12-0172 (RPL)4
P.O. BOX 150.4 - 0". VOICE ( )
`760 777-7012
TW!t 78-495 ' CALLE TAMPICO FAX'(760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
» . Date:. 2/27/12
Application Number: 12 00-000172 ' w Owner: M
��__: --
Property Address: .78430 VIA SEVILLA STEVE & LISA BULLUM
APN: 604-211-'004-25 -23971 - 78430 VIA SEVILLA
' Application description: POOL - RESIDENTIAL LA QUINTA; CA 92253 ,
Property Zoning: LOW ,DENSITY RESIDENTIAL.
=
Application valuation: 40000
Contractor: b
Applicant: Architect or Engineer: STEWART POOLS & SPAS
P.O. BOX 961 (D:...
Y� PALM DESERT, CA 9226, rr
oil,
" 1^ o
�V1✓ it (760) 217-7777 1 23 201.2
Lic. No.. 856383
CITY rrOFj WIN
yI�N�A .
_777-
t
LICENSED NT C CLARATION - - WORKER'S COMPENSATION DECLARATION a - -
I hereby affiryl and r penalty of periu 1 am Ii se qs of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
_ Section 700 ) of rvision 3 of the usiness d Pr dray License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided
License Clas' C 3 i nse . 856383 - for by Section 3700, of the Labor Code, for the performance of the.work for which this permit is -
_ rt issued.
` Date: I C 'rac r: I have and will maintain workers' compensation insurance, as required by Section'3700 of the Latior
.Code, for the performance of the work for which this permit is issued. My workers' compensation
LDER C ATION insurance carrier and policy number are:
I hereby affirm u er penalty of pe ry that I a xe pt the ntr ctor's State License Law for the Carrier EXEMPT Policy Number EXEMPT'
followi reason (Sec. 7031.5, Bu fess and Pr s ions Code: Any a y or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any
constru t, alter, improve, demolish, or repair an str cture, prior to its issuance, also requires the applicant for the p rson in any manner, as to beco s ject he work s' compensation laws of California,
permit to file a signed statement that he or she i licensed pursuant to the provisions of the Contractor's State d agree tha if 1 shout becom su t to er c sation provisions of Section
bor Code I hall p
License Law (Chapter 9 (commencing with Secti n/7000) of Division 3 of the Business and Professions Code) or 700 of the t �osetose p /
that he or she is exempt therefrom and the basis r the alleged exemption. Any violation of Section 7031.5 by s
' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: pli nt: -
(_ 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 WA ING: AILURE TO SECU ORK MPEI SA ION OVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SU ECT A EMPLOYER TO MINAL •N TIES AND g1VI FINES UP TO ONE HUNDRED THOUSAND
_ and who does the work himself or herself through his or her own employees, provided that the DO LARS 1$100,000). IN AD TION T T COST OF COM ENSATION, DAMAGES AS-PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SE TION 3706 OF THE LABOR CODE, TREST, AND AT'RORNEY:S FEES.
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.l. APPLICANT ACKNOWLEDGEMENT
1 _ I 1, as owner of the property, am exclusively contracting with licensed contractors to'construct the project (Sec. IMPORTANT Application is hereby mad to the Director of Building and Safety for a permit subject to the
• 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on •this application. -
property who builds or improves thereon, and who contracts for.the projects with a contractor(s) licensed 1. .Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as result of this application,
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason 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. `
Date: .Owner: . ` - - 2. Any permit issued as a result.ofthis application becomes null and void if work isnot commenced .
„ within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject'
` - CONSTRUCTION LENDING AGENCY - permit to cancellation. '
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the _ I certify that I have ead this ap I ation nil st to t t ove information is correct.,) agree to comply with all
work for which this permit is. issued (Sec. 3097, Civ. C-L city and cou y o finances an state ws eta in ddi co truction, and hereby authorize representatives
-Lender's Name: of thi rcouEqupon a abo men o or ' spection purposes. -
• ate: gn ure(A Ii n nt
Lender's Address: lk
\ '
LQPERMIT - - - - -
Application Number . . . . : 12700000172
Permit . . BLDG POOL•'PERMIT
Additional desc ._
Permit Fee- 349.50 Plan Check
Fee _ _
227.18
Issue Date Valuation
40000
Expiration Date 8/25/12
Qty Unit Charge Per
Extension
BASE FEE
252.00
15.00 6.5000'THOU BLDG 25,001-50,000
97..50
Permit MECH POOL
Additional desc .
