06-0226 (RPL)P.O. BOX 1504 r ^� 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: 1/13/06'
Application Number`. 06-00000226 Owner:
Property Address: 81244 VICTORIA LN HUMPHREYS
APN: 764-270-999-137 -300234- 81-244 VICTORIA LANE
Application description: POOL. RESIDENTIAL . ' LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 31000
Contractor: ,
Applicant: Architect or Engineer ��'n TOPMAN BUILDERS
P.O. BOX 10202
PALM DESERT, CA 92255
(760)772-7296
e� Lic. No.: 455121
`I
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
' 1 hereby affirm under penalty of perjury the a I nsed under provisions of Chapter 9 (commencing with -
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busine an Pr f s ionals 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: B C29 C53 License No.: 455121
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
-_/'Date: r� Contractor: - ..
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
' OWNER -BUILDER DECLARATION
-
insurance carrier and policy number are:
I hereby affirm under penalty of peQem exempt from the Contractor's State License Law for the
Carrier CLARENDON Policy Number 01KR-0030-842following
reason (Sec. 7031.5, Burofessions 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
construct, alter, improve, demolishny structure, prior to its issuance, also requires the applicant for the
person in any manner so as bject to the workers' compensation laws of California,
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 1 should ecom to the workers' compensation provisions of Section. -License
Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I hall o�=rovisions.
T
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).:
e: ' •C.J"� Applicant: -�-
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 -
WARNING: FAILURE TO SECURE ORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
' Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRI AL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the .•.
DOLLARS ($100,000). IN ADDITIO O TH 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,. EST, 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 owner of 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
• 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 contractors) 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,
I—) 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 Quints, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
- -1-. Date: - .Owner: -
' 2. Any permit issued as a result of this application becomes null and void if work is not commenced
J - -
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 read this application and state that the ab form 'on is correct. I agree to comply with all
work for which this permit is issued (Sec.'3097, Civ. C.).
city and county ordinances and state laws relating to building nst c on and ereby authorize representatives
' -
Lender's Name: � � �
of this
ounty to enter upon the above-mentioned prope Xfor i t n urp e
4 •
^
ate:
r I ` .�ignature (Applicant orAgen
Lender's Address: - r -
-
.LQPERMIT
Application Number 0.6-00000226
Permit "BLDG POOL PERMIT .
Additional desc
-
Permit Fee 291.00 Plan :Check'Fee
189.15 :
- Issue bate Valuation
3.1000-
` Expiration Date 7/12/06,
Qty. Unit. Charge Per _.
Extension
- BASE FEE
252.00
6.00 6.5000 THOU ,BLDG 25,001=50,000
39.00"
Permit MECH -POOL-
Additional desc ,.
. .. • 26.00 - Plan Check Fee '.
Permit Fee
�, 6.50'
Issue Date Valuation
0.
Expiration Date "7./12/06
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 7/12/06
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 7/12/0.6
Qty -Unit Charge Per_
Extension
,
BASE .FEE
15:00
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 .ONLY. ALARMS/BARRIERS SHALL
LQPERMrr. .
Application.Number` 06-00000226
.
f.
Bin # '
Permit #
Project Address:'I
�
A. P. Number:
Legal Description:
2.
Contracto J ,
Address:
City, ST, Zip: 4 , /lid,
Telephone: 2. 735 ..
.
City of La Quinta
Building at Safety Division ,
P.O. Box. 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 =.(760) 777-.7012.
Building Permit APPlicatlon and Tracking. Sheet
I
C f LI�1 Owner's Name: �
i
Address: 2Lj G , I
City, ST, Zip: 06
1 x S- Telephone: 76D
I Project. Description:.
l ( t .
1.
.
State Lic. # : ✓
�{ S 12
City. Lic. #:
Arch., Engr., Designer:
.Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
P cY:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
• w Name of Contact Person:
S . Ft
9 #Stories: #Units:
Telephone # .of Contact Person: .2
-
Estimated .� Estimated Value of Project: r/JC;� J .
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Recd TRACMG . PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cates..
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person . Plan Check Balance
Energy Calcs.
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:
''" 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
RAISED SPA AT +18" WITH CONCRETE
CAP, STACKED STONE SPILLWAY AND
PEBBLE FINISH
POOL EQUIPMENT AND 5' HIGH BLIND
WALL
CONCRETE WALKWAY TO GATE
GA5
CGOLF COURSE
RAISED BOND BEAM AT +18" WITH
CONCRETE GAP, STONE FACE, AND
STUCCO FACE AT REAR. BOND BEAM
WITH TWO 24" WIDE SHEER DESCENT
WATERFALLS
SEE ENTRY ELEVATION FOR
COURTYARD WALL DESIGN
PROPERTY LINE
FIREPIT AT +12" WITH STONE CAP AND
FACE
REMOVE AND REPLACE EXISTING
WALL FOR ACCE55
SOD REPLACEMENT BY LAND5CAPER
a
5PECIFICATION5
GUNITE 35'-6" 15'
TYPE SIZE X
454S.F.
SURFACE AREA OF POOL
PERIMETER �5 DEPTHS MIN.
SPA 5PEG I F I GATI ON5
ELECTRI GAL
SIZE q' X 11-611 50. FT. 53 PER. 27'
BY LENGTH ft.
SPA DAM WALL WIDTH
TIME CLOCK SUB PANEL
M OF JETS
# OF LIGHTS IN POOL
LI6HT BOOSTER PUMP
OUTSIDE G.F.I. LIGHTS G.F.I. OUTLET
CA. AQUA AIR -BAR d BLOWER
EXTRA 5WITCH FOR SPA LIGHT
BLOWER ONLY
BLANK FLUC75
RAISED SPA SPILLWAYS
MOTOR BOOSTER
SPECIAL NOTES
BLOWER GLEANER
M15C.
EXCAVATION
TYPE
ACCESS FROM
COPING 4 TILE
ELEVATION
COPING WHITE
DEEP END RAMP
COPING SPECIAL
FENCE REMOVED BY
TILE TYPE
FENCE TYPE
TILE TRIM MASTIC
TRASH REMOVAL LOADS
6" RBB ft 12" R.B.B. ft. 18" R.B.B. ft.
CONCRETE REMOVAL LOADS
MI50.
TREE REMOVAL BY
STUMP REMOVAL BY
L
DECKING
DIRT PAD
b" R.B.B. ft. 12" R.B.B. ft. 18" R.BB. ft.
BY UP TO 1583 SR. ft.
WALKOUT/MISC.
FINISH COLOR
ROCK PACK
EXPANSION JOINTS
MASTIC FOOTING
STEEL
STEPS TYPE
EXPANSIVE 501L
CANTILEVER
6" R.BB. ft • 12" R.B.B. ft. 18" R.B.B. ft'
DECK DRAINS CURB GORE
5URCHAROE DEEP END RAMP
DECCO DRAIN DIVING BOARD JI6
LOVESEAT INSIDE ft. OUTSIDE Pt.
SLIDE IN5TALLTION _
SPA WALL WIDTH In. OTHER 'n
MA50NRY
WALL DOWEL/MISC.
COPING TYPE
PLANTER WALL -
PLUMBING
FILTER 51ZE
TYPE ft. X
POOL PUMP 51ZE
GAP BACK UP WALL ft
HEATER 51ZE
FOOTINGS R.B.B. PAGING
BOOSTER PUMP 512E
FIREPIT TYPE 51ZE
SKIMMER TYPE
EQUIP. WALL TYPE ft. X
CARETAKER # OF HEADS
FENCING vF
OTHER GLEANER STUB ONLY
MISG.
FILL LINE SLIDE LINE
P -TRAP BACK WASH TO
PEBBLE
L16HT5 POOL SPA
GAS LINE STUBS
FOUNTAINS/SPRAYHEAD5
ROPE RINGS EYEBALLS REQUIRED
LIGHTS IN POOL IN SPA
COLOR NAME TILE
STUB SET EOUIPMENT
5PE6 I AL EQUIPMENT
5AWCUT AUGER
DIVING BOARD 517E
MI50.
MODEL COLOR
SLIDE SIZE
GUN I TE
MODEL COLOR
6UNITE INSPECTION REQUIRED YES NO
POOL COVER SOLAR HEATIN6 YES NO
ROPE RIN65 GRAB RAILS
FENCING
DEEP END RAMP
TO MEET ALL LOCAL CODE REOUIREMEN75 BY BUYER PRIOR TO
6" R.B.B. ft. 12" R.B.B. ft. 15" R.BB.
PREPLA5TER INSPECTION
OTHER
LC9VE5EAT • EXTENDED 2nd STEP
NOTCHED BOND BEAM
COPING CANTILEVER ft.
SAP DAM WALL WIDTH
OANER RE5PON5I5ILITIES
OWNER TO:
(1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION 15 SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME
OF ISSUANCE OF PERMIT
(2) TAKE NOTICE THAT PLATINUM POOLS 15 NOT RESPONSIBLE FOR: UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE
TO CURBS, SIDEWALKS, DRIVEWAY5, LAWN5, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, 6ATE5, AND GARAGE DOOR5 MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO FREPLASTER INSPECTION
(4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS,DO NOT USE RUBBER HOSE)
(5) TAKE NOTICE THAT THIS DRAWING 15 THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMIS51ON
OF PLATINUM POOLS 15 PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RE51-ON5151LITIES AND NOTICES ABOVE.
51 GNATURE(5) DATE
516NATURE(S) DATE
—MATERIAL
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CHOICE
RVENC r
STREET
A
CITY LA QUINTA
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TRILOGY
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Dow
OFFICE
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• • •
TRACT #
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`I AwlrI
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MAIL ADDRE55
SVnNM TG POOL PLAN FOR:
NAME(5)
HUMPHREY5
RVENC r
STREET
51-244 VICTORIA LN.
CITY LA QUINTA
JOB ADDRE55
TRILOGY
PHONE #'S
OFFICE
HOME
LOT #
TRACT #
PAGE BOOK
MAP BOOK PAGE #
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MAIL ADDRE55
CITY
CONSTRUCTION OFFICE PHONE #
BY:
O�l"It�N
1L1���5 D,r�5,f}, PLhrINUM POOLS
t000� PALM DE5E1'T, Gli,
I