BRES2015-0283 (BRES)�tt
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:.,
Application Description:
Property Zoning:
Application Valuation:
Tay 4 Quint
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BRES2015-0283
54405 AVENIDA ALVARADO
774235019
FASANO RESIDENCE / PLUMBING & ELECTRIC
$5,000.00 .\?
Applicant:
LEISURE LIFE WALK IN TUBS AND
2377 GOLD MEADOW WAY
GOLD RIVER, CA 95670
JUL272015
w L ,QUINT+ Tp�ENT
CISY C+ iDEPAA tractor:
COPRD1U'I` IDEVELOP "vDi
LEISURE LIFE WALK IN TUBS AND
2377 GOLD MEADOW WAY
GOLD RIVER, CA 95670
Owner:
HEODORE & DORENE FASANO
4405 AVENIDA ALVARADO
QUINTA, CA 92253
11111111lIIII111EII111139
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/27/2015
(916)526-8333
Llc. No.: 956300
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 Professions Code,
and my License is in full force and effect.
License Class: B License
// N
.. 956300 J
(Date: 07/4C-• Contractor:
OWNER-BUILDR DECLARATION
1 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).:
(_) 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.).
(_) 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 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:
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 Aw,c k 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: _ Policy Number: _
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, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
compl ith thoseprovisions. /
Date: /Z ! /5 Applicant:
WARNING: FAILURE TO SECURE WORKERS' •SMPENSATION 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 Building Official 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
construction, and hereby authorize representatives of this city to enter upon the abov�
mentioned erty or rection pur ses.
2
Date: Sign re (Applicant or Agent):
NANCIAL INFORMATION
-...(_
kr
BSAS 561473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA ' $1.00
$0.00
;04,44.p :
DESCRIPTION,.
ICCOUNT
x�-
s'^
AMOUNT
�PAIDD�,ATE
DEVICES, FIRST 20
.101-0000-42403
0
$24.17
$0:00.
1F¢
IETHOC
RECEIPT
CHECK
rcrfouy
Irs
DESCRIPTION
DEVICES, FIRST 20 PC
101-0000-42600 •
0
$24.17
• $0.00
PAID:DATE
Total Paid forELECTRICAL:
$48:34
:ACCOUNTC3
DATE
PERMIT ISSUANCE
101-0000-42404
0
591.85
$0.00
ETHOD
CLTD'' 3
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
ACCOUNT
QTY
PAID DATE
SMI - RESIDENTIAL
..101-0000-20308
0
$0.65
$0.00
:M7.
Total Paid forSTRONG MOTION INSTRUMENTATION SMt
$0.65
$0.00
• ,.TOTALS: : >, ,4`$141.84`x'
PERMIT NUMBER
BRE52O15-0283
Description: FASANO RESIDENCE / PLUMBING & ELECTRICAL
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW
Applied: 7/27/2015 MFA
Approved:
Issued:
Finaled:
Expired:
Parcel No: 774235019 Site Address: 54405 AVENIDA ALVARADOLA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 264 Lot: 7
UNIT 24
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Valuation: $5,000.00 Occupancy Type: Construction Type:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE EXISTING SHOWER WITH NEW WALK IN TUB. ALL EXISTING PLUMBING WILL BE USED. ADD 30 AMP GFCI BREAKER. PER
2013 CALIFORNIA BUILDING CODE. ELLA PETITE DUAL MASSAGE WALK IN BATHUB.
Process
ITI s NAL SITES
Printed: Monday, July 27, 2015 1:36:02 PM
1 of 2
(.7[161.l IJ SYSTEMS
CHRONOLOGY
CONDITIONS
a;• �•
CONTACTS ,..
NAME TYPE
NAME
ADDR S1
CITY:
STATE TE
ZIP
PHONE
FAX
EMAIL
APPLICANT
LEISURE LIFE WALK IN TUBS AND
2377 GOLD MEADOW
WAY
GOLD RIVER
CA
95670
(760)564-0047
CONTRACTOR
LEISURE LIFE WALK IN TUBS AND
2377 GOLD MEADOW
WAY
GOLD RIVER
CA
95670
(760)564-0047
•
OWNER
THEODORE & DORENE FASANO
54405 AVENIDA
ALVARADO
LA QUINTA
CA
92253
(760)564-0047
Printed: Monday, July 27, 2015 1:36:02 PM
1 of 2
(.7[161.l IJ SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$0.65
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.65 $0.00 .
TOTALS: $141.84
$0.00
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
Printed: Monday, July 27, 2015 1:36:02 PM
2 of 2
.I U U 27 SYSTEMS
INSPECTIONS
SEQID
INSPECTION. TYPE .:
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
FINAL**
BLD
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
Printed: Monday, July 27, 2015 1:36:02 PM
2 of 2
.I U U 27 SYSTEMS
• 5 (p5 /7 e Mdav /91 ted® La 15vi //• / qzz s-cs
Customer: FASN ,PorenG - %4,
Bathroom Layout:
YV\AM2.__
Page 5
CITY OF
BUILDING & SAFETY DEPT.
APPROVED
FOR IONSTRUCTIO
�27Iy BY
DATE
4
Customer:
House Layout:
z
Rcf$lo
Page 6
110 Petite Dual Massage Walk In Bathtub
ACCESSBLE BATHROOMS
- — •
_ 4‘1
Irril
•
93167 Leff Hand
Drafn
and Door
93168 Right Hand Drain and Door
Actual Size: 27.5" W x 52.25".L x 38" H Options: .
Shipping Size: 31" W x 57" L x 47" 1-1 = Left or Right Hand Door/Drain
Shipping Weight: 305 ibs. • Soaking
Net Weight: 205 lbs.• Dual Massage with No Faucet (holes not drilled)
Water Capacity: 70 gal'US (unoccupied) • 5 Piece Fast Fill Roman Faucet Set
35-55 gal. US (occupied) (Hot, Cold, Diverter, Hand Shower, Tub Spout)
• 5 Piece
Traditional Roman Faucet Set
.—
CITY OF LA l B ` Ho , Cold,
UINi JR
Diverter, Hand Shower, Tub Spout)
BUI( DING & SAFETY F - PT
(6. ydro Massage System:
Included Features: A P P R O
V
1. Tub Shell - Acrylic Tub Sh 11: Four (4) adjustable and ten (10) fixed hydro jets
• High quality cast acryli grad EQR C NSTRUCTI N Air flow regulator for adjustable hydro massage
• Excellent color uniform y
1 HP pump (900 Watts)
• 5 mm cast acrylic she
DATE
ON/OFF push control
• Fiberglass (reinforced)
gy in-line
water heater (1.5 KW) •
Volts) ON/OFF control
2. Stainless Steel Frame
Ozone
Sterilization (12 with push
3, Low threshold step in 8" with the option to lower to 5" 17. Brass 5 Piece Ella Faucet Set (Chrome Finish) designer
spout, two 2 way diverters with ADA compliant handles,
4. Seat Width: 19.75" and pull out hand held shower with 5' retractable .
5. Eight (8) adjustable heavy duty leveling legs stainless steel hose
6. Stainless steel and tempered glass door, door frame and Plumbing:
door seal gasket ' . • Two (2) x 4' long stainless steel braided water supply lines
with 1/2" IPS connectors
7. Removable door for easy cleaning • Two (2) x 2" floor drains with 2 overflows and 2 ADA
8. Deck mount safety grab bar compliant stainless steel cable operated openers with
9. LED multiple color chromatherapy light with ON/OFF extensionhandles
control •Drainsge time +/- 80 seconds to overflow
push• Two (2) PVC 2" drain elbows with 2" opening
10. Thermostatic control valve Electrical:
11. Removable rubber back support (white) Elecfrical requirement is one dedicated 120 V electrical
12. Unique removable swivel Tray (Patent Pending) line connection with a 30AMP dedicated GCFI breaker line
connection.
13. Two (2) front, one (1) toe kick and one (1) side removable
access panels Warranty:
• Lifetime limited warranty on frame, door, door seol gasket
14. Wall extension kit to fit in standard 60" opening and acrylic walk in tub shell
(extends to 59") • • 5 Year parts warranty` .
15. Air Massage System: •For more Information please visit www.ellosbubbles.com
• Ten (10) therapeutic air massage jets
• 0.5HP air pump
• ON/OFF push control
www.eltasbubbles.com Page 1 02/14
AUTHORIZATION TO MARK
This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s)
Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing
Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing
Report.
This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be
,applied only at the location of the Party Authorized To Apply Mark.
Applicant:
Address:
Guangdong Midocean Sanita
Technology Co., Ltd,
The 5th floor, N•oith;Building of Kanghu
Garden, Bafarng,Section, East,Huarishi,
Road Dailang; Shunde Guan'gdon
China
Country:
Contact: Ms.HuF,Xu
Phone: 86-757; 22600988;; 86,=757-22600987
FAX 86=757=22616099.`.::1::
Email: expo43@midocean cn
Party Authorized;To:Apply;Marr
Report Issuing Office:
Guangdong Midocean Sanitaryware
Technology Co., Ltd.
Control Number: 3087845
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CQNSTRUCTI 'IN
Sameas Manufacturer
•Intertek Testing Services Shenzhen Limited Guangzhou Branch
~,Midocean Science Garden, The Second
`:Industrial Zone, Zhanggang, Honggang,
Daliian65hunde, Foshan, Guangdong
Ms.
86-757-2.26000988, 86-757-22600987
86-757-2260099
ex ort3@mii
p docean.cn
Authorized by:
US
Intertek
Thomas J.
rson, >rertiff
tion Manager
cyment supersedes all previous Authorizations to Mark for the noted Report Number.
ertek's Client and is provided pursuant to Ne Certification agreement between Intertek end its Ctont. Intertek's responsibility and (lability ere limited
�Q g ssumes no liability to any party, other than to the Client In accordance with the egreemenl, for any loss, expense or damage occasioned by the use
of this Authodzalbn to Mark. Only (fie Client lo authorised to permit copying or dbldbugon of this Authorization to Mark end then only In its entirety. Use of Inlertek s Cedlllcallon mark Is restricted to the,
conditions laid out In the agreement end In this Authorization to Mark Any further use of the Intertek name for the sale or advertisement of the tested material. product or service must rust be approved in
writing by Intedek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark In accordance with the agreement, they are not for the
purposes of production quality control end do not relieve the Client of their obligations in this respect.
exduslve use of Ir
Inmu and condil ns of thea regimen
Intertek Testing Services NA Inc.
545 East Algonquin Road, Arlington Heights, IL 60005
Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672
Standard(s): Hydromassage Bathtubs (UL 1795, 4th Ed., Rev. Jan. 13, 2012) & Hydromassage Bathtub Appliances
(CSA C22.2 No. 218.2 - 93, Rev. 2008)
Product: Massage Bathtub
Brand Name: Guangdong Midocean Sanitaryware Technology Co., Ltd.
G-301, G-302, G-303, G-301-AR(L), G-304-R(L), G-305-R(L), M-BTV001, M -G308, M -G310, M-BTV005,
M-BTV006, M -G016, M-88048, M -G311, M -G312
Models: And M-` series: "'r' means B001, B002, BOO6L(R), BOO7L(R), BOO8L(R), 8011, B012, B017L(R), B018,
B019, B020, B021, B022, B023, B024, B026, B030, B031, B032, B033, B046, B068, 204, 2112, G015,
A024, B8010, B8011, B8012, B8015, BTV003, BTV002, B8003, B8005, B8007, B8008, 88009, G306,
G315, G316
ATM for Report 130320059GZU-001
Page 1 of 1
ED 16.3.15 (lJen.13) Mandatory
Bin. #
City Of La Quit to • • •
- • Building to Safety Division •• •
Permit #
f k£-�•a''D
•
I 4.1)Z45;
.
• P.O Box 1504,78495 Calle Tampico -
V; Ia.Quinta, CA 92253 -x(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: s .. 7.40 Art nIda- Maaracto
Owner's Name:. %D etre $ 77& d n O
A. P: Number. •
Address: 6-1/1/06-/9/). CDJ, . ad•(J .
Legal Description: - -
//pp���-/Ve.t
City, ST, Zip: !LG 6 U/ P/?O •69 en. 2 5-3 '
•
yy----telephone:SIP
Contractor. .('(Jf'22" �- axed / �% / U �1�-
fig— 004i r< . ,.: ..
mac,;.
�; y, f w, ,r,,,;
Address: p C� via' Ai� docs/ U.�C """
Oject Description s&p/ % se 4 at.
City, ST, ZiF: solct cqlverC 69 s6
cu I'Mnewco -/I ,4) ♦ .
Telephone 9/6 - v/-p6--0112.:
%„ 47,' ?c1•'Yy.".
/ ex/064 /Ul4! 6 wl/� h/-
State Lic. # : -.93-6 ,8 DO
City Lic.. ° --.-
U
Arca., Engr., Designer - • 71-1q61.
V17 61.
/et 3 40 7 arf e7 b cIe," .
. Address: . •
•
City, ST, Zip:
•
Telephone: •
:,,.•
Construction Type Occupancy: • • .
State Lic. #: •-
may; sa' rc.�>':rz�'�?r:.;�:��<%>
Project type (circle one): New Add'n Alter Repair Demo .
_
• Name of Contact Person: Q//G ea Iiac •
• Sq. FL: ,
# Stories:
# Units: .
//C(I
Telephone # of Contact Person: `6 /O - y9'06
Estimated Value of Project: ✓pee •
APPLICANT: DO NOT WRITE BELOW THIS UNE
Submittal • •
Req'd
Rec'd .
TRACKING
• PERMIT FEES
Pian Sets
Plan Check submitted
• •
Item
• Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit • .
Truss Calcs.
•
. Called Contact Person • •
Plan Check Balance.
.
Title 24 Cain.
Plans picked up
Construction •
Flood plain plan
Plans resubmitted..
Mechatikal
.
Grading plan
-
r' Review, ready for eorrectionsfissue
-
Electrical
-
Subcoatactor List
Called Contact Person
Plu•mbing •
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