12-0741 (RPL)P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
t Date: 7/16/.12
ti.-0
Application Number: ' �12.-00'000741�.`� Owner:
Property Address: 790`60SHADOW TR BILL & LINDA MCCONNELL Q
APN: 600-400-023- - - 79060 SHADOW TRAIL•
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation:' 31601 C
F�Oe 10��
Contractor:
Applicant: Architect or Engineer: ! BOGNER POOLS, .PAUL /N9yCp/Nr�
5045 VAN BUREN BLVD
RIVERSIDE, CA 92503
`(951)688-5854 `
`It LiC. No.: 275843
-------------------------------------------------
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 License is in full force and effect.
License Class: C53 License No.: 275843
ate: %/G'( ontractor: _sr!
OWNER -BUILDER DEC ATION
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 1$5001.:
(_ 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 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.).
(_ I 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:'
2.
Lender's Address:
LQPERA1IT
--------------- - - -
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. -
YL.II•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: - z
Carrier STATE' FUND Policy Number 71900154
_ 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 -
n 3700 of the Labor Code, I sh'� /thwith co ply with those provisions.
ate:71'4_y plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINALPENALTIESAND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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. '
Y f
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. I•
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 a state laws relating to building construction, and hereby authorize representatives
of yhis cou�/n��tyy /ttoo�center up the above-mentioned property for in ec 'on purpo s.
/Date: ice; gnature (Applicant or Agent): C `
Y
Application Number 12-00000741
Permit . . . BLDG POOL PERMIT
Additional desc .
` Permit Fee . . . . 297.50 Plan Check Fee
193.38:
Issue Date Valuation . . .
. 31601
Expiration Date 1/12/13.
Qty Unit Charge Per-
Extension
BASE FEE
252.00
7`.00 6.5000 _THOU BLDG 25,001-50,000
----------------------------------------------------------------------------
'45.50
Permit MECH POOL.
Additional desc .
Permit.Fee . . . . 26.00 Plan. Check. Fee
6.50
Issue Date . . Valuation
0
Expiration Date 1/12/13 „
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE >10.0K
11..00
Permit . . . PLUMBING
Additional desc .
Permit Fee 33.0.0 Plan Check Fee
8.25
Issue Date . . . . Valuation . . . .
0
Expiration Date 1/12/13
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
PermitELEC POOL PERMIT-RES
Additional desc .
Permit Fee 45.00 Plan .Check Fee
11.25
Issue Date . . . . Valuation . . . .
0
Expiration Date 1/12/13
• Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING.POOL
30.00
--------------- - - - - - - - - -- - -
Special Notes and Comments
- - - -- - - - - - - - -
POOL/SPA. ALARMS/BARRIERS SHALL BE IN.
LQPERN11T
Application Number
-12-00000741
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
-
' EQUIPMENT ENCLOSURE NOT INCLUDED.
2010
CODES . . I
---------------------------------------
Other Fees
BLDG STDS ADMIN (SB1473)
•2.00
Fee summary Charged
Paid
Credited
Due.
Permit Fee Total 401.:50
.00
...00
401.5.0
Plan Check Total 219.38
.00
.0'0
219.38
Other Fee -total 2.00
.00:
00
2.00
Grand Total' 622.88
:0.0
.00
622.88
LQPERMIT
-
3RD 51
HEATER IS 4' FROM OPERABLE WIND(
NO WINDOWS ON THIS W)
ff
L GROUND 11
ND P.L.
J -BOX FOR 1 POOL LIGHT AND 1 SPA LIC
REMOVE BLOCK FOR ACCESS AND REBU
REHANG GATE AND ADD SPRING A
LATCH TO MAKE POOL LE(
EVEL GROUND 10'
EYOND P.L. I
1
LU
IQ
w
Q
ce
d
1',
SHADOW TRAIL
Paul Bogner Pools Inc.
5045 Van Buren Blvd.
Riverside, Ca. 92503
C-53 275843
p: 951.688.5543
f. 951.688.7839
www.bognerpools.com
Project Location
79060 Shadow Trail
La Quinta, Ca. 92253
Thomas Bros. 849 H3
Cross st. Hidden Shadows Ranch
Legal Description
Apn. 600-400-023-3
Lot. 23
Tract. 31310
Property Owner
Bill and Linda McDonnell
79060 Shadow Trail
La Quinta, Ca. 92253
Home p. 760.771.2098
Work p.
Cell p.
Email.
Pool Specifications
Size. 16'x26'
Perimeter. 71'
Area. 242 Sq Ft
Depth. 3'6"x6'
Coping. Cantilever w/ radius
Tile. Group 3
Plaster. Quartzscapes Grp 2
Decking. Nat grey texture
Rbb Face. Flagstone
Pump. Pentair variable speed
Filter. Pentair Quad DE 80
Heater. Pentair 400,000 btu
Cleaner. In Floor system
Fill Line. Auto
Chlorinator. Del Ozone
Remote. EZ Tch 4
Pool Light. LED white
Spa Specifications
Size. 6'6" Circle
Elevation. +6"
Standard Jets. 4
Rotating Jets. 2
Spa Light. LED white
Spa Wall Width. 12"
Spa Wall Face. Flagstone
Spa Wall Cap. Cantilever w/ radius
Blower. N/A
Spillway. Bridged
Exterior. N/A
Revision History
1. Design 1 5/18/12
2. Design 2 5/30/12
3. Const, Plot, Elevation 6/27/12
4.
5.
6.
7.
8.
9.
10.
Drawing by. Frank Sandoval
Sheet: Plot Plan
Scale 1/8"=1'-0"
i3rn.#
.0ty. Of QuInta
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La .Quinta, CA 92253 - (760) 777-7012 Budding Permit Application and Tracking Sheet
Pein>it # ' r
1 �'[
Project Address: -7 q Q(.0
Owner's Name:.
A. P. Number. LPM- qoo _ i)-2s _
Address: Ci 0 L,0 0
Legal Descriptionf SQk
Contractor. Parma gOcA (Le—r Po b I
Address:so�i S Ql v
City, ST, Zip: - 225
Telephone:- (a0 —j11 2D,�,INa: x !
Project Description:
City, ST, Zip:I de, 01250
Telephone: SI (08 5SyC:
�..:,
,.a -�M.
Lic. #;
State Lic. #:
Arch., Engr., Designer. Po
Address: 1201
City., ST, Zip: C12
Telephone: _1 01" Y '
State Lic. #: Z „^
Name of Contact Person: I t i S 1% (i
Construction Type:. Occupancy:
Project-type (circle one): New Add'a Alter Repair Demo
sq. Ft : a �{ 2
#Stories:
# Univ:
Telephone # of Contact Person: S 9 55 y
Estimated VaNe of Project: 31U0 •1 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
3
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
Constructiou
Flood plain planPlans
resubmitted
Mechatilcal
Grading plan
2id 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 110USE:-
'^' Review' ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees