09-1146 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00001146
Property Address: 54440 EISENHOWER DR
APN: 774-253-009-15 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 7000
T4ht 4 XP Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHERYL & MICHAEL MINSKY
54440 EISENHOWER DRI'
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: Owner
--------------------
�\R
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 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, altW, 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, 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 contractors) licensed
pursuant to the Contractors' State License Law.). -
1 _ ) I am exempt under Sec. , B.&P.C. for this reason
Date: t Owner:
NSTRUCTION LENDIUG49 CY>
I hereby affirm under penalty of perjury that there is a constru tierft' agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/29/09
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 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.
1l�Slo---
ate: pplicant:
WARNING: FAILURE TO SECURE KERS' C p4PEN A� COVERAGE ($_UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI NALTIES AND CTO'ICFRGESITP 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, andtheapplicant, 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 ISO 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 ins r. ion urposes.
Dater nature (Applicant or Agent):
Application Number . . . . . 09-00001146
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
90.00 Plan Check
Fee
58.50
Issue Date'
Valuation
. . . .
7000
Expiration Date
4/27/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
5.00 9.0000
---------------------------------
THOU BLDG 2,001-25,000
------------------------------------------
45.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. .
0
Expiration Date
4/27/10
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
4/27/10
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 Fee27.00
Plan Check
Fee
6.75
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
4/27/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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
------------------
IN GROUND FIBERGLASS
SPA, PER ICC
LQPERMIT
Application Number . . . . . 09-00001146
----------------------------------------------------------------------------
Special Notes and Comments
ESR -2014.' ALARMS/BARRIERS SHALL BE IN
PLACE BEFORE FILLING. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
----------
Credited
--------------------
Due
---------------------------
Permit Fee Total 188.00
.00
.00
188.00
Plan Check Total 83.00
.00
.00
83.00
Other Fee Total 1.00
.00
.00
1.00
Grand Total 272.00
.00
.00
272.00
0
LQPERMIT
r
ce on
. h
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ine
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v- 00'
1--k �u���e� C-4 iz�s3
Exist. Fence on Ficus Hedge
P.L. \
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/ 1
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I 1
7 1
1
Fiberglass Spa
} - See ICC Ficus Hedge t
} Report Equipment—,'
-
1
} � 1
Fire pit
} 1
} EXISTING HOUSE i
} 1
New Seating 1
} wall +12" i
} 1
1
1
. , 1
1
Existing Patio c 1
} 0,HY®F LAC UINTA �
_BUILDING & SAFETY DEPT. 1
APPROVED
1 FOR CONSTRUCTION 1
DAT / ' 0 BY 1
1 1
-----------------
1 1
1 1
General Notes Expansive salla:
General reviewed and recommendations made by the RDP. The buidinFor installation of poop or spas in expansive segs, the following additional instatiatlen
The swimming pools and apseconsist of one-piece fiberglass official must approve the RDP's report before work is competed. details must be fell subject to code officials approval;
construction shop -formed over a mold. The material Is fiberglass The pad or spa excavation profile must coincide with the 1 AD surfaces adjacent m time pod or spas must be excavated to a depth of 12 Moines
."forced plastic (FRP), a minimum of 114 Inch (6.4 mm) thick. contours of the pod. The over excavation is minimum 6 (152mm) m
composed of Laophtelle resin, vinyl aster resin, and fiberglass. The on the sides and ends The over excavation at the pod bottom is (305 min) beneath the pod bottom and 6Inches (152 mm) behind the horizontal pod
surface Orion Is a neo pentyl glycol gal coat. Vidng Poop produces minimum 4 (102mm]. The backfill for the pod or spa bottom Is e mss•
various styles of smvimrdng pods and spas. When installed in layer of 34ndWhick (76mm) betiding sand matching the pod or 2. Any soft or loose ads exposed by step 1 musl be removed until exposed maQ
accordance to Viking Pods Installation procedures, me pools and spas spa profle. Ilarial
s solid. If the soil Is still soft and lose, the upper 6Inc es (152 mm) of ag horizontal
comply with applicable requirements of the following codes: This sand layer Is compelled using a manual tomper and excavation surfaces must be scarified and compacted with mechanical equipment to
2006 International Building Code® (IBC) water. The pod or spa Is then set into place using a crane. The compacted surfaces and the excavated wag surfaces must be maintained In a m
2006 International Residentionel Code (IRC) excavator or manually and be within 1 Inch (25mm) of level moist condition until the first OR of backfill or fig Is placed against the surface. The E
1997 Uniform Building Code (UBC) Simultaneous waterlBl and sand backfill operations than term compaction Implies any method necessary to consolidate the native and fill M
BOCA9=anal Building Code/2003 (BNBC) commence. The sand Is compacted with a tamper and water. The materials to keep the pool a structure from setting.
2006 Intematiomal Plumbing Code® PPC) Installer nest ensure that the baddV level and water level are 3. The excavated bottom area of the pool or spa must be bacldgled with granular
2006 IAPMO Uniform Plumbing Code (IPC)' approximately the same throughout this procedure. Import material to approximately 6Inches (152 mm) below the bottom of the pod or -�
2003 ANSI/NSPF5 Residential Inground Swimming Pods After completion of the backfill and plumbing, me deddng Is spa• wetted and compacted. p
1999 ANSI/NSPW Spa placed. Decks are prepared as Indicated in Figures 1 though 4: 4. The remaining 6Indies (152 mm) must be backfilled beneath the pod or spa and d v
2007 California Building Code 1. ConWevered concrete decks are constructed as noted In behind time pool wags with clean sand and compact The pod or spa must be fig with
2007 California Plumbing Code Figure 1 in oil cases. water as backlggng progresses to a level equivalent to that of the bacidm, the backfill o
must be place M compacted layers of approximately 6 inches (152 mm) while a U
2007 California Mechanical Code 2. Cantilevered leaks are constructed with brick a atone as uniform height of batldgl is maintained around the pod or spa
2007 California Electrical Cod Cade noted Figure 2 M all cases. 5. Positive surface drainage away from the perimeter of the pod and surrounding
2007 CaliforniaEnergy
Code 3. Raised bond beams are constructed as noted M Figure 3In
2007 Californiaomia Energy Cade all cases, deck is required and critical to Mategatlons M blgbly expansive sags. Surface area
2004 Florida Building Code Chapter 4 Section 424 and R4 101 4. Aboveground Instagatlons are concocted as noted in Figure drains and surface drainage swelas or subdralns must be placed as needed to
Private Swimming Pods and 2006 Amendments 4 In all cases. prevent ponding a saturation or the sell around the perimeter and vicinity of the pod
2004 Florida Plumbing 2004 Edition Bankers are required whore poop are on premises of UBC to prevent excessive shrink -swell or volume changes In the soil
2004 Florida FuegGa9 2004 Edition Group R. Division 3, Occupancies a IBC Group R Occupancies
2004 Florida Mechanical 2004 Edition The barriers must comply with Appendix Chapter 4, Division 1, of
2004 Florida Residential 2004 Edition Chapter 41 w12006 the UBC or Section 3109.4 of the IBC
Revisions O N
Wlonal Eleddc Code 2005 Edltlon Section 660 BOLA® National Building CodaIM3 (BNBC) : O
98-76 Building Administrable Code Viking pods and spas may be used as publicswtrnMnq pods N m
The overall pool dimensions, depths and capacities are shown In or private swimming pods, In connection with Group R-3
Table 1 and Table 4. The units comply with ANSI/NSPF5, specified In Occupancies only. In addition to other requirements In this report,
Section AG103.1 of the IRC, and IAMPO IGC.2000', specified In the swimming pools used under the BNBC must satisfy the following U1 $ m
UPC. Items:
Models described In Table 2, Table 3, and Table 4 can be placed 1. Location: Swlmndng pod and spa walls shall maintain LL LL LL LL
up to 19-112 Inches (49.5mm) above ground. These pods and spas distances from property lines required in Section 421.4 of the
may be placed with m without concrete or wood docking. Unless BNBC. �i n
elevated portions of the units are protected from sunfight by seg berms. 2. Construction: Requirements M Section 421.5 of the BNBC, E m 'r
decking, etc, theas potions must be coated with a UV4nhlblUng concerning dopes, cleaning devices, walkways, stops and M,h
opaque paint that is compatible with the laminate, ladders, must be observed. Z
Ad plumbing must comply with the IPC w UPC. Electrical work must 3. Water Supply. The water supply and drainage must comply t!
