08-0966 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: =06--000009-667--�
Property Address:
51360 CALLE HUENEME
APN:
770-164-007-18 -000000-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
15000
Applicant:vell"',
.
T -40
4t!t 4
Architect or Engineer:
Cp
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I amlicensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class 53 ense No.: 672453
te:tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 (5500).:
1 _ 1 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 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.).
(_ 1 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.).
(_ ) I am exempt under Sec. , B.&P.C. for this reason
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:
1 03 -
Lender's Address: P1 Pi
LQPERMIT
Owner:
JUAN RODRIGUEZ
51360 CALLE HUENEME
LA QUINTA, CA 92253 Adi
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/06/08
Contractor: JIQ�
SUNKISTPOOLS & RENOV`�TI S u �p
255 N EL CIELO RD #60,0 Cl ®(/
PALM SPRINGS, CA 92262 ---, C�OF
(760) 327-9422
Lic. N6.: 672453
WORKER'S 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 XEMPT Policy Number EXEMPT
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 s compensation provisions of Section
Da�/J� of the La r Code forthwith pl rhos
` O icant:
WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 information is correct. I agree to comply with all
cit and ount ord' ances and state laws relating to building construction, and hereb authorize rep semen rives
of the t port the ve•mentioned property r m ction pur
ate. Si ure (Applicant or Agent):
Application Number
08-00000966 `
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
12/03/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000'EA
-----------7-----------------------------------------------------------------
ELEC PRIVATE SWIMMING POOL
30.00
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
162.00 Plan Check Fee
105.30
Issue Date . . . .
Valuation
15000
Expiration Date
12/03/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
•117.00
Permit . . .
PLUMBING
'
Additional desc .
Permit Fee
27.00 Plan Check Fee
6.75.
- Issue Date
Valuation
- -0 --
Expiration Date
12/03/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00 -
1.00 6.0000
EA PLB FIXTURE
6.00
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. ALARMS/BARRIERS
SHALL BE IN PLACE
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited
-----------------=---------
Due
----------
Permit Fee Total
----------
234.00 .00 .00
----------
234.00
Plan Check Total
123.30 .00 .00
123.30 -
Grand Total
357.30 .00 00
357.30
LQPERMIT
T'
CITY' OF LA O.UINTA' SUB -CONT ACTOB LIC. T ' f� r` 1
JOB ADDRESS r��6i�' C�;�jle ��e� ei�^ PERMIT NUMBER OWNER'S t fir, i is ` '�:% BUILDERS. ,) �� - c .z".
This form shat( be posted on the.job with the Building )nspect(on Card at aff times in a conspicuoUsplace..Only persons appearing�� list or their employees are authorized to work
on this )ob. 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' o
o:
of building permit. For each applicable trade, all information requested below must be completed by applicant. ."On File" is not an acceptable response. 00:
Trade! Classification ... Contractor ,.:,'' ::.:...::°.r: ?._>:�.:5,,;>:<:;::.:,;.,,x.::;,:?,<?. S,tate.;Contracto.r..s lic.e•(t.s..9....:.. ..::....:..:..::.,.:: ,.,s,. ",....�' . •': ''' •' ?; 'W>:::o:.rr.'kC%e�Yris�..aC::qo;:n;,) ..e..Yntsi:ia�.g:o; n'F; In�'ssua r�ar:n:;c:ea,:.°:: .;r'c>:^i'•;.'>sss:a'..:..';
City.l3iiiiness ticensei'':• ::
Company Name
Classification
(e.g. A, B, C-8)
License Number
Ixxxxxx)
Exp. Date
Ixx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Data
(xx/xxlxx)
License Number
(xxxx)
Exp, Date
fxxlxx/xx)
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FLOORING IC :16).;"::
GLAZIWG IC`77)-'
INSULATION (Cc2). '
SEWAGE DISE�(C-42Y'
PAINTING (C=33).';
CERAMIC TILE (C-54) '
CABINETS IC -6)
FENCING IC -13) '
LANDSCAPING IG271.'.:'
POOL IC -531
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Bin #
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City Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S-1360 C
Owner's Name:
A. P. Number:
Address:'
Legal Description:
Contractor: � 1 15-7
City, ST, Zip: L4 Q(lt C-4 s•3
Telephone:
Address: aS5 /X), I' L Clf,`Z7� (D
Project Description: N L
/�
City, ST, Zip:
Telephone:
State Lic. # : 72 i 3
City Lic. #:
Arch., Engr.; Designer:
Address:
City, ST, Zip:
i
Telephone:
State Lic. #:
Name of Contact Person: I
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: Q h Cfld Estimated Value of Project: 4J161 C00,. 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
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
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P. '
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
jIg IAJ 1 r -
WL'ir
Proposed 5' high
brick wail
4"
5 v_
�0
0 /
Existing driveway
and sidedwalk
Customer Name: Juan Rodriguez
Address: 51360 Calle Hueneme
City: LQuinta
State/Zip: CA 92253
Phone:
Cell:
Email:
Alternate Contact:
Job #:
•1
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:I 60 go 00
i 0000
00 001
1 �, .4200 1
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POOL SPECS
Designer: Brady Leatherman
Address: 255 N. EI lelo Rd. #600
City: Palm Springs
State/Zip: CA 92262
Phone: 760-327-9422
Cell: 760-880-0114
Email: Brady@SunkistPools.com
Alternate Contact:
License #:672453
SIZE: 15'x 23 1/2'
SQFT: 240
DEPTH: T- 5'
PERIMETER: 63' 4"
EST TOTAL GALLONS:
SKIMMERS:
RETURNS:
INTERIOR MATERIAL:
SPECIAL'
TILE:
NOTES:
SPA SPILLWAY:
SPA SPECS
SIZE:
DEPTH:
EST TOTAL GALLONS:
RAISED HEIGHT:
RETURNS:
INTERIOR MATERIAL:
SPECIAL:
NOTES:
SQFT.
PERIMETER:
SPILLWAY:
SKIMMERS:
TILE:
PLUMBING
RETURNS:
SKIMMERS:
POOL MAIN DRAINS:
SPA MAIN DRAINS:
CLEANING SYSTEM:
HEADS:
— VAC LINES:
ROBOT VAC:
WATER FEATURES:
SPA SPILLWAY:
LIGHTS IN POOL:
LIGHTS IN SPA:
TOTAL PIPE:
SPECIAL:
NOTES:
DECK
DECK TYPE: Broom Finish/Color
ELEVATION:
TOTAL PECK SQFT: 205
PERIMETER: 85'4"
RAISED BEAPj j
LIP STYLE:
"MATERIAL 1:
MATERIAL 2:
SPECIA4
NOTES -:1
t
EQUIPMENT
i
POOL PUMP:
2ND PUMP:
FILTRATION:
FILTER SIZE:
HEATER:
INLINE:
TIMER:
GAS:
SPECIAL:
NOTES:+
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