RPL (12-0980)50760 Mandarina
12-0980
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: X12 00000980
Property Address: '50760-MANDARINA
APN: 776 -210 -002 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18000
"`&t v 4 XP Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with
Section 7000yof Dion 3 of the Business an Pro sionals Code, and my License is in full force and effect.
Licanse Cie sr C8vi i 0 2` 2 License No.:. 656128 -
Date: ontmctor:
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).:
(_ 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, 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.).
( ) 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: 4_
Lender's Address:
LQPERMIT
Owner:
CITRUS 18 GROUP, LLC
30875 DATE PALM DRIVE STE.
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
Date: ` 8/23/12
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 perform ce of the work for which this permit is issued, I shall not employ any
person in any manner so to become subject to the workers' compensation laws of California,
and agree that, if I should a me subject to the workers' compensation provisions of Section
37 of the Labor Code, all forthwith comply with those provisions.
ate: Z /2 pplicant:
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 suc 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 ove i formation is correct. I agree to comply with all
-city and county ordinan es and state laws relating to buildi g c struction, and hereby authorize representatives
of thi -count o ente pon a above-mentioned property inspection purposes.
ate: / ignature (Applicant or Agent):
Application Number . . 12-00000980
Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . . . 189.00 Plan Check Fee 122.85
Issue Date . . . . Valuation . . . . 18000
Expiration Date 2/19/13
Qty Unit Charge Per Extension
BASE FEE 45.00
16.00 9.0000 THOU BLDG 2,001-25,000 144.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc,.
Permit Fee . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/19/13
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 2/19/13
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 2/19/13
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
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Special Notes and Comments
POOL/SPA, INCLUDES 87 L.F. 1 1/2" GAS
LQPERMIT
Application Number . . . . .
12-00000980
----------------------------------------------------------------------------
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 293.00
.00
.00
293.00
Plan Check Total - 148.85
.00
.00
148.85
Other Fee Total 1.00
.00
.00
1.00
Grand Total 442.85
.00
.00
442.85
LQPERMIT
I I
• NO EXISTING LANDSCAPE LIGHTING IN REAR YARD SPECIFICATIONS e a
YP
• NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD TE OU m um 2r4F z h M
• PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY SURFACE AREA orpOOLONT 4
PERINEM 71 W. FI. OEPTHB MN. "_ MAX SPI •
POOL • BPA COMBINED M eo. PT_ IM LN P7_ ri
N
SPA SPECIFICATIONS TILE She
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: EXQAVATION STEEL
MG. FT. <RU
BY OTHERS
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NAC I I I I - - Ru — R♦♦011a
1rlus —FT,MowalRr
L I I II Nrlua SPA
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MAIN HOUSE 200 AMP ELECTRICAL PANEL
ELECTRIC CONDUIT
8T -+POLYPROPYLENE GAS PIPE
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 / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FA
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT WALL VARY
AM
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v I W Raa
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PLUMBING
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EalSreenar= EE! — RETAWM VPI u —
— — EDur.wAw
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MASTER ADDLRAO— =
BEDROOM I NEATER NAvvmm uff
M CIOp( HAY'AARD
RI ,VATH O BUTTON REMOTE
FVI ADOI —
TANNING SHELF /POOL STEPS AT 8" WATER DEPTH N TrPEooALFORT
WITH ONE UMBRELLA SLEEVE 9MURE JD nlMa EeBL ER
BT
LAM I IPA
FatNTANs1aMAY1FAOs — LtmROsaAIEAI —
N1111IDSCBTs — M9NOEA
— — RAISED SPA AT +18" WITH TILE FACE, STACKED STONE umm im DOL 1.3001'v NEA m
Era
_ I SPILLWAY, 4 FLUSH MOUNT DIRECTIONAL HYDROTHERAPY YES FENCING
( JETS, CATEGORY IPEBBLE TEC INTERIOR AND B"TILE p uraucnoNa:vrRETUNTT*E
p B WATERLINE, CAP BY OTHERS, ALTERNATE JET HEIGHTS 1GeanIIT
i' BUNITE GTE REYlIMI. .
10DWATTSPAUGHT DE®BORANv— Room &Pawn
1r NA EATeAaral® —
r
- SxPoLva
B 300 WATT POOL LIGHT aPuvwrT# ACKED NE wAv •..• .....
V.A •R. N.MNinOM
r
1 TWD I L cOPaq •+ OTHER
` 140 POOL SPLIT MAIN DRAM SUCTION MINIMUM V APART. Raa
ANTI4OVERS 10" ASME / ANSI APPROVED
OWNER RESPONSIBILITIES
POOLVNTH CATEGORY 1 PEBBLE TEC O DETEiaMAwRpauneEVATaNOPPooLaRwAATururroNpnaceRrAVAroN
INTERIOR AND B" TILE WATERLINE
® CLOM U1DNO DEPA1IfIBRAT TIE TILE OF NSUA FOFPERIR.
- - AWRD MCCNCWMN ATIWT TOM DALYPM MINI DAYS MINI 41MLNNRAISD.
M A/DARIDAYAIE TOCUIM. NOEYYLLA/, pINEA1Y/1/NINL dIOT1a RBM NTEOEIIAMA
TNTALLF910RM, GATE/, AO WANK DONMI■It LOCAL OODOPOR APOCLMLlOEIIIE
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Qd NVD I (fI THE MO ICETIWTTINIDRAYANI`R TROMIYOFTNRNAAO7IWT UNiRRIWT
WAIIEN PENIlEION OF l9®IMNNIpRNINI RIAE
' _ MNIMlRO O PURPOOLIlaaEllflOCA1NMApIW MMMIlOIEMIIIPNDIORUIaO1!
IIaNAmm" DATE
POOL/SPA LIGHT JUNCTION BOXBWIMMINB POOL PLAN FOR:
2" 88 I POOL / SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER E THE G R VE LOT $
POOL AND SPA EQUIPMENT
STREET t-760 MANDARINA
JOBADDREBSTHE EiREIVE AT THE CITR S ICnY LA BUINTA
CE
POOL EQUIPMENT: 250,000 BTU HEATER ONE oFFiCT RES
PAGE BOOK
•/LLL EQUIPMENT SHALL BE SEISMICALLY ANCHORED MAP BOOK PAGE NO. leffy
PORTICO MAIL ADDRESS
POOL EQUIPMENT 50 AMP SUBPANEL CONSTRUCTION OFFICE PHONE NO.
WITH 30" CLEARANCE AT FRONT AND SIDE SCALE DATE DESIGNED BY PROJECT CHECKW BY
IV= 1- OB -20-12 JT. GRAHAM B.
H JOBS - REVISIONS
DATE•.
SAFETY FEATURES!21
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Nor aDCE1Y►OR TEIIaRT AIO W/MWapIM/I®aGNIOpIfY OFIMpVAYLaMN IP PrIR
EEUPPOTVTCKOONDINOR!GUUMEMa1NLLWPWAUEDTORRMTEVOLTN0[ 3 .
OMDOM N THE POOL AW Aa PER CECARTARIAL 4 co
2010 CALIFORNIA BUILDING CODE (sAmeN1001BC)
2010 CALIFORNIA MECHANICAL CODE IIIAM0H700IUMC)
2010 CALIFORNIA PLUMBING CODE (EASEDONBAUAC)— O
201 O CALIFORNIA ELECTRICAL CODE (SAMONXI INEC) J
I
2010 CALIFORNIA ENERGY EFFICIENCY BTANDARDIS
00VERNMERr000eIECIIDIRQ//2ppII(1)EXCEPTNAll WERGEWY,ANY PERW 8 W
- - PLANNNo TD WNp1CTANY E(pLVAT16N WALL CONTAQTM APPROPRIATE REGIONAL .
NOTIPMATM CEIMK AT LEM TNA RUMNG DAYS• NIT NOT MOUE THAN 14 CALEMAR
DAY/, PRIOR ODIIMENCM TINT EIIGVATOK LATHE EYMAVAT101/ C
WILL RE CONM M
N AND AREA TINT M NNOYMR. OR RINONAILY-- —I —I—SUg11WACE
pL — NTTALLAMM OTHER THIN THE 1RAd10R0UND FAMIT"OVM®OR OPERATED LIY THE O
VMVAMRMVIFM4CIIf•ALTNEE=VATORMILDUMATEWHITWNMPANTDR
SELECTIONSOTHER VATAILE IY1RpN0 THE ARE TON EXCAVATED
C O N STR U CTI O N AUTHORIZATION STONE CHOCOLATE CHARCOAL
INA SALES FIELD TILE BOULDERS GAVEA SEPIA Ld
DIG _
PRE-GUNITE DEcK COLOR BY OTHERS
HAYWARD HAYWARD E -COMMAND HATH 8 BUTTON REMOTE
UNDERGROUND
MASONRY PEBB/PLAS WHITE PEARL
DECK sicm-rmll
PRE-PEBBLEJJ
DRANAGE NOTE:!'°T MTI.'• w F°I'. °y °IRNI.
Permit #' n ao
JC Project Address: C -O O
A. P. Number:
Legal Description:
Contractor. i T---
40 Address: lQ v A0
4 City, ST, Zip/70
-4 Telephone: o ? C2 Z Z
jC State Lic. # ::CS 6 / 2- g
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # 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. %Vks. Appr
School Fees
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
n//4wner's Name` 17
Address: O 7- O
A,tl sl- ,t/, }
City, ST, Zip: / is r'1,,. --
City Lic. #:
Description:
Construction Type:
Project type (circle
Sq. Ft.:
# Stories:
Z Estimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING
Plan Check submitted g 7Z
Reviewed, ready for corrections c•
Called Contact Person
Plans picked up
Plans resubmitted
)" Review, ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
JA Review, ready for correctionsrssue
Called Contact Person
Date of permit issue
z
Occupancy:
Add'n Alter Repair Demo
p# Units:
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
SAM.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount