04-8020 (RPL)P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
Application Number . .
Property Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation .
Owner
---------------------------------
IVANHOE LA QUINTA COVE
C/O R BARRY MCCOMIC
7979 IVANHOE AVE STE 550
LA JOLLA, CA 92037
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00008020 Date 12/27/04
77935 GREY WOLF TR
658-140-999-100 -29436 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
17000
Contractor
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
WCC: STATE FUND
WC: 04600061168 01/01/05
CSLB: 6561-28 10/31/06
CCC: C8-C27-C29-053
P.O. Box 1504
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: v
Applicant:
Applicant's Mailing Address:
Date: - 4LAW:L _
Architect or Engineer:
Architect or Engineer's Address:
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed un visions of Chapter 9 (com rmctng with Section 7000) of Division 3 of the Business and Professionals
Code, and my L1c9,IL
i ua 11 force and effect r
License Class "" r nse o.
Date � Cantracto
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt a contractors' 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, tx 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 Contractors' 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).):
U 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' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or 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, as owner of the property, am exclusively ccntract ing with licensed contractors to construct the project (Sec. 7044. Business and Professions Cade- 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' Slate License Law,),
(� I am exempt under Sec. , B,& P.C. for this reason
Date
WORKERS' 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 h ve a will maintain w ers' compensation insurance, as required by Section 3700 of the Labor Code, for the -performance of the work for which this permit is
C ssu MyWork0 mpensation-inaurance carter nd i n m re:
Carrier ] *r ! 6«� Policy Numbers/L^c'c/%j
I certify that, In the performance of the work for w h this permit is issued, ! shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree th uld become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
7.,,,-,
comply with those pr ions.
Date /k — Applicant
WARNING: FAILURE TO SECURE WO ERS' C E ON 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.
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
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,
t. Each person upon whose behalf this applice t[on 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 sha11, defend, indemnify and hold harmless the City or La ouinta. 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 permlI 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 100 days wiIl subject permit to cancellation.
I certify that I have read this application and state that the above Information is car ag to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upo ve-me ioned property for inspection purposes.
be�__n~ Signature [Applicant or Agent]:
----------------------------------------------------------------------------
Application Number . . . . . 04-00008020
-----------------------------------------------------------------------------
Permit . . . . . . BLDG POOL PERMIT
Additional desc
Permit Fee . . . . 180.00 Plan Check Fee 117.00
Issue Date . . . . Valuation . . . . 17000
Qty Unit Charge Per Extension
BASE FEE 45.00
15.00 9.0000 THOU BLDG 2,001-25,000 135.00
----------------------------------------------------------------------------
Permit . . . . . . MECH POOL
Additional desc
Permit Fee 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
----------------------------------------------------------------------------
Permit . . . . . . ELEC POOL PERMIT-RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date Valuation 0
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
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 3.000O.EA PLB GAS PIPE 1-4 OUTLETS 3.00
Special Notes and Comments
POOL/SPA.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged
Permit Fee Total 282.00
Plan Check Total 142.50
Grand Total 424.50
Paid Credited Due
.00 .00 282.00
.00 .00 142.50
.00 .00 424.50
13
"i lilllllllllllllllllllllllllllllllllllllllllllllllllllllilllllllllllllllllllllllllllllll'Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll II I I
a - ... amw��wmwxm�m?wxNmaw@uawwr�m : .. ... ,. .,„:�.,. ...•..�,..,�
SP a. {
iAMACE AREA OF w w �» - -•
p
- --
T*s im MAX
u a.
SPA C 1 A TON
i--TT-5
x
TU TYPE
WATER LK,
mw 1 NO, OF JM
�_.
v b
• ; } Z
.... s
IDEWRG
01
��,a .. I i � �&3" i ...: a` � :�a.� .,, ... »..,•...�-,-..-" Gam•'
I
MVP ND-. RAW
ID%X SEAT
. g STPS
`� �k L S �:
r� ^lvDYA _ LOADS
er
TU BASE
t AL
.. p
ow-GArfm REPAIR SAND AND VSAAM
it' Ma
, rv�d
fAN
ROM
eN
NP
VUWAY TYPE
— 1, :2�
hl
,
{
d�
LU 14� sus
M. -� �� 1
�.
.....:.e,.A,. �--a. • evOl
WALLS
Pam. Kw gY ,.>,�..
tPLM
ADO'L PUMP Sin
t
t
--�.ra�w_�.._.� . _..� .. ,.-, t ,_ �` '� ,," .....,�. ...,...,�...�....�..�,... t 'mow _,.�...�_..,.„-......-,,•--`
DATER
r
m� SUS PA m i
Sx
WWR TYPE
Fes_ __ I*-lttft�L�t,,L i
STUB SET
MIX,
GOM
NMI
JEEP i? RAW�'
:;SEAT-w..�......� �..___.. � •�
tit
{
OTHER
/ Y^ / µ"" �.a+.�+-,.rmmn+.muw+—...4«e. M'—*+rw..��.vw-w-.+w-++w,+mn•
$TWWMR _
:;3Eii 1Ck (7) s"rEi£FF;kP' lK AFi0A'€ E"EATON 'IF P00C Qf2 SPA: AT iA"`ix:,' Of,' OP'OF
(2) TAKE NOTICE VAT PC . AND �i ~T L'OCATIC*S ARE SLJ8X , TO AC-CEPTAK! OF
LOCALWWNG DEPARTWINT AT 14W OF IMAMS CW REER iT
(3) `N i DOWN WNCKV, SH t AT tXA k TWXX DAILY w fKUM4 DA fS A* 71i SHELL L 1S ,NSTA. t £ # �J
(4) AOR 'MAT CAL OWA KOS 3S N01 RESPORSIKE FOR t ND !@GRXIND !"OVPONS OR ARXCTS. 1
AND ANY DAM A v 0AW, WEWALKS, A—vEWAy`S ? Ar'lfC4 , ,)f, ,. TWR !TFMS sN `±al ACCESS AREA
() SEE IWAT ALL FamK, rvEs, AND GARAGE 000nMVO' LOCAL CMES r- R A ? ea, €NCLOsURER '
PRO TO MMASIER IN ' , s3 # �
(6) FILL POOL UMMATELY AFIV PLAN. (f INSIRLOPONS M- tea OT USE FT )
( t) TAKE NOT" THAT MS DRAMRG fS 1HE T' CF C.Ak to POMS tom% INAT ANY
USE MTHOUT WMTTEN POWSOON OF CALFORNZA PCB `"N . 1S PROHOTED BY LAW
OWE'R APPROVES PLAN, POOL, AND EQUOVENT LOCA"IONS AND HAS READ THE 'MiLMIES AND NOTICES ABOVE.
SIGNATURE(g)
S",WMA -R __ POOL PLAN FOR:
NAME
EUot`Tlu-`ERESIDENCE
STREET._._
-0 ADD
0 ADD SS ITT
PHONE OFFICE f ES
LOT {'cc TRACT
� PAGE
� �C�
_
AFC `OOK FAGS NO. ITS
MAIL ADDRESS
SS
3 ! "CONSTRUCTION OrFICE R HONE NO,
SCALE —1 9 DATE DRAWN E SCALD � � � � y ,
I
--
J0847
�
S TF
4
°
f
�
�
4
CONSTRUQTION
AUTHORIZAT ION
DIG
PRE-GtIN�yITF
` ��
MASONRY
}
1
i
Tit F
BOULDERS
DECK
yy COLOR
-30NATT j^�1j
ELF C `1ON S I
ui
0
z
LLJ
#Iflr�i
LLJ
cr
LLJ
M�I�It
co
fIW