04-5425 (RPL)O�
0
BUILDING & SAFETY DEPARTMENT
c P.O. BOX 1504 » _ (760) •777-7012 ,
OF 78-495 CALLE'TAMPiCo T FAX (760) 777-7011
LA QUINTA,. CALIFORNIA 92253. INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT,;,.. '." ,
Application Number .. 04-_000.05425,_' Date 7/13/04
Property, Address57960 TROON WY
APN: 762-360-013- -
Application description.-. POOL', RESIDENTIAL
Property Zoning -LOW DENSITY RESIDENTIAL
Application - valuation 25000'
Owner i Contractor
-I . - t
SOUTHERN HILLS DEVELOPMENT BRYAN INVESTMENTS GROUP, INC.
55161 SOUTHERN"HILLS 39301 BADGER STREET, .#200
LA QUINTA CA 92253 PALM DESERT' CA 92211
WCC: STATE -FUND
0.0090762003 03/29/05
-CSLB: 552140 06'/30/06.
„ .. CCC: B-053
Permit . .. . . . . MECH POOL
Additional -desc '
Permit Fee 24.00 Plan Check Fee 6,.00
Issue Date Valuation 0
IL,
Qty, _Unit Charge -Per Extension
BASE FEE 15,.00
1:00 9` 0000 EA MECH FURNACE <=100K - r .' {; 9.00
-------------------
7
BLDG.POOL PERMIT. ,.
Additional desc I
Permit Fee . . . 252.00 Plan Check -Fee 1763. 8,0
Issue Date. " 'Val'uat`ion -.25000
Qty Unit -Charge Per - '' Extension
BASE FEE 45-00
9:,0000 THOU- BLDG -2,001725,000 20,7.00
Permit ELEC POOL PERMIT -RES
Additional desc.
Permit Fee 45.00` Plan Check Fee 11.25
Issue'Date Valuation 0
Qty Uriit Charge Per ion
BASE FEE F .00'
1.00 30.0000 EA ELEC PRIVATE SWIMMI .00
t\ LA QuIRTA
CITY OF
. f
CEO
P.O. BOX 1504• " VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4 4 a
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: i A Date:
Applicant:
Applicant's Mailing Address:
Architect or
Architect or
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 (comm Vng with Section 7000) of Division 3 of the Business and Professionals
Code, and my Lice istul}.ior�and effect. h (
License Class ``�7 License No.
Date ' Contractor zf
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury tttam 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 c, 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 ccntractors 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 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.
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
su d.MY wo t9r�s' co nsation insurance carrier n olic numb r are:
Carrier Gl I -P_ .t 11 Policy Number r } 21
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 those provisions.
Date 13 Applicant
WARNING: FAILURE TO SECURE R ERS' COMPENSATION COVERAGE IS UNLAWFUL,�AND'SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED USAND 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
Lender's 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 gave 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.
Date 13-(1(4S Signature (Applicant or Agent):
' 4 %.H
r
Page;
2
Application Number 04-00005425, Date
7/113/04
Permit . . . . PLUMBING
Additional desc
Permit Fee 33..00 —Plan 'Check Fee,
8.25.
Issue Date Valuation . . . .
0
Qty,, Unit.- Charge Per
Extension
BASE FEE15:00
2.'00 6.0000 EA PLB FIXTURE
12.00
1'.00 3'.0000 EA.. PLB-,WATER INS.T/ALT/REP
3.00
.,1. 00 3.0000 EA, PLB GAS PIPE 1-4 OUTLETS
3.00 '
Special Notes..and Comments
POOL & SPA. ALARMS
BARRIERS SHALL BE IN PLACE PRIOR TO
PREPLASTER'.INSP.ECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED IN PERMIT.
Fee summary Charged Paid Credited
Due
----------------------------------------------,-----------
Per mit Fee Total 354.00 .00, .00
354.00
Plan Check Total 189.30 .00: .00
189.30
Grand Total 543.30 00 .0,0
543 .30
% 61Swn RnNn PFAM AT +IB" WITH
°CUE BY OTHERS
r FINISH COLORED CONCRETE
QN6, COLOR TO BE SELECTED
-O'crd,Ti��
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misc. AQUA RITE SALTWATER CHLORINATOR
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SPEC I F I GATI ON5
REVISION5
PLASTER COLOR GRP. I -PEBBLE 'ITLF
DATA
TII.e TRIM NO
�N
U 0
POOL SPECIFICATIONS
�
51ze 42 x ( 1 1_/ II
b" RBB. 12" RBB. 18" RBB.
W O
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MIw.
'
Sa FT. 668 5F PER 115'
pNNN
via FROM BACKHOE
IME HAVE REVIEWED THIS PLAN AND HEREBY APPROVE
TOTAL PLAN AND SPECIFICATIONS
c�i J F- �-
SPA .:SPECIFICATIONS
SIZE —011 X
(L
7 `f
W. FT. x401 5F PER. 28'
DATE SIGNATURE
j $,
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HATE SIGNATURE
SPA oAM WALL wlvm STACKED STONE
M of JETS 6
LISHT 1-100 W -BOOSTER mw AH 15FF_RI=L
I;'
•
z •
f'LUMBIN6
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d
FILTER PURER SIZE 520 SF RUN
POOL PUMP WHISPERFLO size I HP RUN
HEATER MINIMAX SIZE 400.000 BTU
O
soosTm Puw WHISPERFLO size 2 HP RUN
O
SKIMMER TYPE WATERWAY RUN
�`�
DECiKiN6
BY .. CAL PAG I F I G UP TO 2555 5.1=.
FINISH" ROCK SALT ooLOR T.S.D.
Exp. JOINTS YE5
MAsTIG NO Fom$* NO
5TEPs NO TYPE
CANTILEVER YES
DECK MAIM YE5 cuRl3 cone NO
Wm
.
EXCAVATION
r, BACKHOE B CAL PACIFIC
0
ELEVATION TSD
MEP EIS RAMP NO
NO
FETIGE •
TRASH REMOVAL CONST.
LOADS
Q
GONGRETE REMOVAL NO
z �
p
b" RBB. 12" RBB. 10' IS" RBB.
5'
O t—
lu
ELECTRICAL
BY GAL PAC IF10 LEN�sTH 50'
�'-
tom-
LINF-
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'w'
I — 1010
t
SPA LISHTS
+�tn
-4
POOL LIGH20ON
TS
TIIrE CLOCK DANDY R58 SLB PANEL YE5
"ATE JULY 7, 2004
,ION
NOT TO 5A5151 -A= JOB 'NO.
NOT TO
misc. AQUA RITE SALTWATER CHLORINATOR
iUl
W
PLASTER 4 TILE
PLASTER COLOR GRP. I -PEBBLE 'ITLF
N C4 ao
TII.e TRIM NO
�N
U 0
1
10'
�
b" RBB. 12" RBB. 18" RBB.
W O
Lt) O
MIw.
.
pNNN
U d W ...
IME HAVE REVIEWED THIS PLAN AND HEREBY APPROVE
TOTAL PLAN AND SPECIFICATIONS
c�i J F- �-
(L
7 `f
DATE SIGNATURE
j $,
�1
HATE SIGNATURE
"ATE JULY 7, 2004
,ION
NOT TO 5A5151 -A= JOB 'NO.
NOT TO
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