06-2060 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
Tiht 4 4 4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
06-00002060
53581 VIA BELLAGIO
772-5.10-049- -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
40000
Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Com and my License is in full force and effect.
License Class,: %C8 C53—Lieense,N—o,.. 431055
-16--te: �,�7 V �antractgvl"
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 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 contractor(s) licensed
pursuant to the Contractors' State License Law.). ,
1 _ 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:
LQPERHIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: 5/17/06
Owner:
HILDE
53-581 VIA BELLAGIO
LA QUINTA, CA 92253
Contractor: U MAY 2 4 2006
PARZINSKY POOL, INC., RICH
P.O. BOX 897
PALM SPRINGS, CA 92263 ,., CITYAF
(760) 324-5827 FINN
Lic. No.: 431055
-----------------------------------------------
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 STATE FUND Policy Number 1739513-05
.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 -sub'- to the workers' compensation laws of California,
and agree that, if I should becom ubject to the rkers' compensation provisions of Section
700 of the Labor Code, I shall ort h "th comp with those provisions.
S Z u
Da� Applicants
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 ($100,0001. 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 formation is rect. I agree to comply with all
city and county ordinances and state laws relating to building c ction, and h eby authorize representatives
of this county to enter Kpon the above-mentioned property for pe ' n u
Date J w Signature (Applicant or Agent):
Application Number . . . 06-00002060
Permit ... .
BLDG POOL PERMIT
Additional desc .
Permit Fee
349.50 Plan Check Fee
227.18
Issue Date . . . .
- Valuation . . .
. 40000
-Expiration Date
11/13/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
15.00 6.5000
------------.--------------------------------
THOU. BLDG 25,001-50,000
--------------------------------
97.50
Permit . .
MECH POOL
Additional desc'.
Permit -Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
11/13/06
;--
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
11/13/06
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
11/13/06
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
LQPERA TT
Application Number . . . . . 06-00002060
---------------------------------------------------------------------
------
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 453.50 .00 .00 453.50
Plan Check Total 253,;18 .00 .00 253.18
Grand Total 706.68 .00 .00 706.68
t
LQPERMIT
Bin # • - �
City of LaQ Uinta ' '
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0� ,.Zo loo
Project Address:' VIA 3El.L Rql o
Owner's Name:
A. P. Number:
Address: 0
Legal Description:
City, ST, Zip:
Contractor: '(21W P"_Z t n+S((./ 7AQL
Telephone:
Project Description:
Address:.
City, ST, Zip: (.,r► S Pf_% ^ % C
.Telephone:-
elephone: State Lie. # : 3 / ca City Lic. #: '
State
Arch., Engr., Designer: p ti AC��bK•
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #: (0 /
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: S16w
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 00ax11
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACIUNG
PERMTr FEES
Plan Sets
Plan Check submitted
s'
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.
Mechanical
Grading.plan
2"" Review, ready for correctionsfissue
Electrical
Subcontactor. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval '
Plans resubmitted
Grading
IN HOUSE:-
1nd 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
ulmensions:
Length:
Id the
Surface Area (Approx):
Perimeter.
epth:
Reinhi-
Spa
Spedficat
RBB:
am Wall:
Equipment Wall:
Boulders:
Ciniri:.ne.
Pool and Spa finish:
Waterline tile:
Raised Tile:
Step Trim:
Paint/Stucco/Plaster
DeckiW
Decking:
Cantilever Edge:
Finish Color
3" Deck Drains (per Lf):
Umbrella Sleeves:
u b'
Extra Spa to Equipment:
Raised Spa check valve:
Dedicated Vac Line:
Gas line Extra over 30':
Stub outs:
Pool
Spa
39'
T0"
1T
7'0"
629 sq ft
38 sq ft
82' In ft
22 In ft
316" to 516"
42"max
+0"
+18"
7' round raised +18", sit n spin style
concrete cap and face,
Boulder spillway,
6 Jets staggered, and 1 -100w light
White Plaster
Quartzite waterline
By Others
Equipment:2 h Stealth
Circ Pump 11/2 hp Stealth Jet Pump p
Filter 460 sq ft Cartridge Waterfeature pump
Heater 400000 Laars Extra pump
Pool Light 400 w (3)
Spa light 100 w
Electronics
Demo Work:
Revisions Date
1 - 5-17-06
2
3
4
5
Selections
Stone
Boulders
Deck color
Pebble/plaster
Stucco color
Scale 1/8" = 1' I
Thomas Guide Pg. Lot # Tract #
Prepared Especially For:
Name Hilde Residence
Street 53-581 Via Bellagio
City La Qui nta
Phone Cell Phone
Office Fax
RICH PARZINSKY POOLS C-53-431055
P.O. BOX 897, PALM SPRINGS CA. 760-324-5827