comply with the code In effect at the concoction site. The pod and with Section 421.6 of the BNBC. O
spa must remain full of water at all Iirnes. A permanent sign, bearing 4. Barriers: Banters for private swimming pods must comply a m �i
the (dowing statement, must be allchad to the pumping equipment: with requirements in Section 421.10 of the BNBC. N =
Notice -The pod a spa Is designed to remain full of water at all 5. Diving Boards: OMng board distances and water depths a m c a
times. The pod shell may be damaged If the water level is allowed to must comply with Section 421.11 of the BNBC.t J
drop below the skimmer. When appreciable drew -down is noticed or 1f O a` n LL
It becomes necessary to drain the pod or spa, contact Viking Pools or Idantlflcatlon: Q
Its declare forMswuxions. Wring pods and spas ore Idontitlad by the following Inforrrxotion X
-f0 3 F- U H
A permanent label must be Installed adjacent tc the above sign Imprinted on the top step ot the pool or spa: manufacturers name Table of Contents Seal D Nt E
Indicating the VUMg Poop dealer's name, address and telephone (Viking Pools) and address, pod a spa modal designation, a Ian w General Not" 5 J C E a
number. coded sodal number and the evaluation report number (ESR -2014). Ex he Sons % C to N p,
The units also bear the label of he quality control agency.Page 2 nira.a.at �Tibtla 1 LU to
Inetallatien Procedure: Columbia Research 6 Testing Corporation (AA.527). p F 3 urs 14 V 3 S N
VUdng pools and spas may be Installed without a sell investigation 4- -P00% Models U
by a registered design profesdomal(RDP), subject to the building Findings: page 5 poop Modep Conn -
offidal's approval, provided none of the following conditions are 1. The construction and pool/spa Installation comply with mis Hydra�9 Modeb
encounteredat time site: report and the manufacturers Mslrue lons• P 8 Models
1. The existence d uncontrollable groundwater within me depth of 2. Electrical and plumbing Installation comply with the ■AltmmalRa Systeme
the pod a spa excavation. respective codes In effect at the consouctlon site.
2. The existence of an uncompacred fill in contact with any portion 3. Clearances from slopes are observed as set forth In
of the pool or spa. Section 1806.5A or the UBC. Section 1805.3.3 of the IBC or
3. The existence of expansive or adobe4ype sills. Sections 421.4 and 421.5 of the BNBC. Page
4. The existence of any soil types with an angle of repose that will 4. The pods and spas produced by Viking Pods North- east,
not support the walls of theexcavadon at desired slopes. Inc. 176 VNN Drive Industrial Park, Jane Lew, West Virginia;
5. Danger to adjacent structures posed by the proposed pod or spa Vildng Pods Central, Inc.. 10600
location. West Interstate 20 East Midland, Texas; and Vndng
8. The existence of any wade or openings In soil that would not Pam, Inc., 121 Crawford Road, VMams,
confine sand bedding. Cegfada, are manufactured under a LerWk dam wad depth they nary up 1 3%.,d
If any of the condluons above Is encountered, excavation must quality control program with Inspections dim 4- oro m wore ridge d cvpa6. me,axed OI %
cease Immediately. The specified conditions at the site =at then be by Columbia Research sent paned ossa
e
TABLE 1- POOLS
POOL
CODE
SIZE
DEPTHS
GALLONS
APPROX.
PAGE
NUMBER
POOL
TYPE
Acapulco
AC
1&. 39
3$ , 6
16,700
3
Type 0
Atlantis
LBBST
12,15'
4'
2,500
4
Type 0
Bahamas
MFF
6.7, 14'J"
4'
2,100
4
Type0
BaJa
SFF
11'-10" , 24'
Tor , 56"
9,000
4
Type 0
Barbados - _
-- FD
- 9S; 21'
4'
4,000
4
Type 0
Bermuda
AL
17 , 26
3'6" , 56"
7,000
4
Type 0
Cape Corel
SK
9-10' , 193"
3'-2" , 5'
2,750
4
Type 0
Cancun
CC
19,3&
3'6" , 66"
15,000
3
Type 0
Caribbean
MR
le, 40
3'6" , 66"
22,000
3
T pe 0
Cemlel
FF
13'6" , 39
3'6" , 6
12,000
3
Type 0
Chesapeake
CP
17, 31' _ _
- T-11" , 5-
- 10,500
4
Type 0
Clearwater
SP
10-11- , 20
I -W. S
3,600
4
Type 0
Delray
B
11'-10" , 26S
4'6"
8,100
4
T pe 0
Fiji
FJI
15,34
35,6'
12,000
3
T pe 0
Freeport - -
- FP
17 , 25'-1"
7-7- ,.- SS'
---6,000 -- -
4 1-
Type 0
Gulf Coast
GC
15.10" , 39-T 3'S" , T-11"
19,600
3
Type 1
Gulf Shores
GS
16-r. 34'3"
3'-T , 5-10'
15,000
3
Type 0
Island Breeze II
SN
IT, 40
3'6" , 6
22,000
3
Type 1
Key West
SFF -
17 , 25-7' -
Y -T , 6
9,000
3
pe 0
Laguna
LG
14', 30
3'6" , 6
14,800
3
Type 0
Laguna Deluxe
-LGX
IN. 30
4' , 6
9,000
3
Type 0
Lake Shore
CD
16. 33'
T -T , 55"
15,000
3
pe 0
Mad -.-- - _
MTK-
- ir-W , is- -
3'4",4' -
2,300 -
- 4 -
Tvoe 0
Mediterranean
SP
15W, 38'
T-7". 5.11'
17,000
3
Type 0
Montego
MT
W. 35'
3'-T , S -T
12.400
4
Type 0
Monterey
MK
'14W, 27'-T
Y-7-, 6-10"
10,000
3
Type 0
Oahu -
MLL
9-r. 15.10"
4'
2,200
4
Type 0
Ocean Breeze
OB
16. 40
3'6" , S -W
18,800
3
Type 0
Panama
BL
11'-1(" , 3S/45'
4'8"
Vades
3
Type 0
Poseidon
PS
IV. 40
3'6" , T
23,000
3
Type 0
Rio
BPO
136" , 39
Y -T , 6'
20,000
3
Type 1
Rockport
RP
14'. 30
3'-T , 5-11"
12,800
3
Type 0
Santa Barbara -
RS -- -
- - -14' , 30'
3'6' , 66"
12,500
4
Type 0
Sante Cruz
SL
T6" , 39
4'
6,500
4
Type 0
See Breeze
K
14'6" , 33'3"
3'-5" , 6.2"
16.000
3
Pa 0
St. Thomas
L
14'. 31'6"
T -r. T
13,700
3
Type 0
Sun Coast
BKO
17.3" , 23'-11"
3' " , 5'
6,000
4
Ty 0
Triton
TN
14'. 30
T-7" , 6-11
13,500
3
Type 0
Tdnlftd
TNO
IF. 44"
FF. T.
18,300
3
ryy 0
Tropicana
MP
9-T, 14-tr
4'
2,500
4
Type 0
TABLE 2- POOLS
TABLE 3- SPAS
SPA
CODE
SIZE
DEPTHS GALLONS
APPROX. Number
Mystic
®0
10'x10'
®0
550
5
Mystic Spiliow
MSW
i9 x 11'
00
550
TABLE 3- SPAS
SPA
CODE
SIZE
DEPTHS GALLONS
APPROX. Number
Mystic
M
10'x10'
74"
550
5
Mystic Spiliow
MSW
i9 x 11'
Y1.
550
5
Mystic Spash
MSP
10' x 11'
116"
325
5
Placid
BOS
64" x 94"
T
475
5
Placid Spillover
BOSSW
64" x 94"
T
475
5
Placid Spash
BOSSP
64" x 94"
116"
270
5
Retial
RG
9 x 19
3'4"
60D
5
Regal Sptlkr"
RGSW
9x 19
Y4"
BOD
5
Spash
RGSP
9 x 19 -
1'-T
470
5
Royal
RY
9 x 19
3'4"
60D
5
Royal SpUk er
RYSW
9-10" x 19
3'4" -
--Soo -
5
Royal Spash
RTSP
WAT x 10
116"
330
5
Shasta
NRS
7' x T
7 -
- 4221
5
Sharia Splllouer
LRSSW
T x 6
T
420
5
Shasta Spash
LRSSP
T x 9
116"
ISD
5
Superfor
CS
6 x 175"
T
70D
5
S6 owWo%er -CSSW-
--9x175"-
- - sr
_-700-
----5--
SuperiorSpash
CSSP
9x17-6'
1'6"430
5
Tahoe
LOS
T6" x 7'6"
Y
4521
5
Tahoe Spillover
LOSSW
T-6 x 8'6"
T
450
5
Tahoe Spash
LOSSP
T-6 x 66"
1'6"
220
5
TABLE 4- POOLS
POOL
CODE
S12E
DEPTHS
GALLONS PAGE
APPROX. NUMBER
_POOL
TYPE
FIT x 18'
6
4500
4
T pe 0
HZB
H2$
8'6" x 16
5'6", 6'
4300
4
Type 0
HZC
8'6' x 78'
S'6"
4050
4
Type 0
HZD
H2D
66" x 16
5, 6.67
3850
4
Type 0
HZD)0.
HIDXL
66" x 18'
7.7. 5'
3000
4
Type 0
WE
HZE
B'6" x 18'
S
3600
4
Type 0
Hff
I Hff
8'6" x 16
4'6", 5'
3400
4
Type 0
HZI;
I HZG
66' z 9
4'6"
1200
1 4
Type 0
HZH
1 Hai
I 66" x 9 1
5'
1 1350
- 4
Tye 0
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Viking Pool's
ICC Evaluation Report Number (ESR -2014)
Jane Lew, WV Phone: (304) 884-6954 Fax: (304) 884-7198
Midland, TX Phone: (432) 561-9933 Fax (432) 5619934
Williams, CA Phone: (530) 473-5319 Far. (530) 473-W3
Zephyrhllls, FL Phone: (813) 783-7439 Fax (813) 7837214
NOTES
91 J
L
TRINIDAD •
19.300 gaL app�
TV
ISLAND BREEZE 14 N 3'-8 5'-11 MEDITERRANEAN - BP 3-7J
20,000 gel. appax 17,000 gat appm
0'
i0
'4
io
CARIBBEAN - MR 3'-8
rn
22.000 gaL app
mc
SANTA CRUZ -SL
5.500 gal. eilpox
34
1
FIJI - FJI
12,000 gal. atlpgx
, 3-7v
'GULFSSHORES - OS
15,000 gaL appax
0
TIE j
i�
ST. THOMAS -L
13.700 gad. eppro
33
55 37"
LAKE SHORE - CD
14,000 get aw"
38
RIO -BPD 3
22.000 gA appnx
35
3'-6
CANCUN -CC
15,000 gat. appcx
35
O
r
N MONTEGO - MT 3'-7"
14,000 gd. eppox
,
4 Y�ELIIM1
TRITON
to
MONTEREY -MK
70,000 paL epprox
OCEAN BREEZE - OB 3 8
15,900 gaL apwro
r30'
LAGUNA DELUXE - LGX
9.000 gaL appox
5 -11.J --L- 3'-7•�
ROCK spp RP
gd app
12,800 pei, ex
a
0
is 3' -
SANTA BARBARA - RS
12,500 gal. appaz.
POSEIDON - PS 3-6
23.000 GA appmx
ACAPULCO - AC
15,300 gal, eppox
AVAILABLE 35' TO 45'
IN LENGTH
tV
4'-6- PANAMA - BL
14.000 gaL apppx
30
Y
LAGUNA-LG Y-5
14.800 get eppox
30'
13-8
CARMEL-FF
12.000 gal. appac
Page
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31' 25' M2625Tc::p
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3-7• CHESAPEAKE -CP FREEPORT-FP BERMUDA -AL 8 KEY WEST BAJA-SFF a� DELRAY-B
10,500 Bal. eppmx 6,000 gel approx 7,00o gaf. epprox 9,0009a------ l5�-8 7.s0o gat. ePWax e,1oo 961• wwox
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m b 6,J00 gal. eppnu.
O 21 66,
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CLEARWATER-SP BARBADOS-DXL MAUI-MTK
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SHASTA-LRS
420 GaL Appmx.
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PLACID - BOS
475 Gd App—
SHASTA SPILLWAY- LRSSW PLACID SPILLWAY- BOSSW
420 GA App.. 475 GaL Appmz.
3'
SHASTA SPLASH- LRSSP
200 Gal. Appmx.
8'-4"
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250 GBL Appr
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550 Gal. Appm,
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550 Gd. AM -
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550 Gal. AM..