-Permit Fee . . ., 26.00 Plan Check
Fee"
6.50
Issue Date . . . . Valuation
. . .
0
Expiration Date 8/25/12
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 8/25/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING
POOL
30.00
Permit . .J. PLUMBING
Additional desc .
Permit Fee 33.00 Plan Check
Fee
8.25
Issue Date . . . . Valuation
0
Expiration Date 8/25/12
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. ALARM/BARRIERS SHALL BE TN
LQPERMIT
Application,'Number 12-00000172
----------- -------------------------------------------------------------
Special,Notes and Comments
PLACE AT -;PRE-PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED..
2010CODES`.
Other Fees BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid
Credited
Due
•Permit.Fee Total 453.50 .00
:00
453.50
Plan Check Total 253..18 .00
.00
253.18
Other`Fee Total 2.00 .00•,
.00
2.00
Grand Total 708.68 •.00
00
708.68
3!J8 M344,,,
P Ti
jEWXR�TjPD.-QU1S1A.NP PAWSIMILL4 L"A-ts-
F1 0 N E o
78430 VIA SEVILLA STREET
1 7 - - - - - - - - - - - - -- -
D I
-T D A7V, I ST E W A U J4T
1p...001pectricavon
Length : 251 .::
Width:
Depth: 50" TO 53" .-, --------- 1-
Pdrimeter'. 90
Square Footage: 500
Capacity:
Material,: Gunite Pool
Water Features: 2 1" Sheer Decent
rvectincavionsm
Length: -102"
Width:.76"
Depth:
Perimeter:
Square footage: ���
Capacity:
Material:
Water Features:
■
equipment
Filter Pump: Pentair I HP
Filter Type: 420 Pentair
Spa Pump: iV,
Other Pumps:
Heater: 400,000 BTU Pentair
Sanitation.
Pool Sweep:
Other Equipment:
NOMS
STEWART
POOLS AND SPAS LIC#856383
PHONE# 760 217 -77 77 DAVID STEWART
Pool Specifications
1'L 4'
M
297 1/4°
42' 64 67 3/41- 801/a^.
Length; 25''
width: 20'
4,` • - .
N
e ` _
Depth:.50" TO 53" ' r
E
Wau.
14^
r12.
14^
7 F
r12° •� .. �Y.
Show Decent 1'. _
Perimeter: 90 -
Square Footage: 500
O
SWDee°
,
_
- - 17
.
Capacity'
'
r12^
W
681/2
3 22" 6^
Material: Gunite Pool
S.
'
�4"
-
a'8^ Deep .
Water Features: 2 1' Sheer Decent
-
-
..
••
- �p - F . ,o
- SB , 34 a,
w
•
• - •
•.
'40 26
'
. ' `
.• 8" 7 28
Sheer Decent 1' •�
.. Specifications
DRAINAGE
'
5°
r'
v
Length: 102"
ra^
v^' $
Width: 76"
13e -
Depth:
U
r
Perimeter:
-
Square Footage: �.
f
Capacity
;t •. -
, DRAINAGE
Material:
x
Water Features:
' ..
.
Equipment
_
Filter Pump: Pentair 1 HP
Filter Type: 420 Pentair
equIpmmrt Am
-
PC—
- .•
• '
Spa Pump: N/A
Steve & Lisa
Home
other Pumps:
Heater: 400,000 BTU Pentair
NEW GATE 12' >
_
Sanitation:
Pool Sweep:
• • y
Other. Equipment:
Driveway Ge,/8lectrlc
CITU OF C�IJiNTA
BUILDING & SAFETY DEPT.
