12-0466 (PLBG)P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:.
12-00000466
Property Address:
79977 RIVIERA
APN:
762 -,120 -001 -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
9000
Tu!t4-40umm
Applicant: Architect, or Engineer:
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 Business a Professionals Code, and my License is in full force and effect.
License Class: C8 10 27 2 License No.: 656128
ate: ntractor:
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 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.l. '
(_ 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , BAP.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
Owner:
LANDSTROM ROY D
79977 RIVIERA
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
iik,,"a e: (4/27/12
Z10Z 0 F ddd
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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.
[*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 EVEREST NATL IN Policy Number 7600006481121
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, io�r
5odetall
subject to the workers' compensation provisions of Section
3700 of the La rthwith comply with those provisions.
a$ te: licant:
WARNING: FAIL RE 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 ab ve information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildira c struction, and hereby authorize representatives
of thiscounty toe ter upon the above-mentioned property nspection purposes.
,Pdteature (Applicant or Agent):
Application Number . . . . 12-00000466
Permit ... . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee 45.00 Plan Check Fee
11.25
Issue Date . . . Valuation . . .
. 0
Expiration Date 10/24/12
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 18.00 Plan Check Fee
4.50
Issue Date . . . . Valuation . . .
. 0
Expiration Date 10/24/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA ' PLB GAS PIPE 1-4 OUTLETS
3.00
----------.------------------------------------------------=-----------------
Special Notes and Comments
12 L.F. 3/4" GAS LINE FOR NEW FIREPIT.
ADD DECK BONDING AT POOL AND 2.BOULDER
WATERFALLS. 2010 CODES.
-------------------_--------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN'(SB1473)
1.00
Fee summary Charged Paid Credited
Due
----------------- -------------------- ---------- ----------
--- -
Permit Fee Total 63.00 .00 .00
Permit
63.00
Plan Check Total 15.75 .00 .00
15.75
Other Fee Total 1.00 ..00 .00
1.00
Grand Total 7.9.75 .00 .00
79.75
LQPERMIT
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' NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
2010 CALIFORNIA PLUMBING CODE (BASEDONMMLIPC) exr
2010 CALIFORNIA ELECTRICAL CODE (BASEDONZISNIO)
201 0 CALIFORNIA ENERGY EFFICIENCY STANDARDS
' NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
,
' PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
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NEW 18' WIDE COLORED CONCRETE CAP
—�
AROUND SPA / POOL AND WATERFALL
COLOR: T.B.D.
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G.
)'NEW FIREPIT AT +17 WITH STONE VENEER AND CAP,
SALES FIELD .
GAS LINE FOR FIREPIT OFF EXISTING STUB AT I
HOUSE
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SAFETY
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DECK COLOR
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NEW Y -V WIDE CONCRETE WALKWAY
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COLOR TO MATCH POOL COPING
ELECTRICAL:
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EXISTING CONCRETE TO REMAIN ---
EGNFOTBITWL BDMDM REQUIREMENTS SKALL BE INSTALLED TO ELBMMVOLTAGE
CITY OF LA QUINTABUILDING & SAFETY DEPT.
. h.11 ;.
T .+� SPECIFICATIONS m
ON
A, _ -
Y TYPE Stg X INv P
may„ G 1 SURFACE AREA OF POOL ONLY ma.
iJ' PERIMETER - DEPTHS MIN. MAX Q ! m
co
POOLASPACOMBINFD L1
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.[ T SPA SPECIFICATIONS TILE - �r�m
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BAOAYWALLWOTN FLETM w2 �•
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NO. OF ATS OUAAIERROUO
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BB
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BRLLWAY N N t3
-RL DECKING Si PJ
•, EXCAVATION / STEEL SFT' amlaj • ,
t 7mETK� 06 -
NEW 1B' WIDE COLORED CONCRETE CAP • Ja�eaatot °m"tsal°°"B 130
ELEVATION fWITBEl9i L`
AROUND SPA III POOL AND WATERFALL - DWedlRANFOEOKIXU06 — 10
COLOR: T,%,D.. •; • CONCRETE CURXO mEN n
- coHLYETe RT1OVAL -Co CURB CORE
SMMRSMAL Lam STSs
•. ! �`i TTEE(EIOVALBY BIB iAQ
{fpr':. '`:'�• •%::•:, WBMTION REMOVAL BY ,BE BASE —
:+f/f��•' :•Y.R '' ♦ WtlMA,iMNRlPAm SAND AND V@aEEN
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MASONRY
COPING TYRE
- RBB. FACING
i� • SPDLWAYTYiE SDE
PLUMBING • STEPS
FILTER . MEPTR®. EXT. WALLS
POOL RAP MM_RAN1RETNNIOwALLB 4RW1LL
a - •' - • 'I BOOSTER RAP BIG -
_ . .. ADOL KW—'SIE - - EW.'a ADOLRAP SGE ,.
. IEATDR BITE
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INSTALL NEW QUARTZITE STONE WATERLINE ADLouunnEm lmUP "o
IN POOL AND SPA, STONE TO BE GOLD RUSH • SaalamirVET
FLLLIE PEBBLE PLASTER Fmm4
aavLEPOOL
ET2 UM
MISS OOSPAAA
_ FmMAWISIRAYIFADS ROUfD BOML1EMl
•� SEER meoDnS BEING WA
IOMSDIPOOL IN��
SIMSETEDEwDD FENCING
DEMO AND REMOVE ALL EXISTING CONCRETE FROM um TYPE
FRONT GATE ALL THE WAY TO WATERFALL, INSTALL MINING ME NtTFENCEG T Ep
ANGELUS PAVERS IN IPS PLACE BATE
GUNITEWTI EVEBAL
MEW END RNP wIll EAEXrREINA
. - LOjwKN OTFP
• LOVFSFAT
SPILLWAY TYPE - aer, erAm
. aRn. Po�o•mo.
