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RPL (12-0658)50940 Mandarina 12-0658 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000658 Property Address: 50940 MANDARINA APN: 776-210-008- - - Application description: POOL .- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application. valuation: 13000 T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: V a lP ---------------------------------=-----V----------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I arraice nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessionals Code, and my License is in full force and effect. License Class:/C8 1 10, 27, 2 License No.: 656128 ate:/ / ontractor: 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).: (_ I 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(sl 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: Lender's Address: LQPERMIT Owner: MAZER 50940 MANDARINA LA QUINTA, CA 92253 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 1/12 ----------------------------------------------- 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. 1 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 shoul bec me subject to the workers' compensation provisions oFSection - 70 of he Labor Code all forthwith comply with those provisions. Xate: 7 Z, 2 Applicant: 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 atwhose 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 ab a information is correct. I agree to comply with all city and county or finances and state laws relating to building on ruction, and hereby authorize representatives of tpi , county en r upo the above-mentioned property f r ' spection purposes. Date: / / 'nature (Applicant or Agent): Application Number . . . . . 12-00000658 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 144.00 Plan Check Fee 93.60 Issue Date . . . Valuation . . . . 13000 Expiration Date 12/10/12 Qty Unit Charge•.Per Extension BASE FEE 45.00 11.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 99.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation • 0 Expiration Date 12/10/12 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 12/10/12 Qty Unit Charge Per Extension - BASE FEE 1'5.00 1.00 30.0000 ------------------------------------------=--------=------------------------ EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee 27.00 Plan Check Fee 6.75 Issue Date Valuation 0 Expiration Date 12/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 SPA, INCLUDED 88 L.F. 1 1/2" GAS LINE. LQPERMIT Application Number . . . . . 12-00000658 ------------------------------------------ --------------------------------- Special Notes and Comments 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 242.00 .00 .00 242.00 Plan -Check Total 118.10 00 .00 118.10 Other Fee Total 11.00 .00 .00 1.00 Grand Total 361.10 .00 .00 361.10 LQPERMIT 3TNG LANDSCAPE L K*ffWG IN REAR YARD 3TNG OVERHEAD UTILITY LINES IN REAR YARD lFHTURE FOR ILLUSTRATION PURPOSES ONLY NT MAN HOUSE 200 AMP ELECTRICAL PANE a ELECTRIC CCNIM 05' - It POLYPROPYLENE GAS PIPE ON OF POOL SYSTEMS AND EQUPMENT WIL COMPLY WITH 4- MANDATORYREQUFA31ENTS E TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS x ERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURERS DATIONS AND N ACCORDANCE WITH LOCAL REGULATIONS G EXPANSION JONTS FOR REPRESENTAIDN ONLY, UT WNL VARY MANDARINA CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAn= I OWNER SUPPLIED HANDRAI RAISED SPA AT A? WITH RANDOM STONE CAP AND RANDOM STONE FACE, INTERIOR SPA STEP WITH P WATER DEPTH AND SPA BENCH WITH 15' WATER DEPTH, FOOT WELL WITH 42' WATER DEPTH MASONRY BLOCK CONSTRUCTED WING WALLS AT 48' WITH RANDOM STONE CAP AND RANDOM STONE VENEER FACE SPECIFICATIONS rim amm AOC X— SWACE MEA OF POOL MY PERIEIEIRDEPTHS Ilk TMX SPA A WATEWEATURE COMBED BPA BPECIFICATIONB ITILE wwCKwm DECKING EXCAVATION / BTEEL SAFETY FEATURES. MLM1nBITN1PIeRC8Y81 nrrAUAnaIIBitNOaRBlrewMIOlWM9=0RI EoalTrNslTBlwowgwiewsanEweNµ/ooETralEClwNxEN1®aNR WITH3VCLEARANCEATFRONT I AND SIDE I TM RMI ACC111 RIM 3 DFAIMINJOW1 aB11Tcr 5 Q — DE$woR11F OB71w11Ew— 7 POOL EQUIPMENT• 250,000 BTU HEATER ALL EQUIPMENT SHALL BESOSMICALLY 14'•1y' ANCHOM / 2010 CALIFORNIA ENERGY EFFICIENCY BTANDARDB OOVEIEIBIT000EEOIMIQ1la oocrr IANSeloerx,rwrRneaNaAaANomcaalcr MMEROWTINNWlCON1AGTTE IN& ICwLNO1R7CIC11CBlIBtATLVEWIT YD wmmoAVo6 K f NDTNOIETIM i4CNBMMYIk PMMTOCOWeCNp 11MT BCMKMK FTE EIGYAAN71dLL E COgC®N AN AwM 7ADDRE=*NPE KHOM(TO FAASUMNAMINTAWTION/ OTHERTIN INE CITFfORIN®ORCw IA101 Oma_ eoolBloJAL 10101 am_ TREEABIdNLM WVFACE _ .sau.,,, e,nr •, 11EFwE_ 1RLNIMTVR MER MI POOL RM IM 1OOrmRw NR AOOLIINP mmnw 1Oi NEATER BE Ilam NAI/M6 AOOLOO'RER IIOI116ITYIE FILO E OYLEE 11111 FMIM MI&TAW6l01- 81410 BNf 110N11111FOOI wll EIMEitlww ITEC. OMTEAEV6wIL IBAEEAlW qt. RA1R_ ■n. ewu ,A.,a,n I- MAZER RESIDENCE BOLE DATE DESIGNED ST M RAISED BOND BEAM AT w15' WITH RANDOM STONE i'= T' 06-12-2012 JT. GRAHAM B. CAP AND RANDOM ETEF T-W SHEER JOBqsmm NrM OPERATE OFF REVISIONS I POOL EQUIPMENT 50ANPSUBPAS. 1 SAFETY FEATURES. MLM1nBITN1PIeRC8Y81 nrrAUAnaIIBitNOaRBlrewMIOlWM9=0RI EoalTrNslTBlwowgwiewsanEweNµ/ooETralEClwNxEN1®aNR WITH3VCLEARANCEATFRONT I AND SIDE I STONE 6J E0UPMIWBI"ALLBYO7HERS POOL ISPA LIGHT JlNC110NBOX ELECTRICAL' NwroTe Ilw Nnais Rnuaem M1u Ee Nrnu®ro eawne wLTAIE aMOwN1NTNEP00LAREAAER3IL13AIO.MX 3 2010 CALIFORNIA BUILDING CODE (WOMONIIII 2010 CALIFORNIA MEMMANICAL CODE (10IMOM 11I1g) 5 PCOL/SPALIGHTONGROUND FAULT CRCUITNTERRUPTER DECKOOLOPRE-GLINITE 2010 CALIFORNIA PLUMBING CODE (WS)ON=OPC)wlEs4 OA 2010 CALIFORNIA ELECTRICAL CODE (6M®ONAI)/NEr) 7 POOL EQUIPMENT• 250,000 BTU HEATER ALL EQUIPMENT SHALL BESOSMICALLY 14'•1y' ANCHOM / 2010 CALIFORNIA ENERGY EFFICIENCY BTANDARDB OOVEIEIBIT000EEOIMIQ1la oocrr IANSeloerx,rwrRneaNaAaANomcaalcr MMEROWTINNWlCON1AGTTE IN& ICwLNO1R7CIC11CBlIBtATLVEWIT YD wmmoAVo6 K f NDTNOIETIM i4CNBMMYIk PMMTOCOWeCNp 11MT BCMKMK FTE EIGYAAN71dLL E COgC®N AN AwM 7ADDRE=*NPE KHOM(TO FAASUMNAMINTAWTION/ OTHERTIN INE CITFfORIN®ORCw E311 UNDERGROUND ------- M TKEOMIMAND.FAIACROY.THEOCA1MTMNIALL°8'dUE'NINIMP"'TOR°RM SELECTION S NATAdEMN1G 011 IMAM 70 N:WMAnD W U z LLJ L/yd LL_ I..L W N CONSTRUCTION AUTHORIZATION STONE SALES FIELD Tu BOULDERS DIG DECKOOLOPRE-GLINITE ANIT7 DANDYR UNDERGROUND MASONRY MUS DECTUREK PRE -PEBBLE DRAwA(IEHarE a W U z LLJ L/yd LL_ I..L W N arrt # Cit}i .Of . Quin -M. . Building 8i Safety Division ... ... :. .. . . P.O. Box .1504,-78-495 Calle Tampico la.Qulnta, CA 92253 -:(760) 177-7012 Building Pennit Application and Tracking Sheet Permit # v Project Address: S(3 ' 9 Ya Owner's Name:. 42CYL A. P. N.uinber. Address: Legal Description: Contractor. City, ST, Zip: U 14 Z2 3 Telephone: Address: /O0 AVE S PTVje4Dcripon: A, -JD L City, ST, Zip: 91223 6 z n/E Telephone: O 395 22 State Lic. # : K, S / 2- Y City Lic. #; Ard , Eng., Designer. Address: City., ST, Zip: State Lic. #: Telephone: Wy,4,,t Name of Contact Person: kA L uction Type:. Occupancy: . t type (circle one New)Add'n Alter Repair Demo : #Stories: # Unit;; Telephone # of Contact Person: 0 . -260 -3 Es&mkd Value of Project • 0 p 0 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACIMG PERMIT FEES Plan sets Pian Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit, . TrOU Cales. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmIUM.. Mechanical Gilding plan 21! Review, ready for correction0mueElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review; ready for correetionvIssue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees