13-1357 (RPL)P.O. BOX 1504 4 aCP
Qum&
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00001357
Property Address: 81095 GIACOMO WY
Z APN: 767-320-999-276 -32879 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18000
Applicant: Architect or Engineer:
- A/4-
------------------
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 Profes 'onals Code, and my License is in full force and effect.
License Class: C53//''�� License No.: 912619
Date: �T gontractor:
//�� O DCLARATION
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 1$5001.:
1 _ 1 1, 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.).
(_ 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 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:
LINDA WOODY
81095 GIACOMO WAY
LA QUINTA, CA 92253
•(
Contractor:
PALOMAR POOLS
69676 PLEASANT GROVE
CATHEDRAL CITY, CA 92234
(760)774-7624
Lic. No.: 912619
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/23/13
D a a
OCT 25 2013
CITY OF LA QUINTA
FINANCE DEPT.
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 EXEMPT Policy Number EXEMPT
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 fo with comply with those provisions.
Date: Applicant:
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, indemnity 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 county to enter upon the above-mentioned propertyfor ins tion p oses.
Date: / Signature (Applicant or Ager /�
o.
21
LQPERMIT
Application Number . . . . . 13-00001357
Permit ELECTRICAL 2013
Additional desc . .
• Permit Fee . . . . 23.83 Plan Check
Fee
.00
Issue Date . . Valuation
. . .
. 0
Expiration Date 4/21/14
` Qty Unit Charge Per
Extension
1.00 23:8300 LS ELEC DEVICES, FIRST 20
----------------------------------------------------------------------------
23.83
Permit POOL 2013
Additional desc .
Permit Fee . . . . 178.75 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 4/21/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
----------------------------------------------------------------------------
178.75
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee . . . . 11.92 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date . . 4/21/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
ADD SPA TO EXISTING POOL EXTEND BBQ
COUNTER PER 2010 CODES APPROVEDE S.T.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
----------
Due
-----------------------------------------------
Permit Fee Total 214.50 .00
.00
214.50
Plan Check Total .00 .00
.00
.00
Other Fee Total 98.24 .00
.00
98.24
Grand Total 312.74 .00
.00
312.74
LQPERMIT
Bin #
City Of La QUinta
Building 8T SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # n
I
Vp
Project Address: % `— Cp l C d rw
Owner's Name: O
A. P. Number:
Address: _ , (A,
Legal Description:
City, ST, Zip: V i
Contractor:
QQ
Telephone:—
• i + i°
Address: _ .( Q l
Project Description: d......
City, ST, Zip: S l MS CA 5 1 (o
d
Telephone: Q_ l — '44 2;1(
State Lic. # : City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
p
::::;::i>.::.':.::..':s«::;:<:t::<;;;<;;i:.>:; ::::;
::»:�.:.�>.<>:<>::`«:::>:�'�»�>>:i •.<::w:::•:i;>'-.
x:: r.ci s' }•ji! hii 5 :i%}v{?:f.:n>.::i:?vy$nj (:iv
:• <:..;•::••,:':::;�::'�' ::•;.<;;.;:,r,<i:;<
Construction Type: Occupancy.
State Lic. #•
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Y C
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: (
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd Rec'd TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
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 correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
ermit issue
School Fees
GITYF LA QUINTA
& SAFETY DEPT.
APPRUVLU
Total Permit Fees
vn �.t✓lvs I MUCT•ION
DATE ie��5I I �Y
thel f tyc4� BY P& DATE IA -3 WOODY
77725 Enfield Lane, #130 REVISED 81-095 Giacomo Way
Palm Desert, CA 92211 La Ovinta, CA 92255
<760) 772-4411 FAX (760) 772-4409
drpflyeool.com
PROJECT: PALOMAR POOLS
51-225 Sierra del 5oI
Thousand Palms, GA 92216
(160) 114-1624
GUNITE 57RENGTH: f'c = 2500 1051 MIN. AT 28 -DAYS
STEEL STRENGTH: Fy = 40 K51, GRADE 40, ASTM A615
MIN. LAP: #5 BAR = 16"
MIN. LAP: #4 BAR = 24"
DECK OR CAP 12"
#3 VERT. BARS
AT 12" O.C.
EACH FACE
L Q
00 vi (L 3„ .
FIN. SURFACE
#3 HOR I Z
BARS @ 12"
NEW SPA
-243 BOND BM.
WATER SWRFACE
18"
3" -
- N
aD
PAGE I
OF�_
Q�pFESS10� �
No. 33446
6-30-1-t
V�
O
F C OA ,
#3 BARS AT 6" O.C. VERT. &
12" #3 BARS AT 12" O.C. HORIZ. (TYP.)
'6" TYP. FLOOR'\`'
SECTION WITH #31,
NOTE: PROVIDE (2) ANTI_VORTEX/\\/�\\//\�
DRAINS. ONE LOCATED IN SPA FLOOR\\
AND ONE LOCATED ON SIDE OF SPA SEAT
3" ABOVE SPA FLOOR, PER IAPMO POOL
AND SPA CODE.
ry nnni
WATER SURFACE
0
CnEXISTING
Z: POOL
ui
J
oa
w�
ch o
J
= o
:o CL CL
ui
a N
57 x
w
DOWEL INTO
EX. POOL
WALL WITH
SIMPSON SET EPDXY
ICC -ES ESR -2508
SP. INSP. REQ'D
50ALE: 5/8" = 1'-0"
NEW RAISED SPA . I A
GRIFFIN RANCH HOMEOWNERS ASSOCIATION
Professionally managed by
Personalized
Property
Management
October 13, 2013
LINDA WOODY
FREDRICK DAVIDSON
1444 SANDHURST PLACE
WEST VANCOUVER, B.C., V75 2P3
68-950 Adelina Road
Cathedral City, CA 92234
Phone: (760) 325-9500
Fax: (760) 325-9300
Re: Architectural application approval for addition of spa & bar counter; 81-095 Giacomo Way,
Grim Ranch Homeowners Association.
Dear Ms. Woody & Mr. Davidson:
The Architectural Committee has reviewed your request for the addition of a spa and bar
counter to be added to the backyard at your home, per the application and plans submitted. We
appreciate your adhering to the Architectural Guidelines and procedures as part of this exciting
project with your submission of all of the proper forms, application and such detailed plans.
After review of the materials submitted, the Architectural Committee has approved your
proposed installation as submitted. With receipt of this letter, you may move forward with your
project in conjunction with the specifications set forth and approved. A reminder that any fees
or City permits necessary would be the responsibility of the homeowner to obtain in advance of
this undertaking.
Again, we appreciate the time and proper course of action you have taken in the planning of
this exciting project and look forward to sharing in this outcome and finished product with you,
as your neighbors. We wish you the best in your endeavor!
FOR THE GRIFFIN RANCH HOMEOWNERS ASSOCIA TION
BOARD OF DIRECTORS
Sincerely,
Michael W. Livingston CCAM
Community Manager
cc:`Board of Directors
Tim ]achlewski, Consulting Architect
File.
GRIFFIN RANCH
HOMEOWNERS ASSOCIATION
68-950 Adelina Road, Cathedral City, CA 92234
ARCHITECTURAL VARIANCE REQUEST
UNIT ADDRESSA\ A-3 (2tkCOKa �� �iR `�M)f6-UNIT NUMBER:
HOMEOWNER:�ktAw Wf3 oA t+aleZ�ck� \�S�ry DATE: 10 13
MAIL ADDRESS: PHONE: -
vJ�, �a-t�c.o�vq� �-c VL'lS aP3
PROPOSED
CHANGE:��1
You are hereby advised that the above-described work is proposed for the above-described unit and
approval thereof is requested.
Attached are i sets of drawings of the work to be done and a complete description of the materials to
be used. Also enclosed is a $2,500 security deposit for pool installations and a $50.00 review fee (check to
Griffin Ranch HOA)
I/We understand that building permits for home improvements may be required by the City of La Quinta,
and the cost of the permits, the responsibility for obtaining the permits and subsequent inspections will be
borne by the applicant.
I/We acknowledge that all approved changes in the original design will be at our expense, that any damage
to or relocation of existing sprinkler systems, underground utilities, building structure, exterior landscaping
or any other damage resulting from implementation of these permitted improvements will be at the
applicants expense.
The work will require days from start to completion. Must begin within 45 days and completed
within 90 days of approval.
I/We understand and agree that it is the applicant's responsibility to advise any subsequent owner of the
modifications and any subsequent maintenance responsibility.