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450 Gal. AW700 Gal. Appmx. 550 Gat. A m.
V27-16'
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Viking pools NOTES
"1111111111114 ICC Evaluation Report Number (ESR -2014)
Jane Lew, WV Phone: (304) 884-6954 Fax: (304) 884-7198
O Midland, TX Phone: (432) 561-N33 Fax: (432) 561.9934
% Williams, CA Phone: (530) 473-5319 Fax: (530) 473-5393
v ZephyrhlllS, FL Phone: (813) 783-7439 Fax (813) 783.7214
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(7 60) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner.
An. application -for- -a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at �S-y Y40 L t-t.Aow 6f iJ/'• L a 6� tn'I PxA
We are providing you with an Owner -Builder Acknowledgment and Information Verification 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 budding.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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial eachstatement below to signify you understand or verify this information.
''M 1. 1 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
ersonand his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. 1 am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
,!5"^ 2. I 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.
9N 3. 1 understand as an "Owner -Builder" I am the respowible: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 naive instead of my
own.
5^-4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
SM 5.1 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 "employee'
under state and federal law.
SM 6. 1 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.
S�l 7. I 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.
18. 1 understand as an Owner -Builder if 1. sell the property for which. this permit is issued I may be .held 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.
5!1�_9. I understand I may obtain more information regarding my obligations as an "employer" from 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 (CS -LB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an.Owner-Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible . for proposed construction activity at the following address:
5�4_1 LI 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.
S 12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
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 & license,. the Contractors' State License Board may be unable to assist you 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 issuing, the. permit. Note: A copy of the propertyowner's driver's.Cicense; 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.
Signature of property owner Daae: 7/
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 understand. is my personal responsibility, 1 hereby authorize
,the following person(s) to act as my agent(s) 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 to be presented when the permit is issued to verify the property owner's signature..
Property Owner's Signature: Date:
CITY* OF LA QUINTA�SUB-CONTRACTOR LIST
JOB ADDRESS -S-Y fSetAbwcy 61 PERMIT NUMBER OWNER S' BUILDER. AWE
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only per ons appea ng on this list or their employe 's are auiho ized to worf
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.
Trade / Classification Contractor ........... State,Contractot's License.,. ::::. ::..:.> Works Contnensat%nansurace `^ ;: :>:;.- :.<:::.:. .` City.. Busipe!Is License -
Exp. Date License Number Exp. Date
(xx/xxlxx) I (xxxx) (xx/xx/xx)
�0
S
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
txx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
EARTHWORK IC -12) .•..
CONCRETE (C-8)
FRAMING
STR :CT.:STEE!-(C=61) -
MASONRY IC -291
PLUMBING (C-36)'
LATH-- PLASTER (C-35)
DRYWALL
ELECTRICAL. (C=10) :. • .
ihEET.METAL tq-o)
Flo RING (C`.=:T5);
GLAZING (C-17);.'
INSULATION --. (C-21.
SEWAGE DISP: IC -42) .
PAINTING (C=33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPINGi
.
POOL (C-53)
r I
1- � ! Cefvt CeS Gtr Slb
r C q-,,
ftDf-5 Z
L!0 --y %l(
ne- (oS -T-,,LS a-,
Exp. Date License Number Exp. Date
(xx/xxlxx) I (xxxx) (xx/xx/xx)
�0
S
Bin #
City of La Quinta
Building 8T Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address: 5Y k 6 (_ I see ow ev t" d4i,,&
Owner's Name:
A. P. Number:
Address: S4 if 1-f
CSCux�mt✓& tDl-
Legal Description:
City, ST, Zip: tet
r ct
Cont r: a o tJ veTelephone:
Address:
Project Description: Q U /C I 5v mtad
City, ST, Zip:
_y
ne:
Telephone:
E 6.
State Lic. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: ne
Constructiontraction Type: e.J Occupancy:
cY
Lic. #:
Project tYPa circle one): New Add'n Alter Repair DemoState
Name of Contact Person: l ✓�l I n S Iq
Sq. Ft.: 10 0
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 8 7,006
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
�IDJIQ
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
2nd 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
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees