05-4810 (RPL)P.O. BOX 1504 VOICE (760) 777-7012
.78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT . INSPECTIONS (760) 777-7153F'
BUILDING PERMIT `
Date: 10/27/05
Application Number: �05-00004810 Owner:
Property Address: 5-7810—TROOWWY SOUTHERN HILLS DEVELOPMENT
APN: 762-360-008- - 55161 SOUTHERN HILLS
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL r
Application valuation: 32000 .
Contractor:
Applicant: Architect or Engineer: TOPMAN •BUILDERS '
^' WCC': CLARENDON
O 42405 WC: .01KR-0030-8.42 03/23/06
CSLB:. 455121 06/30/06
C'Ty OF LA QU N7.
FINAIJAW
LICENSED CONTRACTOR'S DECLARATION '
I hereby affirm under penalty of perjury that I am license under, provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine an rofes o aIs Code, and my License is in full force and effect.
'
License - Class: License No.:
r " Date: �V 27 --5 onuact
OWNER -BUILDER DECLARATION
hereby affirm under penalty of pe that I a exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, eusines ofessions 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 7631.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
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 of 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.).
I—) lam 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.
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 B C29 C53 Policy Number I- - -- - - --
_ 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 t become *subject to the workers' compensation laws of California,
and agree that, if I should be a subject o the workers' compensation provisions of Section
3700 of the Labor Code, I sh 11 orthwit c mply with those provisions.
atm e: Applic t�.
WARNING: FAILURE TO SECUR WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI AL PENA IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION OST OF COMPENSATION, DAMAGES AS PROVIDED FOR'IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby madeto 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 in rmat n is torr I agree to comply with all
city and county ordinances and state laws relating to building constru , and her _ authorize representatives -
"
of this cou'ntiy to enter upon the above-mentioned property or ins - purposes. -
Date: • 7 'd signature (Applicant or Agent):
I
Application Number ,. . . 05-00004810
Permit BLDG POOL -PERMIT
Additional desc .
Permit Fee 297.50 Plan_Check Fee
193.38.
Issue Date Valuation
32000
Expiration Date 4/25/06
Qty Unit Charge Per
Extension
BASE FEE
252.00
7.00. 6.5000 THOU BLDG 25,001-50,000
-•45.50•
Permit MECH POOL
Additional desc .
Permit Fee" .
..6.:50 ._ Valuation . . .
0
Expiration'Date 4/25/06'
;
" Qty Unit Charge Per
Extension.
BASE .FEE
15,:00
1.00- -•11.0000 EA MECH FURNACE >10OK
11.00-
Permit ELEC POOL PERMIT -RES
Additional desc .
Permit.'Fee 45.00 Plan .Check Fee
11.25
Issue.Date Valuation,
0
• Expiration Date 4/25/06
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 4/25/06
Qty Unit Charge Per
Extension.
BASE -FEE f ,
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,ONLY. ALARMS/BARRIERS'SHAL'L
LQPERMIT - -
Bin #
City of La Q uinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
- La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
,r olo
Project Address: 5-1
Owner's Name: �t-L-5
A. P. Number:
Address:
Legal Description:
Contractor:.�� J k DE`ZS
City; ST, Zip: LrA
_ °'�`"
Telephone: ° u
x
Address: fj #
_
Project Description:
City, ST, Zip:,
Q� 22 t I��
Telephone: 'S' % �5 IN
M. r
State Lic. # : 4 t5lj 121 City Lic. #:
Arch., Engr., Designer:
14
Address:
'City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: �
Construction Type: Occupancy:
Project type (circle.one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units. `
Telephone # of Contact•Person: wo .jo5 - -7�,g5ct
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit'
Truss talcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" 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
- SPECIFICATIONS
TYPE GUNITE 51ZE 401 X 20'-b°
SURFACE AREA OF POOL '725 S.F.
PERIMETER IIB DEPTHS MIN. 31-611
SPA SPECIFICATIONS
ELECTRICAL
51ZE 8� X 8� 50. FT. 64 PER. 32'
BY LENGTH ft.
SPA DAM WALL WIDTH
TIME CLOCK SUB PANEL
# OF JETS
# OF LIGHTS IN POOL
LIGHT BOOSTER PUMP
OUTSIDE G.F.I. LIGHTS G.F.I. OUTLET
CA. AQUA AIR -BAR # BLOWER
EXTRA SWITCH FOR SPA LIGHT
BLOWER ONLY
BLANK PLU65
RA15W SPA 5PILLWAY5
MOTOR BOOSTER
SPECIAL NOTES
BLOWER GLEANER
MISC.
EXCAVATION
TYPE
ACCESS FROM
COPING 4 TILE
ELEVATION
COPING WHITE
DEEP END RAMP
COPING SPECIAL
FENCE REMOVED BY
TILE TYPE
FENCE TYPE
TILE TRIM MASTIC
TRASH REMOVAL LOADS
b" R.B.B. ft. 12" R.B.B. ft. 15" RED. ft.
CONCRETE REMOVAL LOADS
MISG.
TREE REMOVAL BY
STUMP REMOVAL BY
Y
DECKINIS
DIRT PAD
b" R.B.B. ft. 12" RB.B. ft. I6" R.B.B. ft.
BY UP TO--- sq,. ft.
WALKOUT/MI5C.
FIN15H COLOR
ROCK PACK
EXPANSION JOINTS
MASTIC. FOOTING
STEEL
STEPS TYPE
FXPAN51VE SOIL
GANTILEVER
b" R.B.B. ft. 12" R.B.B. ft. 16" R.B.B. ft.
DECK DRAINS CURB GORE
5URCHARGE DEEP END RAMP
DECCO DRAIN DIVING BOARD JIG
LOVE5EAT INSIDE ft. OUT5IDE It.
SLIDE INSTALLTION
SPA WALL WIDTH in. OTHER In,
MASONRY
WA�Ly,L, DDOAEL/MISG.
COPING TYPE
PLANTER WALL
PLUMBI G
FILTER 51ZE
TYPE ft. X
POOL PUMP 517E
GAP BACK UP WALL ft
HEATER 51ZE
FOOTING5 R.B.B. FACING
BOOSTER PUMP SIZE
FIREPIT TYPE SIZE
SKIMMER TYPE
EQUIP. WALL TYPE ft. X
CARETAKER # OF HEADS
FENCING FF
OTHER GLEANER STUB ONLY
MI50.
FILL LINE SLIDE LINE
PEBBLE
P -TRAP BACK WASH TO
6A5 LINE 5TUB5
LIGHT5 POOL 5PA
FOUNTAIN5/5PRAYHEAD5
ROPE RING5 EYEBALLS REQUIRED
LIGHT5 IN POOL IN SPA
COLOR NAME TILE
STUB SET EQUIPMENT
/�
SPECIAL EQUIPMENT
5AA6UT AUGER
DIVING BOARD 51ZE
M ISC.
MODEL COLOR
SLIDE 51 ZE
V
GUN I TE
MODEL COLOR
GUNITE INSPECTION REQUIRED YES NO
POOL COVER SOLAR HEATING YES NO
ROPE PING5 GRAB RAILS
FENCING
DEEP END RAMP
TO MEET ALL LOCAL CODE REQUIREMENTS BY BUYER PRIOR TO
b" R.B.B. ft. I2" R.B.B. ft. 16" R.B.B.
PREPLA5TER INSPECTION
OTHER
LOVE5EAT EXTENDED 2nd STEP
NOTCHED BOND BEAM
COPING CANTILEVER Ft.
SAP DAM WALL WIDTH
OHNER RESPONSIBILITIES
OWNER TO: (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION 15 5UBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME
OF ISSUANCE OF PERMIT
(2) TAKE NOTICE THAT PLATINUM POOLS 15 NOT RESPONSIBLE FOR: UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE
TO CURBS, 51DEAALK5, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(3) SEE THAT ALL FENGIN6, 6ATE5, AND GARAGE DOOR5 MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLA5TER INSPECTION
(4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS,DO NOT USE RUBBER HOSE)
(5) TAKE NOTICE THAT THIS DRAAING 15 THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION
OF PLATINUM POOLS 15 PROHIBITED BY LAW.
CANER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
516NATURE(5) DATE
515NATURE(5) DATE
REVISIONS
Ddn Daze B of
MATERIAL 5ELECTION5
MATFRiAL CHWE
A_
0-
A-
0-
SWD0AIN i POOL PLAN FOR
NAME(5) LOT 55 5OUTHERN HILL5 Dr=1/.
STREET 5-1-510 TROON WAY CITY LA QUI NTA
JOB AD12RE55 LEGENDS AT PGA WEST
APN # TRACT # HOME
LOT # 55 PAGE BOOK
MAP BOOK PAGE #
MAIL ADDRESS CITY
CONSTRUCTION OFFICE PHONE #
SCALE: DATE: DRAWN BY: SOLD BY: CHECKED BY:
10-24-05 JOHN JOHN
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
pq 10L_ gy GH