Signature(s) of all o !% _ _ Date:
_..._
i .... Date: \0 13
The above reques!_hareviewed by the Architectural Committee on and has been:
APPROVED oV REJECTED( ) PENDING FURTHER INFORMATION ( )
COMMENTS:
Approved by `� - ` Date:
Architectural( ommittee
I
"' "& f tyCng, `i """"• ew BY J21�f DATE ` I3 WOODY a 13 -Pp
77725 Enfield Lane, #130 REVISED 61-095 &iacomo Way
Palm Desert, CA 92211 La Ovinta, GA 92255 PAGE
(760) 772-4411 FAX (760) 772-4409 OF�_
drpfly@aol.com
PROJECT: PALOMAR POOLS
51-225 Sierra del 5oI
Thousand Palms, GA 922'16
060) 174-1624
&UNITE STRENGTH: P'c = 2500 PSI MIN. AT 25 -DAYS
STEEL 5TREN&TH: Fy = 40 KSI, &RADE 40, ASTM A615
MIN. LAP: #5 BAR = 16"
MIN. LAP: #4 BAR = 24"
DECK OR CAP -
#3 VERT. BARS
AT 12" O.C.
EACH FACE
LLJ t0
co 0 a- 3..
FIN. SURFACE
NEW SPA
12" 12"
�,-243 BOND BM.
WATER
18"
3„
N
#3 HORIZ \N -
BARS @ 12" O.C.
/ r
6" TYP. FLOOR ���/� �7'
SECTION WITH #3
@12" O.C.
��QPo�Essro'�t
tea' Rp�i�6b �
® No.33446
Exp. 6-30- J+ 4
CIV %
_#3 BARS AT 6° O.C. VERT. &
#3 BARS AT 12" O.C. HORIZ. (TYP.)
RFACE
EX. POOL
J
Q
o�
- ")
��:
101
WATER SURFACE
o
6" MIN 1
= o
CL w
�=
m
EXISTING
LU
`'' z
ui
POOL
x
a
Z x
-11
lie Uj
NOTE: PROVIDE (2) ANTI-VORTEX;���;���;����'
DRAINS. ONE LOCATED IN SPA FLOOR
AND ONE LOCATED ON SIDE OF SPA SEAT
3" ABOVE SPA FLOOR, PER IAPMO POOL
AND SPA CODE.
DOWEL INTO
EX. POOL
WALL WITH
SIMPSON SET EPDXY
ICC -ES ESR -2508
SP. INSP. REQ'D
SCALE: 5/w = r -on
I NEW RA15FED SPA I A �
CITY -OF LA QU'INTA-SUB-CONTRACTOR LIST l
JOB ADDRESS 01 C� PERMIT NUMBER iJ (� OWNER L t a � �.�_j
„ 6 0 k ! i BUILDER U �
This form shall be posted on the job, with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to worl
on this job. Any -changes to this list Must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidanc(
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
ra at
Trade/ Classification
T ion
!
-."'CdAtract :::: ...
,
C clot : .:.:
....:...;.:.::.::.,; :., .. , :.:::::::....
:;•::::>::::.::t::::<:::State::Contra :.
:•....... ctor.s License .. ....:.
:: :::::: .: :...::.::. :. .:.:.:,...:.:-.:•. -.
:........; :: Workers CompensaLon;Insurance:'.:::' • '~;•.-::'::.:: ;
Bu '
City. sines
License. •': '
.
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (0712)
2 J V Qd
•�7 - �_ /
)ATH; PLASTER (C-.35)
CONCRETE
DRYWALL (C-9) ..<..:
C DOS
('�S^I
O
C=53
6 50S
p 3-c.y
S+y 'n
�fl d2
0- ! -��
-Ow
�--�a- i y
STRUCT.:S7E. (C-511
MASONRY (C.-29
PLUMBING (C-36)
tw t--12-4
2 J V Qd
•�7 - �_ /
)ATH; PLASTER (C-.35)
DRYWALL (C-9) ..<..:
HVAC. (C-20) :.::::
ELECTRICAL. (C-10) ...:
�.1 d.M 9 ��
(j
SHEET.METAL (G-431'
-
-
GLAZING (C-17).
ULATION (C-2):AGE
DISP (6-42)NTING
F
(C=33) : .
CERAMIC TILE IC -54)
f
,
(`(
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27)
POOL (C-53)
A [d
�[