05-2012 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: X05-00002012
Property Address: -"
APN: 78765'NOLAN CIR
Application description: 604-233-022-191 -23268 -
Property Zoning: WALL/FENCE
Application valuation: LOW DENSIT
Applicant:
Architect or Eng
LICENSED CONTRACTOR'S DECLARATION
TAt!t 4 4-Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D °
er MAY 2 6 2005
CITY OF LA QUINTd1
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
/Section 7000) of DiN hon he Busine i0f1a( and Profe Code, and �,I�en /s in ce and effect.
"License Class: cense N
ate: 40 ontractor_,,�
O NER-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 signed statement that he or she is licensed pursuantto 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).:
(_ 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
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.). '
( 1 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 contractors) 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 ISec. 3097, Civ. CJ:
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 ..
Dater 5/26/05
Owner:
---------------------------------
ARTHEL HOLDINGS
C/O ARNOLD C VERBEKE
3456 CANTERBURY DR
Contractor:
---------------------------------
CALIFORNIA POOLS & SPAS'
WCC: SEA13RIGHT INS
WC: BB1050510 01/01/06
Lic.-No.:---------------
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
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 656128 10/31/06olicyNumber C8 C27 C29 C53
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 becAco
he workers' compensation laws of California,
and agree that, if I should become orkers' compensation provisions of Section
��the Labor Cod I shall fowith those provisions.
t.FSate: Applicant:
WARNING: FAILURE TO SECURE W KERS' 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 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 work 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is orr la e to comply with all -
city and county ordinances and state laws relating to bu�Jmqgstruction, an hereb u orize representatives
of thhiisi . 7ty to enter upon the above-mentioned proppectio purp es.
Date Z_ gnature (Applicant or Agent):
Application Number . . . . . 05-00002012
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee . . 15.00
Plan Check
Fee
.00
Issue Date
Valuation
. .
. . 400
Expiration Date 11/22/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
25 L.F. 4- BLOCK WALL, CITY STANDARD.
Fee summary Charged Paid
--------------------
Credited
----------
Due
----------
-----------------
Permit Fee Total 15.00
.00
.00
15.00
Plan Check Total .00
.00
.00
.00
Grand Total 15.00
.00
.00
15.00
LQPERDIIT
a�f
SPECIFICATIONS
TYPE G U►.! IT stZE:i P j x « f' �' c
_ __..
SURFACE AREA OF POOL — 3 (,,n S
N
PERIMETER 92 _ DEPTHS MIN. MAX.
C
00
SPA SPECIFICATIONS
TILE
!.,a? /�/
� IZ�rJM`. �C�JG�C.f f
T-
SIZE ----t7- X Z SO. FT.
SPA DAM WALL WIDTH ,
NO. OF JETS
LIGHT .2''Gsv/�T rT
TILE TYPE
r
WATER LINE yj f a
TILE' TRIM -n
QUARifft ROUND t :.
�+ t
U f
Q n
v co
U <
l - _
RAISED SPA AT
R.B.B. _ n
q Fa
O
-- --.-.- .� _ - --
SPILLWAY TYPE _
t CV z
SPECIAL NOTES
rn N
'
DECKING
S0. �f �
I z
EXCAVATION / STEEL
'
Q M U
�-
} aJL'�i.,i't
TYPE ��x` �"
ACCESS FROM leg f/-YJ'''"'A
FINISH
EXPANSION JOINTS Y r
g 0 Q
n V
ec%a}
ELEVATION 'S-
cANTllEVER
w
DEEP ENO RAMP
DECK DRAMS
•"�
LOVE SEAT 1 R P O
DECCO D1?AIN
��•• -� � �'7r
k.l«.JC�
CONCRETE REMOVAL pO LOADS
SOD REMOVAL + +-• LOADS
ape CORE 00'
STEPSi K '
®�LJ
TREE REMOVAL BY C'%S rD�w >
STEP FACE s �� }•'F' `!
7 ,
ORGATION REMOVAL
TILE BASE
IRRIGATION REPAIR ��; �''-'`'�
''�
SAND AND VISQUEEN
ytF� '►f'tsR
6' R.B.B.
