04-5369 (RPL)T-Vf 4 4VQ"
BUILDING & SAFETY DEPARTMENT
�x 1504
s - ,ry (760).777-7012
FT1 9 78-4- ALLE TAMPICO ` FAX (760) 777-7011
Ir AUG 0 2.20A Q I TA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777-7153
�J CIT( OF Ip'QOIN7A BUILDING PERMIT
CED
Application Number ,`--f04=0-0-005369 Date 8/02/04
Property Address . . . . . . 55475—I!hUREL VALLEY
APN: 775-181-091- - -
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 21500
OwnerContractor
r-------------- ------- --- -----------------------
KEVIN WHEELOCK MC CALLUM POOLS
55475 LAUREL VALLEY 46576 VIA CELESTE
LA QUINTA CA 92253 INDIO CA 92201
(760) 775-5685
WCC: EXEMPT
WC: EXEMPT 05/31/05
CSLB: 818835 04/30/05
CCC: C53
-----------------------7-------------7---------------------------------------
Permit . . . . BLDG POOL PERMIT INV FEE
Additional desc
Permit Fee . . . . 450.00 Plan Check Fee.. 146.25
Issue Date . . . . Valuation 21500
Qty Unit Charge Per Extension
BASE FEE 90.00
X20.00 18.0000 THOU BLDG 2,001-25,000 360.00
--------------------------------------------- 7 ------------------------ -------
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 . . . . . . ELEC POOL PERMIT -RES '4
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
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 & SAFETY DEPARTMENT
Application Number: d — %..- 60
Applicant: I Architect or Engineer: Date:
Applicant's Mailing Address:
Architect or Engineer's Address:
AWA
Lic. No.:
t311.11ILDINU 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
ode• and ss Licence i jl force and effect. /
License�CQlass, 73S� License No.
Date O r �Q /Contractory �� t I A S POd Q
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 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 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.).
.0 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:
_ 1• 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'
r� compensation laws of California, and agree that, if I should becomeegbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with thyse�ovisions. / ,
PRE
WARNING: FAILURE TO SECURE WO ERS' C ENSATION COVk6GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED TtiOUSANVOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, TEReST. 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
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 information is correct. I agree to ly with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of t , unty t nter upon the a¢gve entio ed roperty for inspection purposes.
/ate '�- 0 ignature (Applicant or Agent): C
pt
Page 2
Application Number . . . . 04-00005369
Date 8/02/04
----------------------------------------------------------------------------
Permit . . .PLUMBING
Additional desc
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
Special Notes and Comments
POOL/SPA AND GAS LINE FOR FUTURE
APPROVED APPLIANCE. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER INSPECT
ION. EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 552.00, .00 .00
----------
552.00
Plan Check Total 171.75 .00 .00
171.75
Grand Total. 723.75 .00 .00'
723.75
cert path
50'
D 7.30-0-4
PA.
(/SPRINKLER
SPRINKLER
�� r
3' lire pit
_
� �Alllri•1�"'
SPRINKLER
T 0"
26'
1 T T 13'0"
EXSISTINO DECK
SPRINKLER
DECKING
SAN DIEGO BUFF
EXSISTINO COLOR
SPRINKLER
6' 6"
156'
T6
'
NOTES
ELAVATION OF DECKING IS 2' BELOW WEAP SAME AS EXSISTINO
REROUTE SPRINKLERSAROUNO POOL.
PENTAR EQUIPMENT: MINI MAX HEATER.WNISPER PUMP
CLEANBCLEAR FI R-
20' d'
,
0!G POOL WITH MINI 608 CAT THREW CART PATH.
'S DAY TOGIG ONLYWEIGHT OF BOB CAT 3100 POUNDS NO
TRUCK WILL BE USED ON CART PATH.
POOL EQUIPMENT
FRONT OF HOUSE
driveway ..
36-
6
[aural canyon
[aural
KEVIN WHEELOCK
55-475 tttkaA €
LAQUI NTA CA 92253
L—Qv Y21 VC11-11
.J'
PGAWEST.
Jnit' 19.2004
Marilyn Whcdock
204 Dal Cabo
Sat Clemente, CA 92673
PGA WEST II RESIDENTIAL ASSOCIATION, INC.
42-600 CAROLINE COURT, SUITE 101
PALM DESERT, CALIFORNIA 92211
PHONE (760) 776-5100 a FAX (760) 770 6-311 I
liefarener: ' 33-473 Laurel Valley, La Qtrittta, CA 92253
Appiieaticn for Ambitetctu d Change -, pool, spa; 1lreptt
Deat Ms. Wheelock:
Please refbrente a ;Ww dated November 19. 2003 from the Architectural Committer approving your platu
tc add a pool, spa and Ctrq*. 7bc commirme again approved your applieetton baebd on y"t pcvM=
submittal.
Please note bite following:
"Quiet" pumps Shall be utilized Por all pool and epa haellations and shall meet the 1rttiNiRlurtl ttequievtrient
of the tndustry's 'gWct" pump stutdards. The catnmitteo mcommands that a 400 BTU heater be used
which ie Stattdtud at PCA WEST. The eOQUttittoe also rceoMakends that you use a booster pump for the
spa.
The contractor &bull ensure that the m&9-90 wuet far the automatic W20 ked dtvice be tapped ahead of
die main dwelling ahutuff. E:dsting hose bibs cum be used Por this ptupm.
If natural gas is to be used on your flrt pit, the i nstallatiem must be permitted by The City of La Qulnta and
istape;cted.
The committee recotrmtends that you movie r tho enaloaed specification& for the PGA West concrete mix for
consideration prior to the int►tallativn ofyour patio decking.
Please be reminded that once a Itomeowner installs custom concrete sudaces, bite Association baa no
responsibility fat nteletettattce or repairs for such modificattons. PCs the 'UcItittetutal Guidelinm
ttsle:rsrtee page 7. Sedan 6 - Patio Decking dt-Patio Exte miorns........"tars damage of change to the
aforementioned shall be at the Owner's expense." The conunittec rccovuneads that you mview the
enclosod_ape'ctficattons_ tot -the PGA _ -West concrete max forconsiderationprior to the ululation of
__� • patio docking. your
Please refer 'to page 7 of 20 of tlw Arehite:.tuml Rules and Application for Change, which
states...."Londseepe.�rrigrrtronidrolnage�Tl�htrng changes must -adhere to she orginal rheme mnless
vtherw4st apprm ed and wnv damage or change to At dfbhrmentioned shall de at the Ownrr',v expsnse.
&'view by the Committee is only for general eonfbnrumc with the architectural guidelines. It is the
responsibility of I'm owner to MY »ndaatand sad conform to the grcNtecual ruidelilm -Atcna wnethet
or not all &Acicncios are noted during rc iew. It is also the owner's NO responsibility to fiold vcrifv all
existing conditiotu. The Comrairee's decision with regard to project design will be final. Please tiler to
the Architectural Rulsa for all requimd subrnittpts.
PDDRESS
CITY OF LA W NT,A SUB -CONTRACTOR LIST
PERMIT. NUMBER - OWNER BUILDER
:pection Card at all times in a conspicuous Qlace. Only persons appearing on this list or their employees are authorized to work
f k d/or the voidance
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 o wor an
rm it. For each a licable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
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