14144 (RPL)4
P.O. BOX 1504
Building 78-105 57--464 INTERLACHM LA QUINTAC
AddrF?ss CALIFORNIA 92253
Owner
BILL A&BM
Mailin
Address
City T564-
Contractor
DODSON POLLS
68-805—A PEREZ RD 89
City C—C ZIP 92.234 Tela 324-Y1232
State Lic. City
& Classif. 574127 Lic. # 1644
-Arch., Engr.-,
Designer
Address I Tel.
City ]ZipState
(
Lic. #
LICENSED CONTRACTOR'S DECLARATION
(,hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3rof the'Busiinne„ss and Professions Code, and my license is in full force �and ,r
SIGNATURE lA ,f/ DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
. reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to lite a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that' such 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 did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
_ I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Com�letfsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o. Company:
❑Copy is filed with the city.' -❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
• WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you .should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 14144
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description POOL & SPA
7.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback fpbackine
Side Street Set
Side Setback frFINAL DATE Issued by: DateValidated by:
Validation: l
Sq. Ft.
Size..
�V
No. No. Dw.
Stories Units
New Q Add ❑
Alter ❑ Repair ❑ -Demolition ❑ _ ^
1 ..
Estimated Valuation
17,000
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
] ] (}
Const.
i $
Mech.
24.00
Electrical
45.00
Plumbing
27.00
S.M.L.
Grading
,
Driveway Enc. "
Infrastructure
r
TOTAL
393. QQ
REMARKS
7.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback fpbackine
Side Street Set
Side Setback frFINAL DATE Issued by: DateValidated by:
Validation: l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. p $
UNITS
COLL. AREA
t.
ROUGH PLUMB.
YARD SPKLR SYSTEM 4
2ND FL. SQ. FT. p
HEATING (ROUGH)
STORAGE TANK
POR. SQ. FT. p
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. p
POWER OUTLET
ROOF DRAINS f
I"
FOUND. REINF.
AS (ROUGH) G" G `(
DRAINAGE PIPING
CAR P. SO. FT. p
HEATING (FINAL)
OTHER APPJEQUIP.
WALL SO. FT. p
GAS (FINAL)
DRINKING FOUNTAIN.
SQ. FT. p
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER HEATER
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP ,� f�l/
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED 'GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. p c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID p 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR p 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUM&. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBIN & -f
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
UGH WIRING/6. L/ 6i
[
DUCT WORK
ROCK STORAGE
FOUND. REINF.
AS (ROUGH) G" G `(
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FINAL INSP ,� f�l/
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
�x
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
/A
FINAL INSPECTION//
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
C-ITY OF LA QU`INV P.A
BUILDING & -.SAFETY DEPAE_' MEN i
CONDITIONALLY
ACCE D FOR CONSTRUCT:_?"°d.
-SU0,jE'C T TO INSTALLATION NS,';
ANDALLAPPLICABLE C `S
DATE B
POOL AREA TO BE EnICl—OSE�"BY
.MINIMUM 5 FT. HIGH FENCE.
ALL GATES TO BE SELF-CLOSING
AND SELF -LATCHING,
engineerging includes
required building surcharge
steel reinforcement
�m
em
36'
switches for:spa light dimmer(1) 100w •entry.
pool light dimmer(3) 100wall decking and cantilever by owner
waterfall on/off (not b DODSON POOLS
heat on fors a
J boxes for lights
-4• I -- 38'
• ; - - 11.5' E -5'
waterline tile in pool and spa
to be group 3 (3"x 3") 6" high .
DSF 5
spa raised +18"
w/ cant rrete cap
(by others)
air switch at spa
turns on 8 iets
BACKHOE ACCESS
FROM EMPTY LOT
gates
from
street
2.75'
i'
2.75'
15 sqft of "white MUM
arrara' splitface marble
n18" wide spa wall
or stairstep waterfall
1.
I
+O CFI;
I
SPA SPECS.
SIZE lap x t
sq
RAISED +18" ,
LITE 100 WATTS
TRI LEVEL SEATSyes
22" 24" 27"
DAMWALL WIDTH 18"
SPILLWAY SIZE stairstep "
OPEN xx CLOSED
JETS.#_8
INCLUDES STARTUP
AND 30 DAY SERVICE
GENERAL SPECIFICATIONS
SIZE 11.5 X 38 AREA 354s ft
DEPTH 4' to 5' to 4'
SHAPE -oust. PERIMETER 96
TILE SIZE 3" group 3 (6" total)
TILE COLOR DSF 75 MARINE
RAISE BEAM 9' Ion dam +18"
42' trim tile all steps & benches
POOL CAPACITY 11,820 GALS
PUMP CAPACITY 100 GPM
MOTOR HP sta max 2 HP2hjp
FILTER starite system 300 SQ FT
FILTER RATE 100 GPM
TURNOVER 2.5 HRS
RETURN LINES. yes
sta max 2 waterfall pump 1.ShlY
MAIN DRAIN 2" - 11
-
SKIMMER MODEL 2" dual port
CHECK VALVE for spa
HEATER LAARS SIZE 400,000 BTU
GASLINE BY S.D.C. hookup only
POOL. LIGHT(3) 100 w
SPA LIGHT (1) 100 w.
CLOCK'24hr 220v
ELECTRIC BY S.D.C. 226'
ELECTRICAL BONDING BY: S.D.C.
TILE AND COPING S.D.C.
DECKING BY OTHERS
pool / spa equip.
1.5" gas stuubed from meters
50 amp electric stub at equip. by other
SH ROOM
OS -A PEREZ RD. STE. E-9
ATHEDRAL CITY CA. 92234 -
PHONE (619) 324-1232
LIC # A-574127
Jeffrey Lanib
6' long sheer descent waterfall
(centered on wall and
set 6" below top of wall)
CONTRACTOR cannot assume`
responsibility for damage to.
curbs, sidewalks, driveways,
98sgft of "white carrara".
splitface marble on front, top,
and e, osed sides of walls. '
cement slabs, sewers, .
lawns,trees, fences, retaining .
walls, sprinklers, telephone lines ' .
or shrubs. When access is made .
through a neighbor's property it is
understood that you; the owner, .
have that neighbor's permission
and assume full responsibility.
+5' raised -wall (14.5' long x 12"deep)
and two 30" raised walls (2.75' long x
12" deep) are by owner
pool / spa equip.
1.5" gas stuubed from meters
50 amp electric stub at equip. by other
SH ROOM
OS -A PEREZ RD. STE. E-9
ATHEDRAL CITY CA. 92234 -
PHONE (619) 324-1232
LIC # A-574127
Jeffrey Lanib