09-0502 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
_'
Application Number: 09,00-000502>
Property Address: 81387` JACARANDA CT
APN: 764-280-999-155 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 64000
Tiht
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PAT.& JOHN WEST
81387 JACARANDA COURT
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or EngineCALIFORNIA POOLS & SPAS
MAY 20 2009 3106 E. GARVEY AVENUE SOUTH
WEST COVINA, CA 91791
A. 0niQfiu (760) 771-6141
.\ C F "INCE EPVTA LiC. NO.: 185102
I hereby affirm under penalty of perjury am lic d unde ions of CTlapter 9 (commencing with
Section 7000) of Division 3 of the mess and P es ' s Co and my L' /ense is in full force and effect.
License Class: �B C53 Li se No.: 102
ract
r OWNER -BUILDER DECLARATION
I hereby affirm under penalty of erjury 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, dem lish, 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).:
(_) 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, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION.LEN DING 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: _ 1
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/19/09
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
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 ARCH INS CO Policy Number ZAWCI9090400
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
3700 of the Labor Code, I shall forthwith comply with those provisions.
te: scant:
WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 c unty ordinances and state laws relating to building construction, and hereby authorize representatives
of t ounty to enter upon the above-mentioned property for inspection purposes.
T Signat (Applicant or Agent):
Application Number . . . 1. . 09-00000502
Permit . . .
BLDG POOL PERMIT
Additional desc
Permit Fee . . .
477.50 Plan Check Fee
310.38
Issue Date . . . .
Valuation . . .
. 64000
Expiration Date..
11/15/09
Qty Unit Charge
Per
Extension
BASE FEE
414.50
14.0.0 4.5000
THOU BLDG 50,001-100,000
63.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . .
Valuation . . .
. 0
Expiration Date
11/15/09
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 . . . .
45.0.0 Plan Check Fee
11.25
Issue Date . . . .
Valuation'
0'
Expiration Date
11/15/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30..0000
----------------------------------------------7-----------------------------
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
11/15/09
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. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number
. . . . . 09-00000502
- -- -
Special Notes and Comments
------
PLACE.AT PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE
NOT INCLUDED.
------------------------------------------------------------
Other Fees . . . .
---------------
. . BLDG STDS ADMIN (SB1473)
3.00
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
581.50
.00
.00
_581.50•
Plan Check Total
336.38
.00
.00
336.38
Other Fee Total
3.00
.00
.00
3.00
Grand Total
920.88
.00
.00
920.'88
LQPERMIT '
List ##
EXIIMIT `A ' - PAGE 3
TRILOGY AT LA QUINTA MAINTENANCE ASSOCIATION
DESIGN REVIEW COMMITTEE APPLICATION
(Do Not Write Below Lina This is, to Be Completed By Design Review Committee 0 ) ...,
Received by the Design Review Committee; 5-4-0q
Date
Homeowner Address
The attached Application has been reviewed by the Design Review Committee and its action is:
0 APPROVED (Initial, & Date)
❑ DISAPPROVED* (Initials & Date)
❑ Incomplete Submittal
❑ Require Additional Information
❑ Other
CONDITIONAL APPROVAL (Initials ,& Date)
❑ See_Notes on plans
See conditions of approval check list
❑ Other
Date:
TO APPLICANTIO"ER
Signature:
For the Desi��n iew Committee
Final Inspection: ❑ Approved as submitted ❑ Disapproved (refer to attached comments)
Date: Signature:
For the Design Review Committee
*'In the event plans and specifications submitted to the DRC are disapproved, Owner may appeal to the Board
of Directors by submitting a written request for appeal. The written request shall be submitted to the Board
not more than thirty (30) days following the final decision of the DRC.
VO/CO 39dd K09LLL 5Z:9Z 600Z/5Z/90
Bin #
City of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit: # r
J
D
Project Address:
Owner's Name: UW., We
A. P. Number:
Address:
% �4t6i/Y itDfQ,,
Legal Description:
Contractor:
� o
City, ST, Zip:
Telephone: :?'..•#:?:':
Address: zfaof te
Project Description:
City, ST, Zip:
Telephone:
hone
Cv L
S O
6!+ oleo
State Lic. # 8y'/O a- City Lic. #: /UZ ff4
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
--
Construction n
o Type: Occupancy:
P Y:
State Lic. S te L #:
Project type (circle one Add' n Alter Repair Demo
Name of Contact Person: �'n!o
Sq. Ft.:
#Stories:
1# Units:
Telephone # of Contact Person: ft�
Estimated Value of Project: 4)00. U
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
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
2°" 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:-
'"' 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
1E
B
PLOT PLAN
• GAS RUN 167 L.FT.
• P.E. WALL +4' L.FT.
• 3 -STEPPING STONES
LIGHTS: POOL
SPA
HYDROSTAT VALVE: Y / N SAWCUT .
SOLAR: H2O STUBS
POOL RETURNS; SPA BYPASS:
NO. OF SPA JETS:
CHLORINATOR
MISC:
GUNITE:
GUNITE INSPECTION READ: Y / N
ROPE RING NOTCHES:
GRAB RAILS: _ LNFT OF BENCHES:
TYPE OF ENTRY:
DEEP END RAMP: Y / N
RBB: 6" 12" 18" 24„ _
NOTCH BOND REAM: Y / N
COPING TYPE: -
SPA WALL THICKNESS:
SPA WALL NOTCH: Y l N
SPA SPILLWAYS:
NOTCH FOR OVERFLOW: Y ! N
SPECIAL ENGINEERING:
W/FEATURE:
SLIDE:
BEACH: REEF:
NOTCH FOR BOULDERS: Y / N
RADIUS ON STEPS & BENCHES: _
MISC:
0
PLAN SET NUMBER
REVISION NOTES / UPDATES
RI: ORIGINAL
LEGEND
BOND BEAM DETAIL
GENERAL SPECIFICATIONS
ELECTRICAL:
I
IR
TYPE: POOL SPA
SQFT: POOL 466' SPA 38' COMB, 504'
BY: LENGTH:
TIME CLOCK: SUB PANEL:
10 = SKIMMER
0
= FILTER
- = OVERFLOW
PERIM: POOL 100' SPA 22 COMB. 122'
NO. OF LIGHT IN POOL: SPA:
(33 = GAS METER
DEPTHS: POOL 4 6 - 8' SPA
OUTSIDE G.F.I. LIGHTS: G.F.I. OUTLET:
= GAS STUB
SIZE: POOL - X SPA X
EXTRA SWITCH FOR SPA LIGHT:
= ELECT METER
RBB: 6" 12" 18" 24" _"
BLANK PLUGS:
L
MISC:
MOTOR: BOOSTER:
O
= HYDROSTATIC VALVE
BLOWER: CLEANER.-
LEANER:SPA
SPADETAILS
= AIR BAR
CHLORINATOR:
PL
REMOTE: SPA SWITCH:
DAM WALL THICKNESS:
PA
N0. OF JETS: —
MISC:
60 = BY OWNER
3 = SPA SWITCH
LIGHT:
= CASCADES
SPA ELEVATION: SPILLWAYS: X
OTHER:
' = SPILLWAY
R
= ELEVATIONS
= DRAIN
AIR BAR: — SPA SIDE SWITCH:
= STARTING ELEVATION PT.
= EXISTING DRAIN
MISC.:
= AUTO FILL
<-- =STEP LOCATION
as = DEPTHS
B
EXCAVATION: R
]DEEP
TYPE: ACCESS MIN:
SET ELEV, FROM AT
END DIG Y / N BENCHES:
FENCING:
R
REEF: BEACH
ACCESS REMOVAL:
TYPE:
HEIGHT: LNFT:
DEMO: TRASH:
LAWN-
GATE: COLOR:
WALLS:
QTY: SIZE:
CONC:
DOOR ALARMS BY OWNER: QTY
MISC:
ACCESS REPLACE:
GRADING:
MISC:
FORM W -FEATURE:
TO MEET LOCAL CODE REQUIREMENTS BY BUYER
RBB: 6" 12" 18" 24" —" _
EXCESS WALKOUT: Y / N ROCK PACK: Y I N
PRIOR TO FENCE & GATE INSPECTION
HYDROSTAT VALVE: Y I N
MISC:
X
C
SPECIAL EQUIPMENT: I
IR
STEEL:
I
d
DIVE BOARD: COLOR: TYPE:
EXPANSIVE SOIL: Y / N
SPECIAL ENGINEERING:
SLIDE: COLOR: TYPE:
RBB: 6" 12" 18" 24" —°
H2O PURIFIER:
DEEP END RAMP: Y / N
W / FEATURES:
BENCHES: REEF:
POOL COVER: X TYPE:
BEACH: SPA WALL WIDTH:
SPA COVER: X TYPE:
W/FALL:
SOLAR:
SLIDE:
MISC:
LIGHT NICHES: POOL SPA
NOTCH RBB: Y ! N
PLASTER: I
IR
-
MISC:
PLUMBING:
R
TYPE:
FILTER: SIZE:
COLOR:
PUMP: SIZE:
FITTING COLOR:
HEATER: SIZE:
BOOSTER: SIZE:
LIGHTS: POOL SPA
SIZE: —
ROPE RINGS: EYE BALLS:
SKIMMER: BLOWER:
CPS TILE:
]W/FEATURES:
CLEANER: TYPE
FLOOR CLEANER:
FILL LINE: SLIDE LINE:
AIR BAR: —
MISC:
GAS LINE: —_. GAS STUBS:
BACK WASH TO: — FISER STUBS Y / N
-------
--- ------ - — —
W/FEATURES NOTES:
PLOT PLAN
• GAS RUN 167 L.FT.
• P.E. WALL +4' L.FT.
• 3 -STEPPING STONES
LIGHTS: POOL
SPA
HYDROSTAT VALVE: Y / N SAWCUT .
SOLAR: H2O STUBS
POOL RETURNS; SPA BYPASS:
NO. OF SPA JETS:
CHLORINATOR
MISC:
GUNITE:
GUNITE INSPECTION READ: Y / N
ROPE RING NOTCHES:
GRAB RAILS: _ LNFT OF BENCHES:
TYPE OF ENTRY:
DEEP END RAMP: Y / N
RBB: 6" 12" 18" 24„ _
NOTCH BOND REAM: Y / N
COPING TYPE: -
SPA WALL THICKNESS:
SPA WALL NOTCH: Y l N
SPA SPILLWAYS:
NOTCH FOR OVERFLOW: Y ! N
SPECIAL ENGINEERING:
W/FEATURE:
SLIDE:
BEACH: REEF:
NOTCH FOR BOULDERS: Y / N
RADIUS ON STEPS & BENCHES: _
MISC:
0
PLAN SET NUMBER
REVISION NOTES / UPDATES
RI: ORIGINAL
LEGEND
LIGHT
EQ
= EQUIPMENT
• = JETS & RETURN
___
= TILE TRIM
10 = SKIMMER
0
= FILTER
- = OVERFLOW
= PUMP
(33 = GAS METER
❑H
=HEATER
= GAS STUB
V
= VALVE
= ELECT METER
= CLEANER STUB
D = ELCT STUB / OUTLET
L
= LIGHT SWITCH
= J BOX
O
= HYDROSTATIC VALVE
= FILL LINE SOURCE
[
= AIR BAR
= FILL LINE
PL
= PROPERTY LINE
o= P -TRAP
PA
= PLANTER AREA
®= REMOTE CONTROL
60 = BY OWNER
3 = SPA SWITCH
�= ROPE RING
= CASCADES
O
= EXISTING TREE
' = SPILLWAY
+6
+12
= ELEVATIONS
= DRAIN
= STARTING ELEVATION PT.
= EXISTING DRAIN
q
= AUTO FILL
<-- =STEP LOCATION
as = DEPTHS
¢� =ACCESS
OWNER RESPONSIBILITIES
Owner To: (1) Determine the approximate elevation of pool or spa at layout.
(2) Take notice that Pool and Equipment location is subject to acceptance of local Building
Department at time of issuance of permit.
(3) Wet down Gunite shell at least twice daily for minimum seven (7) days after day shell is
installed.
(4) Take notice that California Pools IS NOT RESPONSIBLE for: Underground conditions or objects,
and any damage to curbs, sidewalds, driveways, lawns, or other itenns in access area.
(5) See that all fencing, gates, and garage doors meeet local codes for Ia pool enclosure prior to pre -
plaster inspection.
(6) Fill pool immediately after plaster. (Follow instructions. Do not use wbber hose.)
(7) Take notice that this drawing is the sole property of California Pools and 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.
— NAME:
SWIMMING POOL PLAN FOR:
JOB:
WEST RESIDENCE
STREET:
JOBADDRESS: 81-387 JACARANDA
PHONE: OFFICE:
LOT: TRACT:
MAP BOOK PAGE NO.:
CONST. OFFICE:
CONST, OFFICE PHONE NO.: FAX:
SCALE: DATE: DRAWN BY: SOLD BY: I CHECKED BY:
�.
5-7-09 _�..�—' .___ ------
L
CALIFORNIA POOLS & SPAS
PLAN SET #:
CITY: LA QUINTA CA.
RES:
PAGE: BOOK:
CROSS STREET
SITE MAP MASONRY / DECKING
QTY TYPE MATERIAL
COPING 185 L.FT.
STEPS
WALLS
WATERLINE
TILE TRIM
RBB
MASTIC
CALIFORNIA CONTRACTOR'S LIC. NO. 185102
M
SPECIAL DETAILS / FIINISH
t
I DECKS 912' AREA 1 I DATEI ,r ' ' !!= BY -K I- _ _ I 1
CURB CORE Y/ N I JIGS Y/ N
PATIO STRAPS Y / N