05-0179 (RPL)o O Uht
A� BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
(760).777-7012
OF9 78-495 CALLE TAMP.ICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number. . . . . . 05-00000179 - Date 1/21/05
Property Address '; 57855 STONE CREEK TR E
APN: 762-240-999-63 -30834
Application description POOL -' RESIDENTIAL
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation.. 27000.
Owner Contractor
-- - - - -- - - - - ----- - - - - -- ---- - - -----
SOUTH POINT CONSTRUC TOPMAN BUILDERS
57855 STONE CREEK.TR. EAST P.O. BOX 10202
LA QUINTA CA 92253 PALM DESERT CA 92255
(760)-772-7296
WCC:- COMBINED SPECLT
WC: 00.5-00025671 01/01/06
CSLB: 455121 11/30/05
CCC: B -C29
------------------------------------------------------------------
Permit . ... . . . MECH POOL
Additional desc
Permit Fee . . . 24.00 Plan Check Fee 6.00
.Is.sue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE k15.00
1.00 9.0000 EA i "MECH.-FURNACE <=100K*. 9.00
Permit' . . . BLDG POOL PERMIT
Additional desc
Permit Fee . . . . 265.00 Plan Check -Fee :. t•172.25
Issue Date . . . . Valuationo-. 27000
Qty. Unit Charge Per Extension`
BASE -FEE 252.00
2.00 6.5000 THOU BLDG 25,00.1-50,000 13:00
-
-----------------------------------------------=-------_---------------------
Permit ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45:00 Plan Check Fee 11.25-
Issue
1.25Issue Date Valuation 0
Qty Unit, Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL - 30.00
--------------'-------=-----------------------------------------------------
Permit . . . PLUMBING 1
Additional desc f
Permit Fee . . . 33.00 Plan Check Fee.. 8.25
t,,
P.O. BOX 1504 • VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0 / -7 c%
Applicant:
Applicant's Mailing Address:
Date: P
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.: r I / r
v BUILDING PERMIT DECLARATIONS
roENSED CONTRACTOR'S DECLARATION
Vhey affirm under penalty of perjury that I am licensed unde rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
and my Lic seJS full force and eff�re Class +� icense No. lSs( 2. t
Date ` -Z� �� ontract
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that a mpt 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, a r, 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 1 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
iss ed. M workerjs� _comensation insurance carrier and olicy number are:
CarrierC., hd C_Lta�olicy Number • C7c�2C5L
I certify that, in the performance oft a 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
`bate
WARNING: FAILURE TO SECURE ORKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDREDNIHOUSA D DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODC14,NTERESLT, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of pery'u that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders Name
Lender's Address X
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 i tion is correct. I agree to comply with all city and county ordinances and state laws relating to building
gonstruction, and hereby authorize representatives of this county o ente up the above-mentioned property for inspection purposes.
V/Date' �LA` 07S'16ignature (Applicant or Ag t):
0
Page 2
Application
Number .
. . . .
05-00000179
Date 1/21/05
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 ONLY. ALARMS/BARRIERS
SHALL
BE IN PLACE
PRIOR TO
PREPLASTER
INSPECTION.
EQUIPMENT
ENCLOSURE
NOT
INCLUDED IN
PERMIT.
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee
----------
Total
367.00
--------------------
.00 .00
----------
367.00
Plan Check
Total
197.75
.00 .00
197.75
Grand Total
564.75
.00 .00
564.75
0
wc4j
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-70.11
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number .
. . . . 05-00000179 Date
1/21/05
Property Address . .
. . 57855 STONE CREEK TR E
APN:
762-240-999-63 -30834 -
Application description POOL = RESIDENTIAL
Property Zoning .
. . . . LOW DENSITY RESIDENTIAL
Application valuation..
27000.
Owner
Contractor
SOUTH POINT CONSTRUC
TOPMAN BUILDERS
57855 STONE CREEK TR:
EAST P.O. BOX 10202
LA QUINTA CA 92253 PALM .DESERT CA
92255
(760).772-7296
WCC: COMBINED SPECLT
WC: 005-0002.5671
01/01/06
CSLB: 455121
11/30/05
CCC: B -C29
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 BLDG POOL PERMIT
Additional desc .
