08-1640 (RPL)101111111 30
IE
P.O. BOX 1504 T4bt 4
IIV {1y
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
08-00001640
Property Address:
54315 AFFIRMED CT
APN:
767-320-999-296 -32879 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
28000
Applicant: Architect or Engineer:
yol�oI �l
---------------
ENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of erjury that I�m lic ed u der provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of t Business an o ss' als e, and my License is in full force and effect.
License Cl C8 C27 C29 enseNo.: 656128
Date: -Contractor:
WNER-BUILDER DECLA AT10N_
I hereby affirm under penalty of perjury t am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Busines d Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or pair 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 Icommencing 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 ($5001.:
(_) 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.).
1 _ 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.).
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: —
Lender's Address:
LQPERMIT
Owner:
KATZ/COOPER
54315 AFFIRMED COURT
LA QUINTA, CA 92253
!�J
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
Date: 9/30/08
OCT C.120US
CITY OF LA QullO. I
-----------------------------------------------
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.
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
insurance carri-per umber are:
er a _
Carrier SEABRIGHT Policy Number BB10BOS10
I certify that, in thSCo
nce of the work for which this permit is issued, I shall not employ any
person in any ms to b c subje o the workers' compensation laws of California,
and agree that,bec s je o e workers' compensation provisions of Section
3700 of the Laall f h ' o ly with those provisions.
( , J JdDate: G Applicant
WARNING: FAILURE TO SECURE WO E ' COM AGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM A NALTIES AND CIVIL FINES E;UNDRED THOUSAND
DOLLARS ($100,000). IN ADDITI O 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 followinq 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 suc sation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the a ve information correct. I agree to comply with all
city and cou y ordinances and state laws relating to building c structio r uthorize representatives
of this nt to ,nt, rr upon the above-mentioned property for insp n pur
Date: rC/ Signature (Applicant or Agent):
i
LQPERMIT
Application Number . . . . . 08-00001640
Permit
BLDG POOL PERMIT
Additional desc . .
Permit Fee
271.50 Plan Check
Fee
176.48
Issue Date . . . .
Valuation
. . .
. 27675
Expiration Date . .
3/29/09
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
19.50
Permit
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
3/29/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
--------------------------------------------------------------------7-------
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 . .
3/29/09
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 . .
3/29/09
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
Permit . . . . . . WALL/FENCE PERMIT
Application Number . . . . . 08-00001640
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 325
Expiration Date 3/29/09
Qty Unit Charge Per Extension
BASE FEE 15.00
---------------------------------------------------7------------------------
Special Notes and Comments
POOL/SPA, 15 L.F. 5- EQUIPMENT
ENCLOSURE, CITY STANDARD, 120 L.F. 2"
GAS LINE FOR GRAND EFFECTS FIREBOWL
(ANSI Z223.1)& GAS STUB OUT FOR FUTURE
APPLIANCE. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged
----------------- --------
Permit Fee Total 390.50
Plan Check Total 202.48
Grand Total 592.98
LQPERMIT
Paid Credited Due
---------- ---------- ----------
.00 .00 390.50
.00 .00 202.48
.00 .00 592.98
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OTHER
RAR • SEE STEfi
OWNER RESPONSIBILITIESOWNER TO
(T) DETERMINETHEAPPOE ELEVATION
POOL OR
N DAYLF EXCAVATION.
-0 TAKE NOTICE POOL
AND EDWIPMETLOCATIONS
ARE
SUBJECT
TOACC®TNCE OF
LOCABUILDING OEPARFNENAT THE TIME OF ISSUANCE OFERIUFT,
FWET DOWN CONCRETESHELL
/
O
AT LEAST TWICE DAIYFOR SEVEN DAYS AFTER KNELL 6 W$TAILa).
