10-0050 (RPL)P.O. BOX 1504
.78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
f,
10-00000050
51450 CALLE GUATAMALA '
770-163-010-15 -000000-
POOL - RESIDENTIAL
MEDIUM DENSITY RES
6000
Architect or Engineer:
QIP
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
Licensb Class: License No.:
Date: Contractor:
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.).
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Co�r eractors' S License Law does not apply to an owner of
property who builds or improves thereon, 7d who contr is or the projects with a contractor(s) licensed
pursuant to the Contractors' Slate Licens Law.l. l//
1 _ 1 I am exempt under Sec. B.&P.C;or this rea n
/ate:I 2 �% Owner: (/
CONSTRUION LENDING AGENCY
I hereby affirm under penalty of perjur/thatthere is a coni truction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: ,Iu�
Lender's Address: r '
LQPERMIT
Owner:
STAN FOSTER
20580 E. VIA VERDE
COVINA, CA 91724
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/20/10
STREET
-------------------------------�--- -----
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 Policy Number
I certify that, in the performa�n of the rk for hich this permit is issued, I shall not employ any
person in any manner so to bec m sub' t to the workers' compensation laws of California,
and agree that, if I sho beco s jec o the workers' compensation provisions of Section
3700 of the Labor C I shall w' omply w' h those provisions.
o0date: / Y scant:
WARNING: FAILURE TO SEC RE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 beco s null and vo' 'f work is not commenced
within 180 days from date of issuance of such p , or cessati o wyrk80 days will subject
permit to cancellation.
I certify that I have read this application and state that the a informati is orrece to comply with all
city and county ordinances and state laws relating to buil constructio ,� t ebyze representatives
of this county to enter upon the above-mentioned prope f inspection p p ses
aD te:r Sig re (Applicant or Agent):
Application Number . . . . . 10-00000050
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee 81.00 Plan Check
Fee
52.65
Issue Date Valuation
. . .
. 6000
Expiration Date 7/19/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
4.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
36.00
Permit . . . ELEC POOL PERMIT -RES
Additional desc . . 1
Permit Fee . . . . 45.00. P1an'Check
Fee
3.75
Issue Date . . . . Valuation
0
Expiration Date 7/19/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING
----------------7-----------------------------------------------------------
POOL
30.00,
Permit . . PLUMBING
Additional desc . . 122
Permit Fee . . . . 24.00 Plan Check
Fee
6.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date . . 7/19/10
Qty Unit Charge Per
Extension
BASE FEE
15.00-
5.001.00
1.006.0000 EA PLB FIXTURE
6.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.,00
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL FIBERGLASS'POOL, NO HEATER.
ALARMS/BARRIERS SHALL BE IN PLACE AT
ENCAP INSPECTION. EQUIPMENT.ENCLOSURE
NOT INCLUDED. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged. Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 150.00 .00
.00
150.00
Plan Check Total 62.40 .00
.00
62.40
Other Fee Total 1.00 .00
.00
1.00
Grand Total 213.40 .00
.00
213.40
LQPERMIT
I
1
P.O. Box 1504
LA QUINTA, CALIFORNIA -92247-1504
78-495 CALLE TAMPICo
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-70.12
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
,IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner.
Ari. application—for--a building permit has been submitted in your name listing yourself as the builder of the .property
improvements specified at c{
We are providing you with an Own- Acknowle�dgm�ent and Information Venfi ation Form to make you aware of your
responsibilities and possible risk you may incur by having this permit -issued in your name as the
Owner -Builder. We will not issue a building.permit until you,have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACI NOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
W1. I understand a frequent practice. of unlicensed persons is to have the property owner obtain an "Owner -Builder'
building permit that erroneously implies that the property owner is providing his or her own labor'and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. 'My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
J�l understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
�.I understand as an "Owner -Builder" I am the responsible.party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
perrmts and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law -
)Q: --6- I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and' contribute to unemployment
compensation for each "employee.".I also understand my failure to abide by these laws may subject me to serious financial
risk.
