04-8107 (RPL)10
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BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760),777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA,'CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT,
Application Number 04-00008107 Date 1/27/05
Property Address . . . . . . �47730—STILLWATER DR
APN: 658-140-999-62 -294361-
Application
29436 -Application description . POOL'= RESIDENTIAL
Property Zoning LOW. DENSITY RESIDENTIAL
Application -valuation . . . . 17000
Owner
IVANHOE LA QUINTA COVE
C/0 R BARRY MCCOMIC
7979 IVANHOE AVE STE 550
LA.JOLLA i
---------------------
Permit . . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Contractor
-------------------------
CALIFORNIA POOLS & SPAS
P.O. BOX 1280'
COACHELLA CA 92236
(76 0) 398-9222
WCC: SEABRIGHT INS
WC: BB1050510 01/01/06
F2EB 0 1'2005
CSLB: 656128 10/31/06
TYAF AQUINTA CCC: C8 -C27 -C29-053
BLDG POOL PERMIT
180.00 Plan Check Fee 117.00
Valuation 17000
Qty Unit Charge Per Extension
BASE FEE ,45.00
15.00 9.0000 THOU BLDG 2,001-25,000 135.00
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Permit . . MECH POOL
Additional desc
Permit Fee . . . . 24.00 Plan Check Fee-. 6.00
Issue Date . . Valuation 0
.Qty Unit Charge Per Extension
BASE FEE 15.00
1.00. 9.0000 EA MECH FURNACE <=100K 9.00
Permit . . . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . . . 45.00 Plan Check Fee 11.25'
Issue Date . . . . Valuation . . . 0
,Qty Unit Charge Per Extension
BASE 'FEE 15.00
1.00 30.0000 EA ELEC.PRIVATE SWIMMING POOL 30.00
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Permit ... . . . . PLUMBING
Additional desc .
N
P.O. BOX 1504
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:�—
Applicant's Mailing Address:
MA
Date: a? • /• d ,�
Architect or Engineer:
Architect or Engineer's A dr s .
Lic. No.:
t3UILDING 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
ode, and my Licse is in force and effect. _ W/
License Class `� cens No._C� bl
Gate �l�( i.Contractor
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 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.).
U I am exempt under Sec. . BA P.C. for this reason
Date Owner.
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 Section 3700 of the Labor Code, for the performance
of the work for which is permit is issued.
I ha nd will maintai orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is ed y worke compensation insurance carried d licyr�r �remW ! /
Carrier. Policy Numbe !J q 6 (O W
I certify that, in the performance of the work for w ch this emit is issued, 1 shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agre ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
/ forthwith comply with those provisions.
/Date 2 / I C)r � Applicant
WARNING: FAILURE TO SECURE WOf(KERS' CO NS 4-&QVERAGE 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.).
Lenders Name Y
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
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work bei ortmed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if w is not mmenced 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 I gree t comply with all city and county ordinances and state laws relating to building
construction. andel hereby authorize representatives of this county to ter upon ov ned property for inspection purposes.
Signature (Applicant or Agent}!
.4 f
Page 2
Application Number . . . . 04-00008107
Date 1/27/05
Permit Fee . . . . 33.00 Plan Check Fee
8.25
Issue Date Valuation
0
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
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Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
w EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited
-----------------
Due
_.--------------------------- ---
r Permit Fee Total 282.00 .00 .00
------- ---
282.00
Plan Check Total 142.50 .00 .00
142.50
Grand Total 424.50 .00 .00
424.50
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SPECIFICATIONS
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TYPE C 4 T SZE �C
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X
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SURFACE AREA Of POOL
N
m
PERIMETER DEPTHS MM. r MAX.
00
a,
SPA 5P
TILESZE
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XCI�ATTIONS
TILE TYPE
� tp
SPA DAM WALL WIDTH i
WATER UNE%
9
N0. OF JETS
TILE' TRIM
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LIGHT : ?
QUARTER ROUND
V Q to
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RAISED SPA AT "f
R.B.B. TILE
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,111 s ;', • T
SPILLWAY TYPE 4-! K6 D i VINp-
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SPECIAL NOTES
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in 04N
DECKING
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EXCAVATION / S& Ek
so. � Z
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TYPE .
FINISH
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ACCESS FROM
EXPANSION JOINTS
to
cr^� r ' ` �y
�71-� �T ,. Wml-� 'ru-� 4'Ev1 �'�!L"r"t
1 1 or
v�'`�
.�- (j
ELEVATION
���--
r
CANTILEVER'
DECK DRAINS %% •/ a �`�C*A&
.n.
00
DEEP END RAMP
LOVE SEAT ".
sovkL
DECCO DRAIN ..
•.—.•
0 -
CON m LOADS
CURB CORE
SOD REMOVAL . ---^- LOADS
STEPS \
#
r.z
TREE REMOVAL BY '�
ti�
STEP FACE
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IRRIGATION REMOVAL
TILE BASE ..�
IRRIGATION REPAIR
SAND AND VI$QUEEfJ t"
1
6' R.B.B. tL
RIBBONS
12" R.B.B.
MOW STRIP
�
16" R.B.B.
A
24' R.B.B.
30' R.B.B.
I
_._ ____._ 't/� r=1rJR �--� �-��� �'[ tri" W � � • h��'�.a
tss
- � , 'a
TAN SHELF DEPTH � lA..i�'
ROCK POCKETS
M ASON R Y
I '' !! �\
N 0J � `�lv.I,e
�r
CENTERS
COPING TYPE ""
R1.8. FACING
SPILLWAY TYPE t^'"c e' �i SIZE
- ..
`
PLUMBING
sTFPS
FILTER _ SZE
PROP. EXT. ~WALLS
. rte'
POOL PUMP SZE
"PLANTER WALL
BOOSTER PUMP SIZE
RETAINING WALLs
1ADD'L PUMP !'�'w SIZE
EQUIP, WADS
FIREPIT �--'
I
ADO'L PUMP SIZE
•
HEATER I'J - SZE
TIME CLOCK 5:1&JOn
SUB PANEL
i
ADD'L Our
SKIMMER TYPE oj'" R ✓mak
�� .`'...... ,_
Fill LINE
PEBBLE PLASTER
GAS LINE �/' BS
mss
UGHTS POOL 4"
1
LIGHTS SPA
I F`
FOUNTAI4S/SPRATNEADS
ROILED BOND BERM '""'
40
s I rBEHIND
1 ,,..----•--�.""'--
l�
t
SHEER Or y
LIGHTS IN POOL 5 1 _! IN SPA
SPA "
EYEBALLS
y►
STUB SET EouPMt]dT
FENCING
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misc. �- .
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PLUMENG SZE Z Sat"��
FENCE TYPE
HEIGHT -
co
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'
GATE
L
GUNITE - s-
GATE REVERSAL
C�l
DEEP M RAMP "�
REMOVE & REHANO
q
EXTENDED 2 STEP
LebtAT
'...
SPILLWAr .a; Y "rf'-X'� .'.�,'7d4t'
FET. aTART
- °.
CANTILEVER
COPING
OTHER
R.B:B. _ SEE STEEL
OWNER RESPONSIBliTTS
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
E
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
O
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TW"CE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR 08.ECTS,
C'
r -
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
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(S) SEE THAT ALL FENCING- GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLCSURE
O
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBT_:ER HOSE)
(7) 411 NOTICE THAT THIS DRANdNG IS THE SOL? PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE wrmw WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
,
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INNER APPROVES PLAN. POOL. AND EQUIPMENT LOCATICNS AND HAS READ THE RESPONStOWT1ES AND NOTICE'S ABOVE.
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SIGNATURE(S) DATE
3
StMMMING POOL PLAN FOR:
NAME
SHORT RESIDENCE`
--
STREET
JOB ADDRESS , i VII~ Ll CITY 4^
PHONE OFFICE RES
,
LOT G2 TRACT PAGE BOOK
`
MAP BOOK PAGE NO. ICITY
MAIL ADDRESS
CONSTRICTION OFFICE PHONE N0.
:
"
SCALE
DATE
DRAWN BY
SOLD BY
CHE ED BY
('7.oem-
a
NG Nip,
S"r' V5, Ic'
JOB
REVISIONS DATE
.
2
LA I Y OF LA QUINTA
BUILDING E
W
3
APPROVED
4
-
W
--
•511
c/ )
SELECTIONS -
w
oc
CONSTRUCTION AUTHORIZATION
STONE
t--
SAC ]S
FI I.n
TILL
c
,BOULDERS
0
DIG
TRF:-GtT,Nr'I:
DECK COLOR
CoZ
tTNI)I:RGROU D
JANDY
PEBB./PLA5
'
MASONRY
_
DECK
SIGNATURE
1:I3I3I_I:
I
ORA'NAGE INIC+TE: Drainage 'and irrigat;on for planters and pots, by
others, un ess otherwise noted.
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