PLBG (14-0030)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000030
Property Address:
52070 AVENIDA MENDOZA
t�
APN:
773-233-004-19 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2500
Ap Icannt- Architect or Engineer:
----------------- I
LICENSED CONTRACTOR'S DECLARATION
V.4 OICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business fession e, and my License is in full force and effect.
License CI ss: JE53 License o.: 818149
Date: / / Contracto •'
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 ($5001.:
(_) 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 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. , 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
Date: 1/10/14
Owner:
MERREL RESIDENCE
52070 AVENIDA MENDOZA
LA QUINTA, CA 92253
Contractor:
LAGUNA FALLS CUSTOM PO P
P.O. BOX 2322 n
INDIO, CA 92202 �J
(760)347-8977 �d
Lic. No.: 818149 JA 14 1014
F9)
CITY OFFill
q QU14TAA
----------------------- - - - - -------c�D�Rr------ ----
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 NORGUARD INS Policy Number LAWC010355
_ 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 as • become subject to the workers' compensation laws of California,
and - agree that, if I should bec me subject to the workers' compensation provisions of Section
3700 of the Labor Code, I sh I forthwy with 1 e provisions.
Date: / 7 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 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 becomesull and void if work is not commenced
within 180 days from date of issuance of such permit, o cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above infor ation is correct. I agree to comply with all
city and county ordinances and state laws relating to building construc on, and her a representatives
of this co my t enter upon the above-mentioned property for inspec ' ses.
Date: 7 Signature (Applicant or Agent):
Application Number . . . . . 14-00000030
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee
6.50
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 7/09/14
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE >100K
------------------------------------------------7---------------------------
11.00
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 7/09/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL NEW HEATER 250 K BTU & INSTALL
NEW GAS LINE 1" 18' 2010 CODES. APPROVED
PER AJ.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, PLUMBING
23.83
Fee summary Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 37.92 .00 .00
37.92
Plan Check Total 6.50 .00 .00
6.50
Other Fee Total 115.40 .00 .00
115.40
Grand Total 159.82 .00 .00
159.82
LQPERMIT
°i 4
Gln .#
Qt of Quihta
Building a Safety Division
P.O. Box 1504,78-495 Caite Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: -7o Atulud
ALclo-z7
Owner's Name:. r.
A. P. Number.
Address: .
Legal Description:
City, ST, Zip:
Contractor. Lrft �,�5 fi atm
Telephone: '
.:
Address: 41"' (G I
Project Description:
City, ST, Zip:
L 4
Telephone: '16 0 5` 7— k9 77
�p
State Lia # : COt �� 7 %
City Lie.. M.
Arch., Engr., Designcr.
Address:
City., ST. Zip:
Telephone: r�
Construction Type: Occupancy:
Project type (circle one): 'Now Add'n Alter Repair Demo
Sq. Ft : # Stories: # Unit;:
f`r..
State Lic. #: .:
Name of Contact Person:a 1 �� I Y 11Q4 ft'
Telephone # of Contact Person: �. jp �Z� ` S-71
Estimated Value of Project: 2� °
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
'[RACKING
PERMITTEES
Plan Sets
Plan Check submitted
"
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calm
Plans picked up
Constructon
Flood plain plan
Plans resubmitted..
Mechariieal
Giading plan
2" Review, ready for correcfionsfissue
Electrical
Subeontactor Idst
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
114 ROUSE:-
'^' Review,' ready for correcdo'nsfissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees '
Total Permit Fees
n
GARAGE
RE31 V ENCS
ELECTRICAL AND PLUMBING
Phone: (760) 347-8977
LEGEND
EOUIPMENT
LFP14-109
LIST OF MATERIAL
1
LIGHT,JUNLTION BOX
(EXISTING)
EI
POOL EQUIPMENT
Q
POOL - (EXISTING)
STANDARD WHITE PLASTER
2
DUAL PORT 5KIMMER
(EXISTING)
E2
PENTAIR WHI5PERFL015 HP PUMP
(EXISTING)
Q
TILE - (EXISTING)
Ai POOL WATERLINE
3
MP PROUCT5 AUTO FILL
PENTAIR 240 50. FT. CARTRIDGE FILTERDECK
-
(EXISTING)
EB
(EXISTING)
9
(EXISTING)
4
SPLIT MAIN DRAIN3O01V
POOL LIGHT
t5' BLOCK WALL -
(EXISTING)
E4
(EX15TN6)
(EXISnNG)
O
ELECTRICAL PANEL BOX
(EXISTING)
E5
POOL TIME Cl—F
OCK
(EXISTING)
Q5
CLOSING AND
SELF LATCHING GATE
(EMSTIN6)
5
GA5 METER
(EXISTING)
' E6
TE
ASME 250K BTU HEATER
NEW
a4' BLOCK WALL -
�--
(EXISTING)
GAS LINE • NEW
f' POLY GAB LINE (200
---�
1
11 x 21' POOL DEMENSION5
(EXISTING)
SCALE: 1/8" = 1'
A
Laguna Falls Pools, Inc.
Phone: (760) 347-8977
Designed by:
LFP14-109
Merrell Residence
81-730 Highway 111, Ste 2
Fax: (760) 347-8975
J. Mancilla
Designed
52070 Avenida Mendoza
Indio CA 92201
E-Mail:jaime@lagunafallepoolexom
1/9/2014
for:
La Quinta CA 92253