05-0701 (RPL)Lou
Ot
S3 BUILDING' & SAFETY DEPARTMENT
P.O. Box 1504 .� (760).777-7012
-495 CALLE TAMPICO FAX (760) 777-7011
QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
D _
MAR 2005 BUILDING PERMIT r
Cgpivt-�Of LA®UIN7A * ,
.Y' on—N mber 05-00000701 _Date 2/28/05
roperty Address .'%.,7.9862 PARKWAY ESPLANADE N j
APN: 609-380-998-74 -293032-
Application description 'POOL'- RESIDENTIAL
Property Zoning.. LOW.DENSITY RESIDENTIAL
- Application valuation . . . 21000
Owner Contractor
JOHN GRAHAM TOPMAN BUILDERS
79-8602 PARKWAY ESPLANADE N P:0. BOX 1020
LA QUINTA, CA PALM DESERT CA 92255
.'LA QUINTA- - CA 92253 (760) 772-7296.
WCC: COMBINED SPECLT
WC: 005700025671 01/01/06
CSLB: 455121 0,6/30/06
CCC: B- C2 9 C53
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Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . 207.00 Plan Check Fee 134.55
Issue Date . . . Valuation .. 19695
Qty. Unit Charge Per Extension
BASET FEE 45.00.
18.00 9.0000 THOU BLDG'2,001-25,000 162.00
y
Permit MECH POOL J
Additional desc
Permit Fee 24.00 Plan"Check `F'ee 6.00
Issue Date Valuation' iY- 0
Qty, Unit Charge Per Extension
BASE FEE 15.00
1.00 9..0000 EA MECH FURNACE <=100K 9'.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
P.O. BOX 1504 • 'G`��� FAX (760) 777-7011
78-495 CALLS TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0S- 0 %D / Date: 03 - 03 -CT
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
C0NTfACTOR
Architect or Engineer's Address:
Lic. No.:
/V^
0UILUINU PERMIT DECLARATIONS
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 and Professionals
de, and my Licen p is i I force and effect.
icense Class License Nd/ NZ;<� 7 /
✓ Date771. ```� Contractor's
OWNER -BUILDER DECLARATION
I 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 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 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
(7,h
issued.�yly w d rs' compensation insurance Carrie nd polic number are:
arrierS� 131 NEl> 7 C-1t�c'� Policy Number �; � j��] 1
I certify that, in th performance o the work for which this permit is issued, I shall not emp o any person in any manner so as to become subject to the workers'
compensation laws of California, d agree th t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provi n
D' 04;;r A.,plican
WARNING: FAILURE TO SECURE WOR RS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOU D OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTERE , 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 7 11-A
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 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..
I certify that I have read this application and state that the above info ati is corr 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 en er u' n the b ve-mentioned property for inspection purposes.
urate j"�' Signature (Applicant or Agent .
Page 2
Application Number . . . . . `05-00000.701
Date 2/28./05
Permit Fee . . . . 33.00 Plan Check
Fee
8.25
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
Permit . . . . . . WALL/FENCE PERMIT
Additional desc . 1
Permit Fee . . . . 33.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . 1305
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 2.0000 HND BLDG 501-2,000
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18.00
Special Notes and Comments
POOL & SPA. BBQ #ANSI #Z21-58-2001. 15
L.F. 5' EQUIPMENT WALL; 20 L.F. 6' BLOCK
WALL; 30 L.F. 4' BLOCK WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE PRIOR TO PRE -PLASTER INSPECTION.
Fee summary Charged Paid. Credited
Due
Permit;Fee Total 342.00 .00 -
00
342.00
Plan Check Total 160.05 .00
.00
160.05
Grand Total 502.05 .00
.00
502.05
u
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NEN SLUMPSTONE AALL AT +6 TO
MATCH EX15TIN&
—=A SLUMPSTONE K-NLL AT +5' I
ATCH EX115TIN6
SLUMPSTONE AALL AT +4'
TCR EXISTINC-7
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA a h'' d S By T h1
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TYPE
IT SIZE ' �X 14'®0
n
SURFACE AREA OF POOL 451 S.P.
PERIMETER RI' 77FT'HS MIN.
SPA SPECIFICATIONS ELEGTRIGAL
SIS � X a, SQ. FT_ Pr�R 25' BY LENSTI+ ft.
SPA DAM AALL INIE77H TIME CLOCK SUB PANEL
# OF .lET5 # OF LIGHTS IN POOL
LIGHT BOOSTER PUMP - OUTSIDE: G.F.I. LI&HTS G.F.I. OUTLET®
GA. AQUA AIR -BAR # BLONER EXTRA SAITCH FOR SPA L16HT
BLOWER ONLY BLANK PLU65
PAIS? SPA SPILLWAYS MOTOR BOOSTER
SPECIAL NOTES BLOWER CLEANER
EXCAVATION MISC.
TYPE
ACCESS FROM 00PI NG $ TILE
F_I_EVA"flt7Tl COPING WHITE
DEMP c:,V RAMP CQPING SPECIAL
FENCE REMOVED BY TILE TYPE
FENCE TYPE TILE TRIM MASTIC
TRASH REMOVAL LOADS 6" R.53. ft. iz, R.BB. f Ia" R.B.B. Pt.
CONCRETE REMOVAL ' OAD5 MISG,
TREE REMOVAL BY
57u "P REMOVAL BY 7 r
DIRT PAD DECKING
" R.B.B. —Ft. 12" R.BB. 15r RBB. ft =Y UP TO � � P 4">
WALKOUTlP"I F I N1SH COLOR
ROOK PACK E1.PANSION JOIN S
MA5T1G FOOTING
S I EEL STEPS TYPE
EXPAN5IVE 501L CANTILEVER
ft -iv, R.B.B.ft. DECK DRAINS CURB CO :E
SURCHARGE DEEP END RAMP DECGO DRAIN DIVING BOARD JIG
LOVE5EAT INSIDE ft- OUTSIDE ft' SLIDE INSTALL71ON
SPA WALL wOTH Ir. OTHER r" MASONRY I
AAILL DOY'v aLfMISC. COPING TYPE
PLUMBING PLANTER WALL
FILTER SIZE TYPE ft. X
POOL PUMP 512.E GAP BACK. UP WALL �F
HEATER _ SIZE -- FOOTIN65 R.BB. FACING
BQ05TER PUMP SIZE FIREPIT TYPE 512E
SKIMMED TYPE EQUIP. WALL TYPE ft. X
CARETAKER # OF HEADS FENCING ra
OTHER GLEANER STUB OhdLY MISC.
FILL LINE; SLIDE LINE
P -TRAP _ BACK AASH TO PEBBLE
LI&HT5 POOL SPA
GAS LINE 57U35
FOUNTAIN5f5PRAYHEADS ROPE RINGS EYEBALLS REWIRED
LIGHTS IN POOL IN SPA COLOR NAME TILE
STUB SET Eau IPMENT SPECIAL EQUIPMENT
SAWGUT AUGER DIVING BOARD SIZE
M15C. MODEL COLOR
&UNITE SLIM SIZE
MODEL COLOR
GUNITE INSPECTION REOUIRED YES __�. NO POOL COVER SOLAR H ATiNG YES
ROPE RING5 GRAB RAILS FENDING
DEEP END RAMP TO Yr --Er ALL LOCAL CODE REGAREMENTS BY BUYS. PRIOR TO
6" R.B.B. ft. 12" R.B.B. ft. 15" R.BB. PREPLAST71Z INSPECTIQN
LOVESEAT EXTENDED and STEP OTHER
NOTCHED .BOND BEAM
CORN& CANTILEVER �
SAP DAM HALL W:DTH .
OMER RESPONSIBILITIES
OPOER TO:
(i) TAKE NOTICE THAT POOL AND EWiPMENT LOCATION 15 5U5.iEGT 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, DRIVEAAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, 6ATE5, AND 6ARA6E DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR, TO PREPLASTER INSPECTION
(4) FILL POOL 1WE171ATELY AFTER pL.A5TE:R. (FOLLOW INSTRUCTION5,D0 NO USE RUBBER HOSE)
(5) TAKE: NOTICE THAT T1415 VRAWIW, 15 THE .SOLE PROPERTY OF PLATINUM P00L5 AND THAT ANY .USE AITI-BUT MIRITTEN Pl7. 510
OF PLATINUM POOLS 15 PROHIBITED BY LAK
OWNER APPROVES PLAN, POOL, AND EGGUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTIGE5 ABOVE.
5I6NATURE(5)
DATE F;
516NATU�S) DA'T'E
REV151(NS 7MATEd�IAL SELEGTIC7N5
I�el{o pq{e 6 6€scriptron of Change MATERIAL CHOICE
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MAIL ADDRESS CITY
SCALE DATE= I DRAWN r3Y:JOHN