(Q AGREE 1HAT TFSBIM IS NOT RESPONBIBIE FOR UNOEROROIRmC0ImTKXOR OBECTa,
Am ANY DAMAGE TO CURBS, SIDEWAL0 ORIVEWAYS, UWNB, OR OMFRTTEB 01 THEAODESBAREA
(9 SEE THAT ALL FENCING. <UTEB.AND GARAGEDOOR&YEET LOCA CODES FORAPOOI EMYQSINE
PRIOR TO PREPIASTER RSPECTIOR
(B) RLL POOL WNEDIATE.YAFTER RASTEL 1 FOUOW INSTRUCTIONS -DO NOTUSE RUBSERHOSE )
(T) TATO: NOTICE THAT TIES GNAWING S THE SOLE PROPERTY OF TESERRA AND THATANYLSE WITNOUT
WRITTEN PERLI=N OF TEU" S PROHOMB BYNAW.
022 APPROVES PLAN, POOL, AND EOUIPISNT LOCATIONS ANNDHWS READ THE RFSPO'®IRIESNSNORCEBABWE
SIGNATUREP OATE
SWIMMING POOL PLAN FOR:
-KAT-7/COOPER RESIDENCE
STREET -
JOB ADDRESS LJ C N ICITYLA GLDIO—TA
PHONE OFFICE RES
SCALE DRAWN BY SOLD BY CHECKED BY
-Zi-08 LJT I PL-,VF�
JOBS
REVISIONS
_NOT Folz 6o,-4sTRky_TION— SELECTIONS
CONSTRUCTION AUTHORIZATION STONE 11
SALES 11 ' FIELD
DIG
PRE-GUNITE
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE 11
TILE
BOULDERS
DECK COLOR
JANDY
PEBBIPLAS
SIGNATURE
DRAINAGE NOTE 6dpatlan far plentW and pats, by DENSE,
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SPECIFICATIONS
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,
SURFACE AREA OF POOL
BID
PERIMETER 1221 DEPTHS MIN.�a' MAX —a
t7
v R
-SP
BP C�IFICATIONS TILE
JAN
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W ..O
SPA OAY WALLWORI WATERTILE
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ADDL PUMP i0 F{fT
AOOIRSP 812F
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TOTE DOL%
SUB PANG 00
MOL OUTLETS -
FII(INMERTYPE tk
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GASUNE 1 • 5 STUBSLL
BPA
FOUNTAINSI6PAYNEADB ROLEDBONDEFAM - - - -
SIW DESCI A
UGHfSRPOOL IN 9P
F---4
STUB GET EQUIPMENT d% FENCING
MSO FMM TYPE
PUSBDS $ISE NOW
GATE
GUNITE MATE FWEV.0 N
U®F/8) RAP REMOVE a RE
EXTEND 2W STEP
LouEBEAr
SPILLWAY TYPE •" r
CANi11EVE° m. vvra.tnvH
COPBIa �
OTHER
RAR • SEE STEfi
OWNER RESPONSIBILITIESOWNER TO
(T) DETERMINETHEAPPOE ELEVATION
POOL OR
N DAYLF EXCAVATION.
-0 TAKE NOTICE POOL
AND EDWIPMETLOCATIONS
ARE
SUBJECT
TOACC®TNCE OF
LOCABUILDING OEPARFNENAT THE TIME OF ISSUANCE OFERIUFT,
FWET DOWN CONCRETESHELL
/
O
AT LEAST TWICE DAIYFOR SEVEN DAYS AFTER KNELL 6 W$TAILa).
(Q AGREE 1HAT TFSBIM IS NOT RESPONBIBIE FOR UNOEROROIRmC0ImTKXOR OBECTa,
Am ANY DAMAGE TO CURBS, SIDEWAL0 ORIVEWAYS, UWNB, OR OMFRTTEB 01 THEAODESBAREA
(9 SEE THAT ALL FENCING. <UTEB.AND GARAGEDOOR&YEET LOCA CODES FORAPOOI EMYQSINE
PRIOR TO PREPIASTER RSPECTIOR
(B) RLL POOL WNEDIATE.YAFTER RASTEL 1 FOUOW INSTRUCTIONS -DO NOTUSE RUBSERHOSE )
(T) TATO: NOTICE THAT TIES GNAWING S THE SOLE PROPERTY OF TESERRA AND THATANYLSE WITNOUT
WRITTEN PERLI=N OF TEU" S PROHOMB BYNAW.