�> ,
Y
{/�
tl tlPP■ CO ®9
•
FOR CONSTRUCTION
78430 - .VIA SEVILLA
STREET
_
DAT
HVAC (C-20)
ELECTRICAL (C-101 y�v�i9�►L7 asps �°' G S3 $6 3f� B % S �/ SS�/ a7 /j
ROOFING (C-39)
.SHEET METAL (r-43)
FLOORING -(C-15)
GLAZING (C-171
.INSULATION. (C-2)
SEWAGE DISP. (C-42)
PAINTING (C-33)
CERAMIC TILE (C-541
CABINETS (C-6)
FENCING (0-13)
LANDSCAPING(C-27)
POOL W-531 % /'r%2T DOGS �S 6383 20/ ' • . /o/�S / ����
CITY OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS -_79
1�3
PERMIT NUMBER. OWNER TG�� �.� �`VBUILDER
�'E�
fiR� �-$='.• ..'
This form shall be posted
on the iob with the Buil ding
Insnection Card at all times in a conspicuousla ace. 'Only persons appearing onthis list or their employees are authorized to work
.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 voidance
of building permit. For,each. applicable trade, all information requested below must be completed by apelicant. `On File" is not an acceptable response.
Trade / Clessirraation
6piraci61 .
State,ContractWs.License tH
,orke.s tion Insurance ..
� .fltr5lttess License
Company Name .
Classification
license Number Exp. Date Carrier Name Policy Number Exp. Date
License Number Exp. Date
(e.g. A, B, C-81
Izxxxxxl (xx/xx/xxl (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xxl
(xxxx)' ' (xxlxzlxx)
EARTHWORK (C-121
%Q,d/1lLi
CONCRETE IC 81
O r�/ % �Ll% Z
FRAMING (C-5)
��tvn// J—f�
C 51)en
STRUCT. STEEL (C-51)7-
enG
7 -7
e— S 38�
MASONRY (C-29)
PLUMBING (C-36)
/ W C_
X49t _
- LATH, PLASTER (C-35):�3
9,2y/ `;, 0 . 'oB?9`/3 g2ef re—g-
HVAC (C-20)
ELECTRICAL (C-101 y�v�i9�►L7 asps �°' G S3 $6 3f� B % S �/ SS�/ a7 /j
ROOFING (C-39)
.SHEET METAL (r-43)
FLOORING -(C-15)
GLAZING (C-171
.INSULATION. (C-2)
SEWAGE DISP. (C-42)
PAINTING (C-33)
CERAMIC TILE (C-541
CABINETS (C-6)
FENCING (0-13)
LANDSCAPING(C-27)
POOL W-531 % /'r%2T DOGS �S 6383 20/ ' • . /o/�S / ����
Bin. # .
Citk• ®f : QilI�1 td'
Buffdfng liz Safety Division. :.. —k
P.O. Box.1504, 78-495.6ffe. Tampico
La.Quinta, CA 92253 -=(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #`
M'
Project Address: y3 419
Owner's /.Sri
A. P. Number.
Address:
Legal Description:
City, ST, Zip: ✓ism
Contractor.: r�fr/� �G
Telephone:
Address: p e. /24<
Project Description:
City, ST, Zip:
Telephone: ,7 ,, 7,
State Lic. #: S6 3.8 3 City Lia &-
Arch., EW., Designer
Address:
City., ST. Zip:
Telephone: Construction Type: Occupancy: �.
State Lic. #: Project c
' •. ,� � type Circle one): New Add'n Alter .Repair Demo
Name of Contact Perso�JZ/
�l/I� Sq. Ft.: #Stories: #Units'
Telephone # of ntact Person:
Estimated Value of Project:
APPLICANT: DO 40T WRITE BELOW THIS. UNE
9
Sb.611
Req'd
Recd
TRACENG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Celm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mecharileai
Grading plan
2" Review, ready for correctionsliissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked op
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.-
'^' Review; ready for correctlonslissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr -
Date of permit issue
School Fees '
Total Permit Fees