RPL (12-0429)50670 Mandarina
12-0429
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12=00000429=. _-
Property Address:
50670 MANDARINA
APN:
776-200-005- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
20000
T4ht, aF4aw
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I a icensed under provisions of Chapter 9 (commencing with
Saction 7000) of Division 3 of the Business and ofe ovals Code, and my License is in full force and effect. _
License Class: X8, 3,9, 27, 2 License No.: 656128
ate: z _ ntractor: X(
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 (5500).:
(_ 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.).
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 1 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:
LQPERMIT
Owner:
CITRUS 18 GROUP,
30875 DATE BALM
CATHEDRAL CITY,
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/18/12 '
LLC
DRIVE
0 M!A!PR
20 20]120
CITY OF LA f UINT'A.,
2 6 FINANCE DEPT. J
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 EVEREST NATL IN Policy Number 7600006481121
_ 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 as5 omply
be a subject to the workers' compensation laws of California,
Vd agr a that, if I should bsubject to the workers' compensation provisions of Section
/ 70 f the bor Code, I with those provisions.
Zz /2 ppl.cant:
/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 in rmatio is correct.' I agree to comply with all
city and county ordin nces and state laws relating to building cons ctio ,and hereby authorize representatives
of this count o en r pn the above-mentioned property for inspa
ti purposes.
te: ? Signature (Applicant or Agent):
Application Number .
. . . . 12-00000429
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit -Fee . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation
20000
Expiration Date
10/15/12
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
10/15/12
J"
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
Permit . . . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . .
45.00 Plan Check Fee
11.25
Issue Date'
Valuation . . .
. 0
Expiration Date
10/15/12
_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 . . . .
33.00 Plan Check Fee .
8.25
Issue Date . . . .
Valuation
0
Expiration Date
10/15/12
-
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
POOL/SPA. INCLUDES 89
L.F. 1 1/2" GAS
LQPERMIT
Application Number . . . . . 12-00000429
------------------------------------ ---------------------------------------
Special Notes and Comments
LINE FOR HEATER. 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 311.00 .00
---------- ----------
.00
311.00
Plan Check Total 160.55 .00
.00
160.55
Other Fee Total 1.00 .00
.00
1.00
Grand Total 472.55 .00
' S
.00
472.55
LQPERMIT
1
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MAIN HOUSE 200 AMP ELECTRICAL PANEL
,
I
ELECTRIC CONDUIT
ST -It POLYPROPYLENE GAS PPE
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 -MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
TO THE POOL
POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT WILL VARY
IIANDARINA
TANNING SHELF MOL STEPS AT M WATER DEPTH
WITH ONE UMBRELLA SLEEVE
RAISED SPA AT MS• NTH TILE FACE, STACKED STONE
SPILLWAY, 4 FLUSH MOUNT DIRECTIONAL HYDROTHERAPY
JETS, CATEGORY 1 PEBBLE TEC INTERIOR AND S• TILE
WATERLINE, CAP BY OTHERS, ALTERNATE JET HEIGHTS
/— 100 WATT SPA LIGHT
300 WATT POOL LIGHT
77
Lf POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' MART.
ANTI -COVERS 10• ASME IANSI APPROVED
POOL WITH CATEGORY I PEBBLE TEC
INTERIOR AND S' TILE WATERLINE
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ORDAYSAFIEIIM UNDW M
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WITH VCLERANEA E
POOL ISPA LIGHT JUNCTION BOX
POOL I SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER
POOL AND SPA EQUIPMENT
POOL EQUIPMENT: 250 000 BTU HEATER
• ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
SAFETY FEATURES:
•ALLNIRAIIWABIFCMMNUAlUYIONNEIIFI CUVWSINCAMOF11ENElM
80CIM FORTNTSSANG WTUSAUOR TNEAWE SOWNOF IECIMKKMBIW1AiON IAF
THE GROVE LOT 5
S1AffT 50-670 NANDARINA
ADDRESS771MLA QUINTA
PHONE OFFICE RES
LOT S TRACT PA
MAP BOOK PAGE
MAILADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALEDATE DESTINED BY
d•= 1 04-12-2012 JT.
CAAHATMGR
GRAWIN B.
