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12-1081 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�l 4 4 Q" Application Number: 12-00001081 Property Address: 77655 AVENIDA MONTEZUMA APN: 773-083-025-2 -000000- Application description: POOL - RESIDENTIAL Property `Coning: COVE RESIDENTIAL Application valuation: 16000 Applicant: Architect or E ineer: c� LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT sap 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: C53 LicenseNo.: 946375 Dater Contractor. au Cb C IIIJCiC ; OWNER -BUILDER DECLARATION I 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.). (_) 1, 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 am exempt under Sec. , BAP.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: LQPER IIIT VOICE (760) FAX (760e-5 INSPECTIONS (760) Date: 9/21/12 Owner: RW REAL STATE INC. FF P.O. BOX 92247 LA QUINTA, CA 92253(760)619-7611 Contractor: Ci yT OF LA QUINTA FINANCE QF'T• NOGUES, JULIO CESAR 46625 DESERT VILLA #1 INDIO, CA 92201 (760)397-7699 Lic. No.: 946375 ---------------------------------'-------------— 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 EXEMPT Policy Number EXEMPT _ 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 comply with those provisions. Date. �• ]Z Applicant: CI I i I- 1 6 s N3 C�9UCZS 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 1 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 property for inspection purposes. Date:9 Signature (Applicant or Agent): Application Number . . . . . 12-00001081 Permit . . . MECH POOL Additional desc . Permit Fee . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 171.00 Plan Check Fee 111.15 Issue Date . . . . Valuation . . . . 16000 Expiration Date . . 3/20/13 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 126.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/13 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/13 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 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 ---------------------------------------------------------------------------- Special Notes and Comments LQPERMIT Application Number . . . . . 12-00001081 ---------------------------------------------------------------------------- Special Notes and Comments POOL ALARMS /BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid ------------------------------------- Credited -------------------- Due Permit Fee Total 275.00 .00 .00 275.00 Plan Check Total 137.15 .00 .00. 137.15 Other Fee Total 1.00 .00 .00 1.00 Grand Total 413.15 .00 .00 413.15 LQPERMIT GATE 3' SHALLOW 3' GRE21' END I CONCRETE 9" DEPTH UMBRELI SLEEVE storage RESIDENCE ITY OF LA QUINTA B ILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DRIVEWAY DATE%Z-gy 137 ,4 6A454ec -3' 5' DEEP END 26' 4• SHALLOV �/ 12'END 5' EXISI ING CONCRETE LIVING ROOM POOL ONLY IIILt 77-655 AVENIDA MONTEZUMA LA QUINTA CALIFORNIA 92253 SIZE CAGE CODE DWG NO 1 P E 16' SKIMMER AUTO FILL elect) pane JOB- ADDRESSOF LAC This form s all be i2osted on tho job -11th the JIM" I on this job. Any changes to this list must *be atqthe��Vod by I of buildinn normit P- -k ­H­kle #-4. A1Um&­­2__ �"lvislon OR LIST ks' AUILDE r t hir' e ees uthbrized to worli Only persdhs -appearing on this list or t ear st 0 t 0 to commencement of work. Failisre to comply W4 resift In new9ffanud/or the voidance a eo rade TradeadoClassification ' u uy -un rue- is not an aq c appacanx. opxapie response. city. &.inau ia fLEARTHWORK Company Name clagauhan UrA� x 1 tw Carrier Name' Pqlky NuMber Fund, CalComp) IFDMMI VarI43) Exp. Date txxhm/xx) Uctinse Number (XXXX) Exp, Date (xxlxxhc)g) THW IC -12) k4aQ w R�%SAW �Ns 1 .25-13 1 Q9Z, 12-3 1 IZ It),31-12 CONCRETE (C_-8) U 5 54( 37 2 FRAMING I G C_r FRAMING IC -6) STRUCT.'STEEL (d.5.1) _tA1,L2&) -,C V/ 2- 12-31 A M S MASONRY MASONRY id -29) C P�UMB PI­UMB1iNG (C -36i LATH; PLASTER (C�36) JAL_ tp, 112l F-Myl 2)-12. DRYWALL (c-9) HVAC ;0)* IELECTRICAL (C=10) 0 ROOFING [SHEET SH METAL (C-43) F0 RING J4_;P'.J6V:, L G6L�Azl ING (C -p).: INSULATIOU (C-21 W SEwAGE PIS:fL (C-42) PAINTING (C-33) CERAMIC TILE (C-54) PIxU a116 4—P-1 C yd NLaki er6wt loq?el 12-�Z CABINETS (C-6) 5, FENCING (C-13) LANDSCAPING (C 27), POOL (C-63) JOB ADDRESS P This form shall he n, L=1161 on this job. Any changes to We list must be by the of buildingpermit. For each able trade, Trado / Claeelrlcutn.. w _. Company Name OF LQ OR UST BUILDEAt an gal a cons ` Only pera6ts appearing on this list or th r e ees uthorized to worl Mv Olvlsfon Mor to ctlmmencement of work. Failure to comply vad0 remit In a st e oand/or the voidance w must be co rnlated nt. "O File" Is not an-accaptillble res on y : C IJf:Onas... as LW bb- 04 A. B.