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05-0186 (RPL)
�. ±'� QI .°'01 IAN 2 5 2005 TY OF LA QUIN i,w G PINANCE0E-R BUILDING & SAFETY DEPARTMENT . O . Box 15 04 - (760).777-7012 OFT9 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number V 5 - 0 0 0-0 &zA 6. Date 1/21/05 Property Address 80390 OLD RANCH TR•G APN: 762-2407999-67 .-30834-- Application -30534- Application description POOL = RESIDENTIAL Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation 28000_ Owner Contractor SOUTH POINT CONSTRUCT. TOPMAN BUILDERS 80390 OLD RANCH TR SO. " P.O. BOX 10202 LA QUINTA CA 92253 PALM DESERT CA 92255 (760).772-7296 WCC COMBINED SPECLT WC:.- 005-00025671. 01%01/06 CSLB: 455121 11/30/05 CCC: B -C2.9 Permit . .. . . BLDG POOL' PERMIT Additional desc Permit Fee 271.50 Plan Check Fee 176.48 Issue Date . . . Valuation 28000 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 THOU BLDG 25,.001-50,000 �j +19.50 Permit MECH POOL Additional desc Permit Fee . . . . 24.00 Plan,Check lee 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 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 -------------------- Permit . . I PLUMBING Additional-desc Permit Fee 33.00 Plan Check Fee 8.25 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLt: TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: % "a / -OS Date: Applicant Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: t3UILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals cede, and my License i in full force and effect. License Class C' icense No. 41SS k2 1 Date I ' 7 - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am xem t 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, a r, i prove, 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 p sions 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. , B.& 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 �of the work for which this permit is issued. J 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 �C issued. My worke mpAennsation i nce carrier and policy number are: er �MB��.1 olicy Number C � • 1 I certify that, in the Oerforma.nce of the work for which this permit is issued, Ids a not employ $ny person in any manner so as to become subject to the workers' compensation Taws of hose mje sionj agree th Nf I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p wsio /\ -2A, oS WARNING: FAILURE TO SECURE WOR R ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERW, 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 IV 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 info tion is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, a{nd'hereby authorize representatives of this county to me pon bove-mentioned property for inspection purposes. bate 1 -1 `- 0-S r Signature (Applicant or Agent. TANNING TYPE GUNITESIZE 35' X 141-0" SURFACE AREA OF POOL 372 S.F. PERIMETER $9 10 DEPTHS MIN. - 3 _-6 - MAX. 5-011 SPA SPECIFICATIONS ELECTRICAL SIZE 7'-6»X 7' S0. FT.4.7 PER. 25' ._ . BY LENGTH SHELF WITH TIME CLOCK SUB PANEL # OF JETS # OF LIGHTS IN POOL LIGHT BOOSTER PUMP OUTSIDE G.F.I. LIGHTS G.F.I. OUTLET CA. AQUA AIR -BAR & BLOWER EXTRA SWITCH FOR SPA LIGHT BLOWER ONLY BLANK PLUGS RAISED SPA SPILLWAYS MOTOR BOOSTER UMBRELLA BLOWER CLEANER misc. 6" GOLD QUARTZITE TYPE .ACCESS FROM COPING & TILE ELEVATION COPING WHITE _ SLEEVE COPING SPECIAL FENCE REMOVED BY STONE WATERLINE FENCE TYPE TILE TRIM MASTIC TRASH REMOVAL LOADS 6" R.B.B. ft. 12" R.B.B. p ft. 18' R.B.B. ft. CONCRETE REMOVAL LOADS MISC. TREE REMOVAL BY PB STUMP REMOVAL BY DECKING DIRT PAD 6' R.B.B.. —ft. 12" R.B.B. ft. 18" R.B.B. ft. BY UP TOsq. ft. WALKOUT/MISC. FINISH COLOR BENCH EXPANSION JOINTS MASTIC FOOTING STEEL STEPS TYPE PB CANTILEVER 6" R.B.B. _ft- 12' R.B.B. ft. 18" R.B.B. ,ft• DECK DRAINS � CURB CORE SURCHARGE DEEP END RAMP I'MDECCO DRAIN DIVING BOARD JIG LOVESEAT INSIDE ft. OUTSIDE _ ft• SLIDE .INSTALLTION — SPA WALL WIDTH in. OTHER in. MASONRY WALL DOWEL/MISC. COPING TYPE PLANTER WALL , PB_ TYPE ft. X —' CAP BACK UP WALL ft_ HEATER SIZE FOOTINGS R,B.B. FACING BOOSTER PUMP SIZE FIREPIT TYPE SIZE .. SKIMMER TYPE - _ " EQUIP. WALL TYPE ft. X CARETAKER #'OF HEADS _ FENCING ft OTHER CLEANER STUB ONLY MISC. FILL LINE . SLIDE LINE 'PEBBLE P—TRAP BACK WASH TO GAS LINE STUBS I LIGHTS POOL SPA FOUNTAINS/SPRAYHEADS ROPE RINGS EYEBALLS REQUIRED LIGHTS IN POOL IN SPA COLOR T NAME TILE STUB SET EQUIPMENT SPECIAL EQUIPMENT SAWCUT _ AUGER DIVING BOARD SIZE NOOK MODEL COLOR SLIDE SIZE GU N I TE MODEL COLOR GUNITE INSPECTION REQUIRED YES NO POOL COVER SOLAR HEATING YES NO ROPE RINGS GRAB RAILS FE CIING — -- —4 6" R.B.B. fL 12" R.B.B. ft. 18" R.B.B. DINING 011HER LOVESEAT ' _ _ EX%NDED 2nd STEP NOTCHED BOND BEAM COPibfi; - CANTILEVER - f# SAP DAM WALL WIDTH D OWNER T0: (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT C o ROOM (3) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION (4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS,DO NOT USE RUBBER HOSE) (5) TAKE NOTICE TMAT THIS DRAWING IS THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF PLATINUM POOLS IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND, HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE I MASTER ------ --� ' BEDROOM I FYI ROOM KITCHENIF I © I i „fc SPECIFICATIONS TYPE GUNITESIZE 35' X 141-0" SURFACE AREA OF POOL 372 S.F. PERIMETER $9 10 DEPTHS MIN. - 3 _-6 - MAX. 5-011 SPECIFICATIONS TYPE GUNITESIZE 35' X 141-0" SURFACE AREA OF POOL 372 S.F. PERIMETER $9 10 DEPTHS MIN. - 3 _-6 - MAX. 5-011 SPA SPECIFICATIONS ELECTRICAL SIZE 7'-6»X 7' S0. FT.4.7 PER. 25' ._ . BY LENGTH SPA DAM WALL WIDTHc TIME CLOCK SUB PANEL # OF JETS # OF LIGHTS IN POOL LIGHT BOOSTER PUMP OUTSIDE G.F.I. LIGHTS G.F.I. OUTLET CA. AQUA AIR -BAR & BLOWER EXTRA SWITCH FOR SPA LIGHT BLOWER ONLY BLANK PLUGS RAISED SPA SPILLWAYS MOTOR BOOSTER SPECIAL NOTES BLOWER CLEANER misc. EXCAVATION TYPE .ACCESS FROM COPING & TILE ELEVATION COPING WHITE _ DEEP END RAMP COPING SPECIAL FENCE REMOVED BY TILE TYPE FENCE TYPE TILE TRIM MASTIC TRASH REMOVAL LOADS 6" R.B.B. ft. 12" R.B.B. p ft. 18' R.B.B. ft. CONCRETE REMOVAL LOADS MISC. TREE REMOVAL BY STUMP REMOVAL BY DECKING DIRT PAD 6' R.B.B.. —ft. 12" R.B.B. ft. 18" R.B.B. ft. BY UP TOsq. ft. WALKOUT/MISC. FINISH COLOR ROCK PACK EXPANSION JOINTS MASTIC FOOTING STEEL STEPS TYPE EXPANSIVE SOIL CANTILEVER 6" R.B.B. _ft- 12' R.B.B. ft. 18" R.B.B. ,ft• DECK DRAINS � CURB CORE SURCHARGE DEEP END RAMP I'MDECCO DRAIN DIVING BOARD JIG LOVESEAT INSIDE ft. OUTSIDE _ ft• SLIDE .INSTALLTION — SPA WALL WIDTH in. OTHER in. MASONRY WALL DOWEL/MISC. COPING TYPE PLANTER WALL PLUMBING FILTER SIZE TYPE ft. X POOL PUMP SIZE CAP BACK UP WALL ft_ HEATER SIZE FOOTINGS R,B.B. FACING BOOSTER PUMP SIZE FIREPIT TYPE SIZE .. SKIMMER TYPE - _ " EQUIP. WALL TYPE ft. X CARETAKER #'OF HEADS _ FENCING ft OTHER CLEANER STUB ONLY MISC. FILL LINE . SLIDE LINE 'PEBBLE P—TRAP BACK WASH TO GAS LINE STUBS I LIGHTS POOL SPA FOUNTAINS/SPRAYHEADS ROPE RINGS EYEBALLS REQUIRED LIGHTS IN POOL IN SPA COLOR T NAME TILE STUB SET EQUIPMENT SPECIAL EQUIPMENT SAWCUT _ AUGER DIVING BOARD SIZE MISC. MODEL COLOR SLIDE SIZE GU N I TE MODEL COLOR GUNITE INSPECTION REQUIRED YES NO POOL COVER SOLAR HEATING YES NO ROPE RINGS GRAB RAILS FE CIING DEEP END RAMP TO MEET ALL LOCAL CODE REQUIREMENTS BY BUYER PRIOR TO 6" R.B.B. fL 12" R.B.B. ft. 18" R.B.B. PREPLASTER INSPECTION 011HER LOVESEAT ' _ _ EX%NDED 2nd STEP NOTCHED BOND BEAM COPibfi; - CANTILEVER - f# SAP DAM WALL WIDTH OWNER RESPONSIBILITIES OWNER T0: (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (2) TAKE NOTICE THAT PLATINUM POOLS IS NOT RESPONSIBLE FOR: UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (3) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION (4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS,DO NOT USE RUBBER HOSE) (5) TAKE NOTICE TMAT THIS DRAWING IS THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF PLATINUM POOLS IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND, HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE SIGNATURE(S) DATE FREVISIONS MATERIAL SELECTIONS Delta Date B Description of Chane MATERIAL CHOICE (� •. • tge !.2 VA If U _ I { �xr1'•'�:-t�+*�z;.+,.ai�s.-.sp..wa, «red; ,,w sos_;....--+��cv�aaekw�w+er:*..� ...r,.,.,•o�.a-.y.:;"».sr;•,-..-w..ea<t;�r �,x:raw..:,,� s Page 2 Application Number . . . . . 05-00000186. Date 1/21/05 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 -------------------------------------------------------------------------- Special.Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL BE IN-PLACE PRIOR TO.PREP.LASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ----------------- Charged Paid Credited Due Permit Fee ---------- Total 373.50 ---------- -------- -- .00 -0-0. ---------- 373.50 Plan Check Total 201.98 .00 -00 201.98 Grand Total 575.48 .00 .100 } 575.48