05-3745 (RPL)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENTY*
BUILDING PERMIT -
Application Number: a-w0:5aQ900'374-5
Property Address:
8.0120 VIA PESSARO
APN:
772-550-020- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL..
Application valuation:
18000
Applicant:
Architect or Engineer:
'YL / OL-)
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
✓LiTnrisl iZuio
rce and effect.
License Class: L License No.: Z
�Contracto ,
Date:seQ
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): _
(_ 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.). i
(_ 1 1, 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.).
(_ 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:
LQPERMIT
Owner:
PRESTWICK DEV .
P O BOX 980
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
WCC: SEABRIGHT INS
WC: BB1050510
CSLB: 656128 .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
01/01/06
10./31/06
C
8/24/05
AUG 22nc5
C O �!
F� g . eu bra
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following.declarations: - -
-1 have and will maintain a certificate of consent to self -insure forworkers' 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 C8 C27 C29 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,.
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
/ / i 4
Dated _ T-1 icant:
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, 6r 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 county to enter upon the above-mentioned property.for inspection purposes.
Date' ?W'Signature (Applicant or Agen :
b
Application Numer
05-00003745
_
Permit
BLDG POOL PERMIT
Additional desc ".
• Permit Fee
189.00 Plan Check Fee
122.85 -
22.85•Issue-Date
Issue -Date_'
'Valuation
18000
Expiration Date
2/20/06.
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
2/20/06_
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
2/20/06
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
2/20/06
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 -
-
Bin. #
City of La Qulnta
Building & 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: ,F�o - 2 vCA[✓ L- C�,_Q C)
Owner's Name:
A. P. Number: :;
Address:
Legal Description:
City, ST, Zip:
Contractor. C DD
L Fa Ls
Telephone:
h one:
Address: D g®K a%0
Project Description:
City, ST, Zip: 660 e -A ed L 2-1-9t 3 0
Telephone: p_
O 2
State Lic. # City Lic. #;
s
Arch., Engr., Designer:
Address:
City., ST, Zip:
Construction Type: YP Occupancy:
Telephone:
State Lic. #:
Project a circle one : Ne Add'n Alter Repair J h'P i ) p Demo
Name of Contact Person: b A)
Sq. Ft.:
# Stories:
# Units: -
Telephone # of Contact Person: - �� '�,j��A �
Estimated Value of Project: p m m
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
a
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
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 corrections/issue
Developer Impact Fee.:
Plarzning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APPr
Date of permit issue
—
School Fees
Total Permit -'Fees
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CONSTRUCTION AUTHORIZATION
SPECIFICATIONS
SALES
FIELD
DIG
PERIMETER DEPTHS MIN. t'.< MAX.'"
SPA SPECIFICATIONS
PRE—GUNITE
SIZE 7_ X - SQ. FL
TILE TYPE + �
UNDERGROUND
WATER UNE
NO. OF JETS -
MASONRY
LIGHT 1 - ,
QUARTER ROUND
DECK
R.B.B. TIF --~
SPILLWAY TYPE 1 I LW % e e -"k LJ L.
PRE—PEBBLE
SPECIAL NOTES
SPECIFICATIONS
t
C� ti a. ��t _�'4 `
TYPE U * SIZE X'
SURFACE AREA OF POOL C) Z. s
PERIMETER DEPTHS MIN. t'.< MAX.'"
SPA SPECIFICATIONS
TILE
SIZE 7_ X - SQ. FL
TILE TYPE + �
SPA DAM WALL WIDTH
WATER UNE
NO. OF JETS -
TILE TRIM ^" "
LIGHT 1 - ,
QUARTER ROUND
RAISED SPA AT ---
R.B.B. TIF --~
SPILLWAY TYPE 1 I LW % e e -"k LJ L.
SPECIAL NOTES
DECKING
SQ'
EXCAVATION/ STEEL
TYPE e� cif- c�
FINISH
ACCESS FROM i �i �:'i.. a
EXPANSION JOINTS
ELEVATION 5 .
CANTILEVER
DEEP END RAMP ►"'
DECK DRAINS
LOVE SEAT ""
DECCO DRAIN
CONCRETE REMOVAL °" LOADS
CURB CORE
SOD REMOVAL " LOADS
STEPS
TREE REMOVAL BY
STEP FACE
IRRIGATION REMOVAL
TILE BASE
IRRIGATION REPAIR ' `
SAND AND VISQUEE
6' R.B.B. I, Ito
RIBBONS
12" R.B.B. ft,
MOW STRIP,"
18' R.B.B. ft•
24" R.B.B. '-.fL
30" R.B.B. ..- ft
TAN SHELF DEPTH
.-
MASONRY
Roar POCKS
COPING TYPE
CENTERS -��
R.B.B. FACING
SPILLWAY TYPE I I L to ) AY °`1424&ZE
STEPS =-
PROP. EXT. WALLS
PLUMBING„.. tt
FILTER LO^SIZE
n
POOL PUMP L-- I E• SIZE Z 1
PLANTER WALL '-
.�
�-' t”" 2 ' �'""� �
RETAINING WALLS '
BOOSTER PUMP SIZE
ADD'L PUMP L't SIZES
r^'
EQUIP. WALLS
FlREPIT ✓'
ADD'L PUMP SIZE ^ "`
HEATER I` SIZE
An?T
TIME CLOCK wt +
SUB PANEL
ADD'L OUTLETS
''��
O A' 0
SKIMMER TYPE t t- 1`'
FILL LINE . 7( 12
PEBBLE PLASTE
GAS UNE � 1 STI1BS 1-
LIGHTS POOL (1 � �jtN--.I`
FOUNTAINS/SPRAYHEADS Q. ap,) ly t 1( yl ,` �
LIGHTS SPA GS a +) �
ROLLED BOND BEAM
SHEER DESCENTS
BEHIND SPA
tt
LIGHTS IN POOL 0 � 0 ")IN SPACO � " 0
EYEBALLS f 4f. `"5
STUB SET EQUIPMENT
'b
FENCING
MISC. 1 'tC. , J � , th
PLUMBING SIZE Z Y Z:: 'S%J C,1 t O{ �. i k)1&
FENCE TYPE
HEIGHT
GATE
GATE REVERSAL
GU N I TE
DEEP END RAMP "
REMOVE dr RIE NGS
EXTENDED 2nd STEP,
LOVESEAT
EST. START t t
SPILLWAY TYP _ 1 l,�Z p",j_
CANTILEVER ^'"`
EST. COMPLETION -<
COPING �'
OTHER
R.B.B. - SEE STEEL "
OWNER RESPONSIBILITIES
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
'LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME HIDEAWAY LOT 206
STREET '�157',0 _ 1 -Z-, L) 5S�\i�.a
JOB ADDRESS HIDEAWAY ICITY LA QUINTA
PHONE OFFICE RES
LOT 206 TRACT PAGE BOOK
MAP BOOK PAGE NO, CITY
MAIL ADDRESS
CONSTRUCTI❑N OFFICE PHONE NO,
SCALE
DATE
DRAWN BY
SOLD BY
CHECKED BY
1/8"=1'
08-23-05
KP
GRAHAM
J❑B#
REVISIONS DATE
1
i'
BUILDING SAPET®( DEPT.
3
A rlt 11711
TION
4
asmy
-SELECTIONS
STONE
TILE
BOULDERS
DECK COLOR
JANDY
PEBB✓PLAS
SIGNATURE
DRAINAGE NOTE, Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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