R!BBONS
12' R.B.B. ,
MOW STRIP .11,
16' R.B.B. "j�. t1,.1��% fL
24' R.B.B.
30' R.B.B. ft
E ® S '/L + 2 " y j t -t1 („� , . "� - ' h.
TAN SHELF DEPTH
MASONRY
Goh... C1� /SND Ar
>r S4L'� �trt��t �o1,cf > � IDr~GtCr�,C
TYPE
�1 4f _c f-'A'�i . > UJAT-(.Of,J, ..Z� 4 � t.
A� 'f - 'L" W ('�`I-} TvJ0 Ib" v-1 CTI-. 5+'1'15X:,V {-� �a !{"�'.. WII� GtGN
Y
CENTERS i
R.BAL ,lei
a.B.B FACING
,. A L.T"* AL..J A T(-_ IR i c 1(14
�' -- R L_l_ Jt�k.r. �-
i(�N�l/Af %2.E. J'iE.l= jell. !y'
1
SPILLWAY TYPE �
PLUMBING
J
STEPS
FlLTER C- R1 t i : <� �,-� 151ZE V[- I
PROP. ExT. WALLS
•
! {y,! '-. ki t'� ► i L^
G r M i A�� Fr F=> i Li'a ✓ C. E V
PPUMP sI C Loa" L^- . tC
OOL 92E
PLANTER WAIL -r
RETAtM4 ; WALLS w `
1
K
BOOSTER PUMP / SIZE 11,
ADO'L PUMP C "� SIZE .T
e
ECUtP. WAILS
SC IN
ADD'L PUMP / SZE
FtREPtT +'�
�'
HEATER SZE
,.�...._.-.-.�..-.�._..,.�..�._.-.
TIME cloac
SUB PANEL
$KIMUER TYPE .
f!? M+1'• 1 GF 4 t F_.�• ; f �`�s �fP�t i ,, _._
._ I
�Iy
FILL LINE
1_21' r"�O
PEBBLE PLASTER
_ <: r
POOL
�C 'F �+
3'
►
'y
+
GAS LINE STUBS
�p
LIGHTS t
n ,
FDUNTAINS/SPRAYHEADS
ROLLED BOND BEAM
.__. _ .. _
� r " tet'
F1
SNEER ,,,: r' ifJ�� iaJt P. -
LIGHTS IN POOL _ L, IN SPA
B�J�'ND SPA
EYEBALLS r'
FENCING
FENCE TYPEj,� j � .a l ► t
F_ r.6,r At ark2Q
µ
STUB SET EQUIPMEN2T A
MISC.00,6010 r
' o 1 1 *�
-.
� at
. _-. �
..
PLUMBING SZE 1` ..
_
HEIGHT
-
GATE f Jj lf�a'
GATE REVERSAL
O
GUNITE
/
+ ` ..'"" `. I 6
1,( _.� �_.� � > w
j(
\ .. - V>ti 1'"K
e _.. ..
r
i. T E C
O5n � �' a� i r, ►t �G! ��'} ( Q C..<i t� � �
• _
DEEP END RAJVP .✓
EXTENDED !
2nd STEP
er
REMOVE' R REHANG 1
N: I!f
�,.._.--�
... (
LOVESEAT a Tom.
/
7
l ! '
'�-+i 3
/
t
4 � r..
SPILLWAY TYPt' �'
CANTILEVER
r-
EST. START
E3T. COMPLETION
+ " R ►
rr.,r-��,
.
"r L:" F. ] \I
.LLA,}„,� %'�3'(t!l�7R."'-
`:�;, �C; ��„r."' � �,
I
COPING
R.B.B.$EE$ K�ltt
TEFL
OTHER
f � � L''• . �
.,..-..,..
i.!
'(C1 LC f `. - t r. .' { fit!+'
.
� i {
+r IZ
o
OWNER RESPONSI BiLlTIES
OWNS TO:
(1) DETERMNE THE APPPDXMATE ELEVATION OF POOL OR SPA AT YO ON DAY OF EXCAVATION
1 ' --� - i--
'-
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUII_DING DEPARTMENT AT TIME
.. -. r
n f F
i�':"r ! r C-1 �"1(,,� �(' ..G.. '{� �iE �-//\.Gl�i�-S�
OF ISSUANCE OF PERMIT
(3) WET oowN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL. 15 NISTAI.I.ED
y1
t CAS X ' To v f
f1 a j r� ��
} } Y`'t+” E -e) ! F� -� ' l .�K-1 �c� +Jt ,At
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNOERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHM ITEMS IN THE ACCESS AREA
I .!
_
7 .S d.,cl.. Di,+'f' - tjp.41r%
(S) SEE THAT 91 FENCING, CATES, AND GARAGE DOORS MEET LOCAL CODES FOP A POOL ENCLOSURE
PRIOR TO PREPLASIER INSPECTION
_,I-
(B) FILL POOL MMEDIATELY AFTER PLASTER. (FOLLOW MSTRUCTIONS -- DO NOT USE RUBBER HOSE)
L i
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERM'SS!ON OF CALIFORNIA POOLS, INC. IS PROHIBITED BY UW.
OWNER APPROVES PLAN. POOL. AND )i'OUIPMENT LOCATIONS AND HAS READ THE RESPONS!BIUnES AND NOT,CES ABOVE.
�
+'+
I
' '
SGNATL'PE(S) j DATE
N
l'
SNJIMMING POOL PLAN FOR:
'
I.
NAME HERTZBERG RESIDENCE
;I s
1
STREET
OB ADDRESS T 5"
�l r i=.. I�Oc,�A„f c` ir; tE CITY Lz t1�1�� r/
j
PHONE OFFICE RES
LOT — TRACT -- PAGE BOOK
k -+✓ A<.-c.c`,5
MAP BOOK PAGE NO, ICITY
MAIL ADDRESS _'54
(�s1c,4, A". P-4 I10 t- �'j �.JC_�_:,r��. a{' r�I�� -
�(,L�t.oc1C tt
CONSTRUCTION OFFICE PHONE N0.
SCALE
,
7
DRAWN BY SOLD BY CHECKED BY
l •r
1 %8 � _ �
�
JOB#
REVISOi�S � l-
I
S AFEI-1r' D
_1
b
I .,l 8L
,
PROVED
CONSTRUCTION
IL T✓('I.
, I
,
';
1 k0 V
�`�; JO' ct�,PsD ARE NOT ON
•
3
I.,E SITE FOR A SCHEDULED
4
NO EXCEPTIONS!
W
5
--
J
SELECTIONS
W
-
'
CONSTRUCTION AUTHORIZATION
STONE
WILL HE CHANCED IFTHE APPRr
ISAITS
0
TILE
T� PUNS AND JOB CARD ARE NO
i.9
DIG
BOULDERS
W
PRC:-GUNI`I't
l'tiDGRGR0L'11) !
m
N
DECK COLOR
I ..� NO EXCEPTIONS!
DANDY
,
M,kSO�R1�
:
PEBs./PLAS
"t�� Cir` ' � .►' .'_. t ;.
'
DI:C1: I
SIGNATURE
'
PRI:-PFRt3LT;
DRAINAGE NOTE: Drainage and irrigafion for planters and pots, by
others, unless otherwise noted.
Bin # City of LQ Quinta
Building 8I' Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
b Building Permit Application and Tracking Sheet
Project Address: %f �_ — Owner's Name:
A. P. Number: Address:
Legal Description: City, ST, Zip:
Contractor:
CQL L'
..:..:................................
Fa I Ls c� Telephone:
Address: Q anx InCS Project Description:
City, ST, Zip:(foctd Ea 9 119 3
Telephone: 39i 7,�
e
.State Lic. # : 65 1! PCity Lic. #;
Arch., Engr., Designer:
Address: / I f� / 0C/< W L L O.,r 5 r,/—'>City., ST, Zip: �-+` ��
Telephone:
h
P Con
structionYP Type: Occupancy:
c
P Y:
State Lic. #•
Project hPa (circle one): -(15e
Add'n
Alter Repairair Demo
:..
Name of Contact Person: D _.— —
,4 � �'� Sq. Ft.: # Stories: #Units:
Telephone # bf Contact Person: a -%��p���7 Estimated Value of Project• -
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
SubmittalReq'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
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:-
''d 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