09-1161 (RPL)• "
P.O: BOX 1504 - VOICE (760) 777-7012
TAtyw-4
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
r
Date: 11/03/09
Application Number: a, 09-000.01161-- Owner:' ,.. 9 f
Property Address: , 57407- VIA VISTA ' f f ±" ROBERT YOUNG
APN: 762-240-003-32 -300962- 1' 57407 VIS VIST D d r
Application description: POOL'- RESIDENTIAL LA QUINTA, CA 3
Property Zoning: MEDIUM DENSITY RES, t�lf�s
Application valuation: 22000 ' V 03 200
9 '
• ; . Contractor i
Applicant: _ Architect or Engineer: r i- b LINDLY' S POOL CATJPE..rr U1f11Tq' E }
1. • 30805 DESERT PALM DRIV `Pt•o �t
f ,` THOUSAND PALMS, CA `92276,
-(760)343-0600 s_ f , �'r
LiC. No.: 833313-
_ -- , ..fir
s — — — - — — — _ — LICENSED CONTRACTOR'S DECLARATION. — — - -� " — — —�-- t — — — _ — - WORKER'S COMPENSATION DECLARATION - —• -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with X - I hereby affirm under penalty of perjury one of the following declarations: *
r Section 7000) of Division 3 of the Business and Professionals Code, and my 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 Class: C53 .License No.: 833313 .� .,,� for by Section 3700 of. the Labor Code, for the performance of. the work for which this permit is
\ �' c + 5 issued.
ate: �� ractor. ' Yt. I have and wilrmaimain 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
' OWNER -BUILDER DECLARATION^ ; -,insurance carrier and policy number are:
` - I hereby affirm under penalty of perjury that I am exempt,from the Contractor's State License Law for the Carrier-.SUA INS CO * _ Policy Number , WSATMEC3 0416701 u. - x'•
following reason (Sec. 7031 .5, Business and Professions Code: Any city 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 1' 'C- ' • ',
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the "�: �'.' .� 4 ;> person in any manner so as to become subject to the workers' compensation laws of California, y
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State '(` and,agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) ori• - 3700 �thhe.obr Code, l shall forthwith comply with those provisions.that he or she is exempt therefrom and the basis for the alleged exemption. Any violation ofSection 7031.5 by. , ` >any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: - Dater` 1 J :I, as owner of the property, or my employees with wages as their sole compensation, will do the work, an-���� , , • '
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The • WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE IS UNLAWFUL; AND SHALL - -
•�., Contractors' State License Law does not apply to an owner of property who builds or improves thereon,,. Y .. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND -
• - - •' r and who does the work himself or herself through his or her own employees, provided that the , DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN.
_ improvements are not intended or offered for sale. If, however, the building or improvement is sold within. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'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.). APPLICANT ACKNOWLEDGEMENT ` '-
(_ 1' I, as ownerof the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - J,
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 a result of this application, -
1—) 1, am exempt under Sec. - , BAP.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 aresult of this application becomes null and void if work is not commenced '
=z • - - within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
r CONSTRUCTION LENDING AGENCY , permit to cancellation.
r I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). _ - city and county ordinances d state laws relating to building construction, and hereby authorize representatives
f�/ of this c ty to ;ignoalure
upthe above-mentioned property for inspection purposes.
Lender's Name: 1 IDC /qt I . (Applicant or Agent): • >
Lender's Address: • : ' U��`- - -
LQPERMIT
Application Number
09-00001161°
Permit . . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
225.00, Plan Check Fee
146.25-
Issue Date
Valuation
22000
Expiration Date
5/02/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
- 20.00 9.00.00
e--------------=-----------
THOU BLDG 2,001-25,000 -
-----------------------------=--------
180.00.
------ - - ---- "
Permit . . . . . .
MECH POOL
Additional desc ...
;
Permit Fee . .
26.00 Plan Check Pee
6.50
Issue Date"
Valuation
-0
Expiration Date`:
5/02/10
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,
5/02/10
Qty Unit Charge
-Per
Extension
BASE FEE
15.00
1.00 30.0000„
-EA 11 ELEC PRIVATE SWIMMING POOL`..,
--------------
30:00
Permit
PLUMBING
Additional -desc-
Permit Fee
27.00 Plan Check Fee
6.75
Issue Date ;•.
Valuation
0
Expiration Date'.