022 APPROVES PLAN, POOL, AND EOUIPISNT LOCATIONS ANNDHWS READ THE RFSPO'®IRIESNSNORCEBABWE
SIGNATUREP OATE
SWIMMING POOL PLAN FOR:
-KAT-7/COOPER RESIDENCE
STREET -
JOB ADDRESS LJ C N ICITYLA GLDIO—TA
PHONE OFFICE RES
SCALE DRAWN BY SOLD BY CHECKED BY
-Zi-08 LJT I PL-,VF�
JOBS
REVISIONS
_NOT Folz 6o,-4sTRky_TION— SELECTIONS
CONSTRUCTION AUTHORIZATION STONE 11
SALES 11 ' FIELD
DIG
PRE-GUNITE
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE 11
TILE
BOULDERS
DECK COLOR
JANDY
PEBBIPLAS
SIGNATURE
DRAINAGE NOTE 6dpatlan far plentW and pats, by DENSE,
Lu
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City of. La QuintaBuilding& Safety Division'Permit
P.O. Box 1504 ' 78-495 Calle Tarnpico0 Quinta, CA 92253 - (760) 777-7012Building Permit Application and Tracking SheetProject
Address: —5
Owner's Name:Legal
Description: P.C�6t— —C,—QA—
1 011Address:
City, ST, Zip:Contractor:
.8b-kx� -Ave
SU
7—
Project Description:Telephone:
(51PUNArch.,
Engr-, Designer:
IVZz AzovTelephone:
Lic. #:
Construction TWe7-217 —occupancy.State
Project type (circle.one):GV Add'n Alter Repair DemoTelephone#
of Contact Person: Moc). 7-
r,(-)- 07- s I
I tstimated Value of Project: AMW '2� 2r <APPLICANT:
DO NOT WRITE BELOW THIS LINEPlain
Sets
Plan Check submitted Item AmountStructural
Cales.
Reviewed, ready for corrections Plan Check DepositTruss
Calcs.
Called Contact Person Plan . Check BalanceFlood
plain plan
Plans resubmittedMechanicalGrading
plan*
—
2' Review, ready for corre'ctions/issue ElectricalSubcontactor
'rCalled
L
Contact Perso . n Plumbing
Pub.Wks.Appr Date of permit issue
School Fees
'2,3000
�
_
\
` ~ �
,
Total Permit Fees
.,.-'1.0 Gas, Requirements:
1.' 1 Gas type": -Natural Gas
1.2
Gas Pressure, Nominal: 7" we
Maximum: 14" we
If or will* be required for this system.
Note: I pressure is greater that 14" wc, a gas regulator
1.4. Gas flow: 1 Burner System: 60-80 cfh
Note: Check With your gas supplier to, verify
fy ga's flows and pressures available at the location
of your- install . atioh. In many cases utility,comoanies will install larger meters at no charge to
accommodate larger flows.
2*.0 Installation
Warning: This unit, is for outdoor use only
2.1 'Do not install near any combustibles such as wood structures, fuels, clothing, fabrics
ordryvegetation.
-'2..2 Never- use any fuel other than natural gas.
21.4. Installation shall be performed by a licensed contractor. All aspects of installation
cal codes, or in the absence of codes, with National Fuel Gas Code
ZI Z223.1..
2,5. An app s valve shall be installed upstream of the unit and located in an
accessible area that is within 5ft from the Grand Effects Unit.
2.'8. Maintain- good piping practice by keeping pipe length and elbows to a minimum to
eliminate unneceasaD
tgressure drops. (Do not use any flexible gas line)
Install th6 Grand Effects nit as shown in Fig. 1.
3
MFF nvEU GAS
T -.)FF VALVE
(LOCATED ` a OR
I.X-J-AF TO 011-0