7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8. I understand as an Owner -Builder if I .sell the property for which.this permit is issued, I may beheld liable for any
financial or personal. injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
4�9.r"I understand I may obtain more information regarding my obligations as an "employefrom the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
aware of and consent to an. Owner -Builder building permit applied for in my name, and understand that I am the
*v_,e1g7,,y and financially responsible . for proposed construction ctivity at the following. address:
I agree that, as the party. legally and financially responsible for this proposed construction activity,.l will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
2. 1 agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information 1
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license,. the Contractors' State License Board may be unable to assistyou with any financial loss
you may sustain as a result,of,a complaint. Your only remedy against' unlicensed Contractors, may be in ''Civil court. It is also
important for you to. understand that -if an'unlicensed Contractor or employee of that individual or firm is injured while working
on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issaittg;.f#te..pertait. Note: A copy of the property owner's driver's.liegnsei form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the.property
owner's signature. ;
Note_ The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, .the execution of which I understandis my personal responsibility, I hereby authorize
the following person(s) to act as, my agent($) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project_
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification" ,•
acceptable. to the agency is required'Co be presented when the permit is issued to verify the property owner's signature..
Property Owner's Signature: Date:
IV
z
239-. p4.',Fp/i,3 -
TOOLS REQUIRED
B. Shovel
H. Hammer
C. Pick 1. 25' Tape Measure
D. Rake J. (5) 2"x4"x8' (models A;B,C,D,E & F only)
E. Stakes and nails K. (4) 2"x4'xl2' (model DXL only)
F. Spray paint for outlining pool 1. (2) 2"x4"x8' (model G & H only)
G. String M. 1 /2" sheet rock (models BID, F & DXL only)
STEP 1. PLANNING FOR THE INSTALLATION
In planning for the installation of a new Hydro Zone, there are many important considerations
that must be evaluated in order to achieve a functional, long-lasting and aesthetic addition
to a home. When choosing a location, consider the following:
1. Grade.: Pools and decks are normally constructed on level ground. Extreme variations in
grade should be resolved before the excavation of the Hydro Zone begins. A relatively
level and flat location is preferred so time and effort is not wasted on radical
fluctuations in grade.
2. Excavation Equipment Access and Hydro Zone Delivery: Determine the most efficient
route for equipment to enter and access the site. Also keep in mind that a well-planned
route can save time and money by enabling multiple pieces of equipment to work in
unison. For example: Coordinate the delivery of the Hydro Zone with the completion of
the excavation and prepping of the hole. If a track excavator was used to prepare the
site, it may also be utilized to unload and set the Hydro Zone. Finally, consider the
placement of the equipment. If possible, position the equipment so the Hydro Zone can
be unloaded and placed directly into the excavation.
3. Underground Utilities: Check with local authorities for the locations of underground
water, gas, power and sewer lines.
4. Overhead Power Lines.
5. Local Building Codes: Determine the setbacks from property lines, easements, house
footings, etc.
6. Water Drainage: Water should always drain away from the Hydro Zone. Failure to keep
ground water away from the exterior of the Hydro Zone may result in damage to the
Hydro Zone that is not covered under warranty.
7. Local Fencing Codes.
8. Location of Pool Equipment: Locate to within 20' of the Hydro Zone.
9. Electrical Run for Pool Equipment.
10. Underground Water Conditions.
1 1 . Exposure to Sunlight.
12. Surrounding Foliage.
13. View from Residence.
Notice: Failure to read and follow instructions contained in this material will void your Hydro Zone warranty.
TOOLS REQUIRED
A. Transit Level
B. Shovel
C. Pick
D. Rake
E. Stakes and nails
F. Spray paint for outlining pool
G. String
H. Hammer
1. 25' Tape Measure
J. (5) 2"x4"x8' (models A,B,C,D,E & F only)
K. (4) 2"x4'xl2' (model DXL only)
1. (2) 2"x4"x8' (model G & H only)
M. 1 /2" sheet rock (models BID, F & DXL only)
STEP 1. PLANNING FOR THE INSTALLATION
In planning for the installation of a new Hydro Zone, there are many important considerations
that must be evaluated in order to achieve a functional, long-lasting and aesthetic addition
to a home. When choosing a location, consider the following:
1. Grade: Pools and decks are normally constructed on level ground. Extreme variations in
grade should be resolved before the excavation of the Hydro Zone begins. A relatively
level and flat location is preferred so time and effort is not wasted on radical
fluctuations in grade.
