RPL (12-0740)50700 Mandarina
12-0740
P.O. BOX ];504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:12-00000746=
Property Address: 50700 MANDARINA
APN: 776 -200 -006 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 23000
`ter 4 4 4"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------------- - -------------
LIC ED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensed under provisions of'Chapter 9 (commencing with
Section 7000) of Division 3 of the Business ara
Is Code, and my License is in full force and effect.
License Class C8. 0, 27,2
License No.:656128
Date: ontractor: "
• OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 (55001.:
(_) 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 licensedcQ tractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State LicAdse Law does not apply to an owner of
property who builds or improves thereon, and who contracts for t projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) 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 gency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.I.
Lender's Name: _
Lender's Address
LQPERMIT
Owner:
CITRUS 18 GROUP, LLC
30875 DATE -PALM DRIVE
CATHEDRAL CITY, CA 92234
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
—-—---------------
WORKER'S COMPENSATION DECLARATION
Date: 7/02
JUL 0 20d
QUINTA
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 whichthispermit 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
s to become subject to the workers' compensation laws of California,
and agree that, if I shout bec a subject to the workers' compensation provisions of Section
3 0 of the bor Code I all forthwith comply with those provisions.
ate:: A licant:
ING FFAILURE 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 maderto 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 theove information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi c struction, and hereby authorize representatives
of is county a er upo the above-mentioned property nspection purposes.
ate: "Z 'nature (Applicant or Agent):
Application Number .
. . . . 12-00000740
Permit . .`.
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
234.00 Plan Check
Fee
152.10
Issue Date . . .
Valuation
23000
Expiration Date ..
12/29/12
Qty Unit Charge
Per
Extension.
BASE FEE
45.00
21.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
189.00
Permit . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date . . .
Valuation
. . .
. 0
Expiration Date
12/29/12
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
12/29/12
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
12/29/12
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 TO INCLUDE 1491L.F. 1 1/2" GAS
LQPERMIT
Application Number . . . . .
12-00000740
----------------------------------------------------------------------------
Special Notes and Comments
LINE. 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 338.00
.00
.00
338.00
Plan Check Total 178.10
.00
.00
178.10
Other Fee Total 1.00
.00
00
1.00
Grand Total 517.10
..00
.00
517.10.
LQPERMIT
NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
• NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
J • PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
SPA CAP AND POOL COPING BY
OTHERS AND ARE SHOWN FOR
ILLUSTRATION PURPOSES ONLY
ELECTRIC CONDUIT
('149' • It POLYPROPYLENE GAS PIPE
MAIN HOUSE 200iURIP LECTRd,AL PANEL
TSTA LATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
ECTION 114 - MANDATORY REQUIREMENTS
KIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
? THE POOL
DOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MAN FACTURER'S
ECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
1 DECKING EXPANSION JOINTS FOR RFPRESEHTAON ONLY,
E D LAYOUT WILL VARY
POOL EQUIPMENT 50 AMP SUBPANEL
WITH 30• CLEARANCE AT FRONT AND SDE
POOL EQUIPMENT WALL BY OTHERS —
MANDARINA
AC
I I POOL EQUIPMENT. 250,000 BTU HEATER
*ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
II
II
II
I I
LL.
100 WATT SPA LIGHT
RASED SPA AT +13• WITH TILE FACE, STACKED STONE
SPILLWAY, 4 FLUSH MOUNT DIRECTIONAL HYDROTHERAPY
JETS, CATEGORY I PEBBLE TEC INTERIOR AND S• TILE
WATERLINE, CAP BY OTHERS, ALTERNATE JET HEIGHTS
POOL STEPS WITH TANNIN SHELF AND
ONE UMBRELLA SLEEVE
900 WATT POOL LIGHT
POOL WITH CATEGORY I PEBBLE TEC
INTERIOR AND S• TLE WATERLINE
• i
POOL SPLIT MAN DRAIN SUCTION MINIMUM 3 APART.
ANTI -OVERS 10' ASME /ANSI APPROVED
CIN OF LA QUI -
NTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION -
4 -Y-6:7
SPECIFICATIONS
TYPE MWE SIZE 2!d x
SURFACEAREAOFPOOLOILY 21231LFr
PERYETER BLN.Fr. DEPRISNIN. rd'
POOLISPACONSINED 20350. 1 nu1rT.
SPA SPECIFICATI N8 TILE
I EXUAV-AEO / STEEL
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I-'-- THE GROVE LOT 6 1
J"= lI 1 066-21-2012 1- JT. I ORAHAN ).
1,QLjj. S I REVISIONS
ELECTRICAL:
NxMGTBRYL NMMPflNMIBEMIE$WLL E 94TA ME WYEVMTAN
ORNMI%N7![P00LMEAMPE MCWT.WJL
3
411
201 O CALIFORNIA BUILDING CODE ILOW011=111C1
201 O CALIFORNIA MECHANICAL CODE (U11BoN 2NNUNC)
2010 CALIFORNIA PLUMBING CODE (eMBICNZEUMITRMTLANF
201 OCALIFORNIA ELECTRICAL CODE (d CIIE1 NW)
201 O CALIFORNIA ENERGY EFFICIENCY STANDARDS
00YlINBR000EN�tT10IlItIG2W1(9EESINMBIBNBICY,AM'PE1lO FLN#E10TOCDIBWT
IVT/ ENCAVA710N N W L CdrtJOT TIE NPROPRMT[ THIONIC NOIF CATON OENIBL N UB6r rA0
WORNIIO OAYB.f UT N(Yr ACRE TNAN 1/ CAIENDM DkM M OR M COLM0004 T IMT DUVATICK F TIE
EICAVATX)N WNL E CMUCIEO N M MFA TMT E INf NM1, CR REASOIMN.Y SOM E IOWA, M
CONTAIN VATOIt ENmNUTONBdfIEE)CAVTEUNOEOROUNDFACIRWWgM WOOL BATED
fY TIE E 16NO ON TIM FNMCNCErPM ET.AVATW NW104NFATE WIM WIRE PANTaGOBI
MRAftE WII1010f 1NE AREIOE EM'.AVAT®
SELECTIONS
CONSTRUCTION AUTHORIZATION
STONE
SALES FIELD
TILEK..F
. *.J LA ,�
s'"-'"' %""`r °`p """"
BOULDERS
PH a
DIG
DECK COLOR
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JANDY
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JNDERGROUN
PEBB"
T)M-Ab i a -16 -
MASONRY
SIGNATURE
DECK
PRE -PEBBLE
DRAINAOENOTE:
�FNmYnspb trprNNEB�'PDN,ny*dM
brim CeNw1U I1DWC.
Ism ff
Permit # ,' n
>C Project Address:. Cd �O
A. P. Number:
Legal Description:
.16
�
Address: � O
City, ST, Zip:
dr
Telephone: A0,399
Z
'92-
State
State Lic. # : 6-� 6 / 2
Arch., Engr., Designer:
Address:
.r
City, ST, Zip:
Telephone:
State Lic. #:
fTName
of Contact Person..
elephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
tZooIFees
City Of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
City Lic. #:
nvner'S Name: �
ddress: SO �O (�ddress: �A
ity, ST, Zip: 1A CQV�nI rA
-lephone:
oject Description:
15,19
old / z
Construction Type:
Project type (circle
Sq. Ft.:
# Stories:
2-3 —/-(Y r Estimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
'd Recd TRACKING .
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2nd Review, ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
''d Review, ready for corrections/issue
Called Contact Person
Date of permit issue
APPROVE®
FOR CONSTRUCTION
DATEk'A8 'LZBY -ST
Z
Occupancy:
Add'n Alter Repair Demo
�Units
X3.000
PERMIT FEES.
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical.
Plumbing
S. M.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount