12-0047 (RPL) III II VIII I VIII IIII 29 '
P.O. BOX 1504 - IE--- -__J VOICE(760)777-7012
4
78-495 CALLE TAMPICO FAX(760)777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153
BUILDING PERMIT
Date: 1/18/12
Application Number: 12-00000047Owner:
Property Address: 80801 CALLE AZUL MAINS
APN: 762-240-003-42 -300962- 80801 CALLE AZUL
Application description: POOL - RESIDENTIAL LA QUINTA, CA 9225376
Property Zoning: MEDIUM DENSITY RES D
Application valuation: 20000
Contractor:
JAN::n- 20112
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280 CITY OF LA QUINTA
COACHELLA, CA 92236 ( r))`AMrE r«=PT _
(760)398-9222
Lic. No. : 656128
-- - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - --- - - -- --- -- - - - - - -- -- - ---- --- -- - ----- -- -- ------- ------ --
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Iaction 7000) 1 Division 3 of the Business itd P ofessionals Code,and my License is in full force and effect. � � _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
Lice Clas . C ',10,27,2 License No.: 656128 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
ate: ctor: $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
OWNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy Number 7600006481121
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as t become subject to the workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should bec ibject to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or370 of the Labor Code,I sha rthwith comply with those provisions.
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).: ate: �9 'G licant:
(_) 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 WARNING: FAIL U E TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of�property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_•) I,as ownef of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a.permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_1 I am exempt under Sec. ,BAP.C.for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I h read this application and state thKbullconstruction,
mation is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county di ces and state laws relating to and hereby authorize representatives
of thi ounty o e er upon a above-mentioned prion purposes.
' lender's Name:
Lender's Address:
A ate: 2 ' nature(Applicant or Agent(:
LQPERMIT
Application. Number . . 12-00000047
Permit' . . . BLDG POOL PERMIT
Additional desc .
Permit Fee 207.00 Plan Check Fee '134.55
Issue Date Valuation . . . . 20000
Expiration Date 7/16/12
Qty Unit Charge Per . Extension
BASE FEE 45.00
18.00 9.0000 THOU BLDG 2,001-25, 000 162.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date Valuation 0
Expiration Date 7/16/12
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
---------------------=------------------------------------------------------
Permit . . . . . ELEC POOL PERMIT-RES
Addi t-i.onal desc
Permit _'tee 15 .00 Plan Check Fee 11.25
Issue Date . . Valuation 0
Expiration Date 7/16/12
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 . . . . 27.00 Plan Check Fee 6.75
Issue Date Valuation . 0
Expiration Date 7/16/12
Qty Unit Charge, Per Extension
BASE FEE 15.00
1.00 6.0000 EA PLB FIXTURE 6.00
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
LQPERMIT '
Application Number . . . . . 12-00000047
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 160
Expiration Date 7/16/12
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Special Notes and Comments
SPOOL WITH BOULDER WATERFALL. 10 L.F. 4' .
- BLOCK WALL, .CITY STANDARD. INCLUDES 60
L.F. 1 112" GAS LINE. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE-PLASTER
INSPECTION. 2010 CODES.
-------------------------------------------------------------•---•------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
----------------- ---------- --- ------ ---------- ----------
Permit Fee Total 320.00 .00 .00 320.00
Plan Check Total 159.05 :00 .00 159.05
Other Fee Total 1.00 .00 .00 1.00
Grand Total 480.05 .00 .00 480.05
5
LQPERMIT
f
SPECIFICATIONS
DN
'NO EXISTING LANDSCAPE LIGHTING IN REAR YARDtYt � X N
� m
NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD SURFACE AREA OF POOL ONLY N M
PP
•PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY PERIMETER DEPTHS MIN MAX
POOL&SPA COMBINED Q a CQ
SPA SPECIFICATIONS TILE Jt"
� Ira A 10a SQFT.�UIFT.4B_ TLETYPEw x d
. SPADAMWALLY,OM TIF TRW - E3D
4Z
NO OF JEIB OUARTERFIDUO
,A„E _ R88 TIE L,N,D
N
R!1®®AFT 0�- 7 N Z
8POLWAY TYPE LIT D N p
BKOKNOFS- DECKING MImJ
^�-
1 EXCAV TION/ STEEL WP' aNu
WATER FEATURE WITH TWO BASINS, TYiF FINISH 0 a $8 e
AND TWO BOULDER SPILLWAYS AT+241
�/I NoS�Qa WATER FEATURE TED VALVE TO CONTROL " _ DEMILANI
GRAN n¢_
�.. BiE,O
POOL SPLIT MAIN DRAIN SUCTION MINIMUM T APART.
