05-2147 (RPL)P.O. BOX 1504
78-495 CALLE_ TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00002147 l .
Property Address: 45905 LA FLOR LN
APN: 111604-460.-024-24 -29563 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18000
T-&t
40"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I her by affirm under enol perjury that I am licensed under provisions
^ofChapter 9 (commencing with
S tion 7000) of D' , 3 e Business and Professionals Code, and
gtNrq�ce and effect.
/,cense lass: - License No
c Date Contra
OWNER -BUILD R 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 MOO).:
(_) 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 irgprovement 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—) 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: _
Lender's Address:
LQPERMIT
Owner:
CLARK
45-905 LA FLOR LANE
LA QUINTA, CA 92253
Contractor:
AZURE POOLS AND SPAS
WCC: STATE FUND
WC: 1705853
CSLB: 802919
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/03/05
---------------- 7 --
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 C53 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' compensation laws of California,
andZee that, if I should come subject to the workers' compensation provisions of Section
(��j' E�0 of the Labor Code I s II forth comply with those provisions.
t
141p; 1� Applicants
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of IN c ty t emp orpon the above-mentioned property f , spection urposes
Dai . ignature (Applicant or Agent)
• Application Number . . . . 05-000.02147
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee 189.00, Plan Check Fee
122.85
. Issue Date . . . . Valuation . . .
. 18000
Expiration Date 11/30/05
Qty Unit Charge Per
Extension
- BASE FEE•
45.00
16.00 9.0000 THOU BLDG 2,001-25,000
--------------------------=-----------------------------------
144.00
--------------
Permit MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee
6.50
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/30/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0.000 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 . . 11/30/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 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 11/30/05
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
LQPERMIT
Application
Number 05-00002147
-----------------------------------------------------------------------------
Special Notes
and Comments
BE IN PLACE
PRIOR TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee summary
'Charged Paid
Credited
Due
Permit Fee
Total 293.00 .00
.00
293.00
Plan Check
Total 148.85 .00
.00
148.85
Grand Total
441.85 .00
'.00
441_85
Bin d
Permit #
Project Address: t;
A. P. Number:
City of La Quin
ta
Building 8t Safety Division
P.O. Box, 1504,•78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking ShPPr
Contractor:"
,
Address: k
VV _l /
o
City, ST, Zip:
zzX
Telephone: 2
Z 2
City, ST, Zip: Al Lo .
State Lic. # l
City Lic #:
Arch., Engr., Designer: .
Address:
Project Description:
Citv, ST, Zip:
Telephone:
State Ltc. #•
Name of Contact Person:'
Telephone # of Contact Person:
1�<.
APPLICANT: DO N(
# Submittal Req'd Rec'd
Plan Sets
Plan Check submit
Structural Calcs.
Reviewed, readi.I fo
Truss Calcs.
Called Contact Per
Title 24 Calcs.
Plans picked up
Flood plain plan
Plans resubmitted
Grading plan
2"d Review, ready f
Subcontactor List
Called Contact Per.
Grant Deed
Plans picked up
II.O.A. Approval
Plans resubmitted
IN IIOUSE:-
'"° Review, ready fo
Planning Approval
Called Contact Per.
FPub. Wks. Appr
:::JDate of permit issue
School Fees
Owner's Name:
Address:
Z -K
City, ST, Zip: Al Lo .
Telephone:
Project Description:
...............
Construction on Type:
Pe•
Occu ane �•
P _
Ppe (circle one)..
New Add'n Alter Repair Demo
J]E5stimat,d
# Stories: # Units:
Value of Project:
1 0 l Coo—
IT WRITE BELOW THIS LINE
TRACKING
PERMIT FEES
ed
16/2
Item
Amount
corrections
Plan Check Deposit
on
Plan Check Balance
Construction
Mechanical
r corrections/issue
Electrical
on
Plumbing
S.11I.1.
Grading
corrections/issue
Developer Impact Fee
on
A.I.P.P.
Total Permit Fees
P/L
AZURE
POOLS'& SPAS -
m � 4,,-g„ R P.E.
� t
LIC# C-53, 802919
� 6'-0".R -
POOL SPECS '
5'-3" R
POOL SIZE: 15'X 30' P/L
POOL AREA: 424 SF 131-2t' -'
POOL PER: 102 FT 4' -0" R
' 4'_9" R 3'-6" R
POOL DEPTH:
6'-0" R
SPA SPECS ;
SPA S Z :7' D BEACH ENTRANCE 4' -6" R g _g�� SPA +18"
WITH STACKED
SPA AREA: 38 SF QUARTZITE
SPA PER: 22 FT 4v _31f R SPILLWAY
EQUIPMENT 5' -3" R
PUMP:
P/L I
FILTER: c k
HEATER:- - \ 4'-3" R
POOL LIGHT:
SPA LIGHT:
FINISHES
DECK AREA: 548 SF
PLASTER:
TILE:
i
CITY OF LA QUINT ,
BUILDING & SAFETY DEP i
1"=8' SCALE APPROV D
FOR CONSTRUCTION
CLARK DA-M BY �^
RESIDENCE
ADDRESS: 4
CITY: 14!S 44
LOT # : N . L&