14-0162 (RPL)14111 2 2
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
14-00000162
81655 ANDALUSIA
764-670-028- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
40126
c&lq� 4 4 "
BUILDING & SAFETY DEPARTMENT 40
BUILDING PERMIT
Owner:
TD DESERT DEVELOPMENT
81570 CARBONERAS
LA QUINTA, CA 92253
Architect or Engineer:
a"x
------------------
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 and Professionals C de, and my License is in full force and effect.
LicenseClass: C53 D35 728796
Date999-7,� Contractor:
lo, IF
OWNER -BU DECLARATION
I hereby affirm under penalty of perjury that I am exam p ro the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professi s de: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any str ct e, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is Ii sed 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, 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 contractors) 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:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/20/14
BUBBLE SPRINGS
P.O. BOX 1046 D
RANCHO MIRAGE, CA 9227
(760)341-2336��� �� LO14
Lic. No.: 728796
LA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
veand 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 carrier and policy number are:
rrier 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 as to become subject to orkers' compensation laws of California,
and agree that, if I should become subject to rkers' compensation provisions of Section
3700 of the Labor CII f
od hwit pl ith those provisions.
KDate&-/�—f01"_ Applicant:
WARNING: FAILURE TO SECURE ORKERS' CO SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENA AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO TH OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INT EST, 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 �onion, d hereby a rize representatives
of this county to enter upon the above-mentioned property fo rpo
tOa ��� Signature (Applicant or Agent):
.
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . .
Expiration Date . .
. . . . 14-00000162
POOL 2013
178.75 Plan Check Fee . . .00
Valuation . . . . 0
8/19/14
Qty Unit Charge Per Extension
1.00 178.7500 EA MISC POOL/SPA 178.75
----------------------------------------------------------------------------
Permit . . . ELECTRICAL 2013
Additional desc . . BBQ ONLY
Permit Fee . . . . 23.83
Issue Date . . . .
Expiration Date . . 8/19/14
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
Extension
1.00.1 23.8300 LS ELEC DEVICES, FIRST 20
----------------------------------------------------------------------------
23.83
Permit . . . PLUMBING 2013
Additional desc . . BBQ/FIRE PIT/PORTABLE HEATERS
Permit Fee . . . . 35.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 8/19/14
Qty Unit Charge Per
Extension
1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS
35.75
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, FIRE PIT AND BBQ AT REAR YARD
W/ADDITIONAL GAS PIPING FOR USE BY
PORTABLE HEATERS [DENISE POELTLER
ENGINEERING] THIS PERMIT DOES NOT
INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2013 CALIFORNIA
BUILDING CODE.
February 20, 2014 7:48:55 AM AORTEGA
---------•-------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, ELECTRICAL
23.83
PLAN CHECK, POOL
97.24
PLAN CHECK, PLUMBING
23.83
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
LQPERMIT
Application Number . . ... . 14-00000162
Permit Fee Total 238.33 .00 .00
Plan Check Total .00 .00 .00
Other Fee Total 146.90 .00 .00
Grand Total 385.23 .00 .00
LQPERMIT
238.33
.00
146.90
385.23'
Bin. #
Permit #
14 '
Project Address: —fo $'S
� � .. ..
Citi O LaQutnta
Bullding a Safety Dfvfsion
P.O. Box 1504,78-495 Calle Tampico
La.Qulnta, CA 92253 •:(760) 777-7012
Building Permit Application and Tracking Sheet
N/J�(v� Owner's Name:. T
A. P. Number.
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone: z 9s
N
Address: U • /%U 1 Q(1
Project Description:
.