*(Zelocu+c � �
CURB CORE
I PAA ANTFCOVERSIWASME/ANSI APPROVED SW� � LOADSTREE eTEns
OVAL By
TEP
(�j,,,rc I PnIM `OL `it7� STS;D19-yvr IRRIGAT�IOVPLBY¢ T"SAM
�q� Ind reroa all irri0n NEW STONE COPING awAnSAND NOVISOMN
oNl®Arl ��•�
POOL EQUIPMENT BLINDWALL AT+48• r,� INeeaxB
STUCCO AND PAINT TO MATCH Z
AND STONE VENEER DECKING IRaR MOWTIflP
EXISTING WALL PL TIr� FT
PL
N R8B N
POOL EQUIPMENT:40QOODBTU HEATER PL PL
3T FULD,
EXISTING CONCRETE T S161F0®TH
*ALL EQUIPMENT SMALL BE SEISMICALLY ANCHORED , B E TO REMAIN ROCK Rvs
FL8A FACING
IN SPILLWAY TIFFS -
S PEBBLE TEC RN191 PLUM IN13 J T .EHR.NAS
E TLEWATERLNE F7L SIE ISANfERWNI
r- -1 H �EOE k.
RETNNNCYOLLS- ■ 111����
I I r I C IV
T009TDIP SIE EW.WAG! - �I� ♦■
■ iI i = I H L � FI�rt - "ow.4
I I HEA -
11 ®I we-M L
I ( FOUR HYDROTHERAPY JETS. 8101AER
I 1 I FULGIE EBBL PLASTER
I/ PLUMBED.THROUGH DEDICATED _
1 S VriL AUTOMATED VALVE AND PLUMBING ME T1
FOLINTAMISMAYHEACS ROLLEDBMSEAM �I
■ I 7`7 9HEEER ERwpmlE
I I S _
ADJACENTas II IFIL-7y'I--••I'
NEIG BOR � ' � BnE BET CO161Q/T FENDING �
M� FENCE TYPE
I I i � GENYGr
I I aTE
JJ QUNITE � TATE REVFIHSIL
/ E®EKDRAW REMOVE a RE1MNE
LXTESEAT fB
LOIESFAT -
/,�% RESIDENCE �I�
Caao
//I RSB.BFEN� B Iv "MI+�! OTHER
pWNER REBPONSIBILITIES
(1 OEIERMNE THEAPFRO%WATE ELEVATION OF POOL CRSPAAT LAYCUTOI DAY OF ECAVATION.
M TAIT NOTDE THAT POOL AND 001"1011 LOCATOM ARE MWBCT MACCEPTI/CEOF
LOCAL BUILDING DEPARTMENT AT THE TIME OF/ CE PERMIT,
< `TID ■ OWN DCONCRETE SKIU AT LEAST TWICE DAILY FOOR SEVEN DAYS AFTENSHELL IS INSTALLED.
/ Q ADM THAT TESERMIS NOTMS,SIDEWALKS.FOR
WIO�TNOCONDRDIO SI OLECTS,
AND AMYDAMAGEIN.GATE,LIDENARAGED ORS MEEYS T
BAGROTHIR LODICOMB FORBISwT1EAOSLIRE AREA
(S) 1E]
ffEnN PREPLA TER IN FECTI N0 WMOE DOORS IEFTIOGL COMB fORAP00LFNQOSOE
PRIOR TO PRENABTEA wSFECTIOL
LR RIXPOOL CE THATT THIS
RNG ISTHE
FOLLOWPERTYOFTES-DO NOT LISE THAT ANBERHOSE)
(>)TOENOTICETNATTI O DRAWINGAIS PROOLEPROY LAW. TESERRAANo THAT ANY TI6EvmTaur
/ WPoITENPERWfi9ONaF 7FSENUIB FROXILTffDBYIAW.
CITY O� QUINT/ \ ��APPROVES PLAN,POOL AND EOIIPLEGO LOCA,IONB AND HAS READ THE RE9'Q6BRES AID NOO18ABOVE
v WMATG� DATE
-- -----� BUILDING & SAFETY DEPT. rrlr�(�r
p� SWIMMING POOL PLAN FOR:
------ ---- - APPROVED NAMEMAINSRESIDENCE
GAS AND ELECTRICAL RUNS TO BE TRENCHED PL FOR CONSTRUCTION
AND INSTALLED THROUGH NEIGHBORS COURTYARD, JOBADW-801 IE A AZLIL AZUL
LA OUINTA
ON HOMEOWNER PROPERTY. PHONE OFFICE RES
TESERRA TO REPAIR NEIGHBORS LANDSCAPING AT
DATE1=1 S? LOT B TRACT PARE BOOK
COMPLETION OF UNDERGROUND MAP ADDR PAGE No. Cm
MALI DOR69
CONSTRUCTION OFFICE PHONE NO.
■ ' SCALE DATE DESIGNED BY PROJECT HECKED
A0 1' 11-09-2011 JT. BR13CK B.
J�'aL2� . REVISIONS DATE:
■ SAFETY FEATURES:
•ALL Affnen NP1ENTCOVER MTALLATDN IE MG.WIN/T STAIOMOBOF THE AMERICAN
8.7MMRTWMMOWTFJ ORTIEAIMWMWCMOFIEOWRGLL-µSLE)
ELECTRICAL 1
OPADIiMW LATHEroaL AREAABPEROFtART.Sl676
NEIGHBOR w
2010 CALIFORNIA BUILDING CODE (aMEDO1311168C) 5
201 O CALIFORNIA MECHANICAL CODE (BASWON;TDOSuw)
201 O CALIFORNIA PLUMBING COOK (BASEDON TOWUFO)TTRIK—. 6
201 O CALIFORNIA ELECTRICAL CODE (BASWONEIDSNEC)
201 O CALIFORNIA ENERGY EFFICIENCY STANDARDS 7
A
■ ANYH AVATIOOIE BEC CONTACT
THE(1)E)EEPf w AN BIETNENCY,ANYPFAWN R.WNwO TOCOOIICT
ANYE7CJJMANA SHALL MM"CONTACTTHE APPROPIMTE REOOIN NQIEIGTXN[glTEL ATIFASTTVAO
WODOND DAYILUT NOFMIREDIN NCAIBOA MOM,OR
MOM,
EITCAVATION WILL BE O01LUCIEDNANAREA ViMTNM.W,QiIffA9 FN 9Y IOILOBEDRMN,1p
BYTHE AYATORCENSTAWTIO1L9t1EE)CAVTHE'UIDERLROROEWrrHV .NODTCROnII®
RETASL MARGO GSTINE RUCHE),DEEIOAVATOiTIWLOD1ffATEwRHWHREPAMFOLOOHi SELECTION S
8OTA9E MNOQ10S.71E ARE TORE ETGdATW
oW
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH i CONSTRUCTION AUTHORIZATION STONE I YUKON GOLD-TRISTATE ji
SECTION 114-MANDATORY REQUIREMENTS ■ SALES FIELD TILE ''
BOULDERS DESERT GOLD-TRISTATE
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS DIG.
TO THE POOL DECK COLOR Aa
POOL HEATERS/PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S I PRE-GUNITE HAYWARD PLPS 4-AQUA POD WITH SALTVA
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS + MASONRY UNDERGROUND
PEBBIPLAS CARIBBEAN BLUE PEBBLE TEC �
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
SIGNATI RE
FIELD LAYOUT WILL VARY DECK
PRE-PEBBLE DRAINAGENT]TE DRLL�BOR4Ytf08LO1NNT,MITIBISsaaNE,Ma
uHem alhaMtTe rabd.
Bin#. - ` .. .. . . ... City of La Q[I(11l,Q
Buifdfng• Safety Division
Permit# P.O. Box 1504,'.78-495 Calle Tampico
0 Quints,CA 92253- (760) 777-7012 "
Building Permit Application and Tracking Sheet
"94W Project Address: eo o? C q Owner's Name:
A.P.Number: Ow T zu` Address: 96 6'O z
Legal Description: City;$T,Zip:
i 7,S
Contractor:' Telephone: w,•«. >: .:
Address: 86• r00 SProject Description: r
City,ST,Zip: C--,6ACAf-,5:CJA CA ZZ:? J�
i�
b
Telephone: (�3X9 9z Z r�`� s s<' n:z •a:ff%?{z`.: L / /
State Lic. City Lie.#; ` _
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone:
Occup cy:
P .. Construction Type:
State Lic.#: k ;: <::<.;>:off ,v ��? :
. � >...;,F. Vii, Project type(circle one) Ne Add'n Alter Repair Demo
Name of Contact Person: Sq.FL: #Stories: #Units:
Telephone#of Contact Person:(76W 250 Z-3 IR Estimated Value of Project: 20,000
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cales. Reviewed,ready for corrections Plan Check Deposit
Truss Cales. Called Contact Person Plan Check Balance
Tithe 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2'"Review,ready for correctiousliissue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '''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