09-0490 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00000490
Property Address:
78355 CLARKE CT
APN:
643-70 -999-26 -31348 -
Application description:
POOL - RESIDENTIAL .
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
21000
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MESSNICK
78355 CLARKE COURT
LA QUINTA,.CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/09
Contractor:
Applicant: Architect or Engineer: AZURE POOLS AND SPAS
P.O. BOX 10641" J
PALM DESERT, CA 92255
(760) 322-7665 HAY i
1►'1�' Lic. No.: 802919
20319g
V
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and fessionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C53 License No.: 802919 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
��yy issued.
/ateS _ )) — C ontractor: 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
OWNER -BUILDER DECLABATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier DELOS INS CO Policy Number 02DKRM12002794
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the.applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shat fe hwith comply with those pro/vis/ion/s.
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 (5500).: 1pticant:
( 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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: N N_
Lender's Address:
LQPERMIT
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 ordinances and state laws relating to bu
. a'Id ing c n ction, and hereby authorize representatives
of this county to enter upon t bove-mentioned property for i ection purposes.
�fi��>
/ gnature (Applicant or Agent):
' •e
Application Number . . . . . 09-00000490
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
216.00 Plan Check
Fee
140.40
Issue Date . . . .
Valuation
. . .
. 21000
Expiration Date . .
11/10/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
19.00 9.0000
--------------------------------------------
THOU BLDG 2,001-25,000
L-------------------------------
171.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
11/10/09
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
11/10/09
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
11/10/09
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, BBQ (INCLUDES
25 L.F. 1 1/2"
LQPERMIT
Application Number . . . . . 09-00000490
----------------------------------------------------------------------------
Special Notes and Comments
GAS LINE). ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS
ADMIN (SB1473)
1.00
Fee summary Charged
-------------------------------------
Paid
Credited
--------------------
Due
Permit Fee Total 320.00
.00
.00
320.00
Plan Check Total 166.40
.00
.00
166.40
Other Fee Total 11.00
.00
.00
1.00
Grand Total 487.40
.00
.00
487.40
LQPERMIT
LIC# C-5 8802919
POOL SPECS
POOL SIZE: 176" X 38'6"
POOL AREA: 534 SF.
POOL PER 120 FT.
POOL DEPTH:
SPA SPECS
SPA SIZE: 7'
SPA AREA: 49 SF.
SPA PER: 28 FT.
EQUIPMENT
PUMP:
FILTER:
HEATER:
?OOL LIGHT:
;PA LIGHT:
FINISHES
DECK AREA: 835 SF.
1 "=8' SCALE
MES SNICK
RESIDENCE
ADDRESS: 78-355 CL.ARKE Cr
CITY: LA QUINTA
LOT #:
Azure Pools & Spas, Inc.
P.O. Box 10641
Palm Desert, CA 92255
SPA + 12"
WITH INFINITY
EDGE SPILLLWAY
1
ALL PROPERTY LINES
HAVE EXISTING Y
BLOCKWALLS
m
P
P/L
14'-3"
m
m
I, y -
�� T"
10'-8"
RBB. + 12" WITH TWO
18" WIDE CASCADES
38'-6"
16'-0"
P/L
P/L
m
�-T
' , s i ►� G- p ver c= ,A
�0C)1
T —
L
CITY OF LA QUI"'\ :-
BUILDING & SAFETY DEPT-
AP RED
FOR CONSTRUCTION
DATF�.7=1��"'Y K�
TANNING LEDGE
..N
Bin #
Qty of.La Quin
Building &r Safety Division l•Q
P.O. Box 1504, 78-495. Calle Tampico
Quinta, CA Building0) 777-7012
2253 -
91 Application Permit Aand Tracking pP g Sheet
Permit # .
IR r "L •La
Project Address: l — 355 Cv. j :
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: C /r �� iv i i9 �✓/�
Contractor: GA006
Telephone: <'
f%<s
Address: 0 13 o /a(,- y,/
Project Description:Poo) S !}
City, ST, Zip' A(.,y %
J3 —..C) i
Telephone:
::• ,..":`< '.
State Lic. # $3
City Lic. #..
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:
<:'%>w''?;'r'F#u<'f'.
:::• :>.:,;; {«:::::»':<':<: s'•<:':::::r :::::
.:.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:. C� �jL: �=N
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7600— 3 2-2 — 7& (03—
Estimated Value of Project: ()0-0
APPLICANT: DO NOT WRITE. BELOW THIS LINE
4
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
. Plan Check submitted 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
2nd Review, ready for corrections/issue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Pians picked up. S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''" Repiew,.ready for correctionslissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
i
[Total
Permit Fees