OTHER
RBB..
' OWNER RESPONBISILITIEB -
OIW (1) DETERMINE m
EAPfgGUTE ELEVATION OF POOL OR SPAAT LAYOUT ON DAY OF IOiAVATON.
M TME NOTICE TNATPODL MMMOIENTLDGWa ARESIISIECT MMM TMMOF
OTE: POOL AND SPA AND IGCAL REETtT TESER 18NOT ATTNE TIME DFRUNDSIMINDCOF f.
M WET DOWN CONCRETE SMELL AT LEASTTWICE DALLY FOR SEVEN DAYS AFTER SMELL W INSTALLED �.
(Q AGREE THAT AGE T CUNOT RE SIDEWALKS.
RW WAYS LA 013. CR RON9 SINTHE OC
ANDANYIAT ALL FENCING GATERSIND GAMS DOORSNEET LOCALCODES AMNTT¢AOCESSAREA
WATERFALLS ARE EXISTING 6)��TALL�DLD"TEa,�m�LEEDDmBTIa�m��RAT�ER
PRIOR TO PTEAMTER NSPECTON
(6) FILL POOL DAEDIATFLYAFiFAPLABTFR,TaILOWINSTPUCfpNB_OONDf mERIJBt¢R HDBE) �
(n TAKE NOTICE THATTOS DRAWING ISTTESOLEPROPFATVCFTE6 NNffDTIWTANYUSEWTTNW
WRITTEN PERMISSION OF TTSWU E PRMI®RFDBY LAW .
OWNER APPROVES PWA POOL, AND EQUIPMENT LOCATRR9AIO NABREADTIE REBPONSESM NONDTICESABOVE
SGNATLIR W DATE
' SWIMMING.PDDL PLAN FOR:
NAME
LANDSTROM/GAM RESIDENCE
l RT9FFT 'P.UI--PA
SCALE DATE DESIGNED BY I PROJECT MGR I CHECKED BY
An 1' 03-29-2012 JT. KEVIN G.
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INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 -MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
TO THE POOL
POOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, •
FIELD LAYOUT WILL VARY
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2010 CALIFORNIA PLUMBING CODE (BASEDONMMLIPC) exr
2010 CALIFORNIA ELECTRICAL CODE (BASEDONZISNIO)
201 0 CALIFORNIA ENERGY EFFICIENCY STANDARDS
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SELECTIONS,
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. GRAMM NTE POOL AREA AS PERDEC ART. BIDS ,
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_ 201O CALIFORNIA BUILDING CODE (BASEDGI70018C) -
21310 CALIFORNIA MECHANICAL CODE (SASEDON=UMC)
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INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 -MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
TO THE POOL
POOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, •
FIELD LAYOUT WILL VARY
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2010 CALIFORNIA PLUMBING CODE (BASEDONMMLIPC) exr
2010 CALIFORNIA ELECTRICAL CODE (BASEDONZISNIO)
201 0 CALIFORNIA ENERGY EFFICIENCY STANDARDS
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NI'/FYGVATON8IULLCONTACT ME TE REGONALNOTFICATONCENT6R,ATIEANTWO
WIDOW DAYS. BUTNOTMOE THAN II CAISANi DAYS, PRIOR TOCOMMENPPONOTNAT EXGVATON.FETE
E)rAVATONW7LLSECOM=rEOMMAFMATHATOqO1MN,GRFMASONARYSHOUIDSEIBIGYN,TO
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BY THE EAVATORAND.FPRACTICAL. TIE S(CAVATGRSHALLOELNFATEWIN WNIFEPAMGROnIER
SGTABLE MARKINGS FIE AM TO BE OUVAT®
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SELECTIONS,
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CONSTRUCTION AUTHORIZATION
SALES FIELD .
TILE
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DIG
DECK COLOR
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MASONRY
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Bin. #
City Of Quin
Buildhy 8t' Safety Division
Box 1504,78-495 Calle Tampico
Ca.Qulnta„CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address: _ ,9 �
Owner's Name:.
k P. Number.
Address:' 9 ?-
Legal Description:
Contractor.
City, ST, Zip: LA uinrri+. 9z2s3
Telephone:
Address: l00 A ✓E S y
Project Description:
City, ST, Zip: C�EL ( 9Z2_J
12
Telephone: 0 3 `/� 92 22
City Lie'. 91.
r
0
Stats Lic. 4: S 6. / Z60
Arch, Engr., Designer
/ r.19 2 ` /� v
Address:
/ w /
�V
City., ST, Zip:
Telephone:
'1.�
State Lie. M '
Construction type:.. Occupancy; ,
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: U Z
Sq.'FL:
#Stories: # Units:.
Telephone 4 of Contact Person:
Estimated Value of Project 9.00 0
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Cheek submitted
Zt%
Item
AmOant
Strgctural Csdcs
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs-
Called Contact Person
Plan Check Balance
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mecharilcal
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcoatector List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S,M.L
H.O.A. Approval
Plans resubmitted
Grading
IN UOIISE:-
'^' Review; ready for corrections/issac
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub: Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
��Z� I'WtZ. • SLo E>f l :