Permit Fee
265.00 Plan Check Fee
172:25
Issue Date . . . .
Valuation
27000
Qty. Unit Charge
Per
Extension
BASE FEE
252.00
2.00 6.5000
THOU BLDG 25,00.1-50,000
13:00
---=-------------------------------------------------
Permit
---------------
ELEC POOL PERMIT -RES
---------
Additional desc..
Permit Fee
45.00 Plan Check Fee
11.25
Issue Date
Valuation
0
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
P.O. Box 1504
78-495 CALLE TAMPICO w VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 922534 FAX (760) 777-7011 4
INSPECTIONS (760) 77.7-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0 / T
Date:
Applicant:.
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LI ENSED CONTRACTOR'S DECLARATION
Vhey affirm under penalty of perjury that I am licensed unde rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
and my License is in full force and effect.
e Class icense No.
J
OWNER -BUILDER DECLARATION
1 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 1, 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 1, 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 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
issued. My workers' compensation insurance carrier and policy number are:
Carrier Policy Number
_ 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 Sectibn 3700 of the Labor Code, I shall
forthwith comply with those provisions.
'Dare plicant
WARNING: FAILURE TO SECURE WORKERS' 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 perju that there is a construction lending agency for the rformance of the work for which this
g y � 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 pemnit 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.
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
gOnstruction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
1/Date Signature (Applicant or Agent):
0
Page 2
Application
Number . . . . . 05-00000179
Date 1/21/05
i
0
Page 2
Application
Number . . . . . 05-00000179
Date 1/21/05
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 ONLY. ALARMS/BARRIERSSHALL
BE IN PLACE
PRIOR TO'PREPLASTER
INSPECTION.
EQUIPMENT ENCLOSURE
NOT
INCLUDED IN
PERMIT.
Fee summary
Charged
Paid Credited
Due
Permit Fee
Total .367.00
.00 .00
367.00
Plan Check
Total 197.75
.00 .00
197.75
Grand Total
564.75
.00 .00
564.75
0
t.
SPECIFICATIONS
I
,•
REVISIONS
Delta Date By Description of Chane
SPECIFICATIONS
SWIMMING POOL
TYPE GUNITE
SIZE 34'
I
{
I
,I
[—RAISED
SPAAT
63 STONE
+18"
WITH
REVISIONS
Delta Date By Description of Chane
SPECIFICATIONS
SWIMMING POOL
TYPE GUNITE
SIZE 34'
X 12'-0"
SURFACE AREA OF POOL 370 S.F.
63 STONE
CREEK
PERIMETER
DEPTHS MIN. 31-6's
MAX, 5'— 0
SPA SPECIFICATIONS
ELECTRICAL
JOB ADDRESS
SIZE 7' X 70 SQ. FT. 38 PER.
22'
BY
LENGTH ft.
SPA DAM WALL WIDTH
TIME CLOCK
SUB PANEL
# OF JETS
LOT I 63
# OF LIGHTS IN POOL
LIGHT BOOSTER PUMP
BOOK
OUTSIDE G.F.I. LIGHTS
G.F.I. OUTLET
CA. AQUA AIR—BAR do BLOWER
EXTRA SWITCH FOR SPA LIGHT
MAIL ADDRESS
BLOWER ONLY
BLANK PLUGS
CITY
RAISED SPA SPILLWAYS
MOTOR
BOOSTER
SPECIAL NOTES
BLOWER
CLEANER
SCALE:
1/8"=1'-0"
Mlsa
EXCAVATION
TYPE
SOLD BY.
JOHN
CHECKED BY:
ACCESS FROM
COPING & TILE
ELEVATION
COPING WHITE
DEEP END RAMP
COPING SPECIAL
FENCE REMOVED BY
TILE TYPE
TILE TRIM
MASTIC
FENCE TYPE
TRASH REMOVAL
LOADS
6" R.B.B. ft. 12" R.B.B. ft. 18' R.B.B. ft.
CONCRETE REMOVAL
LOADS
MISC.
TREE REMOVAL BY
STUMP REMOVAL BY
DECKING
DIRT PAD
6" R.B.B. ft. 12" R.B.B ft. 18" R.B.B.
ft.
