13-0875 (RPL)1101 05
P.O. BOX 1504 IE
.t
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000875
Property Address: 81636 ANDALUSIA
APN: 764-670-020- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 45000
Applicant:
Architect or Engineer:
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4 4 am &r
1'�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT 0
Owner:
TD DESERT DEVELOPMENT
81570 CARBONERAS
LA QUINTA, CA 92253
U CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t I licensed under ovisio Chapter 9 (commencing with
Section 7p00) pf Division 3 of the Busi ss Professionals de, a9d my/license is in full force and effect.
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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 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
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 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.).
(_) 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:
Lender's Address:
LQPERMIT
Contractor:
BUBBLE SPRINGS
P.O. BOX 1046
RANCHO MIRAGE, C
(760)341-2336
LiC. No.: 728796
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
JUL 15 2013
CITY OF LA QUINTA
Date: 7/15/13
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
'ssued.
i 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 carrier and policy number are:
Carrier EVEREST NATL Policy Number 76001635131
_ 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 a o ecome subject to the wor rs' compensation laws of California,
a d agree that, if I shout ec me subject tot wor s' ompensation provisions of Section
700 of the Labor Cod , I II forthwith co ly w' t provisions.
i
Date' Applicant://
it
WARNI G: FAILURE TO SECURE W RKERS' COMP SATION 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 v information is co r ct. I agr comply with all
city and co my dinances and state laws relating to bui in onssuction, and r by a of a esentatives
of this c ty t enter upon the above-mentioned prop r inspection purp
Date: ignature (Applicant or
Age /
Application Number . . . . .
Permit . . . POOL 2013
Additional desc . .
Permit Fee . . . . 357.50
Issue Date . . . .
Expiration Date . . 1/11/14
13-00000875
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per Extension
2.00 178.7500 EA MISC POOL/SPA 357.50
----------------------------------------------------------------------------
Permit . . . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83
Issue Date . . . .
Expiration Date . . 1/11/14
Plan Check Fee .
Valuation . . .
00
0
Qty Unit Charge Per Extension
1.00 23.8300 LS ELEC FIXTURES, FIRST 20 23.83
----------------------------------------------------------------------------
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 11.92
Issue Date . . . .
Expiration Date . . 1/11/14
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, FIRE PIT, BBQ, AND COURTYARD
WATER FEATURE. (2 INCH GAS PIPING/#8 AWG
IN 1 INCH CONDUIT ELECTRICAL] THIS
PERMIT INCLUDES ELECTRICAL AT BBQ.
EQUIPMENT SHALL BE INSTALLED IN
ACCORDANCE WITH MANUFACTURER
SPECIFICATIONS. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
194.48
Fee summary Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 393.25 .00 .00
393.25
LQPERMIT
Application Number
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
. . . . 13-00000875
.00 .00
195.48 .00
588.73 .00
.00
.00
.00
195.48
.00
588.73
#
Cray of" La Quinta
- BuNng 8i Safety Division
Box 1504,76-495 Calle Tampico
La.Quinta, CA 92233 -:(760) 777-7012
Building. PermitApplication and Tracking Sheet
Permit #P.O.
1
jest Address:
Owner's Name:. T IV
nt�s,
A: P. Number- 1 ' Jb
Address: 1
Legal Description:
City, ST, Zip:
Contractor. /� i 91
Telephone:=>is�:s
> fs pax-i.;�it
Address:
Project Description: G
City, ST, Zip: rZ
Telephone: ��a� -�
n f:
State Lic. # : 7 % City Lic. #;
Arch-, Engr., Designer:
�.
Y'
Address:
City, ST, Zip:
Telephone:
State Lic. #: - , ° ~ " :^�,!
Name of Contact Person: `/(e '
Construction Type:. Qccupancy.
Projecttype(circleone): ew dd'n Alter Repair Demo
1.sq. Ft,:
n" #Units:
Telephone # of Contact Person:
Estimated value of Project (�
APPLICANT: DO NOT WRITE BELOW THIS UNE ,
# Submittal Rcq'd 'Rec'd TRACMNVG PERMIT FEES
Plan Selo
a
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Celcs.
Called Contact Person
Plan Check Balance.
Tide24 Cala.
Plans picked up
Construction "
Flood plain plan
Plani resubmitted
Mechanical
Giading.plan
2'j Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
plumbing
Grant Deed
Plans picked up
5.117i.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''° Review; ready for corrections/issue
Developer Impact Fee
P1an61ng Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
JUL 10 2013 .
CITY OF LA QUIMTA
C.OMMUNI7 Y DEVELOPME
;
T I— LA UUIIN44
APPROVED
FOR CONSTRUCTION
DA ___BY
Ill
NT
POOL'SPECS
SIZE: -35'X 15.5'X 13.5 SQFT: 437 SQ.FT.
DEPTH: 3.5'- 5.0' PERIMETER: 100'
SKIMMERS: 1 INTERIOR MATERIAL: Pebble Plaster
TILE: to be selected
NOTES: Includes: +18" Raised bond beam with (5) five custom spillways, tile face to match
waterline, acid wasn concrete cap and stucco backside to match house.
SPA SPECS
SIZE: "8'x 8' SQFT: 50 sq.ft.
DEPTH: 3.5' PERIMETER: 25'
RAISED HEIGHT: +6" SPILLWAY: Tile spillway to match waterline
TILE: to be selected INTERIOR MATERIAL: Pebble Plaster FIREPIT: +9" acid wash finish concrete;
includes volcanic rock, fire ring, valve and
DECK key
DECK TYPE: Acid Wash Finish TOTAL DECK SQFT: 917sq.ft.
INCLUDES: Pool deck, spa stepface cap; raised bond beam cap, firepit stepface cap and
equipment pa
BENCH SEAT
CI -p" )UINTA SWIM OUT with
TANNING BENCH with umbrella sleeve
L`fl( DEPT.
umbrella sleeve
�,�:� .� • VED
FOR STRUCTION
DATE BY42`_
RAISED WATER FEATURE: +18" with five
custom spillways; acid wash finish concrete cap;
tile face to match waterline and stucco on
backside to match house .
SPA: +6" acid wash finish concrete cap \ /
with step -face detail; file spillway to match
waterline
2" 1
PLANTING AREA
Q _
w
----------------------------
DECK:
----- ------DECK: -0- elevation; acid wash finish ,
(color to be selected)
EQUIPMENT LOCATION:
22' from back corner of house; equipment in
inset; equipment located 6' from side
property wall
`Iq
00 ANDALUSIA LOT #I-050
0 81636 Andalusia Drive
La Quinta, Ca 92253
OUTDOOR KITCHEN: Tile countertop with 6"
turndown to match waterline; stucco sides to
match house; includes 30" Alfresco grill;
stainless steel access doors and light
RESIDENCE
Bubble Springs Pool Construction
- PO Box 1046 760.341.2336 office
•-• Rancho Mirage, Ca 92270 760.275.7676 cell
Bubblesprings@msn.com 760.837.9018 fax
�.r
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COURTYARD WATERFALL SPECS
SIZE: 2.5'X 6'
'ELEVATION: -0- ELEVATION
MATERIAL: Acid Wash Finish Cap with tile
sides
DECK
DECK TYPE: Acid wash finish concrete caps
TOTAL DECK SQFT: 21 SQ. FT.
I
PAINTING AREA
WATER FEATURE: -0- elevation, -12"
water depth; with one light; 2 scuppers,
file at waterline and concrete cap
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