• NO EXISTING LANDSCAPE LIGHTING N REAR YARD
• NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
' PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE * r?• (Z sy S
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I
I
I
MAIN HOUSE 200 AMP ELECTRICAL PANEL
,
I
ELECTRIC CONDUIT
ST -It POLYPROPYLENE GAS PPE
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 -MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
TO THE POOL
POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT WILL VARY
IIANDARINA
TANNING SHELF MOL STEPS AT M WATER DEPTH
WITH ONE UMBRELLA SLEEVE
RAISED SPA AT MS• NTH TILE FACE, STACKED STONE
SPILLWAY, 4 FLUSH MOUNT DIRECTIONAL HYDROTHERAPY
JETS, CATEGORY 1 PEBBLE TEC INTERIOR AND S• TILE
WATERLINE, CAP BY OTHERS, ALTERNATE JET HEIGHTS
/— 100 WATT SPA LIGHT
300 WATT POOL LIGHT
77
Lf POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' MART.
ANTI -COVERS 10• ASME IANSI APPROVED
POOL WITH CATEGORY I PEBBLE TEC
INTERIOR AND S' TILE WATERLINE
WMt1E FIL ow UMMWA
FWArtIAEISAA»6UF — IIol1ID F01owm=
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RA/BcrmraW DICEOF
ORDAYSAFIEIIM UNDW M
WEAMP s
WITH VCLERANEA E
POOL ISPA LIGHT JUNCTION BOX
POOL I SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER
POOL AND SPA EQUIPMENT
POOL EQUIPMENT: 250 000 BTU HEATER
• ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
SAFETY FEATURES:
•ALLNIRAIIWABIFCMMNUAlUYIONNEIIFI CUVWSINCAMOF11ENElM
80CIM FORTNTSSANG WTUSAUOR TNEAWE SOWNOF IECIMKKMBIW1AiON IAF
THE GROVE LOT 5
S1AffT 50-670 NANDARINA
ADDRESS771MLA QUINTA
PHONE OFFICE RES
LOT S TRACT PA
MAP BOOK PAGE
MAILADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALEDATE DESTINED BY
d•= 1 04-12-2012 JT.
CAAHATMGR
GRAWIN B.
CHECKED
JOei
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SELECTIONS
CONSTRUCTION AUTHORIZATION
STONE T.B.S.
TILE T.B.S.
SALES FIELD
BOULDERS WA
DIG
DECK COLOR BY OTHERS
PRE -GUN ITE
HAYWARD HAYWARD E- COMMAND WITH S BUTTON REMOTE
UNDERGROUND
PEeelPus CATEGORY I T.B.S.
MASONRY
SIGNATURE
DECK
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PRE -PEBBLE
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Bin. #
City .'' A
> uin' .
Building or Safety Division
P.O. Box. 1.504,78-495 Carie Tampico
La.Quinta, CA 92253 -:(760) 177-7012
Building Permit Application and Tracking Sheet
Permit # /
Project Address: ,S O-- ( 1n13) r /.
Owner's Name:. E T•
A. P. Number.
Address: So C •- U. N 17.4 ✓ r n/ '
Legal Description:
City, ST, Zip: L • y
C CA . Z ZS
Contractor. Es`e-R
Telephone:
Address: (96 lo /o -,1 ✓e S y
Project Description: -f'
City, ST, Zip: At 1IEC-t- Ch %2'Z3. f-
i, ✓
Telephone: C C -3,528 ?Z Z Z
State Lie. # KS C Z City Lia #;
Arch., EW., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: /VSA
Construction Type: _ Occupancy:
Project tyPC (circle one • New Add'n Alter Repair Demo
Sq. FL:
#Stories:
# Unit;:
Telephone # of Contact Person: 7CO .Z So Z-3 l g
Estimated Value of Project ,2_0 . 0 0
APPLICANT: DO NOT WRITE BELOW THIS UNE
11
Submittal
Req'd
Recd
TRACMG PERMITFEES
Plan Sets
Plan Check submitted Amount
Structural Calm
Reviewed, ready for corrections Plan Check Deposit. .
Trus Calci.
Called Contact Person Plan Check Balance
Title 24 Calci.
Plans picked up Construction
Flood plain plan
Plans resubmitted.'. Mecharilcal
Grading plan
2'' Review, ready for correctionstissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed.
Plans picked up t S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN 110USE:-
''d Review; ready for correcdonslissae Developer Impact Fee
Planning Approval
Called Contact Person A.%P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees