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05-5074 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00005074 Property Address: 81065 SHINNECOCK HILLS APN:- 762-330-011- - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL, Application valuation: 5000 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: License No.: i ate: % '1!1 Contra r1am WNER-BUILDER DECLARATION ' 1 hereby affirm under penalty of perjury that 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).: 1 _ 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 ofsale.). - 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.). 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: LQPERMIT Owner: SOUTHERN HILLS DEVELOPMENT 55161 SOUTHERN HILLS LA QUINTA, CA 9.2253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/17/05 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 C8 C27 C29 C53 Policy Number - - - - ----- - - - - -- _ 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 becomesubject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700ofthe Labor Code, I shall forthwith comply with those provisions. Applicant/ ' 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. 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 co my ordinances and state laws relating to building construction, and hereby authorize representatives of this unty to enter upon the above-mentioned grope for inspection purposes. Date: I Signature (Applicant or Agent) \ A,) Contractor: DfVC CALIFORNIA' POOLS &.S 1 2005 WCC: SEABRIGHT I WC: BB1050510. O6 C S LB : 656128 1 Q./e`fa110U6_A QUINTA 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 C8 C27 C29 C53 Policy Number - - - - ----- - - - - -- _ 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 becomesubject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700ofthe Labor Code, I shall forthwith comply with those provisions. Applicant/ ' 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. 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 co my ordinances and state laws relating to building construction, and hereby authorize representatives of this unty to enter upon the above-mentioned grope for inspection purposes. Date: I Signature (Applicant or Agent) \ A,) Application Number . . . . . 05-00005074 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 72.00 Plan Check Fee 46.80 Issue Date Valuation 5000 Expiration Date 5/16/06 Qty Unit Charge Per Extension BASE FEE. 45.00-- 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 27.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee 16.35 Plan Check Fee 14.09 Issue Date Valuation . . . . 0 Expiration Date 5/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .4500 ----------------------------------------------- EA ELEC DEVICE/FIXTURE >20 ------------------------ 1.35 ------ Permit . . . PLUMBING - Additional desc . Permit Fee 24.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments. BARBEQUE-Z21-58-1995 Other Fees . . . . . . . . ENERGY REVIEW FEE 4.68 Fee summary Charged- ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 112.35 .00 .00 112.35 Plan Check Total 55.39 .00 .00 55.39 Other Fee Total 4.68 .00 .00 4.68 Grand Total 172.42 00 .00 172.42 LQPERMIT Bin #.. , City of La Quinta Building & Safety Division ! P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-70112 Building Permit Application and Tracking Sheet Permit # J / Project Address: �_�� Owner's Name: A. P. Number: Address: 1 Legal Description: ! City, ST, Zip: Contractor`. ` Address: -Q) �; w•1,, - Telephone: _ `. �' L•- Project Description: 1 (2,go City, ST, Zip: \ �. �� Z2! l—S�' I Cl ��ii Telephone:76639, (7, 7, Z22 . Vril...�n ♦i:. State Lic. # : (-5-(- City Lic. #: j Arch., Engr., Designer: Address: i City, ST, Zip: j I _ Telephone: '` ' -r' State Lic. #: Name of Contact Person: 0 %�e� o� Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: I # Units: Telephone # of Contact Person:26-0--0(1251 7$_t�� i Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKINGI PERMIT FEES Plan Sets Plan Check submitted illls Item l Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction p %B Flood plain plan Plans resubmitted Mechanical Grading plan SubcontactorList Grant Deed 2nd Review, ready for corrections/issue Called Contact PersonPlumbing Plans picked up Electrical Se4K � S.M.I. 3- /-'Y olrr/eu H.O.A. Approval PP 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 I i Total Permit Fees STAINLESS GRILL STEEL SINK PROVIDE :VENT, WASTE, AND LIGHT PLUMBING FOR SINK ON SEPARATE STONE OR CONSTRUCTION DOCUMENT. TILE COUNTER Y 0 a V 0' i„ L— OUTLET Lu B PRE-HUNGLIGHT Q o CSTUCCO OR SWITCH S.S. DOORS STONE (WATERPROOF) VENEER LENGTH VARIES BBQ:' I.C.B.O. ANSI FREE—STANDING OUTDOOR KITCHEN FRONT ELEVATION BTU ' i U,L. APPROVED. 112 =1 i #4 BAR H.ORIZ. AT �. 1 .,r:-�:.; 1. "k' ` +•ria��.,��i 1 �..z' �X,I• U- ( `L -w .. GAS,! GAS. r I •���VERT• � AT r FIRE _... F S • : 24" O. CYR.} GAS G rI — I 244 BARS HORIZ. CONT.: . I � � � 1o'"wwr ♦ i J t 6" VARIES 6" BBQ I:S-�1�!rt'®�� a°SipE°ELEv REE—STANDING BBQ - WALL SECTION ID so +�e-.aa_,c,; .s .. -,-a .:n,m ..,-.,, j I I .�..�.. .... .... x...�.�•(wn�ruun,,.�.r�u�rtnwww�,,;�r„;� ...........,-,. ,�......,....,.�. „a. wwauw�ww"u+sP'da. ua��wswv+u5. wii ey i...........,_.. .. . • .. ..... ..._. _�.JA.,,.. «. �...2.. .,. .. . - ...... _. .. -------- P-4 r4A T�A ;�6& T SPECIFICATIONS 't v/4 e, TYPE SIZE -x �702kj;24 -tAt;-T 0.,-j SURFACE AREA OF POOL a, PERIMETER l;( 5 1 T QAt4- DEPTHS MIN, MAX. x1p e� Q -*F Ac-� I �-t 00 SPA SPECIFICATIONS TI LE SZE IL- X 8' SQ. FT. --­� V -N TILE TYPE SPA DAM WALL WDT� WATER LINE 4-\ 00 NO, OF JETS T11 F TRIM ('0 LIGHT t - QUARTER ROUND 0 U RAI R.B.B. TILE < 0 SED SPA AT Y SPILLWAY TYPE 0 z % f, , ', SPECIAL NOTES Ln C14 Lj 7 P i vj DECKING j 'I z ?Ebgj.av�, itrw ..... :x::�� > co LU SQ, a < (D 0 .1c EXCAVATI%,� STEEL FINISH TYPE 0 < ACC EXPANSION JOINTS \1 0 "o ESS FROM D ELEVATION CANTILEVER 00 .101 EEP END RAMP DECK DRAINS I ISTLIP P* "ve, LOVE SEAT \1 DECCODRAIN CONCRETE REMOVAL LOADS CURB CORE 67 kAI-NE- 4,V SOD REMOVAL STEPS LOADS T) Ir TIRE REMOVAL BY STEP FACE ----------- v IRRIGATION REMOVAL 13Y TILE BASE IRRIGATION REPAIR J/ Ai VISOUEEN --'�A 66 SANDAND r 4, 6' R.B.B. #^-Z L T1 7 ;-k- RIBBONS 12' R.B.B. k j ftv MOW STRIP -5 ?A 16" R.B.B. -4 --- ---- R.B.S. ft, 7� 24 ... ....... 30" R.B�B. ft _77-7777- P� O -A e TAN SHELF DEPTH 7 MASONRY TS ROCK POCKE 7 LI/I COPING TYPE 4ezrz CENTERS R.B.B. FACING 0 j" SIZE SPILLWAY TYPE SIA005100 PLUMBING STEPS PROP. EXT. WAL FILTER 1�-C-�T420 -ve-, SIZE LS WALL PLANTER POOL PUMP SIZE RETAINING WALLS t BOOSTER PUMP SIZE EQUIP. WALLS ADDI PUMP SIZE FIREPIT AOD'L PUMP SIZE oaa: f --0,Q HEATER S1 - & TIME CLOCK 6 U-) Uv­Z�tL$L- SUB PANEL j IF r -j. t xq ADDI OUTLE Aa f- to x 5 #Ok VOO L I ­ " - ;7- -- OT SKIMME R TYPE cowi�o) (L f -IL. E98L /PL STER (Doo FILL LINE A) fu� )L�% -'L GAS LIN 2Vt (A C" TIJBS "P� H60L 1� Tal LIGHTS SPA 10150 0 45 H? FOUNTAINS/SPRAYHEADS I, ROWWAI-BONO-EIRA10 K-? BEHIND SPA 0 PA /A SHEERDESCENT; 3 - 513 0 EYEBALLS LIGHTS IN POM�0 W� IN SPA 0 STUB SET EQUIPMENT \141> FENCING f7 1;*v0xg. I� �L) AP (.0 5, misc. A�4­ %-I I" z FENCE TYPE PLUMBING SIZE IE awclt ok 9 Z) 1 4 4; A,:0,%-jj HEIGHT 5s 400000vj I GUNITE GA REVERSAL cz�) r DEEP END RAMP REMOVE & REIJANd EXTENDED 2nd STEP LOVESEAT SPILLWAYTYPE EST.START EST. COMPLETION CANTILEVER COPING R.B.B. - SEESTEEL 0 3t OWNER RESPONSIBILITIES I OWNER TO: (1) DETERMINE THE APPROXIMATE El EVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF r LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, 0 AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA L -6 z (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE z 0 PRIOR TO PREPLASTER INSPECTION C2) P U (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW. W MONS AND HAS READ THE RESPONSIBILITIES AND NOTICES !gel> OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCA ABOVE 0 SIGNATUIRE(S) DATE 1.01 SWIMMING POOL PLAN FOR: Pi NAME EHDIAN RESIDENCE C2 B 0 STREET 81-065 SHINNECOCK HILLS JOB ADDRESS THE SUMMIT -PGA tEST QUINTA 1C 164. PHONE OFFICE RES LoAt VttD t>c-z-W-(4d4-' LOT, 24 TRACT 29147-1 PA5E BOOK MAP BOOK PAGE NEI, CITY V MAIL ADDRESS N. CONSTRUCTION OFFICE PHON 7 0 SCALE DATE DRAWN BY CAHECKED 5 _I 8, -�015L, SOLD BY 4-1,1-05 LY ME6 GRAHAM PRtOPOSED JOB# 'E" L/ CONCIRSTE BLOCK 9503 1, REVISHINS DATE WALL Pon No HUMEMPA ONE am ammousum mooM ME moramom Osumi FAIAMMM sommons moons women an moons M NUNN MEN onsommusm No Noun 0 No MEN Moons CONSTRUCTION AUTHORIZATION_ SALES FIELD DIG PRE-GUNITE UNDERGROUND MASONRY DECK .PRE -PEBBLE ---CITY eF LA QIJ!NTA BUILDING & SAFETY DEPT. FOR CONSTRUCTION 7 - 0-5 S7- B0;ULDERS DECK COLOR JANDY ��pPLAS 7 il C'S - — f � ( 24 L SIGNATURE DRAINAGE NOTEi Drainage and irrigation for planters and pots, by others, unless otherwise noted, _0 k 7- 7 7,