08-1852 (RPL)O
P.O. BOX 1504 4 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/13/08
Application Number: 08-00001852 Owner:
Property Address: 80220 VIA TESORO HILLYARD
APN: 772-250-018-11 -31349 - - 80220 VIA TESORO
Application description: POOL - RESIDENTIAL D LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 40000
NO
V 14 200a Contractor:
Applicant: Architect or Engin er: CITY OF L,A QUINTA MCINTYRE POOLS & SPAS, INC.
Fl111A Ca OLCpT 83695 AVENUE 45
INDIO, CA 92201
(760)342-3612
LiC. No.: 614611
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
1 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.
LiceClass: C53 LicenseNo.: 614611
Date: ontractor. a
�"7�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 _ 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 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
1 _ 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:
LQPERMIT
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 01DKRM12001870
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 co ly with those provisions.
Date: 7 hlicant:
T-
G----
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 thjs county to enter upon the above-mentioned property for inspection purpos s.
1-1
Date: ignature (Applicant or Agent):
Application Number . . . . . 08-00001852
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
349.50 Plan Check Fee
227.18
Issue Date . . . .
Valuation . .
. 40000
Expiration Date . .
5/12/09
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 . .
5/12/09
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 . .
5/12/09
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
5/12/09
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. ALARMS/BARRIERS
SHALL BE IN
LQPERM[T
Application Number . . . . . 08-00001852
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 453.50 .00 .00 453.50
Plan Check Total 253.18 .00 .00 253.18
Grand Total 706.68 .00 .00 706.68
LQPERMIT
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LA QUINTA CA
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POOL &
SPA SPECS.
POM 5U :29' x 17'
POCt 5,A: 408 50. Ff.
POOL FFK.
91 Ff
rIiPTH5 3'-b' r0 5'
P001. PUMP
1.5 HF.
HFATM
400,000 m
FIVNZ
CCP 420
f.M5
I-100 WAff
2-400 WAfr
CONTROLLER
5FA 519
7' MA
5PA PFK,
22 Ff
5FA 5,A
38 50,Fr,
5FA DEPTH -
42"
JM
5
JFf PUMP
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CONC. ATA
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PAVFK5 M.FA
985 50,Ff.
W.F.
DATE:
10114108
SCALE: ,
1/8`=1'
DRAWN BY: DT
JOB: H1.6MV
SHEET
OF
SHEETS
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LLI I_
WATERPROOF
G.F.I. OUTLET
(TWO PLACES)
TOP
FOOTING, STEEL AND
FIRST COURSE OF BLOCK
#4 REBAR HORIZONTAL
OVERLAP MIN 18"
VERTICAL BEND
BOTH ENDS
FRONT
ACCESS DOOR
STA(
S'
SPILL
BBQ MASONRY ENCLOSURE
INCLUDING GAS AND ELECTRIC'
LENGTH 8', WIDTH 4' HEIGHT 36"
TETURN LENGTH 5', WIDTH 4', HE
COUNTER TOP FINISH STONE, SI[
FLEX LIGHT AND POWER OUTLET
BEND STEEL
TO REINFORCE
COUNTER
CONCRETE DECK
GAS AND ELECTRIC METER
CITY OF LA QUIN'
BUILDING & SAFETY DE
APPROVED
FOR CONSTRUCTION
PIC
SIZE:
AREA:
PERIMETER:
DEPTH:
LIGHTS:
SPA SPECS
SIZE:
AREA
RAISED @
SPILL TYPE
# OF JETS
LIGHTS
FACE FINISH
EXTERIOR FINISH
a..Iv rry a v ■ I I
12'X 25'
331 SF
80 LF
-3' TO -5'
2- 500 WATT
71611 X 71611
49 SF
+1811
STACKED STONE
4
1
STONE
STONE
DIG/STEEL
BENCH: NO
TANNING LEDGE NO
RAMP NO
STEPS:1- 2' WIDE X 3'6" LONG
PLUMBING
FILTER:
POOL PUMP:
HEATER:
POOL CONTROL:
RETURN INLETS:
AUTO FILL/SKIMMER:
CASCADES:
SPRAY HEADS
STUB OUTS:
GU N ITE
POOL:
BENCH:
420 SF
PENTAIR 2HP
400,000 BTU
QUA LOGIC CHLORINATOR
ALL MOUNT CONTROL
PORTABLE SPA CONTROL
3
YES
NO
NO
FOR BBQ(per Ian
STEPS: 11-2' LONG, 3'6" WIDE
TANNING LEDGE:
SPA:
SPILLWAY TYPE
BENCH
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COLOR:
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SPA: CONCRETE
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SIZE:
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TOP FINISH:
FACE FINISH
SIDE BURNER:
PEN LIGHT:
PLUG OUTLET:
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PLASTER COLOR: O w Q
PEBBLE COLOR: TAHOE
OTHER
PLAN FOR
ANDERSON RESIDENCE
ADDRESS: 80-233 VIA TESORO
LA Q U I NTA CA 92253
LOT# 115
REVISIONS:
(�) DATE:
O DATE:
w
F-
z
0
m
(3) DATE:
(4) DATE:
(5) DATE:
Date Printed
9:23 AM 1/30/07 1/8"=1' Scale
Bin #
Cit/ of La nuinta
- ;Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
U Quitita, CA 92253 - (7¢0) 777-7012
Building Permit Application and Tracking Sheet
Permit # 0`
Project Address:'
re
Owner's Name:
A. P. Number:
Address: O _ d.
Legal Description:
City, ST, Zip:
Contractor: MCZ ✓ �.
Address:S -G
Telephone: _
Project Description:. t!
City, ST, Zip:.
d�l " �JU
420
Telephone: —�
State Lie. # 6 1�611
City Lic. #:
Arch., Engr., Designer:
Address:
Construction Type: Occupancy:
City, ST, Zip:
Telephone:
State Lit. #:
Name of Contact Person:
Project type (circle one): ew Add'n 'Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact -Person. '
a.
Estimated Value of Project: 40, C). co
APPLICANT:
DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd ,
Reed
TRACMG
PERMIT FEES'
r
Plan Sets
Plan Check submitted
'Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Chec6 Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan ,
Plans resubmitted
Mechanical
Grading. plan
2"" Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans, picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading.
IN HOUSE:-
7rd Review, ready for correctionslissue
Developer Lnpact Fee
A.I.P.P.
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permi: Fees