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RPL (12-1395)50910 Mandarina 12-1395 4W, 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT _— ,- Date: 11/29/12 Application Number:12-0.0"0.013-95— Owner: Property Address: 50910 MANDARINA CITRUS 18 GROUP, LLC APN: 776-210-007- - 30875 DATE PALM DR. STE. C Application description: POOL - RESIDENTIAL CATHEDRAL CITY, CA 92234 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 22000 " Contractor: Applicant: Architect or Engineer: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 p)(A Lic. No.: 656128 -----------------------------------------------------------------.-------------------------------- UC ED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION " I hereby affirm under penalty of perjury that I 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 Business a d rofessionals 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: B 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 issued. / ate:/2 ntractor: p I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor / 7 Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION - insurance carrier andpolicy mber 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 performs c 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 a o 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 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 70 of the Labor Cod hall 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: plicant: ( ) 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 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.). . 1 _ 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 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: Lender's Address: In LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this applicatio de, each p rS n at who requ whose benefit work is performed under or pur 0 ued as esult of thi cation, .the owner, and the applicant, each agrees to, all defend, indemn arml City of La Ouinta, its officers, agents and employe or ny act or omission related to the w ng performed under or following issuance of thi rm . p+r 2. Any permit issued as a result of this applicati n be omes no tarKPv i w t co ed within 180 days from date of issuance of s ch p mit, or cessation of wor o 80 d I subject permit to cancellation. / I certify that I have read this application and state that t ab v in>bfinYa{op "s i orr c . Qrr ompl with all city and county ordinances and state laws relating to buinstru j'(f1 P er brie a represe tatives _ of this county t n uupon the above-mentioned property specuon PT ate: i Z argnature (Applicant or Agent): LQPERMIT Application. Number . . . . . . 12-00001395 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 P1an.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 a 3.00 ------------------------------- Notes and Comments POOL/SPA. INCLUDES 122 L.F. 1/1/2" GAS LQPERMIT Application Number . . . . 12-00001395 y----------- ------------------ --------------- ------------------------ 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 Bin.# C( / 0f LQ Ql. rota Bulldfig 8T Safety Division P.O. Box 1504,78-495 Calfe Tampico 1.a .Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # lob.. o ,1 J l Project Address: S O 9L0le 1,,j4 Owner's Name A. P. Number. Address: . SO J/o 11q141AD i✓✓.} Legal Description: City, ST, Zip: Lst— c1 tr'I A- Z2 SS 3 Contra Telephone: Address: CIb . 60 S Y Project Description: City, ST, Zip: 97-Z-1 C Telephone:. State Lic. #: S' 2 City Lia M.- Arch., :Arch., Engr., Designer: Address: City., ST, Zip: Telephone: r r State Lic. #: Name of Contact Person: 1 Construction Type: Occupancy: Project type (circle one): Ne Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: p O 21 / Estimated Value of Project O O O APPLICANT: DO NOT WRITE BELOW THIS UNE M Submittal Req'd Rec'd TRACIUNG PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Contraction Flood plaln plan Plans resubmitted Mechanical Grading plan r' Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L S.O.A. Approval Plans resubmitted Grading IN BOISE:- '^' Review', ready for corrcctionsrissue Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees POOL EQUIPMENT 50 AMP SUBPANEL WITH 30" CLEARANCE AT FRONT AND SIDE PL 25'-l0" SB. PMENT rilr---, ----- — — ELECTRIC CONDUIT — 122' -1}•POLYPROPYLENE GAS PIPE — MAIN HOUSE 200 AMP ELECTRICAL. I SECTION 1TION OF POOL SYSTEMS AND REQUIREMEEQUIPMENT WILL COMPLY VNTH NTS I I EXIT ALARMS TO BE INSTALLED ON ALL DOORS NTH DIRECT ACCESS TO THE POOL POOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTUREITS RECOMMENDATIONS AND IN ACCORDANCE NRH LOCAL REGULATIONS ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, FIELD LAYOUT WILLVARY POOL EQUIPMENT: 250,000 BTU HEATER "ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED EQUIPMENT BY OTHERS DECKING NOTE (BY OTHERS) POOL PL 31'-"$B. nc *COPING/CAPS TO BE 18 WIDE MAXIMUM MANDARINA POOL / SPA LIGHT JUNCTION BOX POOL / SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER 1 1C TANNING SHELF (POOL STEPS AT 5' WATER DEPTH WITH ONE UMBRELLA SLEEVE 100 WATT SPA LIGHT Bt PA RAISED SPA AT +1S" VMTILE FACE, TWO STACKED STONE SPILLWAYS, 4 FLUSH MOUNT DIRECTIONAL HYDROTHERAPY r JETS, CATEGORY 1 PEBBLE TEC INTERIOR AND r TILE I WATERLINE, CAP BY OTHERS, ALTERNATE JET HEIGHTS II L — POOL WITH CATEGORY I PEBBLE TEC INTERIOR AND 5" TILE WATERLINE POOL SPLIT MAIN DRAIN SUCTION MINIMUM T #PAjtT. ANTILOVBRS 77ASMEJANSIAPPROVED 71 300 WATT POOL MIT CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE a 'L l ' ALL MM1 RIIMIN►R OOYR NNI NLDIDN MNL gR R.IMONO 0►M A1 ON1 DO 7TP"NllLIM Np W1 WIgIMlI1 OM1 00117OIOYMOKMM rNM! ELECTRICAL' WAPOTVINNLdlq Ll01lfIBB9rt BQILR 1lTMt®m QIOUiIYotTAo[ URADIENM R 111E IDOL AIRAM PIN GWANf. INJIL 801 O CALIFORNIA BUILDING CODE(W®OIIUNW) 301 O CALIFORNIA MECHANICAL CODE (a aN BULK) 201 O CALIFORNIA PLUMBING CODE (am"comupe)—". 3O 1S CALIFORNIA ELECTRICAL CODE (a1BBCN3=NW) 301 O CALIFORNIA ENERGY EFFICIENCY BTANDARDB CONSTRUCTION AUTHORIZATION SALES 11 FIELD -IPRE-PEBBLEII--