City, ST, Zip: � Q`f' 'G �
/�Q i ��G 7 2Z�V
Telephone:#1/0)Q 7%
r t 3 if = .Vy ;i
City Lie. #.:
State Lia # : 72:97q
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
MON: ' -
Construction Type: Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
Name of Contact Person:
Sq_ FL:
#Stories:
#Units:
Telephone # of Contact Person: 7(Qa ' •
Estimated Value of Project: yo/p7�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submittedf
Item Amou¢t
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit
Truss CalC4.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2T'l RcAtw, ready for corrections/issue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S M L
H.O.A. Approval
Plans resubmitted
Grading
I1H ROUSE,,
RcAew, ready for correctissue
Developer Impact Fee
Planning Approval
Called Contact Person
Ad.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees Zj 2'3
�►q
�1.�1� — R;'x+� <l:o �ssw FEB I T 20'
ED
J
14
. CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
POOL SPECS
SIZE: 30'x 21'x 18.5' TANNING SHELF: -6" water depth
DEPTH: 3.5' to 5.0' with two umbrella sleeve; Paltreo
1
SQFT: 423 sq.ft. .5" Step light
PERIMETER: 100'
WATERLINE: TILE
INTERIOR MATERIAL: Pebble plaster
NOTES: 1 tanning shelf; 1 swim out and
3 umbrella sleeves
SPA: +18" 'Sit & Spin' spa with 5.0 D
stacked stone spillway; Tile at
waterline(to match pool);
SPA SPECS Pebble Plaster; Tile sides (to
match pool) ...5...........
SIZE: 8'x 8'
DEPTH: 3.5' I 3.5' V
RAISED HEIGHT: +18"
SQFT: 50 sq.ft.
PERIMETER: 25' -615" 18" WD \
WATERLINE: TILE
INTERIOR MATERIAL: Pebble Plaster
SPILLWAY: Stacked Stone SWIMOUT: -18" water depth
with one umbrella sleeve and
NOTES: light
a;
DECK Li
DECK i TYPE: Colored Sand Wash Planting Area
TOTAL DECK 1 SQFT: 635 sq.ft.
NOTES: 2 umbrella sleeves PLANTING AREA: irrigation and
DECK 2 TYPE: Tile Sub -Base drainage provided by landscape
TOTAL DECK 2 SQFT: 516 sq.ft. contractor
NOTES: 2 umbrella sleeves
EQUIPMENT LOCATION: 75'
Finishes from comer of house;
equipment is in inset 5' from
DECK 1 TYPE: Colored Sand Wash property line wall
COLOR: Sierra /
TILE: Master BMX 100 Planting Area
GROUT: Light Smoke
SPILLWAY: Quartzite - Brown tones
PEBBLE: To be selected
Umbrella Sleeve
5.0' WD
6" WD
FIREPIT: +12" with concrete
cap (to match pool deck); Tile
sides (to match pool); Includes
volcanic rock, fire ring, gas
line, valve and key.
CITY OF LA QUINT�4
BUILDING R SAFETY DE(QT.
FOR CONSTRUCTION
DATE '115104 BY-. AL _
pan- �IP4. "Siu6'.A I &A
Gas Valve for portable Heater
RESIDENCE
Umbrella Sleeve
--W .............
FEB 1.4 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPM
DECK: Colored Sand Wash
Finish concrete; color to be
selected
Gas Valve for portable Heater
Gas Valve for portable Heater
BBQ: +37" height countertop
finish to be selected; smooth
stucco sides (to match house);
includes Alfresco 42" AGBQ-42
stainless steel cooking head with
infra -broil, rotisserie and
integrated lighting, AGD-42
stainless steel access door &
drawers, 18"x18" top -loading Ice
Bin and Drink storage with drain;
AB-TC2 Stainless steel trash
double bin and electrical outlet
.Tile Sub -Base; Tile
installation provided by
others
1: 10/1/2013
2: 10/15/2013
3: 10/18/2013
4: 10/21/2013
5: 10/30/2013
6: 11/4/2013
7: 11/8/2013
8: 12/17/2013
Date:
1C
OJ
U
W
00 O U
+�
m (Z C>
m (Z O
N Ill O
MNOq
CDO
V
v' rn d
,U, G
V)
a ��a
�U'a
.0
�
.3
C
V
C
as
•
J
Scale:
Iry