�! b0 EARTHWORK (C•12) i Cauls Name POUCY Number G-0• State Anld, CalComp) IFamM Vad") Exp. Date License Number Exp. Data (xx/xx/xx) (xxxxl (ux/xxhoc) y CONCRETE JC -8) , FRAMING (C-6) ? 3 -t 2 1"VAC STRUCT. STEEL (C•61) MASONRY (C•29► K _ 12 PLUMBING (C-36 KAutous/ LATLASTER (C-3s)//'�l� H, P �� 4 2- -, �D( MYr I 108261 (231-12- DRYWALL (C-9) IC -20) I EL4CTRICAL (C -to) . ROOFING (0-391 • SHEET METAL (C•431 FLO RING 1F1 B) GLAZING (C,17) - ---^— -- INBULATION (C-21 BfiWAGE DISP. (C-421 PAINTING (C•33) CERAMIC TILE (C-84) I*,NCU 1 CABINETS (C.(;) FENCING (C-13) LANDSCAPING (C-271 Er,E, a 12-30Z bb- Total Permit Fees rsm ff– I City of La Quinta Building 8t Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet X Project Address: tt -� wner's Name: A. P. Number: (l� Legal Description: Address: � l �l Contractor: City, ST, Zip: � .)� Address: elephone: 0--(-/0--� G —741 e6r;Y� ' Project Description: ( X -� Ciq•. ST, Zip: � t Telephone: D^ Ot-j, / State Lic. # : a City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: 7.7777777777 Construction Type: �` Occupancy: State Lic. #: Name of Contact Person, Project type (circle one): ex% Add'n Alter Repair Demo �-I Telephone # of Contact Person: ;Sq::F:t�l# Stories: # Units: ,_3ctI_ (,�' 6 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING Plan Sets PERMIT FEES Plan Check submitted Structural Calcs. Item Amount Reviewed, readv for corrections Truss Calcs. Plan Check Deposit Called Contact Person Title 24 Cales. Plan Check Balance Plans picked up Flood plan plan Construction Plans resubmitted Grading plan Mechanical ?•' Review, readv for corrections/issue Electrical Subcontactor List Called Contact Person Grant Deed Plumbing Plans picked up II-O.A. Approval S.M.I. Plans resubmitted IN HOUSE:- Grading ''' Review, readv for corrections/issue Planning Approval Developer Impact Fee Called Contact Person Pub. Wks. Appr A.I.P.P. Date of permit issue School Fees Total Permit Fees INSTAI:I;A`I'IONI -CERTIIN KATE P061 Atid Spa Heatln . S stems She Address: R Enforcement Agency: to -C)7 -W CMWMECH-0 a eIof2 Permit Number: a7. S/1�21 Pool and Spa Heating Systems requirements §114(a): Systems and Equipment. ,t ❑ 1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations. O 2. Has a readily accessible on-off switch mounted outside of the heater. ❑ 3. Weatherproof plate or card containing operating instructions for the pool or spa heater. O 4. 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. ❑. 5. Heating system has no pilot light. § I I4(b): Installation. O 1. 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. QC 2. A cover for outdoor pools or spas that have a heat pump or gas heater. �Rl 3. Pool system has directional inlets to adequately mix the pool water ❑ 4. Time switch which will allow the pump to be set or programmed.to run during off-peak periods only §f50(p) Pump Sizing and flow rate specification V I . The pump specified is listed in the CEC database of certified pool pumps. 2. The pump flow rate shall be calculated based on pool sizing table below. O 3. The pump is capable of operating at 2 or more speeds (not applicable if pump is less than 1 horsepower). ❑ 4. Each auxiliary pool load is served by either a separate pump, or the system is served by a multi -speed pump. Pont swine N.1- - 6-__J _ Max Pool - - -- ..•■■..u■ wuvvauwc turnover rare 010- noun Volume Min Pipe D or Greater Min Filter Area or more Max Pump (gallons) inches s uam feet Flow m Return Suction Sand DE 1.5 1.5 -cartridge 100 2.4 20 36 1.5 2 130 3.1 25 47 2 2 160 3.9 30 58 2 2.5 210 5.2 40 2.5 3 320 7.8 60 1 117 449,000 3 1 'mn Note: For pumps greater than 1 hp. The maximum Pump Flow is the lowest speed default filtration O 5. Calculated volume of pool � ®6 0 (gallons). ❑ 6. Return Pipe Diameter - 2i (inches). ❑ 7. Suction Pipe Diameter_ 2t� (inches). ❑ 8. Filter Type;r (Cartridge, Sand, DE). ❑ 9. Filter Surface Area (s{). O 10. Max Pump Flow_ 4;q fs 8 (8Pm)• 2008 Residential Compliance Forms August 20( 'ALLATION CERTIFICATE ' `.;"' CF=6R-&IECH4 And S a Heatin ,S stems' A e 2 of ddress:. Enforcement Agency: Permit Number: -- .� - 5 uln.lilts�, )M1- La c I "T L 12-10® i System Piping 1. The 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). >it7 2. The design uses low pressure drop fittings (sweep90's) Pipe Diameter inch Required Pipe Length leading into um inch 1.5 ti 2 g 2.5 10 3 12 Filtration Equipment O 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 • 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, 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. • l reviewed a copy of the Certificate of Compliance (CF -1 R) 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. • 1 will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building Winks) 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 200'