10-0056 (RPL)P':O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000056
Property Address:
55421 RIVIERA
APN:
775-153-003- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
29500
T -&t 4 4 Q"
Applicant: Architect or Engineer:
1_
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I. am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus' ss and Professionals Code, and my License is in full force and effect.
License Class: C53 License No.: 802919
at ontractor:
OWNER -BUIL ECLARATION
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).:
(_) 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 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: a
Lender's Address: l `
LQPERMIT
Owner:
HAGUE
55421 RIVIERA
LA QUINTA, CA
92253'
Contractor:
AZURE POOLS AND
P.O. BOX 10641
PALM DESERT, CA
(760)322-7665
Lic. No.: 802919
SPAS
92255
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/22/10
-----------------------------------------------
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.
1 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 02DKRM12002794
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 sho I become subject to the workers' compensation provisions of Section
3700 of the Labor C e, I rthwith comply with those provisions.
te: 4vAp 'ant:
WARNING: FAIL TO SECURE WORKERS' COMPE ION 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 c ructitandreby authorize representatives
of this county to enter upon the above-mentioned propertyfo in p .
t
re (Applicant or Agent):
LQPERMIT
�y
Application Number .
. . . . 10-00000056
Permit . . .
BLDG POOL PERMIT
_
Additional desc .
Permit Fee
284.50 Plan Check Fee
184.93
Issue Date . . . .
Valuation
295-00
Expiration Date
7/21/10
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
THOU BLDG 25,001-50,000
32.50
Permit . . .
MECH POOL
Additional desc
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/21/10
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
7/21/10
QtyUnit 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
7/21/10
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, COURTYARD WATER FEATURE-.
LQPERMIT
LQPERMIT
Application Number .. . . . . 10-00000056
----------------------------------------------------------------------------
Special Notes and Comments
ALARMS/BARRIERS SHALL BE IN,PLACE AT
PRE -PLASTER INSPECTION: EQUIPMENT
ENCLOSURE NOT INCLUDED..2007 CODES.
-----------------_------------------------------------ -----------------------
Other Fees . . . . . . . BLDG.STDS ADMIN (SB1473)
2.00'
Fee summary Charged Paid
Credited
Due
permit Fee Total 300.50 .00
.00
3813.SU
Plan Check Total 210.93 .00
.00
210.93,
Other Fee Total 2.00 .00
.00
2.00
Grand Total 601.43 .00
J
.00
601.43
LQPERMIT
Bin #
City of La Quinta
Building 8i Safety Duron
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # G
`J
Project Address:
Owner's Name:
A. P. Number:
Address: Lo
Legal Description:
City, ST, Zip: !� 6?
ContractorS
S
Address: F16 Q.;t)s,-- .1 D U. 4-1
,fix gri��?r.•:°st:,.,
Telep. hone: a ....'%<.> >•
tiY>
Project Description: D p0
City, ST, Zip: hA 7-2-1
u—
Telephone. Z,Z . 6` s
,
State Lic. #: Q Z.al t City Lic. C
Arch., Engr., Designer
Address:
City, ST, Zip: Oy` l C 2?V-1
Telephone: 1 , U W • U OD
� �� �
•; �c?�''q�s ,.�;s.�•
..,�ProJect.type
Construction Type: Occupancy:
State Lic. #:
(circle one): New Add'r• Alter Repair Demo
Sq. FL: # Stories: # Units:
Name of Contact Person: pl,i Q JQ4
Telephone # of Contact Person: d • Z-72 Li V K' Estimated Value of Project: ? Sol t CZSV—
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Rec'd
•ITtACIONG
Plan Check submitted
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Titre 24 Calts '
Plans picked up
Construction
Flood plain plan
Plans! esub mitted
Mechanical
Grading plan
2'! Review, ready for correctionsfkssue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" 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
INSTALLATION CERTIFICATE CF-611-MECH-03
Pool And Spa Heating Systems (Page 2 of 2
Site Address: Enforcement Agency: Permit Number:
5-5- - 4.2.1 RN 1 E)Z4 10 _mob
System Piping
I. The suction side pipe, is straight for at least 4 pipe diameters before entering the pt.mp (See table below for the
required straight run lengths for various pipe sizes).
+ 2. The design uses low pressure drop fittings (sweep90's)
;yo
z'
Pipe Diameter Required Pipe Length=•.
inch leadin into r)umiD inch
1.5 6
2
8
2.5
10-
3
12
t
Filtration Equipment
1. If a backwash valve is used: The diameter of the backwash multi -port valve is 2 inches or as large as the
circulation pipe, whichever is greater
P
DECLARATION STATEMENT
• 1 certify.: under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for co>>struction, or an authorized
representative of the person responsible for construction (responsible person).
• 1 certify that the installed features, materials, components, or manufactured devices identified on tHs certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans as,d specifications approved by the
enforcement agency.
• I reviewed a copy of the Certificate of Compliance (CF -I R) form approved by the enforcement apncy that identifies the specific
requirements for the installation. I cern that there requirements detailed on the CF -1 R that apply to the installation have been met.
�,:• q f3' q PP Y
• 1 will ensure that a completed, signed copy of this Installation Certificate sha11•be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all appli•able inspections. 1 understand
}' that a signed
d. g copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
2008 Residential Compliance Forms
A ugust 2009
Pool and Spa Heating Systems requirements
§I14(a): Systems and Equipment.
9 1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
J9 2. Has a readily accessible on-off switch mounted outside of the heater.
3. Weatherproof plate or card containing operating instructions for the pool or spa heater.
4. No electric resistance heating except for listed package units that has fully insulated enclosures and tight fitting
covers that are insulated to at least R-6. Or if documentation is provided that at least 60 % of the annual heating
energy is from site solar energy or recovered energy.
5. Heating system has no pilot light.
§I14(b): Installation. '
iY 1. System is installed with at least 36" of pipe between the filter and heater, or dedicated suction and return lines,
or built-in or built-up connections for future solar heating.
2. A cover for outdoor pools or spas that have a heat pump or gas heater.
F' 3. Pool system has directional inlets to adequately mix the pool water
IF 4. Time switch which will allow the pump to be set or programmed to run during off-peak periods only
§150(p) Pump Sizing and flow rate specification
pr 1. The pump specified is listed in the CEC database of certified pool pumps.
2. The pump flow rate shall be calculated based on pool sizing table below.
3. The pump is capable of operating at 2 or more speeds (not applicable if pump is less than I horsepower).
r 4. Each auxiliary pool load is served by either a separate pump, or the system is served by a multi -speed pump.
Pool sizing (Values are based on a maximum allowable turnover rate of & hours)
Max Pool
Volume
(gallons)
Min Pipe D or Greater
(inches)
Min Filter Area or more
((square feet
Max Pump .
Flow m
Cl 5Gb
Return
Suction
Cartrid a Sand
DE
r
13,000
1.5
1.5
100 2.4
20
36
17,000
1.5
2
130 3.1
25
47
21,000
2
2
160 3.9
30
58
28,000
2
210 5.2
40
78
42,000
48,000
.5
3
3
3
20 7.8
360 1 8.9 1
60
70
117
133 7d
Note: For pumps greater than I hp. The maximum Pump Flow is the lowest speed default filtration
❑ 5. Calculated volume of pool Cl S-00
❑ 6. Return Pipe Diameter 2-•57
(gallons).
(inches).
❑ 7. Suction Pipe Diameter 2 • ✓5 (inches).
❑ 8. Filter Type CAY1—ffCQQF 3Z0 ' (Cartridge, Sand, DE).
❑ 9. Filter Surface Area 3Z0 (sf).
❑ 10. Max Pump Flow 30 Z 100 SET�gpm),
2008 Residential Compliance Forms August 2009
AZURE POOLS & SPAS
#802919
PO BOX 10641
PALM DESERT, CA 92255
760.322.7665
,Hague Residence
55421 Riviera
Quinta, CA 92253-
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KITCHEN
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE I —af -/0
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1/4" METAL
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KITCHEN
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE I —af -/0
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