2. Excavation Equipment Access and Hydro Zone Delivery: Determine the most efficient
route for equipment to enter and access the site. Also keep in mind that a well-planned
route can save time and money by enabling multiple pieces of equipment to work in
unison. For example: Coordinate the delivery of the Hydro Zone with the completion of
the excavation and prepping of the hole. If a track excavator was used to prepare the
site, it may also be utilized to unload and set the Hydro Zone. Finally, consider the
placement of the equipment. If possible, position the equipment so the Hydro Zone can
be unloaded and placed directly into the excavation.
3. Underground Utilities: Check with local authorities for the locations of underground
water, gas, power and sewer lines.
4. Overhead Power Lines.
5. Local Building Codes: Determine the setbacks from property lines, easements, house
footings, etc.
6. Water Drainage: Water should always drain away from the Hydro Zone. Failure to keep
ground water away from the exterior of the Hydro Zone may result in damage to the
Hydro Zone that is not covered under warranty.
7. Local Fencing Codes.
8. Location of Pool Equipment: Locate to within 20' of the Hydro Zone.
9. Electrical Run for Pool Equipment.
10. Underground Water Conditions.
1 1 . Exposure to Sunlight.
12. Surrounding Foliage.
13. View from Residence.
Notice: Failure to read and follow instructions contained in this material will void your Hydro Zone warranty.
STEP 4. EXCAVATION
Correct excavation of the Hydro Zone is very important. A hole that is too small can mean
hours of picking and shoveling by hand. A hole that is too large will require extra import
material, which if not dealt with properly, can result in settling or bulging of the Hydro Zone.
The excavation should be dug very close to the Hydro Zone size with a minimum
disturbance to the unexcavated soil that will support the Hydro Zone. The clearance is
approximately 6" on the sides and 6" on the ends (Fig 2).
The depth of the excavation is determined with the use of a transit level and a measuring
stick. The bottom of the excavation is over dug approximately 4". The Hydro Zone models A -F
will generally require 10 yards of sand for backfill, (more may be required if the Hydro Zone is
over dug); models G and H require 5 yards of sand.
Refer to figures 1 and 2 to determine the size of the excavation for your Hydro Zone
model. It can be helpful to give yourself extra room the first 6" in width and 12" in depth
of the hole, to get past the coping, and allow space for the skimmer and the main drain.
Also, keep in mind that the walls of our Hydro Zones are tapered, usually 1 " in for every 1 2"
in depth. A place for the skimmer must also be dug in the side of the excavation wall. The
skimmer cutout should be 2' by 2' and 3' deep. See Figure 1 for placement.
If dramatic over digging occurs in the bottom of the hole, never use excavated material
to fill in the hole to the desired depth. The material will settle. We suggest road base (a
tamper may be needed) compacted thoroughly, and topped with sand. If the sides of
the hole are dramatically over dug, road base should be used beyond the six inches of
sand. Both should be compacted thoroughly during the backfill process. In the case of over
excavation on the sides of the Hydro Zone in seasonal high water or poor drainage areas,
you may want to mix 10% Portland cement to the backfill for stabilization.
In areas that experience seasonal high water or experience considerable water seepage
during excavation, a permanent sump line (see Cross Section A -A) must be installed to
alleviate the excess water and the associated hydrostatic pressure accompanying it. In
the event that you choose to install a sumpline, you will need to dig the excavation an
additional 12" longer to give yourself the necessary room. Hydro Zone suggests digging a
12"W x 12"D x 6'L trench across the deep end of the excavation. Six inches of 1-1 /2" rock
should be placed in the bottom of the trench. A joint of 3" perforated PVC pipe is placed on
the rock base and connected to a vertical stand of 8" PVC pipe running to the surface of
the excavation. The 8" PVC should be trimmed with a skimmer ring and lid for aesthetics and
safety. After the connection has been made to the vertical stand of 8" PVC, finish covering
the 3" perforated PVC pipe with 1-1 /2" to 2" rock to the bottom of the excavation (See
Cross Section AA)-. Cover the new sump line with fabric. The bottom of the excavation is now
ready for approximately 4" of sand bedding. Figure 2
T
HZ A
T T
HZ D
T
5, 3'-3"
HZ DXL
fl
F * /� ST„
9'�
_1
HZ B
T
5'
HZ E
T
4=6"
HZ G
5%,6'
HZ C
IS' 4'1 6"
1
- - 9,_�
HZ F
T
5'
L
HZ H
STEP 5. PREPARATION OF THE BOTTOM SURFACE OF
THE EXCAVATION
SKIMMER LID
The preparation of the excavation bottom is critical
so the Hydro Zone will fit properly. Thorough prepara- n = =1,
tion will eliminate settling, stress cracks and a mini -
Section A -A ;.
