07-2819 (RPL)P.O. BOX 1504
78-495 CALLE TA PICO
LA QUINTA, CALIFORNIA 92253
Application Number:07-=00002819
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• LICENSED CONTRACTOR'S DECLARATION
t"4"3405
Property Address:
PARKWAY ESPLANADE W
APN:
609-380-997-30 -293233-
Application description:
POOL - RESIDENTIAL,
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
30300
ntractor_. - •. .-
Applicant: )
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CHRIS & LISA
43405 PARKWAY
LA QUINTA, CA
LA QUINTA, CA
GOLDSTEIN.
ESPLANADE
92253
Contactor:
CLASSIC POOLS AND SP
79300 CALLE SONR'ISA
LA QUINTA, CA 92253
(760)360-8242
LiC. No.:. 822327 .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/24/07
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• LICENSED CONTRACTOR'S DECLARATION
WORKER'S. COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9'(commencing with
1 hereby affirm under penalty of perjury one of the followings declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and,my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licew Class: 05311 -rise No.: 822327 -
!_
-
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
'• issued. -
ntractor_. - •. .-
_ 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
OWNER -BUILDER DECLARATION
r insurance carrier and policy number are: -
1I. ieby affix' i.under penalty of perjury that I am exempt from the Contractor's State License Law for the _
Carrier EXEMPT - Policy Number EXEMPT
following reason(Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the.performance of the work for which this permit is issued, I shall not employ any
construct, alter, himprove,,demoliSh, 6r repair any structure, prior to its issuance, also requires the applicant for the
person. in any manner so as to became subject to the workers' -compensation laws of California„
' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of -Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C6del or -
3700 of the Labor Code,:l shall forthwith comply with�those.provisions.
-that he or she is exempt therefrom and the basis for the alleged'ex6mption. Any violation of Section 7031.5 by
` any applicant for a-permifsubjects.the applicant to a civil penalty of not more than five hundred dollars 1$5001.:
D pplicant:
( 1 I, as owner, of the,property, or my employees with wages as their sole compensation, will do the work, and
-E
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING:- FAILURE TO SE WORKERS' COMPENSATION COVERAGE'IS UNLAWFUL, AND SHALL
- Contractors', StateLicense Law does not apply to an owner of:property who builds or improves thereon,
SUBJECT AN EMPLOYER T CRIMINAL PENALTIES AND CIVIL FINES'UP TO ONE HUNDRED THOUSAND
- and who does -the work himself or, herself through his or,.her-own employees, provided that the
DOLLARS (s100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are notintended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one yearof completion, the owner -builder will have the burden of proving -that he or she did not build or
'
improve for the purpose of sale.). -
-
APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner of the property, am exclusively"contracting with licensed contractors to construct the'project.(Sec..
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law: does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under oripursuant to any permit issued as a result of this. application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
Date: Owner:
' 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:
LQPERNIIT
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 construVon, and hereby autho,riz representatives
of this rty to enter upon the above-mentioned property for insp ion purp
_Vet// i
e: ture !Applicant or Agent):
Application Number . . . . . 07-00002819
Permit . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
291.00 Plan Check Fee
189.15
Issue Date
Valuation . .
. 30300
Expiration Date
4/21/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
6.00 6.500.0
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
39.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
4/21/08
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
4/21/08
Qty Unit. Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
7 ------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
4/21/08
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
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Special Notes and Comments
POOL/SPA, GAS STUB FOR FUTURE APPROVED
LQPERA1IT
Application Number . . . . . 07-00002819
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Special Notes and Comments
AND SEPARATELY PERMITTED BBQ.
