04-5771 (RPL)v
BUILDING & SAFETY DEPARTMENT
P.O. BOx 1504 (760);.777-7012
OF 9 78-495 CALLE.TAMPICO FAX (760)'777-.7011'
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . : kiO4a00005�7s711 Date 7/29/04
Property Address . . . . . . 57900 TROON WY
APN: 762-360-011- - -
Application description POOL - RESIDENTIAL
Property Zoning- . . . LOW DENSITY RESIDENTIAL
Application valuation 25000
Owner Contractor
--------------------------
SOUTHERN HILLS DEVELOPMENT BRYAN INVESTMENTS GROUP, INC.
55161 SOUTHERN HILLS 39301 BADGER STREET, #200
LA QUINTA . CA 92253 PALM .DESERT CA 9221;1
WCC: STATE FUND
WC: 00090.762003 03/29/05
CSLB: 552140 06/30/06
CCC: B-053
Permit . . . . . BLDG POOL PERMIT
Additional desc
Permit Fee 252.00 Plan Check Fee 163.80.
Issue Date . . . . Valuation . . . . 25000
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 .24.00 Plan Check Fee 6.00
Issue Date Valuation 0
Qty. Unit'Charge Per O Extension
BASE FEE 15..00
1.00 9.0000 EA MECH FURNACE.<=100K ✓� 9:00
------------------.------------------------------- - - - - -----------
Permit . . ELEC POOL PERMIT-RES��, O
Additional desc
Permit Fee . . 45.00 "Plan Check Fee$�',a�'�
Issue Date . . . Valuation . . .
Qty Unit Charge Per Ex nsion
BASE FEE 15.00
1.00 30.0000 EA 'ELEC PRIVATE SWIMMING POOL. 30.00
P.O. BOX 1504• 'G��
VOICE (760) 777-7012
78-495 CALLE TAMPICO Th FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 444INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04-5771 Date: ?"'d% 'v
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Plki-
Lic. No.:
BUILDING 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
Code, and my Licengo is i II.Jpr and effect.,� n
cense Class S /Cicense No.� l 4V
Date _—,;2r 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 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 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
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 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
is ued. worke ' compensation insurance carrier o1 yn b5 arq
/Carrier icy Number O U / (n 206 3
I certify that, in the peeformance 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 those provisions.
�7 oIg-o
WARNING: FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOU D 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.).
Lender's Name
Lenders 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, 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 property for inspection purposes.
to -7_a ���� S�re (Applicant or Agent): 6c��
Page 2
Application Number . . . . . 04-0000.5771
=
Date 7/29/04'
=
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Permit . . .."PLUMBING
----------------
Additional-desc
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
----------------------------------------------------------------------------
Special Notes. and Comments
POOL/SPA,FIREPIT (496 AGAL)
ALARMS/BARRIERS.SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited
Due
PermitFee Total* 354.00 .00 .00
354.00
A
Plan Check Total 189.30 .00 .00
189.30
Grand Total 543.30 .00 .00
543.30
SP G 1 F I GAT I O I` S
REVISIONS
DATE
POOL SPECIFICATIONS
SIZE 401-011.x 22 1_0 11
w. FT. 6-14 5F PER. 125'
DIG FROM BACKHOE
5PA 5PECIFIGATION5
SIZE 1'-O" X "1 i -O ii
W. FT.' 4cl 5F PER. 28'
SPA DAM WALL WIDTH 12"
0 OF JerS 6
LIGHT 1-100 N AH I SPERFLO 2 HP
BOOSTER PUMP
z
Q
PLUMBING
FILTER PENTAIR SIZE 520 SF RUN
Pool_ PUMP AHISPERFLO sl¢ I HP RUN
J
HEATER MINI MAX SIZE 400,000 BTU RUN .
0
BooSTm PUMP INHISPERFLO s1zE 2 HP RUN .
O
SKIMMER TYPE I ATERA6Y RUN
DECKING
BYGAL PACIFIC'up TO IC120 S.F.
FINISH ROCK SALT COLOR 1.52
EXP. JOINTS YES
NO
MASTIC —NQ FOOTING
<
STEPS YE5 TYPE REGULAR
Z
CANTILEVER YES
DECK GRAINS YE5 m NO
�
c CORE
EXCAVATION
v
BACKHOE e GAL PAG I F I G
TYPE
TBD
mLU
ELEVATION
DEEP END RAMP NO
PENCE NO
�-
REMOVAL CONSTRUCTION
TRASH LOADS
CONCRETE REMOVAL NO
O
6' RBB 12' RBB • 15" RBB • 18' RBB V' 24" RBB • S6" RBB •
O
Lu
v '�
ELECTRICAL
BY GAL PAG I F 10 LENGTH 50'
r
- I OOWI
�
J
SPA LIGHTS
POOL uGHM 2-400 W
A
TIME CLOCK JANDY SUB PANEL YES
WW
~O
MISC. AQUA RITE .SALTWATER CHLORINATOR
0
PLA5TER 'I TILE
N r'
TEG TILE NAME T•�
PLASTER COLOR PEBBLE •D•
co N
TILE TRIM NO
I co
to Q N
BB
6' R 12" � ' 16" 1w ' 16" R RBB 24" ' 56' '
N
U)
MISC.
Ln
n
W W 0 0
-�,
U
�W%.00�
-
VAE HAVE REVIEWED THIS PLAN AND HEREBY APPROVE
m uj
TOTAL PLAN AND SPECIFICATIONS
o<
ma
DATE SIGNATURE
(y)
DATE SISNATURE
DATE JULY 2-112004
SCALE I /v" � 1 '-O"
TYPICJSECTIONNOT TO.IOBNO.
5HEET
00
TYPICAL
NOT TO SCALE