13-1134 (RPL)_ 4u�l'�;i6v
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALL TAMPICO "' FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/10/13
Application Number: 13-00001134 Owner:
Property Address: 81095 SHINNECOCK HILLS MIKE INGRAM
APN: 762-340-013- - - 81095 SHINNECOCK HILLS
Application description: -POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 15000 D
Contractor: n�,n 2013
Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS a a to
PO BOX 2889
PALM DESERT, CA 92261 CITY OFLAQUINTA
(760) 771-6141 PIMA Mrs: !3cQT
Lic. No.: 185102
------------------
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:
�ss: B C53License No.: 185102
Date: L /'r0 Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penaltX of perjury that) am exempt from the Contractor's State License Law for the
following reason ISec. 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 I, as owner of the property, or -my employeeswithwages 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 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 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:
LQPERDI IT
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 SPARTA INSURANC Policy Number 002WK02443-00
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
` 9 3700 of the La�oallith comply with those provisions.
Vuata!Appli
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 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.
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 abov 'nformation is correct. I agree to comply with all
city and county ordinances and state laws relating to b ' ru Yin, and hereby authorize representatives
of�this
scou ty o enter upon the above-mentioned n tion purposes.
Date: / �1� ignature ( pp i Ag
Application Number .
. . . . 13-00001134
Permit
POOL 2013
Additional desc .
Permit Fee . . . .
178.75 Plan Check Fee
.00
Issue'Date . . . .
Valuation . . .
. 0
Expiration Date
3/09/14
Qty Unit Charge
Per
Extension
1.00 178.7500
EA MISC POOL/SPA
178.75
-----------------------------------------------------------------------------
Special Notes and Comments
POOL - NEW SPILL EDGE
FOR EXISTING POOL
PER APPROVED ATTACHED
PLAN. 2010
CALIFORNIA BUILDING CODES.
-------------------_--------------------------------------------------------
Other Fees . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
Permit Fee Total
178.75 .00 .00
178.75
Plan Check Total
.00 .00 .00
.00
Other Fee Total
98.24 .00 .00
98.24
Grand Total
276.-99 .00 .00
276.99
LQPERNI IT
Bin #
City of La Quinta
Building &r Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
1,,, 15q
Project.Address: skiim �
Owner's Name•
A.T. Number:
Address: S�1 Nw LK
Legal Description:
City, ST, Zip:LA ui
Contractor: C /Z1014
Telephone:
Address: , N14 g 619 tL; L I..2—OR
Project Description: b
City, ST, Zip: ej-74 1
��
Telephone: 7bo Li I.:
State Lie. # : 1Pffl 0 L
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
'"': ::`: :::::':::::::........ `:::
v>
Construction Type: Occupancy:
Lie
Project type circle one): New Add'n Alter Repair DemoState
Name of Contact Person: N K;
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: — 7 '7 t f
ca
Estimated Value of Project: sDDO . —
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
(p
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for correctio sue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'r0 Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
1
SRI mINIQ 0- RAEP-TYEE Ll
Total Permit Fees
W. APPROVED
FOR CONSTRUCTION
DATE BY 7
PGA WEST
FAIRWAYS ASSOCIATION
August 7, 2013 :IR"ECEIVED
`
Michael and Barbara Ingram SEP 0 6 2013*
3010 North Ingram Drive
Springfield, MO 65803. CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Re: Architectural Application — 81095 Shinnecock Hills
Dear Homeowner:
The Architectural Committee has reviewed your request to modify the pool at your residence. I am
pleased to inform you that the, Architectural Committee has approved the application as submitted..
Enclosed is Exhibit C - the Compliance Review Request form. Please complete this form after the work
is completed and return it by mail or fax to the address below so the completed project can be inspected.
If you have any questions, please contact Cassie Gertz, Operations Manager at 760-776-5100 Ext. 345 or
email Cassie.GertznaMannementtrust.com. .
Sincerely,
For the Architectural Committee
PGA WEST Fairways Association
r*ation
ald, CCAM, PCAM
Assanager
En ure: Exhibit C -Compliance Review Request
cc: Lot File
Architectural Committee
Post Office Box 1690 • La Quinta, California 92247 Phone (760) 776-5100 Fax (760) 776-5111
Existing Golf Course
Existing Waters edge
to remain
GENERAL SPECIFICATIONS' ELECTRICAL PLAN SET NUMBER
r
F 61
J
a
ryr 3 r
.4
ty
m rF
ne'.�.3: A� ra'�s ... .,.., .., n .,:..�., .. .. uM :.a:,..✓. "�' tauf,.Ptans�.'Tr.�` z�� ,u�v»^a
TYPE:POOL SPA:
SQFT:POOL SPA: COMB:
PERIM:POOL SPA: COMB:
DEPTHS: SPA:
SIZE:
SIZE; POOL X SPA: X
RBB: 6" 12" 18" 24„ ��
MISC:
BY: LENGTH:
TIME CLOCK: REMOTE
# OF LIGHT(S) IN P804_,� SPA:
OUTSIDE G.F.I. G.F.I.OUTLET.
EXTRA SWITCH FOR SPA LIGHT -
BLANK PLUGS:
MOTOR: BOOSTER:
BLOWER: CLEANER:
CHLORINATOR:
REMOTE:
MISC.
1
_.
STEPS
- SKIMMER
WALLS
DAM WALL # OFJETS:
LIGHT.
SPA
ELEVATION: SPILLWAYS:�X
AIR SPA SIDE
BAR.
MISC.
r• • '
(3 = PUMP
R-1= ORIGINAL
•
10) = GAS STUB
DRAINS
= VALVE
MASTIC
a CLEANER STUB
L = LIGHT SWITCH
DECKS
N
CURB JIM PATIO STRAPS
TYPE: ACCESS MIN:
SET ELEVATION AT:
DEEP END BENCHES:
REEF:_ BEACH - -
ACCESS REMOVAL:
DEMO: TRASH:
WALLLS:
CONC:
MISC.:
GRADING:
FORM W-
___ ---
RBB. 6" - 12" 18" --- 24"
EXCESS WALK O
ROCK PACK
HYDROSTAT Q
MISC.
TYPE:
COLOR:
FITTING COLOR:
LIGHTS:POOL SPA:
ROPE RINGS: EYE BALLS:
CPS TILE:
R = REMOTE CONTROL BO =BY OWNER
-------�----
�4
} 1
E3LAWN:
_
t I.
�•'
x,
t IN tom` 'n K� pyr.
} r
a r�'
w
• • •
FILTER: SIZE:
PUMP: SIZE:
HEATER: SIZE:
BOOSTER: SIZE:
W/FEATURES: SIZE:
SKIMMER: BLOWER,,
TYPE:
HEIGHT. LNFT.
GATE: COLOR:
QTY: SIZE:
DOOR ALARMS BY .OWNER: QTY
ACCESS REPLACE:
MISC:
TO MEET LOCAL CODE REQUIREMENTS BY
BUYER PRIOR TO
X
=SPILLWAY +2 =ELEVATIONS
_DRAIN = STARTING ELEVATION PI
�= EXISTING DRAIN A =AUTO FILL
SHINNECOC HILLS ROAD
(QTY
TYPE MATERIAL COLOR SIPECIAL DETAILS
= EQUIPMENT
COPING
_.
STEPS
- SKIMMER
WALLS
-FILTER
WATERLINE
(3 = PUMP
TILE
RIBBONS
10) = GAS STUB
DRAINS
= VALVE
MASTIC
a CLEANER STUB
L = LIGHT SWITCH
DECKS
N
CURB JIM PATIO STRAPS
SPECIAL EQUIPMENT LEGEND
DIVE COLOR: TYPE:
EXPANSIVE SOIL
SLIDE: COLOR: TYPE: SPECIAL ENGINEERING: H20 PURIFIER:
W/ FEATURES;
RBB: 6 --- 12" --- 18" --- 24" ___ it
DEEP END Q POOL COVER: X TYPE;
S
BENCHES: REEF: PA COVER: X TYPE:
BEACH: SPA WALL WIDTH: SOLAR:
W/FALL: MISC:
SLIDE:
LIGHT SPA:
=LIGHT
E0
= EQUIPMENT
® = JETS & RETURN
_.
= TILE TRIM
- SKIMMER
FF
-FILTER
= OVERFLOW
(3 = PUMP
G --GAS METER
= HEATER
10) = GAS STUB
V
= VALVE
= ELECT METER
e = ELCT STUB f OUTLET
a CLEANER STUB
L = LIGHT SWITCH
Q = J eoX
N
=HYDROSTATIC VALVE
_77—
SHIN NECOC
7
NOTCH RBB: Q
= FILL LINE SOURCE 0 -AIR BAR
MISC:
®= FILL LINE PL : PROPERTY LIINE
• •
L. = P -TRAP PA = PLANTER AREA
TYPE:
COLOR:
FITTING COLOR:
LIGHTS:POOL SPA:
ROPE RINGS: EYE BALLS:
CPS TILE:
R = REMOTE CONTROL BO =BY OWNER
• • •
FILTER: SIZE:
PUMP: SIZE:
HEATER: SIZE:
BOOSTER: SIZE:
W/FEATURES: SIZE:
SKIMMER: BLOWER,,
®=SPA SWITCH >= ROPE RING
q = CASCADES T = EXISTING TREE
=SPILLWAY +2 =ELEVATIONS
_DRAIN = STARTING ELEVATION PI
�= EXISTING DRAIN A =AUTO FILL
CLEANER:TYPE
FILL SLIDE LINE:
GAS GAS STUBS:
FLOOR CLEANER:
AIR BAR:
STEP LOCATION 3s = DEPTHS
q =ACCESS
BACK WASH FIBER STUBS Y/N
W/FEATURES Q
MISC:
A M
1 N C34 R
LIGHTS: POOL
SPA
HYDROSTAT Q
A
SOLAR: H2O STUBS:
POOL RETURNS: SPA
# OF SPA
CHLORINATOR:
. ..
LE
MISC:
(1) Detremine the approximate elevation of pool or spa at layout.
Owner to: (1)
Take notice that Pool and Equipment location is subject to acceptance of local
Building Department at time of issuance of permit.
(3) Wet down Gunite shell AT LEAST twice daily for minimum seven (7) days after shel
°
Is Installed.
(4) Take notice that California Pools is NOT RESPONSIBLE for: Underground
approves conditions or objects, and any damage to curbs, sidewalks, driveways, lawns, or other
Plan, Pool, and items in access area.
Equipment Locations (g) See that all fencing, gates, and garage doors meet local codes for pool encllosure
and has read the prior to pre -plaster inspection.
RESPONSIBILITIES (g) Fill pool immediately after plaster. (Follow instructions. Do not use rubber hose)
and NOTICES (w tho t written that
ermission oflCalifornia Pois the soleols, Inc, California prohibited byools law and any use
above. pP y
' • •
SHOTCRETE INSPECTION 0Owner
ROPE RING
GRAB LNFT OF
TYPE OF
DEEP ENDRAMP(�- „ --- ,r--- 11
RBB. 6 12 18 24
CITY OF LA QUINTA
CITY
NOTCH BOND BEAM Y/N (5 --
COPING
BUILDING & SAFETY DEPT.
SPA WALL
signurature Date
APPROVED
FOR CONSTRUCTION
DATE 1 BYE
SPA WALL NOTCH "Y/N Q
SPA
NOTCH FOR OVERFLOW YIN Q
SPECIAL
W/FEATURES
NAME: MIKE INGRAM JOB: # PLAN SET*
DIG TICKET #:
SLIDE:
BEACH: REEF:
Jas ADDRESS: 81095 Shinnecock Hills CITY & ZIP CODE: LA QUIINTA
PHONE: RESIDENCE: OFFICE:
vEURADIUS
NOTCH FOR 0
ON STEPS AND BENCHES:
MISC:
LOT: TRACT: PAGE: BOOK:
MAP BOOK PAGE NO.: CROSS STREET:
CONST. OFFICE:PALM DESERT CAL POOLS & SPASFAX:(760) 301-5306
SEP 06 2013
CITY ITF LA QuiNTA,
NdN(l1NiTY DEVELOPMENT
CONST. OFFICE PHONE NO.:(760)771-6141 ext
SCALE: 1/8"= 1'
DATE:9/512013 DRAWN BY: SOLD BY: CHECKED
CALIFORNIA CONTRACTOR'S
! LIC. NO. 185102
CALIFORNIA
_77—
SHIN NECOC
7