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al q
�T>� f�--�'�K►IVCD
SPECIFICATIONS
TYPE U W .17 �
�'
SURFACE AREA OF PO4LI '51
PERIMETER
OWNER
SIZE � � X
DEPTHS MIN. i"� R MAX.
SPAM S�RECIFtIC�A.TIONS
SIZE X SQ. FT.
r
SPA DAM WALL WIDTH �+�
TILE
TILE TYPE
WATER LINE r° fli Z`
PeaL `49 pk
NO. OF JETS
LIGHT Z_ _<0
TILE TRIM Aj 4?
QUARTER ROUND A'2
R.B.B. TILE
PHONE OFFICE 760&),29E,�?, R-ESCaR 7G663e /1J�e,�%gi��!c t�
RAISED SPA AT % ,4
SPILLWAY TYPE
MAIL ADDRESS /6d3 7W45F
CONSTRUCTION OFFICE PHONE NO.
SPECIAL NOTES 1 D LC"J
DATE
� �. �
DRAWN BY
ISI
SOLD BY
JAC K
CHECKED BY
JOB#
REVISIONS DATE
DECKINGN.41
4 0411EXCAVATION
SQ' E
G! OF LA QUINITA
BUILDING & SAFETY DEPT.
r u if ED
FOR CONSTRUCTION
STEE
TYPE (.30 C A T� A,- 14 i^
FINISH ,i /f' ` k ti s l.c;l
L � �QaM / d�
EXPANSION JOINTS
CANTILEVER T\/ 1:' t
DECK GRAINS ° o
DECCO DRAIN ')
CURB CORE
STEPS - j 0
_
ACCESS FROM 0 T OR ZrPCL
ELEVATION '-
DEEP END RAMP l)k
LOVE SEAT po
CONCRETE REMOVAL A LOADS
SOD REMOVAL A LOADS
TREE REMOVAL BY L
IRRIGATION REMOVAL RY N
IRRIGATION REPAIR t °
i
STEP FACE A;
TILE BASE
SAND AND VISQUEEN
6" R.B.B.
RIBBONS
MOW STRIP 4,
12" R.B.B. AJ ` ft
18" R.B.B. 3 1 .ffk, ft.
24" R.B.B. 140
30" R.B.B. ..')o ft
TAN SHELF DEPTH Aj I,
ROCK POCKETS
CENTERS
MASONRY
COPING TYPE"
R.B.B. FACING
SPILLWAY TYPE "'
STEPS /
SIZE -W
PLUMBING C A POOL- SIZE C L D �
FILTER
POOL PUMP __\� SIZE i y
PROP. EXT. WALLS
PLANTER WALL
RETAINING WALLS &tr°
BOOSTER PUMP ° SIZE
ADA PUMP Ai C } SIZE
EQUIP. WALLS N
FIREPIT A
ADA PUMP C! SIZE
HEATER C A SIZE f1
TIME CLOCK t 'r C( 0 (!v) 1_
SUBPANEL N IC 901-A,"F�_
ADD 'L OUTLEM AW
SKIMMER TYPE 2 0 AL
FILL LINE r) i c
GAS LINE Vl_ STUBS I
FOUNTAINS/SPR'AYHEADS
PEBBLE PLASTER/
LIGHTS POOL 6 P Fw
LIGHTS SPA C rr�1i>°fi*
ROLLED BOND BEAM AJ
SHEER DESCENTSBEHIND
LIGHTS IN POOL /-St) IN SPA
SPA %L A 55
EYEBALLS
i'< (' iz e L
STUB SET EQUIPMENT 1 :; fir' I C T m A
MISC.
FENCING /
PLUMBING SIZE
FENCE TYPE A,111(
HEIGHT
GATE (�
GUNITE
DEEP END RAMP a'I/
GATE REVERSAL fl/
REMOVE & REHANG "T
EXTENDED 2nd STEP V .
LOVESEAT aq.
EST. START
EST. COMPLETION
~ SPILLWAY TYP ;ADC&A,1r'&.FD
CANTILEVER r 5 e
COPING � "Y
�,,� S
R.B.B. -SEE STEEL ' ✓�
OTHER
,,,, °Q LLQ % r' 'I�? (11 TAi
rf; r4 Jj I?
OW,
HOW,--
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 CALIFORNIA 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 RESPONSIBILITIES AND NOTICES ABOVE.
.
y
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME ALLEN RESIDENCE LCAT 20
STREET -57-.576 5; Rj-
JOB ADDRESS S"AWTA'.:W. SA 'T'R�A�IL 5 ICITYL-A ��pR
PHONE OFFICE 760&),29E,�?, R-ESCaR 7G663e /1J�e,�%gi��!c t�
LOT _. 20 TRACT PAGE BOOK`
MAP BOOK PAGE NO. CITY
MAIL ADDRESS /6d3 7W45F
CONSTRUCTION OFFICE PHONE NO.
SCALE
/8„_ � ,
1/8"="
DATE
� �. �
DRAWN BY
ISI
SOLD BY
JAC K
CHECKED BY
JOB#
REVISIONS DATE
1
21
3
G! OF LA QUINITA
BUILDING & SAFETY DEPT.
r u if ED
FOR CONSTRUCTION
4
DATE � I `� `as BY—;-L+-
Y—;L+5
5
SELECTIONS
CONSTRUCTION AUTHORIZATION �
1 11 SALES 11 FIELD
DIG
PRE-GUNITE
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE
STONE
TILE
BOULDERS
DECK COLOR
DANDY
PEBB./PLAS
SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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