BY
UP TO sq. ft.
WALKOUT/MISC.
FINISH
COLOR
ROCK PACK
EXPANSION JOINTS
MASTIC
FOOTING
STEEL
STEPS
TYPE
EXPANSIVE SOIL
CANTILEVER
6" R.B.B. ft. 12" R.B.B- ft • 18" R.B.B.
ft
DECK DRAINS
CURB CORE
SURCHARGE DEEP END RAMP
DECCO DRAIN
DIVING BOARD JIG
LOVESEAT INSIDE ft. OUTSIDE
ft.
SLIDE INSTALLTKMt .......
SPA WALL WIDTH in. OTHER
In.
MASONRY
WALL DOWEL/MISC.
COPING TYPE
PLUMBING
PLANTER WALL
FILTER SIZE
TYPE
ft. X
POOL PUMP SIZE
CAP
BACK UP WALL ff
HEATER SIZE
FOOTINGS
R.B.B. FACING
BOOSTER PUMP SIZE
FIREPIT TYPE
SIZE
SKIMMER TYPE
EQUIP. WALL TYPE
ft. X
CARETAKER � OF HEADS
FENCING
OTHER CLEANER STUB ONLY
F}
MISC.
FILL LINE SLIDE LINE
PEBBLE
P—TRAP BACK WASH TO
GAS LINE STUBS
LIGHTS POOL
SPA
'
FOUNTAINS/SPRAYHEADS
ROPE RINGS
EYEBALLS REQUIRED
LIGHTS IN POOL IN SPA
COLOR
NAME TILE
STUB SET EQUIPMENT
SPECIAL EQUIPMENT
SAWCUT AUGER
DIVING BOARD
SIZE
MISC.
MODEL
SLIDE
COLOR .
SIZE
GUNITE
GUNITEREQUIRED YES NO
MODEL
COLOR
ROPE
ROPE RINGS GRAB RAILS
POOL COVER
SOLAR HEATING YES NO
FENCING
DEEP END RAMP
TO MEET ALL LOCAL CODE REQUIREMENTS
BY BUYER PRIOR TO
6" R.B.B. ft. 12" R.B.B. ft. 18" R.B.B.
PREPLASTER INSPECTION
LOVESEAT EXTENDED 2nd STEP
OTHER
NOTCHED BOND BEAM
COAINv^ — —-cwnLEVER — ; _..
ft.
SAP DAM WALL WIDTH
OWNER RESPONSIBILITIES
OWNER T0: (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME
OF ISSUANCE OF PERMIT
(2) TAKE NOTICE THAT PLATINUM POOLS IS NOT RESPONSIBLE FOR: UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE
TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS,
OR OTHER ITEMS IN THE ACCESS AREA
(3) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS,DO NOT USE RUBBER HOSE)
(5) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION
OF PLATINUM POOLS IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND
HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE S
DATE
SIGNATURES
DATE
REVISIONS
Delta Date By Description of Chane
MATERIAL SELECTIONS
MATERIAL CHOICE
SWIMMING POOL
PLAN FOR:
NAMES
LOT
63 STONE
CREEK
RANCH
STREET
0- •
STONE CREEK TRAIL EAST
BUILDING & SAFETY DEPT.
JOB ADDRESS
STONE
CREEK RANCH
APPROVED
APN f
TRACT f
O
HOME
LOT I 63
PAGE
BOOK
MAP BOOK PAGE f
T
OPMAN
SWIMMING POOL
PLAN FOR:
NAMES
LOT
63 STONE
CREEK
RANCH
STREET
57-855
STONE CREEK TRAIL EAST
CITY LA QUINTA
JOB ADDRESS
STONE
CREEK RANCH
APN f
TRACT f
HOME
LOT I 63
PAGE
BOOK
MAP BOOK PAGE f
MAIL ADDRESS
CITY
CONSTRUCTION OFFICE PHONE I
SCALE:
1/8"=1'-0"
DATE:
9-8-04
DRAWN BY.
JOHN
SOLD BY.
JOHN
CHECKED BY:
T
OPMAN