09-0926 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 09-00000926
Property Address: 80725 VIA MONTECITO
APN: 772-410-999-60 -298944-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 28000
Applicant: Architect or Engineer: f
t rl7 r� 042009
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FIhIQWE DEpr
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam licensed un r provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and rofessio s ode, and my License is in full force and effect.
Licens lass: C53 ense No.: 614611
Date: Y' ontractor:
OWN R -BUILDER DECLARATION
I hereby affirm under penalty of perjury 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.).
(_ 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.).
(_ 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: rq
L.QPERMIT
Owner:
HORN
80725 VIA MONTECITO
LA QUINTA, CA 92253
ractor:
NTYRE POOLS & SPAS, INC.
95 AVENUE 45
IO, CA 92201
60)342-3612
L c. No.: 614611
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/02/09
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 DELOS INS CO Policy Number 02DKRM120001870
_ I certify that, in the performance of he work which this permit is issued, I shall not employ any
person in any manner so as to come s j ct to the workers' compensation laws of California,
and agree that, if I should bec a sub'e t o the workers' compensation provisions of Section
37(0%0 of the
'or
Code, I sh fort comply with those provisions.
ate: / pplicant:
WARNING: FAILURE TO SECURE WOK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 abo inform n is correct. I agree to comply with all
city and county ordinances an tate laws relating to building onstr , and hereby authorize representatives
of this county to enter upopAe above-mentioned property f insp purposes.
Date: l nature (Applicant or Agent):
Application Number . . . . . 09-00000926,
Permit . . .
BLDG POOL PERMIT INV FEE
Additional desc . .
Permit Fee . . . .
543.00 Plan Check Fee
176.48
Issue Date . .
Valuation . . .
. 28000
Expiration Date . .*
3/01/10
Qty Unit Charge
Per
Extension
BASE FEE
504.00
3.00 13.0000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
39.00
Permit . . .
MECH PObL
Additional desc . .
Permit Fee . . . .
26.00. Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
3/01/10
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
3/01/10
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 Fee . . . .
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
3/01/10
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, STUB -OUTS FOR FIREPIT & FUTURE
LQPERMIT
Application Number . . . . . 09-00000926
----------------------------------------------------------------------------
Special Notes and Comments
APPROVED APPLIANCE. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION. PERMIT DOES NOT INCLUDE BBQ
& FOUNTAIN. EQUIPMENT ENCLOSURE NOT
INCLUDED. 2007 CODES.INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM ADMINISTRATIVE
CODE §304.5 FOR WORK BEGUN WITHOUT
BUILDING PERMIT.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS
ADMIN (SB1473)
2.00
Fee summary Charged Paid
--------------------
Credited
--------------------
Due
-----------------
Permit Fee Total 647.00 .00
.00
647.00
Plan Check Total 202.48 .00
.00
202.48
Other Fee Total 2.00 .00
.00
2.00
Grand Total 851.48 .00
.00
851.48
LQPERMIT
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # r
Olk
Project Address: SO - 725 V °
Owner's Name:Norla 7,I;,ct,,)0CZ
A. P. Number:
Address: 80 _iJtcx AGG o
Legal Description: Pool
Contractor: �
City, ST, Zip: z C Z 00
<:s' '>:>>`:<:>:<::>:;:?:di<::'s >:;•;:.>:>:
Telephone: :;:;;::•:::>;. bra:><=::.»•;;.;
Address: 83-05--Ay
S
Project Description: 00,
City, ST, Zip: 2
Telephone: :< <::%<::::;::;::::z:;;: _:.
State Lie. # : C 3— 6
City Lie. #:
Arch., Engr., Designer:.
ov
Address:
City, ST, Zip:
Telephone:
:, �:<#'::a:: :»>:::<:;�:r•>?`^`'
::>:;.: :: •:.<;:,
:<<>;<•:;..;.:.>:•;::.:::»::;:::.:;:..;;>•.;
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �e
Sq. Ft.;
#Stories: -T
# Units:
Telephone # of Contact Person: Q $�g 2
Estimated
Estimated Value of Project: Q QV
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
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
rd 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
7'•
5'-9"-
10'-10"
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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REVISIONS BY
POOL & SPA SPECS.
POOL SIZE 36'x 17'-6"
POOL S.A. 591 SQ. FT.
POOL PER. 122 L. FT
DEPTHS 3'-6" TO 5.4.
POOL PUMP VS 3050
HEATER 400,000
FILTER CCP 420
LIGHTS 1-100 WATT
2-400 WATT
CONTROLLER 1-5
SPA SIZE 7'-6" x 7'-6"
SPA PER. 30 L. FT
SPA S.A. 54 SQ FT
SPA DEPTH 42"
JETS 7
JET PUMP
DECK AREA 3333 Sq. Ft
TRAV. AREA
W F 18S
L.q Ft.
18 Ft.
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DATE: 04-29-09
SCALE: 1181=1
DRAWN BY: DT
JOB: HORN
SHEET
OF SHEETS