07-1672 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number: 07700001672
Property Address: 61499 TOPAZ DR
AP.N: 764-280-999-16 -300237-
Application description: STRUCTURES OTHER THAN, BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1750
Applicant: Architect or Engineer:
l y{�tj� 11
------------------
LICENSED CONTRACTOR'S DECLARATION
I
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: 13 C53 License No.: 552140
Date: �f •47 Contractor: -Pa G-�('C. f0> 0
OWNER -BUILDER DECLARATION
I 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 ($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 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.).
(_) 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 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:
LQPERA11T
Owner:
GIESE RESIDENCE
61-499 TOPAZ DRIVE
LA QUINTA, CA 92253
Contractor:
BRYAN INVESTMENTS
P.O. BOX 1804
PALM SPRINGS, CA
(760)345-8483
Lic. No.: 552140
VOICE (760) 777-7012
VAV i7.<m.77-7 '7A11
153
GROUP INC
92263
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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.
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 CLARENDON NATL Policy Number OIDKRM21000978
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
3700 of the Labor Code, I shall forthwith comply with thM�ns./^/�/�/�
Date:- D1 Applicant:+ V' `
WARNING: FAILURE TO SECUREAR
ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propert for inspection purposes.
Date Signature (Applicant or Agent):
07
' Application Number .
. . . 07-00001672
.'.Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
41.00
Plan Check Fee
26.65
Issue Date
Valuation
1750
Expiration Date
12/04/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13.00, 2.0000
HIND BLDG
501-2,000
26.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25
Plan Check•Fee
4.31
Issue Date
Valuation
0
Expiration Date
12/04/07
Qty Unit Charge
Per
Extension
.BASE
FEE
15•.00
3.00 •.7500
------------------------------------------
PER ELEC
DEVICE/FIXTURE 1ST 20'
---------------------------------
2.25
..Permit . . . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee
4.50.
Issue Date.
Valuation . . .
. 0
Expiration Date
.12/04/07'
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 -OUTLETS*
3.00
----------------------------------------------------------------------------
Special Notes and.Comments
BBQ PER APPROVED PLAN
.
Fee summary Charged
Paid Credited
Due
Permit Fee Total
76.25
.00 .00
76.25
Plan Check Total
35.46
.00 .00
35.46
Grand Total
111.71
.00 .00
111.71
LQPERMIT
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-SPECIFICATIONS -
SIZE: 26-0" X I3'-0"
SHAPE: FREEFORM
SURFACE: 250 S.F.
PERIMETER: III
1
- IN: MAX:
DEPTH M 3
I 11
RAISED +
SPA IS
5 @
SPA SIZE: ,' X i'
BREAK / MIN: N/A
SPA DEPTH: 51-6"
SPA SURFACE: 3S 5,F,
SPA PERIMETER: 22'
TOTAL GALLONS: -
- _EXCAVATION -
FINISH ELEVATION: -5,5" @ WEEP 50REED METHOD: MINI BOCAT
ACCESS: RIGHT SIDE
SITE PREPARATION: WATER ONLY
GRADING: N/A
-CONC. REMOVAL: N/A
DIRT REMOVAL: YE5
SOD REMOVAL: N/A
WELL LOCATION:
DRY W WA
-
POOL PLUMBING -
PUMP TYPE: DANDY
SIZE: I
H.P.
FILTER TYPE: DANDY
SIZE: 340
SQ. FT.
SKIMMER TYPE: WATERWAY
SIZE/#:- - /
HEATER TYPE: DANDY LAAR5
SIZE: - 400,000
B.T.U.
HEATER VENT BY: N/A
JET PUMP,TYPE: DANDY
SIZE: 2
H.P.
: SLAB I PIT -
5EE PLAN fltC 5LA$
PLUMBING
PLUMBING MATERIAL: PVC 5CHD 40
CIRC. SUCTION SIZE: 2.5"
CIRC. DISCHARGE SIZE: 2.5"
BACKWASH: N/A
SIZE: N/A
INLET TYPE: N
TURNS IN POOL #/SIZE: RETURNPLUSH MOUNT
RE PGG 2000
NAM T:1'L1'1..im mii# -m
OBSTRUCT. YE 5
A/S VALVE LOCATION TBD
GAS LINE BY: CAL PACIFIC
SIZE i LENGTH: 211
AUTOMATIC CLEANER DED.
VAC LINE: FC10 2000
SIZE: 2"
CHLORINATOR(S) AQUA PURE
WATER FEATURES: -
-
SIZE:
®
SPA PLUMBING -
JET SUCTION SIZE: 3"
JET DISCHARGE SIZE: 3"
-
JET TYPE: LA5GO
# 6
JET AIR LINE SIZE: 21'
SELECTOR VALVE TYPE: -
SIZE /#: - / -
PUMP TYPE. -
SIZE: -
H.P.
FILTER TYPE: -
SIZE: -
SQ. FT.
SKIMMERTYPE: -
SIZE/NUMBER:
BEATER TYPE: -
SIZE: -
B.T.U.
HEATER VENT BY: -
JET PUMP TYPE: DANDY
SIZE: 2
H.P:
EQUIPMENT LOCATION:
PIC SLAB PIT:
PLUMBING MATERIAL: -
CIRC. SUCTION SIZE: 2.511
CIRC. DISCHARGE SIZE: 2.511
BACKWASH: -
SIZE / LENGTH: - / -
RETURNS IN SPA #/SIZE: -
RETURN INLET TYPE: -
AUTO -FILL LINE (WITH
NO OBSTRUCT): -
AIS VALVE LOCATION:
GAS LINE BY: -
SIZE/LENGTH: -
AUTOMATIC CLEANING -
CHLORINATOR(S
WATER FEATURES: -
#/SIZE: - / -
- 5TEEL
STANDARD/SPECIAL: 5TANDARD SPA DAM WALL LENGTH: 5EE PLAN
RAISED BOND BEAM: +6°' -
+ 12" +18" SPA ONLYOTHER
6" ON CENTER N/A
EXTRA DEPTH: N/A
- GUNITE -
CORNER RADIUS: YE5
# INLETS: 01 # JETS: 6
STEPS: SEE PLAN
AUTO -FILL LOCATION:SEE PLAN
POOL BENCH DEPTH: -24" ® BOND BEAM TAN LEDGE DEPTH: N/A
SPA DEPTH: -3'-d1" @BOND BEAM SPA BENCH: -24 ®BOND BEAM
GRAB RAIL: N/A
HAND RAIL: N/A CUP ANCHORS:
N/A
- MAWNRY -
FENCH REMOVAL BY: GAL PACIFIC REPLACED BY: GAL PACIFIC
SIZE OF OPENING: 5'
MATERIAL: MATCH EXISTING ;
EQUIP. WALL BY: GAL PAGIFIG
SIZE/MATERIAL: SEE FLANiTfb
BBQ: 5EE PLAN
FIREPIT: FIREPLACE/5EE PLAN
- DECKING -
BY WHOM: CAL PACIFIC
FINISH: BROOM SQ. FT. 3018 S.F.
COLOR: TBD
CANTILEVER: YES BRICK:
STEPS: -
EXPANSION: YES RAIL ANCHORS: -
FIBER MESH: -
SAND & PLASTIC: YE5
TILE AND STONE -
TILE: TBD
COLOR: TBD
GROUT COLOR: TBD
COPING/OTHER: NO
CANTILEVER: YES
BRICK: NO
STEP TRIM: NO
NUMBERED TILE: -
- ELECTRICAL -
BY WHOM' GAL PACIFIC ii-BOXLOC.: @ EQUIPMENT SWITCH LOC.: -
1GHTS - WATTS/CORD: -
I - I
SWITCH RUN: - IPANEI CHANGE: N/A LIGHT RUN: -
REMOTE SWITCH: AQUA PALM
TYPE: DANDY
SPA SWITCH LOC.: -
HEATER SWITCH LOC.: -
- INTERIOR FINISH
PLASTER COLOR: N/A
I PEBBLE COLOR: GROUP I PEBBLE TEG
-
LIGHTS: 1-400A 1-I001N
NAME PLATE: -
A-V COVERS: -
CUP ANCHORS: --
RAIL ANCHORS: -
RECESSED STEPS: -
COVER AND FITTING COLOR:
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Bin` City of La Quinta
Building & Safery Division
P.O. Box 1504
78-495 Calle Tampico
La Quinta, CA 92253
Building ldingPermit Application and
Tracking Sheetl
Project Address 1 Z v Owner's Name: 6 /2S Z
A. P. Number: Address: 9 9 7 070q Z r Uej
Legal Description: City,ST, Zip: J -a U
Contractor: Cal PaC1f 1C Pools Telephone:
AArirP «• Z (1 'i tz � A.,or c i- "n i- ii i n n Project Description:
Tille.24 Ca
. : �:�$v.bcsntarti
.� �:foatractar:
•Ciy 8asia�
••.Plasaing
.. . •.Eub.<i?P.ks�•
'� �•��iri<Mar..<
• ' . ��i: 3>ept.l
Ag.: Approa
T)
Construction Type: — Occupancy:
Project type (circle one): New Add'n Alter Repair Demo i.
Sq. Ft.: 4 Stories: 4 Units:
Estimated Value of Project: �, / �� r 00
r"dic- EIA
r