10-1177 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10700001177,
Property Address: `-51542 VIA SORRENTO
APN: 772-250-997-146 -31349-
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 37600
Applicant: Architect or Engineer:
BUILDING &'SAFETY DEPARTMENT
BUILDING PERMIT
Aofperjury
CONTRACTOR'S DECLARATION ,
I hereby ffirmf perjury th licensed under provisions of Chapter9 (commencing with
Section 000)the Bu ' ss n ProfessionalsCode, and my License is in fullforce and effect.
Lice as :LicenseNo.: 658996
Date: tor:WNER-BUILDER DECLARATION
I hereby affirmf perjury that I a exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Pro ssions 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.). . .
(_) 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 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: C
LQPERMIT
Owner:
RONALD TOM
51-542 VIA SORRENTO
LA QUINTA, CA 92253
Contractor:
FAMILY POOLS CONSTRUCTION
P O BOX 283
LA QUINTA, CA 92247—
(760)564-3655
Lic. No.: 658996
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:- 11/04/10
'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 or -which this permit is issued. My workers' compensation
insurance carrier andfe,m
re:
Carrier STATE FUNDy Number 1344032-2009
_ Icertify that, in the perfwork for which this permit is issued, I shall not employ any
person in any mannee subject to the workers' compensation laws of California,
and agree that, if I shbject to the workers' compensation provisions of Section
0 of the L bor Cwith comply with those provisions.
WARNIJG:-ILAILURE TO SECURE WORKERS'OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENH TIES 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 a;and
omission ed to the work being
performed under or following issuance of this permit.
2: Any permit issued as a result of this applicatio becomes void if work is not commenced
within 180 days from date of issuance of su h permi r cessation of work for 180 days will subject
permit to cancellation. -.
I ca rtif that I ave read this application and state that th a information is correct. I agree to comply with all
city an count ordinances and state laws relating to b r onstruction, and hereby authorize representatives
/of ttA• u�n/tt�y Hier upon t above-mentioned pr o ectio purposes.
D� ate: 'nature (Applicant or Agent):
Application Number
•10-00001177
Permit .BLDG
POOL PERMIT
Additional desc .
Permit Fee
336.50 Plan Check Fee
218.73
Issue Date
Valuation "".
37600
Expiration Date
5/03/,11
Qty Unit Charge
Per
Extension
BASE FEE
252.00
13.00 6.5000
THOU, BLDG 25,.001-50,000
84.50
Permit
MECH POOL
" Additional .desc
Permit -Fee . . . .
26.00 Plan Check Fee
6.50 '
Issue Date
Valuation . .
. 0
Expiration Date
5/03/11, ,
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,
5/Q3/il
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
5/03/11
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.
Permit" ... WALL/FENCE PERMIT
LQPERMIT
1
Application Number 10-00001177
Permit . . . . WALL/FENCE PERMIT
Additional desc .
Permit-Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date Valuation,
476
Expiration Date 5/03/11 .
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
POOL/SPA,-22 L.F. A16 " EQUIPMENT
ENCLOSURE CITY STANDARD, FIREPIT
BBQ(NO SINK). ALARMS/BARRIERS.SHALL BE
IN PLACE AT PRE-PLASTER INSPECTION. 2007
CODES. ENTRY GATE BY SEPARATE PERMIT.
------------------------------------------ ---
Other Fees . . . . . . BLDG STDS ADMIN (SB147,3)
2.00
Fee summary` Charged Paid Credited
----------
Due .
Permit-Fee Total 455.50 .00
.00
455.50
Plan-Check.Total 244.73 .00
.00
244.73
Other Fee.Total 2.00 .00
.00
2.00.
Grand Total 702.23 .0.0
.00
702.23
r
Bin #
-` Qt/ b Quince "
.Of
Building 8r Safety +Division
s Y P.O. Box 1504, 78-495 Calle Tampico '13'
Permit # - n
1
La Quinta, CA 92253 - (760) 777-7012
'Building Permit Application and Tracking Sheet
Project Address: I
Owner's Name:
A. P. Number:
Address:��
Legal Description: J
City, ST, Zip: Aa aAA
Contractor
Telephone
Address: 6) &x C;4
Project Description- - i JI
City, ST, Zip: -? 0
Telephone 0.1
_
State Lie. City Lie. #;
Arch., Engr., Designer.
Address: -
i
City., ST, Zip:
Telephone: T ;;- Construction Type: Occupancy:
y
State Lie. #:• ' „� :_. jr}.�ce``�;sr,'F'�FL'•:rys •<:`�>' � ' � Project type (circle one): 'New Add'n Alter - Repair • Demo
-
Name of Contact Person: Sq. Ft: # Stories: # Units:. - -
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE '
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
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
21" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
.-
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted _
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee.
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
4
t
School Fees
`
,Total Permit Fees
GOLF COURSE
+1211
®r5'
I Telescoping Floor
3"wd Fountain
Deck 14 1
p,a w Wet Step Spa Entry
if
•
midge;°_I Vw Dam ....,. ;
2'w Spill (2) Wall, 6 Jets
• 3 6 wd 5'wd
r'' ool w% ini Pebble`.`
Interior and Tile .�16, 30 3'G"w4' p.a
f,Wate ne .42'
li li 8'
Umbrella Sleeve (2) • ° 18"wd j 1 1 1
1 1 1
Under Tile Drain
----------------------------------- —------------- +15"fire Pit
® Tile to Match
Pool
Travertine Decking
p.a i 21
p.a
Drain Inlet
Connect to Existing
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
r!.►�
HARD5CAPE
��'PEBBLE-POOL
:�—I 8" -RAISED SPA -1
TRAVERTINE DECK
12" RA15ED SUN DECK
4'G -"H -EQUIPMENT WALL
�"IT5"�FIRE�PIT�'
COLORED. CON CRETE
WALK TO EXISTING
-:i~"FROITT: ENTRY WALL
AND GATE '
Utilities
Front
Entry
v
Existing Walk
Gas Electric
Courtyard
> O I ENTRY WALL GATE 11411= 1 '
IL
I ' _ Neighbors Garage
r.a
Driveway
VIA 5ORRENTO
New Front Entry Gate
Driveway
J�a/rmd
It
doo04V
Construction
1`0'015 Spas Fountaln5
(7GO)5G4-3655
LIQ- 96
Portable�BQ
0
Q I Pool Equipment
ac
p.a
Mac
4 6 h Stucco
Equipment Wall'''-'--,
Colored Concrete
Walk to Existing
HARD5CAPE
��'PEBBLE-POOL
:�—I 8" -RAISED SPA -1
TRAVERTINE DECK
12" RA15ED SUN DECK
4'G -"H -EQUIPMENT WALL
�"IT5"�FIRE�PIT�'
COLORED. CON CRETE
WALK TO EXISTING
-:i~"FROITT: ENTRY WALL
AND GATE '
Utilities
Front
Entry
v
Existing Walk
Gas Electric
Courtyard
> O I ENTRY WALL GATE 11411= 1 '
IL
I ' _ Neighbors Garage
r.a
Driveway
VIA 5ORRENTO
New Front Entry Gate
Driveway
J�a/rmd
It
doo04V
Construction
1`0'015 Spas Fountaln5
(7GO)5G4-3655
LIQ- 96