05-1679 (RPL)AOF
0
BUILDING & SAFETY DEPARTMENT
P.. 0..- B o x 1504
'..'(700),777-7012
OF TA PICO
FAX (766) 7-77-70Y.1
A,CA RNIA 922.53 INSPECTION. REQUEST
S (760). 777.-7153
MAY -6 BUILDING PERMIT
Cily F CUM
Applica 1 05-00001679 Date 5/02/05
Property Address . . . . 53.709 VIA BELLAGIO
APN: 7.72 -510 -053 -
Application description-.. POOL - RESIDENTIAL
Property Zoning-. LOW DENSITY RESIDENTIAL
Application,valuation".' 20000
owner Contractor
--------------------------------- -------------- ----------
BOYLE JOHN MCINTYRE POOLS & SPAS, INC.
50 FEDERAL ST. STE. 1000 WCC: STATE -FUND
�BOSTON WC': 1769111
SEBRING., FL 02110 C -SLB: 614611
CCC: C53
------------------------------------------------------ ---------------------
ciii�P.O. BOX 1504 � VOICE (760) 777-7012
79-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0_5�7 7(r Date:.
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
v /\� 7—)C�a C/ T-6 /,c
Architect or Engineer's Address:
Lic. No.:
/111-//Iak
BUILDING PERMIT DECLARATIONS
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
Code, and my LicqnMis' e and effect.
cense Class IL Lic
ense No.
Ct- V6 o
Lp.r(e- Contractorzm
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt 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, 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 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 1. 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. _. BA P.C. for this reason
Date
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 Secti�n 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
I isdye M rkers'compensation insurance carrier d I'
,,,,Carrier. -Policy Number 2" Elul:
I tertify that, Th the performance of the work for which this�pefmit is iss6ed, 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.
Dat Applicant AA
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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST. 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
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
issue * d 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 orrission 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 permil 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 building
construction. and hereby authorize representatives of this ccunty to enter upon the above-mentioned property for inspection purposes.
d� C 4�� C_��A.
Date Signature (Applicant or Agent):
----------------------------------------------------------------------------
I
Application.Number . . . . . . 05-00001679
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Permit
Additional desc
Permit Fee . . . .
Issue Date
Expiration Date
BLDG POOL PERMIT
207.00
10/29/05
Plan Check Fee . . 134.55
Valuation . . . . 20QOO
Qty Unit Charge
Per
Extension.
BASE
FEE
45.00
18.00 9.0000
- - - - - - - - - - - - - - - - - - - - - - - - - -
THOU BLDG
- - - - - - - - - - -
2,001-25,000
- - - - - - - - - - - - - - - - - - - - - - - - -
162.00
- - - - - - - - - - - - -
Permit
MECH POOL
Additional desc
Permit Fee . . . .
26.00
Plan*Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/29/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
-------------------------------------------------------------
EA MECH.FURNACE
>100K
7
11.00
------- 7 ------
Permit . .. . . . .
ELEC POOL PERMIT
-RES
Additional desc-.
Permit Fee . . . .
45.00.
Plan Check Fee
11.25
Issue Date . . . .
Valuation
0
Expiration Date
10/29/05
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
10/29/05
Qty Unit Charge
Per'
Extension
BASE
FEE
1S.00
2.00 6.0000
EA PLB
FIXTURE
12.00
1.00 3.0000
EA PLB
WATER INST/ALT/REP
3.00
i.00 3.0000
--------------------------
EA PLB
GAS PIPE 1-4 OUTLETS
3.00
7 -------------
Spe'cial Notes and Comments
-----------------------------------
POOL & SPA. ALARMS/BRRIERS
SHALL
BE IN
PLACE PRIOR TO PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED
IN
PERMIT.
Fee summary. Charged
----------------- ----------
Permit Fee Total 311.00
Plan Check*Total 160.55
Grand Total 471.55
Paid Credited Due
---------- ---------- ----------
.00 .00
.00 .00 160.55
.00 .0.0 471.55
Total Permit Fees
Bin #
QtY of La'Quinta
Building a Safery Division
Permit #
P-0- BOX 1504, 76-495 Calle Tampico
05—
U Quinta, CA 92253 - (760) 777-7012
Building Permit ApPlication and Tracking Sheet
Project Address: -769
�11 (L 77 77
e Owner"s Name:
A. P. Number
J
Address: � S -
�T?
LeTal Description:
__LALZO-7__�
Contractor:
City. ST. Zip: at 221
FTelephone:
7�Address:
Project Description:
p
'K
Telephone:.
State Lic. #
CitV Lic. #:
Arch- F-ngr-. Designer
Address:
City. ST. Zip:
Telephone:
State Lic.
-77
Construction Type: Occupancy:
A
Name of contact Person:
Project type (circle one): New Add'n ,',, A I I 1� er Repair Demo
,Sq.
x
Telephone # of Contact Person:
Ft.: # Sl�orics: 7 1-1 . 7. - �
C/ E0 N Units:
q x t�
imated Value or proiccl:
APPLICANT: Do NOT WRITE BELOW THIS LINE
N Submittal Req1d
Rec'd TRACKrNG
7 Plan sets
PERMIT EES
Plan Check submitted
7Structural CSIcs.