mum of time will be spent setting the Hydro Zone. y'
First, install 2" x 4" screed rails length wise on both SAND ^ ,` ------ B"PIPE
sides of 8" PIPE the excavation, using wood or metal BACKFILL
stakes Fi 3 . Make sure the dia onal measurement`
FIBERGLASS
( g ) g POOL SHELL
is exact to insure that the bottom is square. Adjust FIBER MATTING r ''
the screed rails to the appropriate height using a 3 4"SAND
7�
transit (see Figure 2). Next, spread a layer FIBER MAT- �6 '?
ING of sand approximately 4" evenly over the bot -I - _ - _ —
tom of the excavation. Rake the sand flat to the top 6
of the screed rails (Fig 3). Compaction of the sand is 1-1/2"ROCK- / /
achieved b the use of water and walking over the 3"PERFORAT1-1/2"ED
Y g 1-1n'Rocx --
entire bottom using your body for weight. Rake and
compact the area several times. Screed the bottom of the excavation, filling any low spots
as you go. The completed area will resemble -a slab of finished concrete. Remove the screed
rails and fill in the voids with sand, being careful not disturb the sand. When installing models
that are bi-level, (6" difference at the halfway point) you will need to secure the 6" vertical
sand wall with a 5"x7' long piece of 1/2" sheet rock. Install four wooden stakes at the break
point, 2" below the anticipated sand grade inside the side that is buried with sand (see figure
3). Screw the sheet rock to the stakes at the exact sand elevation. This material will be left in
the excavation and buried (fig. 3)
HZA,C&E
SEE SECTION A -A 18 SEE SECTION A -A
-T 2'x44 SCR ED BO RD T
Figure 3 A 2" x 4" SCREED RAIL
e'-6" 6' � ia'-4• a'�"
STAKE
DIG LINE ��_ 18' _� DIG LINE -
�'�\ j- 2' x 4' SCREED RAILS
r 2" x 4" SCREED BOARD
SUMP SYSTEM _� FINISH GRADE
13' -- SUMP SYSTEM
3" - 4" OVER DIG ��
STAKE SAND BE
NOTE: POOL SHELL MUST
REST SOLEY ON SAND.
HZ DXL
18
SEE SECTION A -A -\
\ � 2' x 4" SCREED BOARD
8'-6-
2 4" SCREED RAI S
i
i
-S-
- STAKE
DIG LINE -lam_ 18'
\ FINISH GRADE- \.
r2" x 4" SCREED RAILS I
� 2" x 4" SCREED BOARD `
i 3' 111"4
SUMP SYSTEM `t \` 3" - 4' OVER DIG
FY -1- 10'-4"
STAKE -SAND BED
SEE SECTION A -A
SUMP SYSTEM
YsRe
X01 el
HZB,D&F
18'
18' I
FINISH GRADE-
x 4" SCREED RAILS
2" x 4" SCREED BOARD
3'-4" (IOVER DIG -
6'-7" T 6'-.V
�SAND BED'.`
-
STAKE SHEET ROCK
HZG&H
x 4" SCREED BOARD` "SCREED RAILS
:ED RAILS
SCREED BOARD
- FINISH GRADE
3" - 4" OVER DIG
SAND BED
Programming IntelliProVS-3050 is as easy as setting your
alarm clock With the pump running, simply press one
of the four speed buttons to switch to the desired speed
(factory settings are 750, 1500, 2350 and 3110 RPMs). .