5/02/10
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,
3.04
Permit . .
WALL/FENCE PERMIT
LQ -PERMIT
-
Application'Number .. 09-00001161
- -
't
♦s
Permit . . . WALL/FENCE PERMIT
{
Additional desc
_
.
Permit Fee •15.00 Plan Check Fee
.00
Issue Date Valuation
217
Expiration Date 5/02/10 4 -
t
_
Qty Unit Charge Per
Extension
{
BASE FEE
15.00
..
� _.••
"-----.---------------- -----
Special Notes and Comments
----------------e
-
SPA& 10 L.F. 5'EQUIPMENT WALL, CITY
.
_.
'
STANDARD &'80 L.F. 3/4".GAS LINE
,
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE-PLASTER INSPECTION. "2007 CODES.,
--r--Other
Fees----- -----.- --- --BLDG STDS ADMIN
ees--
>-- -1 00--
.-. .(SB1473)
4'...
~�
Fee summary Charged ' Paid' Credited
Due
t
Permit Fee Total' '338.'00 :00' .00,
338.00 1,
-Plan Check-Total 170.75..'1 00- .00
_170.75
„
.�
t~
Other Fee Total I 00 00 00
+' -1.00
} -•.i'y
,y
Grand Total 509.75 00 r:60
1509.75
41y
•
-
i
16
LQPERMIT
Bin #,
Cky of Ld Q uin to ,
Building 8i' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: L4 C>-71 V I A • V I Si A
Owner's Name:
A. P. Number:
Address: o S-i\A
Legal Description:
City, ST, ZiptA A r,fjlGN CA GiZ1, S 3'
i N S �
Contractor:1 t S F
1 � V` v•
'Telephone:
Address: ��� ( �� QpdM (L
Project Description:
City, ST, Zip: T)lA0j W4D PPNM� CA Onii—J (0
�P� ' Ci Q ilptr e F i
ele hone 9
TP 1 "1
LaLic.
O PT
State Lic. # : �j�j`tij��j #:
Arch., Engr., Designer:
L I\
6p\S U,JE IoW Fi
Address:
Oyu
yam
on'tru co' on TY P e: Occupancy:
City., ST, Zip:
hone:
Telephone:
StateLic. #:
Name of Contact Person:
ProjectnPe circleone • New Ad 'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone #'of Contact Person: (,�,loZ
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
ff
Item __
Amount
A
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" 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
Schodl Fees
V
Total Permit Fees
Length: N/A
Width: N/A
Depth: N/A
Perimeter: N/A
Square Footage: N/A
Capacity: N/A
-J� "a tj
Material. N/A
Water Features: N/A
Lundl,y 2 P00"s (Df Ca
3 11 Length: 10`
Width: 8'
Depth: 3'6"
Perimeter: 44 Linear ft
Square Footage: 83 suquare feeet
Capacity: 2,100 gallons
CJO Material: Pebble �- + 30„ Water Features: Sheer Descents 18" (3)
-� 2 11 /.
4
+12
Pavers
e J A / Perimeter: 175 linear feet
SPA 1 Mph
-�y � l7 (J rc-� Square Footage: 863 square feet
l_ t lQ ' 1 a ' ( �� Material 1: pavers to be selescted
L� —'ma=r Material 2:
N (g�Equipment
Pavers C
7 v Fire Pit Filter Pump: 2 HP Jet pump and motor
wall
Existing block 1-1r Filter Type: 225 Sq ft filter
Jets: 6
+12 Spa Lights: 1-100watt
Heater: 11 Kilowatts Electric Heater
Sanitation: Aqua Logic Salt System
Pool Sweep: N/A
Other Equipment: 3-18" Sheer descents
Pool Line Size: N/A
/0001� Spa Line Size: 2"
Spa Booster Line: 2"
Pool Sweep Line: 2"
Skimmers: i
Returns: 2
Suction Ports: 2
Auto Fill: 1
Turn Over Rate:
..
By: -- Date:
By: Date:
By: Date:
Young Residence
By: Date:
57-407 Via Vista By: Date:
�(� lnta CA 92253 By: Date:
La Y u By: Date:
By:_ Date:
By: - - _:. -- Date:
1
I
i
r4r�1��
Customer Name: Robert E. Young
Address: 57-407 Via Vista
City: La Quinta ---- - - ---
State/Zip: CA 92253