Item
Reviewed. ready for corrections Amount
Truss Calcs.
Plan Check Deposit
-
Called Contact person
Energy c&IcL
Plan Check Balance
Plans Oicked up
Flood plain plan
---------- Construction
Plans resubmitt ed
Grading plan
— - -----------
Mechanical
2d Review. ready for corre"'ons/issue -------
Subcontactor List
Electrical
Called Contact Person
Grant Deed
Plumbing
Plans picked up
H.O.A. Approval
S.M.I.
---------------
Plans resubmitted
IN HOUSE:.
Grading
Review,
P Pisnaing Approval
'Onn*n' Appr"
ready for -------
Developer Impact Fee
Called Contact person. -------
Pub. =WkL Appr
A.I.P.P.
Date of permit issue
2�_
S School Fees
chool Fees
............
i
Total Permit Fees
P 0 L X40 T E
u L
IV -W
1. Water line tile to match spill cy
gyrouted at water line only. U less, q-directeel otherwise
own
i er / architect.
2. Provide out ion to be coordinated, with,
architect. All skimmer lids and trims to be colored
(ton or otherwise) to compliment adjacent finish.
3. Swimming pool to have at least 2 skimmers, spa to
hUl Z�9_ Nil I f I 1 111, � I'll Ulli,iiIII . . . . . . . . . . Olt a
� V %~
Pool Plaster to be Carribbean Blue Pebble Sheen with
water line tile -verify with owner Pool contractor
sh 11 provide start-up and maint. for one year.
5. Pool asig t i ures be 0 Ott wet
niche w ainless steel housing. Niche and fixture to
be U.L. liste for swimming Pool application.
6. Pool contractor to provide any necessary shop drowin
t gs,
hydrology and/or engineering calculations necessary 0
permit and complete the installation.
7. Provide Dal hin GUO305CU or approved equal display
uplights (4T at Fountain.
. . . ........ . ......
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BUILDING ENVELO U
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MATERLALS / COLOR
LEGEND
r
6 cm. Turn led Castlestone by 'A k I stone' in the Cochella
sand mix, ith random aslor layup
cyver 2" compacted
36" Highwall with Cantera Cap and Plaster
sand fill
Veld'
Finish to Match Residence
Integral . lor Concrete slab edge with admixture by
Q
72" Highwall with Contera Cop and Plaster
'LM. Sco C-15 Coachella Sopd with hand washed
finish. E#osed aggregate: Del Rib pebble (318"-31V dia) 0
with Coachella Sand admixture (Aeld)
Finish to Match Residence
A/C Condenser Location
D
I
18" '14" square limestone tile with diagonal lay-up
Q
Integral color concrete slab with admixture by' 'LM
Scofield" C-27 Westwood Brown (to be Confirmed
per Opliroved sample.
Gas M er
with Item A Abv.) with Hand Washed finish (Banding).
Stacked Honeyledge Slate
- See Site Plumb*7g Plan
f
Spillway
DCarve4
Contera Fouril - ;mooth and
Pool Equipment Location.
Sealeo Finish to be Selecte
Random Flagstone Pavers Set Flush with Grade
Pool/.
Light Location See Pool Note 6
e on ser Lo io
24� x 24"' oumn with Contera Cop 'Standard Cc e'
Metall Gate with Wood Panel Infill per Det.11/A1.2
R
a
Tuscan Ad* t bi H ' ht G.F.R.C. Column b "R I
of Design inc.'a(702)"966-1188 or ApproveYEqueoc)m
with 18" Sq. Int. Color Conc. Pedestal to Motc L
.N21S Driveway Approach Requires a Separate Permit and Inspe
Adjust Ht. to Accomodate Col.
tion from City of Lo Quinto Dept. of Public Works.
P 0 L X40 T E
u L
IV -W
1. Water line tile to match spill cy
gyrouted at water line only. U less, q-directeel otherwise
own
i er / architect.
2. Provide out ion to be coordinated, with,
architect. All skimmer lids and trims to be colored
(ton or otherwise) to compliment adjacent finish.
3. Swimming pool to have at least 2 skimmers, spa to
hUl Z�9_ Nil I f I 1 111, � I'll Ulli,iiIII . . . . . . . . . . Olt a
� V %~
Pool Plaster to be Carribbean Blue Pebble Sheen with
water line tile -verify with owner Pool contractor
sh 11 provide start-up and maint. for one year.
5. Pool asig t i ures be 0 Ott wet
niche w ainless steel housing. Niche and fixture to
be U.L. liste for swimming Pool application.
6. Pool contractor to provide any necessary shop drowin
t gs,
hydrology and/or engineering calculations necessary 0
permit and complete the installation.
7. Provide Dal hin GUO305CU or approved equal display
uplights (4T at Fountain.
. . . ........ . ......
......................
....................
00---r
............
. ..........
61- 11' 29�-8 1/2" "Ill
BUILDING ENVELO U
x S,
7a
................. I ........ .........
71-6 11
..................... . ..... . ......... . ..... . ........ . ..
V,
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