07-2432 (RPL)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �07_ 0.0002432
Property Address: 81893 THOROUGHBRED TR
APN: 767-200-999-24 -312024-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 45000
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with
Section 7000) of Division 3 of the Business d Professionals Code, and my License is.in full force and effect.
License Class: CS3. iceDs No.: 40.9386
' ate: ( _ f9 �or:
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.). .
(_ 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: .
LQPERMIT
Owner:
TOM SWEDBERG
81893 THOROUGHBRED
LA QUINTA, CA 92253•
(909)305-1396
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: ' 8./31/07
Contractor: U
MISSION VALLEY POOL PAS1pi I I
-
8284 MI RAMAR ROAD SEP �O
06 2007
SAN DIEGO, CA 9212
(858)695-2007
Lic. No.: 409386 CgyyOF1AQUIaTe
------------------
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.
l� 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 DELOS INS CO Policy Number 01DKRM12000404
_ 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 come suW�fect to the orkers' compensation provisions of Section
- !
3700 of the Labor Code shall or fwi.th con` with those provisions.
[,
WARNING: ZREETTO SECURE WORKERS' COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 county ordinances and state laws relating to building cenrucuon, and hereby autho 'ze representatives
of thi ounty to enter upon the above-mentioned property for ection purp s. .�
ate: '?—ature (Applicant or Agent):
Application Number
07-00002432
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
382.00 Plan Check Fee
248.30
Issue•Date
Valuation .
. 45000
Expiration Date'.
2/27/08
Qty Unit'Charge
Per
Extension..
BASE PEE
252.00
20.00 6.5000
----------------------------------------------------------------------------
-THOU BLDG 25,001-50,000
-130.00
Permit
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check•Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date :.
2/27/08
Qty Unit Charge
'Per
Extension
BASE FEE
15.00
1.00 11.0000
--------=-----------------
EA MECH FURNACE >1OOK
-------•----------------------------------
11:00
---------
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
45.00 Plan Check Fee
11.25
Issue Date.
Valuation . . .
. 0
Expiration Date
2/27/08•
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
2/27/08
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
---_-------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA,WATERFALL. ALARMS/BARRIERS
LQPERMIT
Application Number . . . 07-00002432
---------------------------------------------------------
Special Notes and Comments -
SHALL .BE IN PLACE AT PRE -PLASTER
INSPECTION: EQUIPMENT ENCLOSURE NOT
INCLUDED
Fee summary Charged Paid Credited Due
- ---------- ---------- ----------
Permit Fee -Total 486.00 .00 00 486.00
Plan Check Total 274.30 .00 .00 274.30
Grand Total 760.30 .00 .00 760.30
LQPERMIT / -
ValleyPools &.Spas Inc.
Mla slon
x 8284 Miramar Road ,
• San. Diego, CA.92126,
695-2007' D f�
fax 549-8129 - L�
Lic# C53 409386 AUG
Flagstone Coping By,
�* Vanishing Edge
66" High aterfall `
o4'
' b -
-
nup
• r � � 3n o8CICIV
AlajVS V DNlQllna
r :14 X1.110
f1 4(,
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a 9
yn ?Ig
Lar Lounge pis
`. Pool ,
Size: 40'x 25' Depth: 3'6" to 6'
Coping: Flagstone .'Light: 2 50OW S a 12'X 8'
Filter: 60 DE • _ . Pump: 1.5 hp Whisper
Pool Coating: Plaster 3M Color Quartz
Deck type: By Others
Pool area: 857. Pool Per:,130
Heater: 400,000 BTU
Automatic Cleaner: Navigator a
Controller: 19 w SS' r
VEdge: 2HP Pumpp 300 sqft Cart 100 watt '
Waterfall: Nat Rock 5'5' High 2 HP Pump
Sanitizer: Auto Tab -
Spa
Type: Shotcrete Size: 10'X 8'
Jets: 12,(8+4) Light: 100 Watt Tom & Kara Swedberg
Jet Pump: 2HP
• 81893 Thoroghbred
La Quinta ,
All lar dscape and hardscape items depicted are for
iflustratic n purposes only unless specifically written into - 1. `,
our contract.
Pool EQ
SCALE: 118" = 1' 011,'
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AUG 3 0 ?007
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/
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: Th MA Ked
Owner's Name: mfg 6
A. P. Number:
Address: 1 q YO h i-.e
Legal Description:
City, ST, Zip: Z iq 6� LA i C A - Gi ZZ 3
Contractor: S1cn\LaLvw S•:•
Telephone: Q � • %� • 1 Q ��°�>f^::� <::>:< � ;:<>>%�;�>
Address: yQ PA
Project Description: �� S
City, ST, Zip: 9an 212 to_Vo,.n15
h n
Telephone:a5g 20U
State Lic. # City Lic. #'
Arch., Engr., Designer: l0,13'
Address:
City, ST, Zip:
.;::4:.;:•:;:.;:.::,:...:<:;::v::;r.:.,:.
Telephone: ^:::;:<.:
��f/�,+F:C.y'�ih� lF`:;:C::�!'ii`i$w:�. �:%Y`:::<;::•
State Lic. #: .;ir�?�::::'•v>i;;:':;s:<s<''
Name of Contact Person:Sq.
Construction Type: Occupancy:
Project type (circle one) New Add'n Alter Repair Demo
Ft.: 85-1 # Stories: # Units:
Telephone # of Contact Person: 8SS • 6' 22 - 0 2 3y
Estimated Value of Project: S • wo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
O
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zee Review, ready for correctionsflssue
Electrical
Subcontactor List
Called ConTaet Person
Plumbing
[Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
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
Total Permit Fees