05-0187 (RPL)BUILDING & SAFETY DEPARTMENT
-0713'X'1g504 (760).777-7012
Fii � 78=.49 C, FAX TAMPICO FAX (760) 777-7011
1 ��II
Ir LA QUINTIA�, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
�i ' v',! 2 2005 IIIIIIUJJfJJf
BUILDING PERMIT
CITY OF LA QUINTA ,
FINAr2CE DEPT.
Application Number 05-00000187 Date .1/21/05
Property Address . . . . . . 57895 STONE CREEK TR E
APN: 762-240-999-65 -30834
Application description POOL- RE"SIDENTIAL
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 3200,0
Owner Contractor
-----------------
SOUTH POINT CONSTR. TOPMAN BUILDERS
57895 STONECREEK.TR,EAST P.O. BOX "10202
LA QUINTA CA 92253 PALM DESERT CA' 92255
(760.).772-7296
WCC: COMBINED SPECLT
WC: .005-00025671 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
.Issue Date Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA. MECH FURNACE, <=10.0K 9.00
Permit . . . BLDG POOL PERMIT
Additional desc
Permit Fee . . . . 297.50 Plan.Check Fee 193.38
Issue Date Valuation 32000"
Qty. Unit Charge Per Extension
BASE FEE 252.00
7.00 6.5000 THOU BLDG 25,00.1-50,000 45:50
-----------------------------------------------=----------------------------
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
T
P.O. BOX 1504 • �� VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING '.fit SAFETY DEPARTMENT
Application Number: tJ S'- 0 % 7
Applicant:
Applicant's Mailing Address:
Date: /- Zf -'OS
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I h eby 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
ode, and my License is in full force and effect. �Sl Z�
License Class 1 . 3 License No.
✓Date ` -1* o5 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury tha aJe.e pt 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 constimprove, 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 cr 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 ".he 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
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 wo rs' compensation insurance carrier and olicy number are:
Carrier�ot�tr3ttJ�� tcC..0,k- %4PolicyNumber O 0.�2rjlpi\
I certify that, in the p rformance 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 Califomia, ee that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
.lforthwith comply with those provis ns.
VDate ( •�'"`�y� Applicant
WARNING: FAILURE TO SECURE WO ERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THObt5ANDD LLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INT D 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.).
Lenders 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 Ouinta, 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.
Ice V that I have read this applicatio nd state that the above info . n :s correct. I agree to comply with all city and county ordinances and state laws relating to building
ce truction, and hereby authorize resentatives of this county to ter u on the ve-mentioned property for inspection purposes.
Date 1- y - �S Signature (Applicant or Ag nt):
'
h r
a
1
Page 2
Application
Number'
05-00000187
Date 1/21/05
Issue Date
Valuation
0
Qty Unit Charge
Per
BASE
FEE
*Extension
15.00
2.00
6.0000
EA PLB
FIXTURE
12.00
1.00
3.00.00
EA PLB
WATER INST/ALT/REP
3.00
1:00
3.0000
EA PLB
GAS PIPE 1-4 OUTLETS
3.00
-------------- ----------------------------------------------
- ---------------------------------------------------------------------
Special
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•
----------
399.50
----------
.00 .00
----------
399.50
Plan Check
Total
218.88
.00 .00
218.88
Grand Total
618.38
.00 .00
618:38
REVISIONS
Delta Date By Description of Change
SPECIFICATIONS
0-
GUNITE SIZE
FSURFACEAREA
30, 14'-0"
65 STONE
OF POOL 540 S.F.
X
-
A--
PERIMETER 146' DEPTHS
13UILDING
MIN. S-6""
MAX.- 5'-0"
A SPECIFICATIONS
ELECTRICAL
ZE 7' X 7' SQ. FT. 38 PER. 22'
rossl
BY LENGTH ft.
PA DAM WALL WIDTH
TIME CLOCK SUB PANEL
OF JETS
OF LIGHTS IN POOL
BOOK
LIGHT BOOSTER PUMP
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
RAISED SPA SPILLWAYS
MOTOR BOOSTER
SPECIAL NOTES
BLOWER CLEANER
misc.
EXCAVATION
TYPE
ACCESS FROM
DATE:
9-8-04
COPING & TILE
ELEVATION
COPING WHITE
SOLD BY:
JOHN
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
DIRT PAD
DECKING
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 INSTALLTION
SPA WALL WIDTH in.• OTHER In.
MASONRY
WALL DOWEL/MISC.
COPING TYPE
PLANTER
PLUMBING
WALL
FILTER SIZE
TYPE ft, X
POOL PUMP SIZE
CAP BACK UP WALL ft
HEATER SIZE
FOOTINGS R.B.8. FACING
BOOSTER PUMP SIZE
SKIMMER TYPE
FIREPIT TYPE SIZE
CARETAKER # OF HEADS
EQUIP. WALL TYPE ft. X
OTHER CLEANER. STUB ONLY
FENCING w
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
MISC.
DIVING BOARD SIZE
MODEL COLOR
SLIDE SIZE
GUNITE
GUNITE INSPECTION REQUIRED YES NO
MODEL COLOR
ROPE RINGS GRAB RAILS
POOL COVER SOLAR HEATING YES NO
FENCING
DEEP END RAMP,
6" R.B.B. ft. 12' R.B.B_
TO MEET ALL LOCAL CODE REQUIREMENTS BY BUYER PRIOR TO
ft. 18" R.B.B.
PREPLASTER INSPECTION
LOVESEAT EXTENDED 2nd STEP
OTHER
NOTCHED BOND BEAM -
COPING CANTILEVER ft
SAP DAM WALL WIDTH
-OWNER RESPONSIBILITIES
OWNER T0:
(1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BUILDING
OF ISSUANCE OF PERMIT DEPARTMENT AT TIME
(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.
SIGNATURES
DATE
SIGNATURE(S)
DATE
REVISIONS
Delta Date By Description of Change
MATERIAL SELECTIONS
MATERIAL CHOICE
0-
NAMES
SOT
65 STONE
CREEK
RANCH
-
A--
57-895
STONE
13UILDING
EAST
PPROVFD
A—
FOR
FOR CONSTRUCTION
1
OWN
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SWIMMING POOL PLAN FOR:
NAMES
SOT
65 STONE
CREEK
RANCH
STREET
JOB ADDRESS
57-895
STONE
STONE CREEK TRAIL
CREEK RANCH
EAST
CITY LA QUINTA
APN #
TRACT i
HOME
LOT ! 6 5
PAGE
BOOK
MAP BOOK PAGE
MAIL ADDRESS
CITY
CONSTRUCTION OFFICE PHONE #
SCALE:
DATE:
9-8-04
DRAWN BY:
JOHN
SOLD BY:
JOHN
CHECKED BY:
OWN
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