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RPL (12-1298)50820 Mandarina 12-1298 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 - Application Number: 12-00 0012 98 Property Address: APN: Application description Property Zoning: Application valuation: Applicant: " 50820 MANDARINA 776 -210 -004 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 25000 T -,&t " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HANSON 50820 MANDARINA LA QUINTA, CA 92253 Architect or Engineer: P /A Contractor: TESERRA D P.O. BOX 1280 COACHELLA, CA 9223 (760)398-9222 Lic. No.: 656128 ---- ------ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/01/12 e NOV 05 2012 D OF l NTA " UCENS CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am I ensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: " Section 7000) of Division 3 of the Business and ssionals Code, and my License is in full force and effect. _ I have and will maintain a certificate: of consent to self -insure for workers' compensation, as provided License Class: 8 10 27, 2 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / mate: ontractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy Number 7600006481121 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person in any manner so as become subject to the workers' compensation laws. of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that; if I should come subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or- 0 f the Labor Code I forthwith comply with those provisions. 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).: ate:% pplicant: (_ 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 _ 1 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 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: - LQPERMIT 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 ' formation is correct. I agree to comply with all city and county ina es and state laws relating to building. c truction, and hereby authorize representatives offtthis/county en upon the above-mentioned property f spection purposes. Pace- nature (Applicant or Agent): Application Number . . . . . 12-00001298 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date 4/30/13 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 4/30/13 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 4/30/13 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 4/30/13 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 POOL/SPA, FIREPIT. INCLUDES 248 L.F. 2" LQPERMIT Application Number . . . . . 12-00001298 ---------------------------------------------------------------------------- Special Notes and Comments GAS LINE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMNENT ENCLOSURE NOT INCLUDED. 2010 CODES.- -----------------_-_------------------------------------------------------- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged _ Paid Credited Due Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Other Fee Total 1.00 .00 .00 1.00 Grand Total 546.80 .00 .00 546.80 LQPERMIT AENT 1 d ELECTRIC CONDUIT - 24F -2- POLYPROPYLENE GAS PIPE F yY MAIN HOUSE 200 AMP ELECTRICAL PANEL 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 FACTUREWS RECOMMENDATIONS AND IN ACCORDANCE WITH LOC)1L REGULATIONS ALL DECKING EXPANSION JOINTS FOR REPRESENTAK)N ONLY, FIELD LAYOUT WILL VARY POOL EQUIPMENT 80 AMP 8UBPANEL WITH 30" CLEARANCE AT FRONT AND SIDE WALL BY OTHERS -- POOL EQUIPMENT: 400,000 BTU HEATER *ALL EQUIPMENT SWILL BE SEISMICALLYANCHORED MANDARINA, r EPA SPECIFICATIONS ITIl ew x nPr.SLluP1. rvPe Im STEEL Pr!• I POOL / 8 PA PA LIGHT JUNCTION BOX ITONE 'EAI 'TLE POOL / LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER KXILDERS w wl MA I )ECK COLOR BY OTHERS ANDY AGR IEBBlPLAS 18- WIDE THICK CUT QUARTZITE IIGNATURE Iaa ru l DRM IIM WM- STONE COPING aeI PCIN LED POOL COLORLKTHT ww RAISED SPA AT+18' WITH THICK CUT QUARTZITE STONE CAP, um mB RANDOM QUARTZITE STONE VENEER EXTERIOR, STACKED am STONE SPILLWAY, 8 FLUSH MOUNT DIRECTIONAL - HYDROTHERAPYJET8,CATEGORY IPEBBLE TEC INTERIOR _ GU AND 8- TILE WATERLINE, ALTERNATE JET HEIGHTS oes J — LED SPA COLORLIGHT Uwe FIREPIT AT +12" WITH THICK CUT QUARTZITE Q!L awn Ju— STONE CAP AND RANDOM STONE FACE, FIRE am L BRICK INTERIOR, GAS LINE, MANUAL GAS VALVE AND KEY, LAVA ROCK MEDIA F - LEo POOL caoRLK9FfT ow m OF POOL SPLIT MAIN DRAIN SUCTION MINIMUM 7 APART. -- _. --- ---- -- M m 67 -COVERS 10-ASME/ANSI APPROVED ANTI wm ww POOL WITH CATEGORY I PEBBLE TEC wwM°i INTERIOR AND 8' TILE WATERLINE m, w f owl CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE C -L- 13Y-1'5 _ '/LLMTNINMIl1►00171N INIAl10N I@INO WNmI►f MY11pElMMI OIN CClirrallunwwo WllrMl OIIMNltlCNI NIEliTOPIltlMIMK BIaPmI M ELECTRICAL' lauroTBIIULeCIOPw IMOIRSISMSM UM►M!S)108MMYRV0.TA0! OR0=EWM N M P=AWA$ PBI WCAM M2L 13113 CALIFORNIA BUILDING CODE (moomomw) 301 O CALIFORNIA MECHANICAL CODE (W®OR7oSB1C) 301 O CALIFORNIA PLUMBING CODE (M/E WoMtIPCI— - 301 O CALIFORNIA ELECTRICAL CODE (MMONSOPNW) 301 O CALIFORNIA ENERGY EFFICIENCY STANDARDS CONSTRUCTION AUTHORIZATION WIN - a1eRe ISIIOIAI m. w - m. Pm I - HANSON RESIDENCE i-11 I wDATE --"-u I oEslaREo er TPR & I Mbag2l.l REVISIONS aid Ld U z Ld 0 U) Ld LL Z O Z Q SELECTIONS ITONE T.B.S. 'TLE T.B.S. KXILDERS WA )ECK COLOR BY OTHERS ANDY RSS ONE TOUCH WITH PURELINK IEBBlPLAS CATEGORY I PEBBLE TEC IIGNATURE DRM IIM WM- Nl iw draMr SIA P aid Ld U z Ld 0 U) Ld LL Z O Z Q # Qty. ofla Qutfhta Building 8r Safety Division P.O. Box 1504,78-495 Caile Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #AV Project Address: Owner's Name:.-t1S0Ai A. P. Number. Address: Legal Description: City, ST, Zip. QO r -It lt 2 S Con or Telephone: ;. a >r •: . ^ .:moi• : spy Address: g /Q - • ProjectDescription: @ o 7 J / z City, ST, Zip: : O Telephone: O i State Lic. # :(o' a to 2 g City Lie'. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone:. a: State Lie. #: MProject Construction Type:. Occupancy: type (circle onNew dd'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Name of Contact Person: Telephone # of Contact Person: p . [ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd'Rec'd TRACKING PERMITFEES Pisn Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechanical Grading plan 2`! Review, ready for correctionsfcssue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M,I, H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.Y. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees