04-6416 (RPL)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
760).777-70.12'
78-495 CALiE TAMPICo FAX (760) 777-7011
LA QUI NTA, CALIFORNIA 92253 INSPECTION REQUESTS ,(.760) 777-7153
BUILDING PERMIT
Application.,
04-00006416 Date
9/23/04
,Property Address . . . .
.. 57990 TROON WY
APN:
762=360-014- - -
Application description
POOL - RESIDENTIAL
Property Zoning .
LOW DENSITY RESIDENTIAL
Application valuation
20000
Owner
Contractor
SOUTHERN HILLS DEVELOPMENT.
BRYAN INVESTMENTS -GROUP, INC:
55161 SOUTHERN HILLS
.319301 'BADGER STREET,.#20.0
LA QUINTA CA 92253
PALM DESERT
CA 92211
WCC: STATE FUND.
e
WC: 00090762003
03/29/05
D
CSLB: 552140
06/30/06
c'—r�
CCC: B-053
-•---- --'-
Permit . . . ' BLDG
---- -------------------------
P00'L04PE+R IT
------
-- ... '
Additional desc CITY OFLgQuIAITA
'
Permit Fee F#N`��2F07�7cp00 Plan Check -Fee_
13.4:.55
Issue Date . .
Valuation
20000
Qty- Unit Charge Per..,
"Extension
BASE.FEE
45.00
9.0000 THOU.
BLDG 2,.001-25,000.
162.00
Permit MECH
POOL
--
Additional desc :
Permit Fee
24.00,._ Plan Check Fee..
6.00
Issue Date . .
Valuation . . . .
0
Qty Unit -Charge Per
Extension
BASE ` FEE `.
15.00
1.00 9.0000 EA
MECH FURNACE <=100K
9.00
Permit . . . : . ELEC
POOL PERMIT -RES
Additional desc..
Permit.Fee
45.00 Plan Check Fee
11.25
Issue Date
Valuation
-0.
Qty Unite Charge Per'
Extension
BASE FEE
15.00
1'.00 30.0000 EA
ELEC PRIVATE. SWIMMING POOL
30:,00.
P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
VOICE (760)
FAX (760)
INSPECTIONS (760)
Date:
Architect or Engineer's Address:
Lic. No.:
OUIL.L/IN" rtKml I ULULAKATIONS
777-7011
777-7153
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comming with Section 7000) of Division 3 of the Business and Professionals
Code, and my Lice e is in ff rce and effect.
License Class_ icense No. 1 u
e e.-
��:�-�- .
F, "
"All �r
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.).
(--) 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. , B.& P.C. for this reason
Date
Owner
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.
_16.1 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
My yierkers co pensation insu a carrier and polis urt�er a i,
�er ,Volfcv Number n lU[� /�i�
1 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 those provisions.
WARNING: FAILURE TO SECURE W R ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND 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
IMPORTANT Application is hereby made to the Director of Buildingand APPLICANT
aCKNOWLEDGEMENT
1. Each person u Safety permit subject to the conditions and restrictions set forth on this application.
pe 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 1 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, Datand hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
'IA(16y_-fg,_gnature (Applicant or Agent):
Page 2
Application Number 04-00006416
Date 9/23./04
Permit PLUMBING.
Additional desc
Permit Fee 33.00 Plane Check Fee
8.25'
Issue Date Valuation
0
Qty Unit Charge Per
Extension
BASE FEE-
15.00
2.00 6,000O.EA PLB FIXTURE
12.00
1.00- 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00' 3.0000 EA P.LB'GAS PIPE 174 OUTLETS
---------------------------------------------------------------------------
3.00
Special 'Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
PLACE.AT PRE -PLASTER INSPECTION.,,
EQUIPMENT -ENCLOSURE NOT INCLUDED
"Fee summaryCharged Paid Credited,
Due
Permit'Fee Total 309.00 .00. .00
309.00
Plan Check Total. '160..05, .00 .00
160:05
Grand Total 469.05 .00 .00
469,.05
1�4`
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SPED I F I CATIONS REVISIONS DATE
POOL' SPECIFICATIONS
SIZE 56 x 101,
So. FT. 887 5F PER. 14 '
DIG FROM BACKHOE
SPA SPECIFICATIONS
SIZE 8 i—O o X a
I—oil
sa. Fr. 50 5F PER. 251
SPA DAM WALL WIDTH 18 a
LIGHT 1-100 W BoosTeR rLw NH15FERFLO HP
z
PLUMBING
FILTER FUREX SIZE 520 5F RUN J
Itl�
POOL PUMP WHISPERFLOYV size 1 1/2 HP RUN
HEATER MINIMAX 5IzE °400,000 BTU RUN J
BOOSTER PUMP NH15FEWLO Size 2 HP RuN O
SKIMMER TYPE WATERWAY RUN O
DECKING
BY CAL PAG I F I C upTo 5128 S.F.
FINISH ROCK 5ALT COLOR _LB D.
EXP. JOINTS YES
MASTIC O FOOTING NO
s ”
STEPS YES TYPE
clANrlLEveR
YES Z
DEM DRAINS YE5 CAM CORE NO '
EXCAVATION
rfm BACKHOE BY CAL PAG I F I L 0
eLEVATION' TBD
DEEP END RAMP NO N
TRASH REMIOVAL CONST. LOADS
00%ftTE REMOVAL NO
J O
6' RBB. Pt 12' RBB. Pt 18' RBB. 1701 —
ELECTRICAL Lu
O v #
BY GAL PACIFIC LENGTH50
tn
EPA LIGHTS
1- I OOIN,
POOL LIGHTS 2-400W
TIME a Doo DANDY RSS 50 PANEL YE5 �
misc. AGUARITE 5ALT WATER CHLORINATOR
0
PLASTER 4 TILE N �-
ILI
m ASTER CoLoR SANDY BEACH mE F -GOLD M N
TILE TRIM O V U 0 N
• L6
12' RBB. 18' RBB. -10' to
misc. HI&H HIGHDESERT QUARTZ STACKED 510NE W W0 0
v o in N
I/AE HAVE REVI3=YVED TH15 PLAN AND HEREBY APPROVE oa0 W
TOTAL PLAN AND 5PEC IPI CATI ON5 �o� r F'• I
�v O Q
cn (L
DATE SIGNATURE I (o
1�■1
DATE Si6NATUl ,
DATE SEP. I6, 2004
SCALE I/8" 1'-0"
TYPICAL sEGTION
NOT TO SCALE JOB NO.
SHEET
e
TYPIC TION
NOT TO SCALE