Then, just press the "up" or "down" button to increase
or decrease the speed setting between 400 RPM and
3450 RPM. It's that simple to optimize water flow for any
application. Of course, your pool professional can make a
simple calculation to determine the perfect speed settings.
And remember, as you change or add equipment and
features, speed settings are quickly adjusted to ensure
the lowest amount of energy is consumed.
r
Pump Performance Curves
Total Head Vs. Flow @ Factory Set Speeds
60 HZ Single Phase Test Voltage
120-
35
100
30
e0 r
@3450 pm
a 25 v
@3110 rpm
a X20 060
o
IS-- 40 __-- @2350 pm
10��'''
20 @ 1560 rpm��`
5 @750 pm
r
o
0 20 40 60 so 100 120 140 160
U.S. Gallons per minute
I .I
5 10 is 20 25 10 15
Cubic Meters per hour
G
yin #
Oty "'of La Quin ta
Building Br Safety Division
P.O. Box 1564, 78-495-Calle Tampico
La QWqta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: C, 141 S 0 Ca I C
Ownei's Name: f -,f -
A. P. Number:
4ddress ?,j9,S%0r E_
Legal Description:
City, ST, Zip: C C A—
-Contractor: e-
t.100
C�4,4
Address:
Project' D escriptiow.
City, ST, Zip:
Telephone:
FF
State Lic.
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: ;na fa
State Lic. #:
We
Construction Type: Occupancy.
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: # Stones:#Ud its:
Telephone # of Contact Person: %20 &�Irz) Estimated Value of Project:.. 006 0
APPLICANT: DO NOT WRITE. BELOW THIS LINE
Submittal
Plan Sets
Req1d
Rec�d
TRACIMG, PERMIT FEES
Plan Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit
Truss Coles.
Called Contact Person flan Check Balance.
Title 24 Cales.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready for correctionslissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans
Plans picked up. S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review,readylor corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
C
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
01/22/2010 13:32 13235824228
BUYER FAX
PAGE 01/01
A--
x-60 t�.
72
47
A—, CITY OF LA QUINTKSUB-CONTRACTOR LIST
ESS- OWNER. S,'I-�'
JOB ADDRESS S11i So- C_AL�e_ CAc�/4ri-A-^—k ERMIT NUMBER BUILDER C9cA.1A.,C
This form shall be nosted on the Fob Mith the Building Inspsglion Card. at all fimesIn a onspicuo heir employees 0
us 12lice. � Only persons appearing on this list at I mpt yees ar authorized to wol
on this job. Any -changes to this list most be approved by the Building Division prior to commencement of work. Failure to comply will result.in a stoppage of work and/or the voidam
of Duilaing permit. 1 -or each applicable traae, all mformatton regnested below must be
--ornpleted
by applicant. "On File' is not an acre table response.
Made I 61:334ricatlQn,
Cntrpcto!r,
Lic�iLi
city.
(9 Cl-(e.g.
Company Name
Clatillfication
A. B, C-8)
License Number
(XXXXXX)
Exp. Date
ixxlxxlxx)
Carrier Name Poky Humbet Exp. Date License Number Exp, Dap
le.g. S.tito Fund, CalComp) (Fonybit Valles} (xxlwxx) (XXXXI (xxlxxlxk
EARTHWORK IC -1 21
OLL/A_,,f, /Z
CONCRETE K -m -
FRAMING JC -51
STRUCT-'sTEEL iEL ib -a -ii
MASONRY 6D-291
PLUMBING (C-361
LATH; PILASTER (0.;35)
RYWALL (G-9)
DRYWALL
7
HVAC 4C-201-
ELECTFUCAL (C-10)*:-
Ro
ItHW-MIETAL Z
Flo RfNG 51
GLAZING
�ISULATIIOW(C-2).'
SEWAGE DISpi (Q-421
PAINTING IC -331
CERAMIC TILE- (C-54)--
CASIXErS (C-6)
FENCING (C-131
LANDSCAPING (C-27).
A_,-'-A_/c,
POOL (C-53)