13-1084 (RPL)-P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001084
Property Address: 52940 AVENIDA MONTEZUMA
APN: 773-311-009-18 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 30000
Applicant: Architect or Engineer:
V�
•4 4 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Code, and my License is in full force and effect.
License Class: C27-053 LicenseNo.: 859417
Date: Contractor: I III
OWNER -BUILD ECLARATION
I hereby affirm under penalty of perjury that I am exempt from ontraaor'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.).
(_ 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.).
1 I I am exempt under Soo. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
LQPERAUT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/29/13
Owner:
ROMEO DELAROSA
52940 AVENIDA MONTEZUMA
LA QUINTA, CA 92253
0 Q
Contractor: o
AMERICAN LANSCAPE PO S Of,!/CIAO
85265 DAMASCUS AV NU 4 2013
COACHELLA, CA 92 36 C'/r
LicO) Noo :1859417 �O Q*A
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 number are: -
Carrier STATE FUND Policy Number 9033177
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, l aalll forthwith comply with those provisions.
Date: a -I-\ Applicant:< moo, (
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 1$100,0001. 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 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 county to enter upon the above-mentioned pr for i action ,tp�ses.
Date: Signature (Applicant or Agent):
Application Number . . . . . 13-00001084
Permit . . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 2/25/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
----------------------------------------------------------------------------
178.75
Permit WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 47.19 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 30000
Expiration Date . . 2/25/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, 12 L.F. OF 4 FT. 6 INCH HIGH
BLOCK WALL PER ATTACHED APPROVED ORCO
BLOCK STANDARD (35 L.F. OF 2 INCH GAS
LINE FROM METER TO EQUIPMENT]. 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
97.24
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 225.94 .00 .00
225.94
Plan Check Total .00 .00 .00
.00
Other Fee Total 98.24 .00 .00
98.24
Grand Total 324.18 .00 .00
324.18
i
LQPERMIT
• - Btu � . • . • �:�: .
City of La WUMd �Q
Buif�ng ac Safety Divhion
P.O. Box 1504,78-495 Calle Tampko ASG 2
ia.Quinta, CA 92255 ---(760) 777-7012 QOF 2413
Bwldg in Agri it APP 11r!Wnn and Tracking Sh ily
-
Project Address *"o
Ave- w mTa7,vY01-
-
Owner's Namc:. R, 90-4-1w!54
A. P. Number. -
Address: 52A40 A✓c-, mod) -t e Tni9 MFNI
Legal D=ripdon:
City. sT, Zip: �-t�til t�?I'�-• C� - G1'2253'
Conizactor: A7 ff4( kil 40qht
Telephone:
Address: • 5_jg J 940 45Cd 5 Ai
Ptojec! Description:
city, sT. zip: CDACt- OU4 , C4 -. a 2293,k,
Telepho= JVO —'9190 -111 ti;MEMM
SGV I/rx � rL �c Ftx�t s PR
v c .X Z c I/►4 L L
Stan UQ #: City Lic. N:
6.4..6 L4.IJC. 2" X 35' ie -OWN
Amfi.. Eng., Designer
V -,,(E — tf7 v,:v—u 1 .
A ldress
City. ST. Zip: ---
Telephoae: --
Won Type: • .-- Occupancy:
Stale Llc. B:
Project type (circle one): Now Add'n Alter Repair Dem
Name of Coaw Person: V b "Q .-tc/�-�'� Z
Sq. Ft.: 6 Stories= N Units:
Tdephoac 0 of contact Petsat:
Estunabod Value of Proiact VV6
APPLICANT:
DO NOT WRITE BELOW THIS UNE
N
Sabmittel •
PlsaSett
• RWd -Rev'd
TRACMG PERbUTFEES-
Plan Cheek submitted Item Amount
Strodani calx.
Reviewed, ready for corrections Pian Check Deposit. .
Truss Calot.
Called Contact Person Pian Check Balance-
Md.24 Cake.
Plans picked up Caustracdon
Flood plain plan
Plans resubmitted.'. MccMfikal
Girding plan
2'` Review, ready for eorrecda a Electrical
Subeoataetor List
Called Contact Perwa Plumbing
Grant Decd
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE..
3" Review; Ludy for eormcdons/issae Developer Impact Fee
Plaaotng Approval-
called Contact Person A.I.P.P.
Pub. Wlu. Appr
Date of permit issue
Scbooi Fees
CITY ril:
Ll BL*
APPRow:h
LA bill a V :s-11
Coca! Permit Feu
: .
a , 5'2
existing whll
System Piping
6st1. 'Ile suction side pipe is straight for at least 4 pipe diameters before entering the. pump. (See table below for the
required straight run lengths for various pipe sizes).
6Z2. The design uses low pressure drop fittings (sweep90's)
Pipe Diameter Required Pipe Length.
inch leading into pump inch
1.5
6
2
8
2.5
10
3
12. , __......
Filtration Equipment
D 1. If a backwash valve is used: The diameter of the backwash multi -port valve -is 2 inches or as large as the
circulation pipe, whichever is greater
DECLARATION STATEMENT
• i certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business_and Professions Code to accept responsibility, foroonstiuction, or an authorized
representative of the person responsible for construction (responsible person).
• 1 certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency. . '
• 1 reviewed a copy of the Certificate -of Compliance (CF -IR) form approved by the enforcement agency that identifies the specific.
requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met.
• I will ensure that a completed. signed copy of this Installation Certificate shall be posted. or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
2008 Residential Compliance Forms August 2009
Pool and Spa Heating Systems requirements
§I14(5 • Systems and -Equipment.
EF ! . -Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
2. Has a readily accessible on-off switch mounted outside of the heater.
M"3 Weatherproof plate or card containing operating instructions for the pool or spa heater.
No electric resistance heating except for listed package units that has fully insulated enclosures and tight fitting
covers that are insulated to at least R-6. Or if documentation is provided that at least 60 % of the annual heating
energy is from site solar energy or recovered energy.
�. Heating system has no pilot light.
§114(b): installation.
irl. System is installed with at least 36" of pipe between the filter and heater, or dedicated suction ,and return lines,
or built-in or built-up connections for future solar heating.
f*. A cover for outdoor pools or spas that have a heat pump or gas heater.
V. Pool system has directional inlets to adequately mix the pool water
. Time switch which will allow the pump to be set or programmed to run during off-peak periods only
§150(p) Pump Sizing and flow rate specification
Wj 1. The pump specified is listed in the CEC database of certified pool .pumps.
VELY . The pump flow rate shall be calculated based on pool siring table below.
3_ The pump is capable of operating at 2 or more speeds (not applicable if pump is less than 1 horsepower).
V 4 Each auxiliary pool load is served by either a separate pump, or the system is.served by a mull speed pump -
Pool sirine (Values are baited an s ma:imlim *111mmahta r.ra -Cf:- 6wurel
- -Max Pool
Volume
(gallons)
Min Pipe D or -Greater
inches)
- --- - --- -- ---- -- - ----
Min Filter Area or more
(sqare feet
Max Pump
Flow m
Return
Suction
Cartridge Sand
DE
13,000
1.5
1.5
100 2A
20
36
17,000
1.5
2
130 3.1
25
47
21,000
2
2
160 3.9
30
58
29,000
Z
1 2.5
210 5.2
40
.78
42,000
2.5
3
320 7.8
60
117
48,000
3
3
360 8.9
70.
133
'Nutc. r ur pumps greater than I hp. I he maximum Pump Flow is the lowest speed default ftlftwion
O 5. Calculated volume of pool /4 (gallons).
0 6. Return Pipe Diameter 2
(inches).
O '7: Suetion Pipe Diameter OL (inches),
0 S. Filter Type SZS' _ (Cartridge, Sand, DE).
0 9. Filter Surface Area .S.Z,S (sf).
0 10. Max Pump Flow (gpm),
2008 Residential, Compliance Forms August 2009