13-0521 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
13-00000 251
Owner:
Property Address:
52870 A EVNIDA MONTEZUMA
THYE RESIDENCE
APN:
773-311-006-21 -000000-
52870 AVENIDA MONTEZUMA
Application description:
STRUCTURES OTHER THAN BUILDINGS
LA QUINTA, CA 92253
Property Zoning:
COVE RESIDENTIAL
Application valuation:
5000
/
Contractor:
Applicant:
Architect or Engineer:
TESERRA
P.O. BOX 1280
/t
COACHELLA, CA 92236
V
(760)398-9222 /
Lic. No.: 656128
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury tha m licensed under provisions of Chapter 9 (commencing with
Section 7000) Division 3 of the eusines nd Professionals Code, and my License is in full force and effect.
License Class C , 10, 27, 2 License No.: 656128
Date) �� Contractor:
OWNER -BUILDER 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).:
(_ 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.).
(_ I 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.).
( 1 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
I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/24/13
APR 291019
------------------
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 carrier and policy numbe are:
Carrier EVEREST NATL IN icy Number 7600006481131
I certify that, in the performance a work for which this permit is issued, I shall not employ any
person in any manner so as t ecome subject to the workers' compensation laws of California,
and agree that, if I should b me subject to the workers' compensation provisions of Section
700 f the Labor Code, 1 all forthwith comply with those provisions.
App t:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 above ormation is correct. I agree to comply with all
city and county ordina ces and state laws relating to building truction, and hereby authorize representatives
of this county en upon the above-mentioned property for". purposes.
�~ j ---
X7 f
Dater �� Signature (Applicant or Agent):
Application Number . . . 13-00000521
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
72.00 Plan Check Fee
46.80
Issue Date . . . .
Valuation . . .
. 5000
Expiration Date
10/21/13
Qty Unit Charge
Per
Extension.
BASE FEE
45.00
3.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
27.00
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
10/21/13
" Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
NEW KIVA (FIREPLACE)
AND 55' LN FT OF
1"GAS LINE POLYPROPELINE
APPROVED PER
S.T.2010 CODES. -
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
4.68
Fee summary Charged
----- ----------------------
Paid. Credited
------------------------------
Due
Permit Fee Total
90.00 .00 .00
90.00
Plan Check Total
51.30 .00 .00
51.30
Other Fee Total
5.68 .00 .00
5.68
Grand Total
146.98 00 .00
146.98
LQPERMIT
Y
Bln.#
Permit #
Project Address: S2 �O
City of La Quihta
Butldtnt a Safety Division
P.O. Box 1504,78-49S Calle Tampico
La.Quinta, CA 92253 - {760} 777-7012
Building Permit' Application and Tracking Sheet
/� 2U Ownu'sName: -
A- P. Number.
Adder:
Legal Description:
Contractor. -Z l
City, ST, Zip: ,J-r-�rA9z2.s�
Telephone:
Address: (� ��
Project Description: 11A
City, ST, Zip:
y223 14 ArD
Telephone: (� p 318 92 7—
State Lic. # : Z g
City Lia #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: V.t
Construction Type:. Occupancy:
Project type (circle one) New Add'n Alter Repair Demo
. Sq. FL: # Stories: #Unit;:
A,14Telephone
# of Contact Person:
1 Estimated Value of Project: OO C7
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACE3NG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calce•
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Pians resubmitted.'.
Mecharilcal
Grading plan
2" Review, ready for correctionstissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''a Rgvtew, ready for eorrectlons/Lssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr '
Date of permit Issue
School Fees
Total Permit Fees
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
' NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
' NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
• PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
EXISTING POOL AND SPA EQUIPMENT
EXISTING POOL AND SPA
REMOVE AND STOCKPILE EXISTING PAVERS,
PAVERS WILL BE RESET UPON COMPLETION
OF THE FIREPLACE
LOW VOLTAGE LIGHTS CONNECTED
TO EXISTING TRANSFORMER
FIREPLACE KIVA
(SEE ELEVATION)
14'-811
LOG KIT BY
HOMEOWNER
STUCCO FINISH
(SEE MIKE) KEY VALVE
0 +5419
+1811 +3611
+1811 +12'
DECOnLELOCATION KIVA ELEVATION
T.B.D. SCALE:1@N=1'-0
IINSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH I I
eerTlnu I to - MANDATORY REQUIREMENTS
1
AVENIDA MONT
EZUMA
I'1
. L R
DATEy
EXISTING TERRACOTTA BAND
TUNNEL UNDER WALKWAY
GAS METER
SAW CUT AND REPLACE WITH CONCRETE
BASE AND TERRACOTTA TILE TO MATCH EXISTING
55' -1" POLYETHYLENE GAS PIPE
ES PEC I FI CATI O
KIVA FIREPLACE
SIZE S' DIAMETER X
YPE
RIRFACE AREA OF POOL ONLY
MAX
IERIMETER
DEPTHS MIN.
WOOL S SPA COMBINED
FILTER
SPECIFICATIONS
TILE
IPA
TLE_-_
ZE_x_—BG.FT.._—LN.FT.
WATERLINE-------
'ADAMWNLWOTII
TILE TRIM �---
QUARTER ROUND
D.of; Mem
R.B.B. TBE _-----
GHT
._------�
AIBID 6PAAT
puWAYTYFE
DECKING
PEGIALNCTEH
sG. Fr. ------
=XCAVATION / STEEL
FINISH --
YPE -----�
BD'ANSION.LDNTE
1CCESS FROM
CANTILEVER
9LE/ATION
DECKDRADIB
)ESP END RAMP
DECOO DRAIN
AVE SEAT BD T L
CONCRETE REMOVAL SOTT.
CURBCORE
STEPS -
BOO REMOVAL �
STEPFACE
TREEREMOVALBY
TILE BABE
IRRIGATION REMOVAL BY
SAND ANDVMOUEBI_
IRRIGATION REPAIR
RIBBDNS
r R.B.B.
MOW STRP
1r R.B.B.
-IRE SET 2 SO
IrR.B.B.
PA
IIP R.BB.
��—
W R.BH.
_
CENTERS
PAVER REMOVAL BD SOFT.
R.B.B. FAGIF
ePILLWAYI
STEPS_
PLUMBING
PROP_ EM.
FILTER
S�
PIANTER'A
POOL PUMP—
SIZE
RETAINING
BOOSTER PUMP_
SIZE
SOUIP. WAI
AI]DLPUW
SUS
PL
AWL PUMP
SIZE
HEATER
$ISBANCO
SKIMMER TYPE PEBBLE /PLASTER
FULME U%SSPOOL
GABLNE V STUBS LIGHTS SPA
F0UNTAINS ISPRAYIBAD 8 ROLLED BOND BEAM
BEHIND BPA
R{FFA DESOENTS- EYE8ALL8
LIGHTS N POOL N BPA
STUB SET EQUIPMENT FENCING
MAIC FENCE TYPE
'KEY VHT
ALVE AND BURNER BAR TE
GUN ITE GATE REVS
REMOVE B REHANG
DEP END RAMP-------
EXTEND 2AE8nP
LOVEBFAT .srARr
SPILLWAY TYPE------- ier. o -
CAMILEVBW OTHER
COPING LOW VOLTAGE DGHTB MOVE EXISTING
R9B.•BEE Sn9. CONNECT TO FXIBTNGT�RANBPDRMER
OWNER RESPONSIBILITIEB
OWNER
TO"
WEAPPROXIMTEIEATKNCFGOBP- ANCEOFAUPDXAVA
(1LETEM"4WILANDIIPMENTOUNEOFR.IIAPfAT
AFTER ,,ELLjSW'rA.LED.
(N WeT DOWN OONOREIE SIEl1 AT LEAST TVACE DAILY FOR SEVEN DAYS
(A)=T. R�URB6 SEAWANYDAB SppryEWA LAMy OXER REM6 M711EACCEBBIAEA
ISI pRIORTO'PRENASTEWINBPEGTION GARA(E p001W8 MEET LOCALGODE6 FORAPOOLFNCIOSURE
(R FILL POOL MBRDIA ER INI TER PLASTER. ( FOLLOW lWRUCTKRlS-DO NOT.USS RUSSERNOSE )
pI TANS NOTIOETMTTMIS SE O BpRONIBiT[D BY LAW DP TESERRANO TfMT ANYIMEVATlKAIf
WIRITTEH FERMMSION
iwIER APPROVES WM F0 .AND MUIPMENT LOGGONS AND NAS READ TNS RESPONSINUOESAMNO'RCESMOVE
gAFETY FEATURES: ANDAPDIIOFlHfiAMWlCAN
•ALLANR"ENIPAPMLNT COYER INSTALLATION wEEDND ==, OF CWIWA'LENDOMW PAM
SOCIETY FOR TESTING AIO MTMSAIB OR TIE AMERNVVI
ELECTRICAL:
ORADIlNTB NI THE POOL ARREA AS PER CEC ART�BEOIEINSTALLED TO EUMWATE VOLTAGE
201 O CALIFORNIA BUILDING CODE (BASED0112WBI00)
2010 CALIFORNIA MECHANICAL CODE (SASEDON200(IUMC)
201 0 CALIFORNIA PLUMBING CODE (BABEDON2MUPC)--'
201 O CALIFORNIA ELECTRICAL CODE (BABEOON200ENEC)
,201 O CALIFORNIA ENERGY EFFICIENCY STANDARDS
CONSTRUCTION AUTHORIZATION
11 SALES FIELD
SWIMMING POOL PLAN FO
THYE RESIDENCE
1' 04-12-13 I JT. I MIKE N.
REVISIONS
SELECTIONS
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