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RPL (12-1393)50850 Mandarina 12-1393 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ` Application Number:., . Property Address: APN: Application description: Property Zoning: Application valuation: 12-00001393 50850 MANDARINA 776-210-005- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 22000 Tit!t44Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT • .fes Owner: CITRUS 18 GROUP, LLC 30875 DATE PALM DR. CATHEDRAL CITY, CA 9 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: 11/29/12 ;FINANCE-QUIN.7A 03 2012]1 A p. ' LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm underpenalty of perjury that am licensed 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 Busines and Professionals 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 Lic se Class: JQ8, 0, 27, 2 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is u issued. Date: Z ontract.,: Y`• 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 1 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 f the work for which this permit is issued, 1 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 t ecome 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 b ome 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 700 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).: - Date: Z plicant: 1 _) 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL .Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' ' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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. ' Date: Owner: 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 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.). ..f Lender's Name: Lender's Address: - LQPEPM IT permit to cancellation. I certify that I have read this application and state that the above inf ation is correct. I agree to comply with all city a d county ordinances a state laws relating to building const tion, and hereby authorize representatives of is county to ent upo the above-mentioned property for i - n purposes. Date: gnature (Applicant or Agent): Application Number . . . . . 12-00001393 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . 225.00- Plan Check Fee 146.25 Issue Date . . Valuation . . . . 22000 Expiration Date 5/28/13 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 ----------------=----------------------------------------------------------- THOU BLDG 2,001-25,000 180.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/28/13 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 5/28/13 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 5,/28/13 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. INCLUDES 87 L.F. 1/1/9-" GAS LQPEIN7IT Application Number 12-00001393 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 329.00 .00 .00 329.00 Plan Check Total 172.25 .00 .00. 172.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 502.25 .00 .00 502.25 LQPERMIT e© MAIN HOUSE 200 AMP ELECTRICAL DECKING NOTE (BY OTHERS) *COPING/CAPS TO BE 18" WIDE MAXIMUM TANNING SHELF PPOOL STEPS AT S• WATER DEPTH WITH ONE UMBRELLA SLEEVE 100 WATT SPA LIGHT RAISED SPA AT +Ir VIRTH TILE FACE. TWO STACKED STONE SPILLWAYS, 4 FLUSH MOUNT DIRECTIONAL HYDROTHERAPY JETS, CATEGORY I PEBBLE TEC INTERIOR AND r TILE WATERLINE, CAP BY OTHERS, ALTERNATE JET HEIGHTS POOL WITH CATEGORY I PEBBLE TEC INTERIOR AND Ir TILE WATERLINE POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART. ANTI.00VERS 1(r ASME I ANSI APPROVED 300 WATT POOL LKIHT POOL I SPA LIGHT JUNCTION BOX POOL I SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER POOL AND SPA EQUIPMENT POOL EQUIPMENT: 250,WD BTU HEATER 'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED POOL EQUIPMENT 50 AMP SUBPANEL WITH 30• CLEARANCE AT FRONT AND SIDE 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 WILLVARY MAN DARI NA 'AILMPIFBRRMIMPf COW WrAL ATDRS1aSOU1MMRMBROPEFMMMdM 9=MPaIUnW MSwTBWAORTa1WMIMMM4IYOFMCIMSMILBIMMIFonA ELECTRICAL' lCUF0T8RIAL90MN %2QU MW$MWILLRWIft=TDBBSMISWOLTA M BRACMRMMTEM%ARPAMRRIECART.PM I. 801 OCALIFORNIA BUILDING CODE (MMlBCNMM) 2010 CALIFORNIPM A MECHANICAL COOK (OIIMMRIC I) 2010 CALIFORNIMSm A PLUMBING CODE (MS®ON2=tIPC)—.,. 801 O CALIFORNIA ELECTRICAL CODE (110S®01him NS.) 2010 CALIFORNIA ENERGY EFFICIENCY BTANDARDB CONSTRUCTION AUTHORIZATION SALES FIELD II SURFACE AREA OF POOL ONLY PBSIE SURFACE „Lx FT. DEPTHS PMP rf POOLSSPAC0161T gee PT AW M■* ExDAv w ,n A enEL Few nal E LrPIfRi1M1 6NATON CSCRCRAIIP_ 0lBOMMr — owwcRm— IEAIl 11T — CONasTtREIOVAL — swm RECIPE — qII cm „N TRRMMOWLr1 — MlML1 1WINE 1WOANDVIGQ 1- LtlSMTIONpmvALM — PMaATTOPMFAM — rRBA — RJr010 Irma — rowww W KS& SPA WRAM — — gRBB FT TANN►STIR VIC RoacPoaan — oaTs. MC PAST RY RBI RM.1O mtLTwrTTR ! PLUMBINGMTW IIRYywjy MB YIy QMO MMew>® PC10.RRr OOL vAP SCOMEtPU SSS — AmRY— Ma — ATMILPU!— M@ — NMTMI IAYTIFIRD @ TW YWMD MRPW6 VMH !BUTTON REMOTE 7M PROP. OR. wuLB_ PLAN=V U.= IBTAPBSIluB= mm.aam= PIIQI► — AooLOURlIS— BaBlITTR DUALPORT CANRBVSt — m. Pf•run— CORM — OTHER Rll•d flei OWNER RESPONBIMILMEB owlet Ta TTI MRlfellT APPMCMKMRRVATOREPPODLQIAArLAVOLNONOWseMWIROLL (>1 TME NOTMIMTroaAOIDMW WLOCM MAPENSA TTOAODW to IOCAL PULDNGpOMOTBIf. ATDMTWMB aPW f. R MTDOIe cwcm RPTMLArULA TIMI DALYPORRIBP DATeAF WM LSPM AUAD. . SAM WOTtIMeNMM1TIMlCISe UEO1MIdJI00M000NPORcejwm. ANDA DARAMTOGRM FMM@e4 IMCMWMT1,1AMM,OROGENM MMTIEMCIMMO MPADATO;=MMIMAPICZWA'MMOMMULOKODCMPOOAA NPOLL IPIPPLPOOLPSO MTarAFTMRMIRIPM MPMIRMTOIS-ODwrCM ) Pl7AM0 fl TTMORMMM.TIEPMRPOOMf1rOFTPPMPOMOTIwMMUMOTUWf MllfIBI PMIPMMIOFTY ■ROAD®ALM BWIMMING POOL PLAN FOR: THE GROVE LOT 11 SCALE I DATEDESIGNEDsr PIiWEGi OIEGRED eT y= 1' 11-27-12 n. (itANAN 9. JOBSI REVISIONS r I'— O L L1 O LLI SELECTIONS nal E SILVER QUARTZITE ILE SSS TWILIGHT SLATE IOULDERS NECK BY OTHERS IAYWARD HAYWARD E -COMMAND WITH S BUTTON REMOI IEBBIPLAS DOLPHIN BLUE IKINATURE DRAMAOE NOTE: ORTYrp mW -10- Ifor PlrMen mW PO.OF eSIMe urim OBMBYe IICYd. r I'— O L L1 O LLI Bln.#. 01 cis Ld Quo: Building a Safety Division P.O. Box 1504,78-495 Cafie Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # } Project Address: Owner's Name: . r/'C I2E ✓E % A. P. Number. Address: S S 0 Legal Description: Contractor. City, ST, Zip: vvT Z 2. Telephone: Address: 0 Project Description: DO(_ City, $T, zip X22 ( ii. Nv / z 6W6 Telephone: State Lia #: Z City Lic. Arch., Engr., Designer Address: City., Sr, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle on New Add'n Alter Repair Demo Sq. Ft.:# Stories: #Units: Name of Contact Person: Telephone # of Contact Person: 0 . S-0 -3Estimated 90, Value of Project: Z C) O a APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Rec'd TRACKNG PERMIT FEES Pian Sets Pian Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit, Truss C21rs• Called Contact Person , Plan Check Balance_ Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted • Mechanical Grading plan 2id Review, ready for correctionsrasue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''' Review; ready for correctionshssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees