06-3482 (RPL)P.O.. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
'11�r,.,rvtta s_14
4
Application Number: 06-00003482k
LProperty Address: 48527-STI-LLWATER DR
APN: 658-140-999-126 -29436 -
Application description: POOL - RESIDENTIAL'
.Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25000
Applicant: Architect or Engineer:
O
BUILDING & SAFETY DEPARTMENT
BUILDING -PERMIT
�J Owner:
FORSYTH
48527 STILLWATER DR
LA QUINTA, CA 92253
------------------ ------ --------------------------
L ENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busi s nd Pr essionals Code, and my License is in full force and effect.
License Clas - CS C27 C29 License No.: 656128
Date: �� Contractor: -
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I a exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Pro ssions 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 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 herselfthrough 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(sl licensed
pursuant to the Contractors' State License Law.).
( ) 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 y
VOICE (760) 777-7012 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:_ 9/28/06
Contractor:
CALIFORNIA POOLS & SPAS VF P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222 EP 29 2006
Lica 8
No.: 65612
—-————————————— — — -
WORKER'S COMPENSATION DECLARATION
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 SEABRIGHT olicy Number BB1060510
I certify that, in the performance o the work for which this permit is issued, I shall.not employ any
person in any manner so as to come subject to the workers' compensation laws of California,
and agree that, if I should beco 'ect to the workers' compensation provisions of Section
3700
of the Labor Co a rthwi omply with those Provisions.
Date: ► Applicant:
WARNING: FAILURE TO SECURE WORKW C PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE CO T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, ND 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 *n,
cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state thation is correct. I agree to comply with all
city and county ordinances and state laws relating ton, and hereby authorize representatives
of this co ty t nterupon the above-mentioned prn rposes.
Date Signature (Applicant or Agent):
LQPERMIT
Application Number 06-00003482
Permit '. BLDG POOL"PERMIT.
Additional desc .
Permit Fee 252.00 Plan Check
Fee ..
163.80
Issue Date Valuation
. .
25000
Expiration.Date .. 3/27/07
Qty Unit Charge Per-
Extension
BASE FEE
45.00
23.00 9.0000 THOU BLDG 2,001-25,000
207.00
Permit MECH POOL
Additional desc .
Permit Fee . . . 26.00 Plan Check
Fee
6.50
Issue Date . . . . Valuation
0
Expiration Date -3/27/07
Qty Unit Charge Per
Extension
BASE'FEE
15.00
1.00. 11.0000 EA MECH FURNACE >100K
11.00
Permit ELEC POOL PERMIT -RES
I
Additional desc .
Permit Fee 45.00 Plan Check
Fee•.
11.25
Issue Date Valuation
. . .
. 0
Expiration Date 3/27/07
,
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 3/27/07
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
3.0000 EA PLB GAS PIPE 1-4 OUTLETS
.00--1.00
3.00-
--------------------------------------------------------------------------
---------------------- 7 -----------------------------------------------------
Special.Notes and Comments
Special.Notes
POOL/SPA ALARMS/BARRIERS SHALL BE IN
LQPERMIT
"Bin #
Cjty ;of. La Quanta
Building a Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: K�.�Z-�
Owner's Name: V6 R:6 12 S
A. P. Number:
Address: (f �w c
Legal Description:
City, ST, Zip: [
t Telephone:
Address'T 0,-. ..2.....�p......... . _..............
Project Description:
City, ST, Zip CL ZZS
Telephone: 76c:ST? z
State Lic. # : Z
Arch., Engr, Designer:
Address:
- City, ST, Zip:—
Telephone:-
State,
ip:_TelephonerState Lic. #:
Name of Contact Person:
Telephone # of Contact Person: �(
# Submittal ' Req'd
Plan Sets
Structural Calcs. •
Truss Calcs.
Energy Cales.
Flood plain plan
Grading plan'
Subcontactor List
Grant Deed
H.O:A. Approval
IN HOUSE:-
------------
Planning Approval
Pub. Wks. Appr .
School Fees
Lie. #:
Total Permit Fees
Construction Type:
Ocloupac3'" .
Project type (cit�le one):.
Add'n� Alter Repair Demo
�� '
Sq.
Ft.:
#,S, tories:
#Units:
Estimated Value ofProject:.& Z
=,G j
{: APPLICANT:
DO* NOT WRITE BELOW THIS LINE
Recd
TRACKING •
PER MTT FEES
-
P1an.Cbeck-submitted
�Z?
Item
Amount
_Reviewed,
ready for corrections
plan Check Deposit
Called Contact Person.
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2" Review, ready for correctionsrssue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.L
Plans resubmitted
Grading
'`" Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.LP.P.
Date of permit issue
Total Permit Fees
-Tv,,10
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MAP BOOK PACE NO. CIN
MAIL ADDRESS
1, CONSTRUCTION OFFICE PHONE NO,
SCALE DATE DRAWN BY SOLD BY CHECKED Y
4;
JOB#
REVISIONS DATE
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SPECIFICATIONS
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TYPE SIZE .3 0 x
SURFACE AREA OF POOL!
PERIMETER DEPTHS MIN. MAX. C='
STONE
SPA JECEIPATIONS
SIZE . x 1. SO. Fr.
SPA DAM WALL WDIH - J�
TILE
TILE TYPE
WATER LINE
NO. OF JETS
TILE TRIM
rAq CIRO L
ITHE SITE !U8 NOT ON
FOR A
LIGHT —�01
QUARTER ROUN� 1�
BOULDERS
RAISED SPA AT -+a14
11 4'
DECK COLOR
SPILLWAY TYPE je-
PRE-GUNITE
4
SPECIAL NOTES
DANDY
DECKING
SQ- FT-
FINISH
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EXCAVATIONSTEEL
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D Tk jt�Lb
ACCESS FROM
EXPANSION JOINT\
0
ELEVATION
CANTILEVER
DEEP END RAMP
DECK DRAINS
LOVE SEAT
DECCO DRAIN
CONCRETE REMOVAL Si�� f .5 LOADS
CURB.CORE
SOD REMOVAL LOADS
STEPS
TREE REMOVAL BY
S11, FACE
IRRIGATION REMOVAL EIX
TILE BASE
IRRIGATION REPAIR
SAND AND
D IMISZOU
61 R.B.B. ft
12, R.B.B. 14, S' ft
RIBBONS 7
Mow STmj P
4! ' 2 R83
30' F.F.B. ft
TAN SHELF DEPTH
ROCK POCK 'MASONRY
COPING TYPE
CENTERS
R.B.B. FACING
SPILLWAY TYPE -6a SZE
PLUMBING
STEPS
FILTER SIZE --4
POOL PUMP SIZE
BOOSTER PUMP SIZE.`RETAINING
ADD'L PUMP CA SIZE ' AJ
PROP. EXT. WALLS
PLANTER WALL
WALLS
EQUIP. WAI I S
FIREPIT
ADD'L PUMP SIZE
HEATER
TIME CLOCK
--e
SUE PANEL
ADML OU
SKIMMER ME cA,,6,.L
FILL LINE �Alf.�
GAS STUBS rj
PEBBLE/PLkSTLINE
LIGHTS POOL �6
LIGHTS SPA
FOUNTAINS/SPRA-YHFADS
SHEEP, DESC bj
LIGHTS IN P063��PA
ROLLED BOND BEAM
BEHIND SPA
EYEBALLS 7:
STUB SET EQUIPMENT
misc.
PLUMBING SIZE 2.
FENCING
FENCE TYPE
HEIGHT
GATE
GUNITE
GATE REVERSAL 4
DEEP END RAMP
REMOVE R G
EXTENDED 2nd STEP ✓
LOVESEAT Y=&
FST -START.
SPILLWAY TYPE —
CANTILEVER
gST. comPLEnON
COPING
-.6THER-:.-.-..
R.B.B. - SEE STEEL
OWNER RESPONSIBILITIES
OWNERTO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
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 nONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAvNs, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOM MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLA57M INSPECTION
(6) FILL POOL IMMEDIATELY AIM PLASM. (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.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
PI)r)l P1 AN MID-
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JOB ADDRESS v I t\1111/ ICITY��A
PHONE OFFICE RES
LOT k C TRACT PAGE BOOK
MAP BOOK PACE NO. CIN
MAIL ADDRESS
1, CONSTRUCTION OFFICE PHONE NO,
SCALE DATE DRAWN BY SOLD BY CHECKED Y
4;
JOB#
REVISIONS DATE
to
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P, S,
STONE
3
CONSTRUCTION RUTH ORIZAT ION
SALES FIELD
TILE
rAq CIRO L
ITHE SITE !U8 NOT ON
FOR A
DIG
BOULDERS
%rwy eF
INSPECTION. BUILDING & SA —=17Y
DINT
DEP
DECK COLOR
NO LXCEPTIONS! APPRO
PRE-GUNITE
4
UNDERGROUND
DANDY
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71014
PEBB./PLAS
A
D Tk jt�Lb
MASONRY
Dk
0
DECK
5
PRE -PEBBLE
others, unless otherwise noted.
w
P, S,
STONE
T
bE GHA�GED IF TH EAPPRIOVED
P I AIN Q A R
CONSTRUCTION RUTH ORIZAT ION
SALES FIELD
TILE
rAq CIRO L
ITHE SITE !U8 NOT ON
FOR A
DIG
BOULDERS
%rwy eF
INSPECTION. BUILDING & SA —=17Y
DINT
DEP
DECK COLOR
NO LXCEPTIONS! APPRO
PRE-GUNITE
ED
l
UNDERGROUND
DANDY
I Uri
Lc
71014
PEBB./PLAS
A
D Tk jt�Lb
MASONRY
Dk
SIGNATURE
DECK
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
PRE -PEBBLE
others, unless otherwise noted.