05-4489 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00004489
Property Address: 48781 LEGACY DR
APN: 658-130-011-7 -31379 -
Application description: POOL - COMMERCIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 78281
Applicant:
1. A1/A
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CENTEX HOMES
2275 CORPORATE CIR #230
HENDERSON, NV 89074
Dntractor:
NTEX HOMES
I 23 AURARIA PARKWAY, STE 400
3 ZOONVER, CO 80204
�a.20)279-6600
CV_0FLA8111u�C. No.: 825943
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 Code, and my License is in full force and effect.
License Cl ss'
-B Li c se No.: 825943
oMractor::
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 ($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, 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.).
(_) 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: //,,��
Lender's Address: / 1
LQPERAIIT
VOICE (760) 777-'tOff n
FAX (760) 777-7011 '4
INSPECTIONS (760) 777-7153 i,
Date: 10/07/05
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 LOCKTON CO Policy Number WC832209709
_ 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 workers' compensation provisions of Section
700 of the Labor Co II fo ith p ith those provisions.
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'] 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 builPor
p, and hereby authorize representatives
of t` caow,y o enter upon the above-mentioned pro ec ur
'ate710 � 0 Signature
nat(Applicant or Agent):
LQPERDIIT
Application Number
05-00004489
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
37.50 Plan Check Fee
9.38
Issue Date . . . .
Valuation
0
Expiration Date
4/05/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 7.5000
----------------------------------------------------------------------------
EA ELEC PWR APP >1 TO <=10
22.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
37.00 Plan Check Fee
9.25
Issue Date . . . .
Valuation_ . . .
. 0
_
Expiration'Date
4/05/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 11.0000
---- -----------------------------------------------------------------------
EA MECH FURNACE >100K
22.00
Permit . . .
PLUMBING
Additional desc
_.
Permit Fee
33.00 Plan Check Fee
8.25
Issue Date . . . . ,.
Valuation
0
Expiration Date . .
4/05/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12:00
i.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 . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
527.00 Plan Check Fee
342.55
Issue Date . . . .
Valuation
75000
Expiration Date
4/05/06
Qty Unit Charge
Per
Extension
BASE FEE
414.50
25.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
112.50
Permit . . . . . .
WALL/FENCE PERMIT INV FEE
LQPERDIIT
LQPERMIT
Application Number . . . . . 05-00004489
r
LQPERMIT
Application Number . . . . . 05-00004489
Permit . . . WALL/FENCE PERMIT
INV FEE
Additional desc
Permit Fee . . . . 126'.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 3281
Expiration Date 4/05/06
Qty Unit Charge Per
Extension
BASE FEE,
90.00
2.00 18.0000 THOU BLDG 2,001-25,000
36.00
----------------------------------------------------------------------------
Special Notes and .Comments
COMMERICAL POOL/SPA. PERMIT INCLUDES
186 LF.IRON FENCE & 68 LF. BLOCK WALL
6' HIGH (ORCO SYSTEM)
Fee summary Charged Paid
Credited
Due ,
----------- - - - - ------ - - - - ------ - - -
Permit Fee Total 760.50
- ------ - - -
.00
- ---
.00
--- - - - - -- -
760.50
Plan Check Total 369.43
.00
.00
369.43
Grand Total 1129.93
.00
.00
1129.93
Bin fl
\ City; of LaQuintj
(,. Building 8t• Safety Division
Permit # P.O. Box 1504, 78-495 Cape Tampico
�� La Quinta, CA 922S3 - (760) 777-7012
Building Permit
_ - r Application and .Tracking Sheet
Project Address:_ _..._
78f_��='� _ Owner's Name:
A- P. Number:
Address: /. —/
Legal Description:
City, ST, Zip:
ljYlli� Telephone - �
Address:
Project Description:
Cit), ST, zip:
P. art UEst�� c �-i-z
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' Tele hone: —
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State Lic. # : 1) City Lic. #: OC
Arch., Engr., Designer:
Address:
G F. - 2o�c�r ► •
City, ST, Zip:. 2erJ 6
Telephone:
L F SLoGG ` ` B2Eo S sz
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Name of Contact Person:
q� #Stories: #Units:.
Telephone # of Contact Perxon: /�
f lv'Jt� Estimated Value of Projeci`. „'
71
ikPPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal Req'd ec'd
�L TR4CI:INC PERMIT FEES
Plan Stu I r D Plan Check submitted
Item Amount
Structural Calcs. Reviewed, ready for corrections
amJ.
� Plan Check Deposit
Truss Calcs. .Called Contact Person �–
�J Plan'Check Balance
Title -24 Calcs:
Plans picked up
Gt:/ Construction
Flood plaiir -plan..Plans resubmitted
Aiechanical �1 .
Grading plan
:2" Review, read}• for eorrectionsrssue
Electrical
Subeontactor 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
3 281
1
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH
ENVIRONMENTAL HEALTH SERVICES DIVISION
POOL AND SPA PLAN CORRECTION
Area # IV PLAN # IVP05-006
DATE: 3/8/2005
PROJECT NAME: Legacy Villas
PROJECT LOCATION: Eisenhower, La Quinta
OWNER/CONTRACTOR:
The plans are now approved subject to the conditions listed below:
1. If the pool's air gap is located at a remote location outside the equipment enclosure, install a sight glass in the back wash
line
2. The restroom and shower details provided by you have been incorporated into the plans. These facilities must be
constructed and fully operational prior to issuance of a permit. Per architect, Mark Holden, restrooms are located within 300' of
the pool for all users.
3. Provide written approval from the Environmental Resources Division offices at 82675 Highway 111, Room 209 Indio CA:
telephone (760)863-7000, for the sizing of the waste water discharge from the backwash for the pool(s) and/or spa(s) on these
plans. This information must be provided prior to the commencement of any field or site inspections
4. Chlorinators are to be installed downstream of the heaters. An approved check valve is to be installed upstream of the
chlorinator and downstream of the heater in the return line to the pool.
5. Spa suction anti -vortex covers are to be within two inches of the bottom of the spa.
6. There are to be no shrubs, trees planters, etc. within four feet of any pool or spa.
7. Provide effluent pressure gauges on the pool and spa equipment immediate downstream of the filter and upstream of the
heater. They are to be within one foot of the same level as the influent gauge which may be found on the filter.
8. Provide separate waste discharge lines for each recirculation system. Do not join the spa and pool waste lines together.
They may discharge into the same receptor.
9. The flow meter is to be located on a straight run of piping at least four (4) pipe diameters downstream of any bend or elbow
and 10 pipe diameters upstream of any elbow. (Example: for a 2.5" pipe use 10 inches upstream and 25 inches downstream).
-CONSTRUCTION INSPECTIONS: Contact the Plan Checker for pre-gunite, pre -plaster and final
inspections at least five (5) working days in advance. All three inspections must be completed prior to
issuance of a permit.
- A FINAL INSPECTION MUST be made upon completion of all work including fencing, safety
equipment, signs and support facilities such as restrooms.
- APPROVAL to operate shall not be granted until the facility has passed the FINAL INSPECTION, and
"APPLICATION TO OPERATE", has been completed and PERMIT fees have been paid.
PLAN CHECK BY: Jerry Dubin Phone (760) 320-1048
1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during
construction:
Signature
.Company �%�
7
it
COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
ENVIRONMENTAL HEALTH SERVICES
SUPPLEMENTAL REPORT TO SAN. FORM # DATE
1
SUBJECT 'A' Cel yl- //a $ PERMIT NO.
ADDRESS -7 7
INSPECTOR �T
REMARKS:
ff
li
DEH -SAN -1 18 (Rev 8/02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office