ALARMS/BARRIERS SHALL'BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- --- - ------ ----------
Permit Fee Total 395.00 .00 .00 395.00
Plan Check Total 215.15 .00 .00 215.15-
Grand
15.15Grand Total 610.15 .00 .00 610.15
LQPERNIIT
wP.Sr VI 1 T Vr LH %AV11V 1 1A,JVD-t,VIV I IriHlr I VI•i LIJ 1
JOB ADDRESS 43 Y& S� /k/Y Cs/o�✓./,vie PERMIT NUMBER OWNER. BUILDER 4o;,fo V,41 -s
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the. Building Division prior to commencement of work. failure to comply will result in a stoppage of work and/.or the voidance
of buildina oermit.' for each anolicable trade. all infermatinn rpnupstprl hpinw mist hp emmnlPtPd by annlinnnt 00n Filp• is not an aerantahln rnennnen
Trade Classification
/
Contractor..
...::.... :
:;:::.::;:. >.:::.>:::.:_
:><; :; :::,:..:::. State.:Contractor s Ucense : >.
Workers Com ensatior, ;(risurance ` :` ` 17
Cit . Business license
Company Name
Classification
(e.g. A. B, C-8)
License Number
(xxxxxx)
Exp. Date
lxx/xx/xx)
Carrier Name
le.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/i xikx)
EARTHWORK IC-1i)R
a Il e� o•sTANG
B c ;. s1
3!3 4�
S/3/'09
n z 2= z�7
as-aq-
CONCRETE (C-8)
`fR A v e*- iv&r f
13 - c4' - c e
IP31 3 9 Y
8/ //Cf
5T,t Tr ev,v
sw!r
o ZOO
FRAMING (C-51
STRUCT ' STEEL IC -51)
-r AIG -
Li , C - S3
491 34?51.
el3ZIASTA
u .� rj'
4>634rlt-L -. Z,P,07
o 2..P1?3
it/3l%
MASONRY (C-29)
PLUMBING (C -36)-s
q I
I/ 3b' o g
d . RNs 60
G t 4J "C b oI .f/1
Z�/3 s
wAo//_
y�•2 d ' .
LATH, PLASTER (C-35)
R e �d u / ,e -
, o G
a0
O
G�aO o
/ L 7ZC o'.
LZoo?o� p o00 /
%�o/ D8'.
iG 2- 04 2
7 1/ o '`;.
/ '
DRYWALL (C-9) .
HVAC (C-20)
ELECTRICAL (C-10)-.
" Gc-c-row
.S' b
8'y.Doq /
t �� l�%
Qkr poo Aix <v
C �c✓ eGoE 8'Z 4
�2/�3/B
o
ROOFING
SHEET METAL (C43)
FLOORING (C15)
GLAZING (C-17):
INSULATION (C -2). -
SEWAGE DISP. (0-42)
PAINTING (C=33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C-27)
POOL (C-53)
C 4ASQ C Dol
-2 2
7/3/ of
t-
r
planter
OV 22' X07
access
raised planter 4!
planter
+12 I" +12
I c
2 steps +12" 4 t—
(.
, \ ` 2 steps
i
--30'
3,♦
120
3' Ln 4' s' 7O 3'♦
broom finish deck
broom finish deck
�
Classic Pools & S.pas
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Spccalvm�-in. "
Custom Pools and Spas
-Pool and Spa Remodels
-Deck Remodels
l'!Contact
1-)tliccphone: 760-360-4242
-Falco Solar Pool Heating Systems
-Saltwater Purification Systcros
-Alumawood Patio Covers
-Cell phone: 760-250-2266
-Fax: 760-360-2737 -Email: kkoehnlcin(i msn.com i
26'
Designed by
KERRY R. KOEHNLEIN
PHONE -360-0012
-18"
lvac li
L! auto fill
i
" Z' I
COrw#,6
V
I
existing deck
p pe► -1
? h-rl 0
n
GA`J J,je1Vt-
ST 4 F®R.
OWNER to fence pool area and install self closing and self latching gates per code.
NOTE: No dirt will be removed, returned or graded after day of excavation.
5' NOTE: Relocation of equipment pad will result in additional cost to owner.
NOTE: Fill pool immediately after plaster (follow instructions). Do not use rubber hose.
NOTE: Do not turn on pool light when pool is empty.
NOTE: Wet down concrete shell at least twice daily for seven days after shell is installed.
I have reviewed this plan and hereby approve total plan & specifications.
I
DATE CUSTOMER SIGNATURE
POOL SIZE �� X Depth -&_ X X �%
Surface Area Lt 56 Perimeter q b
EXCAVATION Access L 4 Grading
Dig From S h A Lt_ 0 UJ Obstacles WA GL
Walls Removed *5 S
Replaced e
Misc. R eM &Cr Q44
PLUMBING Filter T,' -o Size—!Y, ,5 D
PUMP—/ K e2L c— Size ✓S /5a Z, H4oster Pump_
Skim Run Main Drain Ret 31
Fill Line 4V TJ Purifier LDoo A/407 ALS
Auto Cleaner t4.0- t
Htr Type _S—)E r Tc Size 'Y-/ 0 0 K, Gas LIF 7 G
FOUNTAINS—SPRAY HDS—WATER EFFECTS
Type Size
Plumbing Length Valves
Booster Yes/No Type - Size
Misc.! —�
STEEL GUNITE Eng Sur -charge No
6' RBB 12 2-1 / 18'_ 24'
Step Risers t Spa Wall Width
Benches ra .Love Seats
Spa Dam.wall I Qr Notch
Misc: Y y �t ►2 e P [ —�
ELECTRIC Total Run OF 7 G Fiber Optic ti d
Remote Ret -,71-41 e J - % Spa K 6aT'r 6) A
TILE w/I.ine# l/e s Coping_ No
Step & Bench Tile# QG
Misc.-Glass--Etc.
DECKING SQ Ft-
� 3 TypeAQooLh Color 3
Nat Concrete So Ft Cantilever es _
D.O.D. L/F Step Risers L)
Misc,
SPA Size_j_ Area q Per
Pump -;4-Me Blower_ Spillways
,lets G STad-� Step? S
Light LB
Misc.STac/LS^rr N a gat t - .WV (J u kdT� ArX1
INTERIOR FINISH At j2lef,44, Color
Other Q U .4rz 7 2 R p,1
OWNER C &p 1 d- Lt. s r► Co U -Ci MLS
ADDRESS '9/3, If 0.p'�w i ESpLf4NR�e �%�
CITY X- SOLD BY /LC DATE 10-t'(-07,
PHONE (H) 70.0 / 2 qg (W) 7'92 --- `/ °/
DRAWN BY 0 tL DATE 14, !�-O�
Bin #
City of LaQuanta:
B,uildingw-Safety Division
P.O..Box 150.4;. 78=495 Calle Tampico
La Quinta, CA 92253 - •(760) 777-7012
Building' :Permit Application and Trackin Sheet
g
Permit, #
1�
��.
Project Address:'
OPS
Owner's Name: GRAI e.L A GecrJs m�.✓
A. P. Number:
Address:
Legal Description:
City;.ST,'Zip:
Contractor: C
Address:
S S
S.� '
Telephone:.
sProlecfDescription- G m L
City, ST, Zip:
Telephone: OZ. SO
/
G . 6 ..
' .
State Lic. # : 2-
1 L?
City Lic.,#: G
Arch_ Engr., Designer; S'
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:a
4
a ` L If,v
Construction Type: Occupancy:
Project type (circle one): New Add 'n . Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: Z
a 2
Estimated Value of Project: D 6 3
APPLICANT. DO NOT WRITE BELOW'THIS LINE
#,
Submittal
Req'd
Recd
TRACIUNG
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 Calcs:
Plans -picked up
Construction
Flood plain.plan.
Plans resubmitted
'Mechanical
Grading. plan
2°d Review, ready for,corrections/issue
..Electrical
Subcontactor List
Called Contact Person .
?Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
p,I,p,p.,
Pub. Wks. Appr
Date of permit issue'
School Fees
'
Total Permit Fees