06-0354 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
1.
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
+06=00000354
54416 SOUTHERN HILLS
775 -110 -035 -
POOL RESIDENTIAL
LOW DENSITY RESIDENTIAL
23000
J
Architect or Engineer: `
4
.4
BUILDING &, SAFETY DEPARTMENT
BUILDING PERMIT
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 ar P.rofessionals Code, and my License is, in full force and effect.
License Class: C8 C27 C2�9 License No.: 656128
mate: Confatctor:
WNER-BUILDER DECLARATION
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.).
(_) 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 contractors) licensed
pursuant to the Contractors' State.License Law.).
(_ ) 1 am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
- CONSTRUCTION LENDING AGENCY
heieby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe,
work for which this permit is issued (Sec. 3097, Civ. -C.).
Lender's Name:
Lender's Address: s
LQPERMIT
Owner.
GRIFFITH
54-416 SOUTHERN HILLS DRIVE
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
P.O. .BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012 f
FAX (760) 777-7011,
INSPECTIONS (760) 777.7153
Date: 1/24/06
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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:
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 HRH INS Policy Number BB1060510
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 Ishould be me subject to the workers' compensation provisions of Section
� .33700 of the Labor d s orthwith-comply with those provisions.
&ata. 1_ZF06 ,Applican
WARNING: FAILURE TO SECURE WORKE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES 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.
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 constr tion, and hereby authorize representatives
ofthis cou to enter upon the above-mentioned property r ' rposas.
niv
Date: � "t"�� Signature (Applicant or Agent): '
J
Application Number .
. . . . 06-00000354
~ Permit . . .
BLDG POOL PERMIT
Additional desc. .
Permit Fee . . .
234.00 Plan Check Fee
152.10
Issue Date ` '.
Valuation -. . .
. . .22920
Expiration Date
7/23,/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
21.00 9:0000
-THOU BLDG 2,001-25,000
1'89:-00
Permit
MECH POOL
Additional desc ..
-- -Permit;-Fee
26:00. ' - - :. Plan, Check Fee .-
.- - 6:50
Issue Date
Valuation
0
Expiration Date
7/23/06_1
Qty Unit Charge
,Per
Extension..
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
' Permit
ELEC POOL PERMIT -RES
Additional 'desc .
Permit -Fee . .
45.00 Plan Check Fee
11.25
Issue Date"
Valuation
0
Expiration Date
7/23/06
Qty` Unit .Charge
Per
Extension ,
BASE -FEE
15..00
1.00 30.0000
---"--=.-.--`----=--------- -.----------
EA", ELEC PRIVATE SWIMMING POOL
-------------- =------------ ----------------
`30.00'
Prmit• ^PLUMBING
Additional desc .
Permit Fee
33.00 Plan Check Fee
8.25
Issue- Date
Valuation-'
0
Expiration Date
7/2,3/06
+-Qty Unit Charge
Per
Extension
-BASE .FEE
•1'5.00 .
' 2:-00• 6•.0000
EA PLB` FIXTURE"
12.00
1-:00 3.000.0
EA PLB-WATER INST/ALT/REP
3:00
1.00 3.0000
EA-`° PLB GAS -PIPE 1-4 OUTLETS
3.00
-Permit
WALL/FENCE PERMIT
LQPERMIT
Application Number . .06.-00000354 .
"Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check
Fee
00
Issue Date . . . .
Valuation
80
Expiration -Date-. 7/23/06
Qty !Unit Charge Per
Extension
BASE -FEE
15.00
-----------------------------------
Special Notes and Comments
------------
------
---------------
POOL & SPA. 5 L.F. 4' EQUIPMENT BLOCK
WALL, CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary Charged Paid
Credited
Due
Permit Fee Total 353.00 �.00
00
353.00
Plan Check Total 178.10
00
.00
178.10
Grand Total 531.10
.00
.00
531.10
LQPERMTT -
- -
-
I I I Total Permit Fees
A4-4- -
Bin #, -�,--- '--- —-
K-7 La wuinta
Building ez Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
0� — La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: !,
Owner's Name: eC A. P. Number: Address:
1141, is
Legal Description: City, ST, Zip:
Contractor
Telephone: 3" ref
Address: -(O• �SO Project Description:
City, ST, Zip: C C/' r y
Tele hone• / W(7,
State Lic. # : 605 -co 2 `�6-
City Lic. #:
l/ �•
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occu ane :
P Y
State Lic. #:
nt
Name of Contact Person: 0,G�� %�e
/ SS
j type ect Pro circle one): New Add'n Alter Repair Demo
S 9 Ft.: #Stories: #Units:
Telephone # of Contact Person: 2itr�-0--7 7
Estimated Value of Project: Z 3 Q Q Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRAC`.QNG PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2"a Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S M [
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
I I I Total Permit Fees
A4-4- -
TH t C K `�Tpr
SI:A, AT t IS��
CAI* ANo S r
SPILL WA7r
-rA N N I N Is 5} I?
UMfMGLL"A
S&,L->' FINIS
t
Na'T�s�
fjP_I<flf AT 412! WM4 TgIC{V- sToN5 6AP 01' s'roNE- FAI F- ,
SWI m- U f= ,IAR WITH sVuF C4uN?ER-
'T4 P AMD "3' 'T I L' M . -T,0-1= S'-, 1 L S
CCQUcvT�r .. :>
-rc �t=><� U <G.L4-T
IBJ IT,S*r u",O PA I N4 j` MA a H
i00STER PUMP NOTE:
BOOSTER PUMP FOR -LARGER SPILLWAY WITH
EXTRA SUCTION FROM`POOL TO UTILIZE BOOSTER
PUMP AS POOL`PUMP WITH AUTOMATED VALVE.
CONSTRUCTION AUTHORIZATION
' SPECIFICATIONS
SALES
FIELD
DIG
I
PERIMETER DEPTHS MIN. MAX.
PRE—GUNITE
TILE
SIZE LP 'TAX i �%S�Q. FT.
UNDERGROUND
•
TILE TYPE
MASONRY
WATER LINE
NO. OF JETS
DECK
LIGHT 1 -
QUARTER ROUND
PRE—PEBBLE
R.B.B. 7111 F
SPILLWAY TYPE
' SPECIFICATIONS
111
�o U IT
TYPE SIZE? X
SURFACE AREA OF P00� /431
I
PERIMETER DEPTHS MIN. MAX.
SPA SPECIFICATIONS
TILE
SIZE LP 'TAX i �%S�Q. FT.
•
TILE TYPE
SPA DAM WALL WIDTH.
WATER LINE
NO. OF JETS
TILE TRIM
LIGHT 1 -
QUARTER ROUND
•1
RAISED SPA AT
R.B.B. 7111 F
SPILLWAY TYPE
SPECIAL NOTES
DECKING
SO,
EXCAVA N- / STEEL
Pic
TYPE
FINISH
ACCESS FROM
EXPANSION JOINTS
ELEVATION
CANTILEVER
DEEP END RAMP ""`
DECK DRAINS
ej
LOVE SEAT �""'
DECCO DRAIN `^-
CONCRETE REMOVAL AS LOADS
CURB CORE -�
SOD REMOVAL � e-cv LOADS
STEPS,''
TREE REMOVAL BY
STEP FACE
IRRIGATION REMOVAL
TILE BASE ^"
IRRIGATION REPAIR ` �r�
SAND AND VISQUEEN
6" R.B.B. """
RIBBONS ~
12" R.B.B. A fL
`'r`1`'
MOW STRIP
18" R.B.B. fL
24" R.B.B. C, r4
30" R.B.B._
�t
TAN SHELF DEPTH '' Is
MASONRY
ROCK POCK
.
:.
COPING TYPE
CENTERS
R.B.B. FACING
SPILLWAY TYPE Iti SIZE •
STEPS
PLUMBING
h
ASIZE!16
PROP. EXT WALLS
FILTER --- �/
�.
POOL PUMP• SIZE
PLANTER WAIL .
BOOSTER 'tcl,_ SIZE
RETAINING WALLS
PUMP
EQUIP.• WALLS
ADD'L PUMP SIZE
FIREPIT
ADD'L PUMP SIZE
HEATER SIZE
TIME CLOCK-74gS
SUB PANEL
ADD'L OUTLETS
SKIMMER TYPE
FILL UNE ,t_
PEBBLE PL ST
p�ucHTs
GAS LINE STUBS
Pool
LIGHTS SpA
FOUNTAINS/SPRAYHEADS ' _ `"" "r i
ROLLED BOND BEAM
SHEER DESCENTS
BEHIND SPA _
n _ �,� ,�SQd
EYEBALLS
LIGHTS IN POOL' IN SPA
FENCING
STUB SET EQUIPMENT
MISC. _
PLUMBING SIZE
FENCE TYPE
HEIGHT
GATE
G U N I TE
GATE REVERSAL
( \
DEEP END RAMP
REMOVE dt R G
EXTENDED 2nd STEP -
1
_
LOVESEAT
�-'" r
SPILLWAY TYP �/� l AM
EST. START
CANTILEVER
-
EST. COMPLETION
COPING P6. a
OTHER ev%
R.B.B. -,SEE STEEL
OWNER RESPONSIBILITIES -
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUNp CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS MI THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW IN TRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PRO�TI OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME GRIFFITH RESIDENCE:
STREET 5A -41a SIU"TNEP;ZN }{ILLS DFZ,
JOB ADDRESS F'ar't W F S'T' CITY L,,Ai :;� U 1 N 7A
PHONE OFFICE RES
LOT TRACT PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE
DATEDR
AWN BY
SOLD BY
CHECKED BY
1/8'1=11
12 -DI -,OS
NCI
[:")AVE
JOB#
REVISIONS DATE
1
CITY OF LA QUINTA
2
MIMING � DEPT. SArErY
3
FOR CONSTRUCTION
411
DATE_ILL00 By_�__
511
SELECTIONS
STONE
TI LE
BOULDERS
DECK COLOR
JANDY
-Z A4Aele
PEBB./PLAS
SIGNATURE
Drainage and irrigation for planters and pots, by
DRAINAGE NOTE:
others, unless otherwise noted.
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