11-0648 (RPL)4 P.O. BOX 1504 �^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/14/11
Application Number: 11-00000648 Owner: !1
Property Address: 79527 DANDELION DR HAROLD WILLIAMS
APN: 604-453-006-5 -29623 - 79527 DANDELION DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL f
Application valuation: 19000 11
Contractor:
Applicant: Architect or Engineer: CLASSIC POOLS & SPAS �'�,nQ UIIVp
79461 40TH AVENUE'I��%
BERMUDA DUNES, CA 92203
(760)345-8302
Lic. Noo..:: 634338
-------------------------------------------------------------------------------------------------
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 f the Business and Professionals Code, and my License is in full force and effect.
Lice se Class: C10 C5 11, License No.: 634338
ate:' Contractor. V( )Vii G ) CMylquLf:z
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 _ 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.l.
.(_ 1 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: a
LQPERMIT
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 MANFCTR ALLIANC Policy Number 2010010117887Z
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
�� X3700 of the Labor Code, I shall forthwith comply with those provisions.
B�ate. IN{ 11 icant:�i�IV1QQ
WARNING: FAIL 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 ($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 this cumy to enter upon a above-mentioned property for inspection purposes. 6r
De 'U� ct R
r l Si ature (Applicant or Agent): V u OU i f I u%e-Z
Application Number . . . . . 11-00000648
Permit
. . . BLDG POOL PERMIT
'
Additional
desc .
Permit Fee
. . . . 198.00 Plan Check Fee
128.70
Issue Date
. . . . Valuation . . .
. 19000
Expiration
Date 12/11/11
Qty Unit Charge Per
Extension
BASE FEE
45.00
17.00
---------------------------7------------------------------------------------
9.0000 THOU BLDG 2,001-25,000
153.00
Permit
. . . MECH POOL
Additional
desc .
Permit Fee
. . . . 26.00 Plan Check Fee
6.50
Issue Date
. . . . Valuation . . .
. 0
Expiration
Date .12/11/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00
-----------------------------------------------------------
11.0000 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 12/11/11
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 12/11/11
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
Permit . .
. . . WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 11-00000648
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 240
Expiration Date 12/11/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 15 L.F. 4' SCREEN WALL, CITY
STANDARD. ALARMS/BARRIERS. SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. 2010
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . : BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 317.00 .00 ..00
317.00
Plan Check Total 154.70 .00 .00
154.70
Other Fee Total 1.00 .00 .00
1.00
Grand Total 472.70 .00 .00
472.70
LQPERMIT
Bin #
City Of is Quinta .
Building 8t Safety Division
P.O.-Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building.Permit Application and Tracking Sheet
Permit #
11 �V
Project Address:
Owner's Name: �ACkC LU ((P,
A. P. Number:
Address: % I - 5 a
Legal Description:
City, ST, Zip: J,
Contractor: S 1' 0 0 C S
l 1.1 S
ILL
Telephone:.•.:'
.,'''' y' ,�
�::
Address: '7 4' LI Ll Lo "-k/ 4 V
Project Descriptions:
City, ST, Zip: ril r `Z, (LO
0 C9 ` •i
Telephone: -26u- 3 YS-
;.F \� Y.;:<•,. ;
City Lie. #: / Ol al 0
LF UJA(( .
State Lic. # M
'� �' -3-
,Arch.,
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: Y ;>0. •
State Lic.
Construction Type: Occupancy:
Project type (circle one): a Add'n Alter Repair Demo
Name of Contact Person:(Ah r
Sq. Ft.: S p
# Stories: # Units:
Telephone # of Contact Person: 7 U - 3 _
Estimated Value of Project: C7 d
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec"d
TRACKING PERMIT FEES
PIaa Sets
Plan Check submitted Item Amount
Structural Calts.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Title 24 Calcs.
Pians picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading pian
2" 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 correction&rssue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
, —+18" PLANTER WALL PROPERTY WALL __+18" PLANTER WALL
in
DRAIN LINE
BY OTHERS 5'
.a
W
a
0
x
a
EXISTING
RESIDENCE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
DATE 6o _-6_-_d_ BY IGlC.
AREA SCHEDULE
POOL
280 5q. Ft.
POOL PERIMETER
11 Ln. Ft.
POOL GOPING
b4 5q. Ft.
5PA
34 Sq. Ft.
5PA PERIMETER
22 Ln. Ft.
5PA SPILLWAY
b Ln. Ft.
5PA GOPIN6
33 5q. Ft.
RAISED BOND -BEAM
3l 5q. Ft.
PAYERS
b50 5q Ft.
GA5 LINE
150 Ln. Ft.
+18' RA15ED PLANTER WALL
38 Ln. Ft.
+5' EG111PMENT BLOCK WALL
135 Ln. Ft.
OWICE
POOL $ SPA MATERIAL SCHEDULE
GAS
I. POOL DECK PAVERS, COLOR TO BE SELECTED
2. SPA SPILL MY
3. SPA AT ZERO ELEVATION, WITH A LIGHT BROOM FINISH ON COLORED CONCRETE COPING
4. SPA WATERLINE TILE TO BE SELECTED
5. POOL COPING: TO BE 18" AIDE, WITH A LIGHT BROOM FIN15H
b. POOL WATER LINE TILE TO BE SELECTED
T RAISED BOND BEAM +18" WITH A LIGHT BROOM FINISH ON COLORED CONCRETE COPING
8. THREE, 18" WIDE SHEER DESCENTS ON RAISED BOND BEAM
9. RAISED BOND BEAM TO HAVE STONE ON POOL SIDE, STONE TO BE SELECTED
10. RA15ED BOND BEAM TO HAVE 57X,00 VENEER FIN15H ON THE BACK 51DE
11. POOL AND SPA TO HAVE PEBBLE TECH PLASTER, COLOR TO BE SELECTED
12. POOL LIGHT
13. SPA LIGHT
14. STEP SIZE TO BE SELECTED
ELEC.
PANE'.
V
GATE
-roe
�Cassic
Pools I spas
ED -7 -mu
(7b0)4454302
LIC# CIO C53 #634338
NAME, WILLIAM RESIDENCE
ADDRESS, 79-527 DANDELI❑N DR.
CITY, LA QUINTA, CA
THESE PLANS, DRAWINGS AND SPECIFICATIONS ARE NOT TO BE REPRODUCED,
CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT TBEPHASES --TRACT, - L❑T# -
EXPRESSED WRITTEN CONSENT OF CLASSIC POOLS/SPAS SCALE: 1/8'=l' -o//