RPL (13-0482)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
13-00000482
53720 AVENIDA MENDOZA
774-133-011-14 -000000-
POOL - RESIDENTIAL
COVE RESIDENTIAL
22000
T4ht
�.J
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
COLLINS, LARRY VICTOR
53720 AVENIDA MENDOZA
LA QUINTA, CA 92253
Architect or Engineer:
AA.
--- -------- ----- ------------,-_-_-----------------------
F
LICENSED CON_TRACTOR'S DECLARATION
r� hereby affirm under penalty of perjury that I am -licensed und—rovisions of Chapter 9 (commencing'with
,Section 7000) of Division 3 of the Business and 'Professionals:Cbde, and my License is'in full force and effect.
License Cla C27-053 ns
Date: L f Contractor:
t.
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).:
(_) .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
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 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 r
Date: L� L� Owner:
—t'UNSTRUCTION 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/18/13
Do
Contractor: 2
APR
}9 �ot�
DESERT OUTDOORS INC APR
78065 MAIN ST STE #205
LA QUINTA, CA 92253 CIT
YOFLACIUINYA
(760) 399-9600 I:INANCEDEPT.
Lic. No.: 964474
-----------------------------------------------
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 DEWC338066
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 to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
/3700 ofthe Labor Code, I s co y with those provisions.
,/Date: y l v Applicant:
WARNING: FAILURE SECURE WOR ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001• 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construc ' and hereby authorize representatives
of this county enter upon the above-mentioned prop posed.
Date: t Z (/ZSignature (Applicant or
. Application Number . . . . . 13-00000482
Permit BLDG POOL PERMIT
Additional desc.'.
Permit Fee 225.:00 Plan Check
Fee
146.25
Issue Date . . . . Valuation
. . .
22000
Expiration Date 10/15/13
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
4` Issue Date . . . . Valuation
0
Expiration Date 10/15/13
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 15.00 Plan Check
Fee
3'.75
Issue Date Valuation
0
".Expiration Date 10/15/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
Permit . . . PLUMBING
Additional desc .
Permit Fee 27.00 Plan Check
Fee
6.75
Issue Date Valuation
0
Expiration Date 10/15/13
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 AND FIRE PIT AT REAR YARD [DENISE
POELTLER ENGINEERING] THIS PERMIT DOES
LQPERMIT -
Application
Number 13-00000482
----------------------------------------------------------------------------
Special Notes and Comments
NOT INCLUDE
EQUIPMENT WALLS. GLAZING
WITHIN (60)
INCHES OF POOL REQUIRED TO
HAVE SAFETY
GLAZING - REPLACEMENT TO BE
BY SEPARATE
PERMIT. ALARMS AND BARRIERS
REQUIRED TO
BE INSTALLED AT PRE-PLASTER
INSPECTION:
2010 CALIFORNIA BUILDING
CODE.
6
April 18, 2013
-
2:45:27 PM AORTEGA
-------------------------=-------------------7------------------------------
Other Fees
. . . . . . . . . BLDG.STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid
--------------------
Credited
--------------------
Due
-----------------
Permit Fee
Total 293.00\ .00
.00
293.00
Plan Check
Total 163.25 .00
.00
163.25
Other Fee Total 1.00 .00
.00
1.00
Grand Total
457.25 .00.
.00
457.25
LQPERMIT
Btu. # Of La Quillta
,_..
Btdkrmg 8r Safety DWon
Perinir # P.O Box 1504,78-495 Cage Tampico
La.Qi tta, CA 92253 -{760) 777-7012
t3 •off- Building Permit-Application and Tracking Sheet
`•A . O Poject.Addtess: AVEVE 4sS A. P. Number. Address: S3 120 ME.Mg—N- OZA
Legal Description: City, ST. Zip: t 1 CPt 9 ZLS`3
iD@Sett Outdoors Telephone %
Contractor.
Adm- 78-065 Main St. Ste. 205 Project Description:
city. 3T. zip- ': " La Quinta, Ca. 92253
`i Telephone: 760-399-9600 ; 4
State Lir. t# : " "c-53 964474 City Lie.#.
_ Ani., Engr�. Designer: Flying Buttress
APR I
Address: " 77725 ,Enfield Ln.-Ste.130 7.2013.
city, sT, zip: Palm Desert, CA. 92211 CITY OF. LA QUINTA
} Telephone: 760-772-441-'i Construction Type: " occupancy LOPMEN
i State Lia ;i: 33446 Project We (circle one): New Add'n Alter' Repair Demo
Name of Contact Person: J Sq. Ft : it Stories: #Units
! Telephone i# of Contact Person:APQ - " 15 -'-7'6&51 Estimated Valine of Project 22 000
• APPLICANT: DO NOT WRITE BELOW THIS UNE
d Submittal Req'd 'Reed TRACMG PERMIT FEES-
PIen Set; Pian Creek submittedI Item Amount
Structural Caics. Reviewed, ready for moons Plan Check Deposit. .
Trow Cafes. Called contact Person Plan Check Balance
Title 24 Cala. Plans picked up construction
Flood plain plan Plans resubmitted.'. Mechnriical
Giading plan Z°! Review, ready for correctiouslissue Electrical
Subcontector list Called Contact Person Plumbing' "
Grant Deed Plans picked up MLH.O.A. Approval Plans resubmitted Grading
DH HOUSE:- '^' Review; ready for correedo Developer Impact Fee
Planning Approval. Called Contact Person l.k. �S
Pub. Wks. Appr ' Date of permit Issue
School Fees
Total Permit Fees
n
FOR PERMIT
4c
,I
r �
SPAATOWITHPAVERCOPINO,TILEO -
WATBRLINE, TING AERATORS, AND PEBBLE
FINISH
'
5`1011N. HEIGHT WALUFENCE
AT ALL SIDES, TYP.
Gavva
• —TOP a' GUNITI
•Ly� m
' l WARUNE
HIOM
5P JOT
DECKING N ' I MIDDLE
AT
Lav
JET
GROG ANTIQUE COBBLE PAVER DECIUN%
COLOR TO BE SELECTED BY OWNER.
wr
GUN AT
RAISED RREPIT AT 15' WITH STONE CAP
AND FACE
PPAWell"Y LINE
PP TYPICAL JET DETAIL
NOT TO SCALE
d,2 FUWPlao,< Oj
D DOOR
PROR TO AANCAPSULATION
CITY 07 -L-A QUINTA
RESIDENCE BUILDING & SAFETY DEPT.
= APPROVED
FOR. CONSTRUCTION
REMOVE Em087ING CONCRETE a
BLAB AT THIS LOCATION' _ '''•
' t DATE y BY
• I + I I �WSTING SELF CLOSING SELF NO
c
Ile6 B
10.01. 0
,
�ugYtPo��
DEEP, ROOT
BUBBLER SYSTEM
.
IMM MK ,, B[FrxVAX
k
z
o®aa I
w
RAIM PENTAIR • 400,008 M
Tame 320 S.F.CWMDOE- PENTAIR
J
i
3.'13- PVC SCHEDULE 80 RISER
y,
0 B ® j
0 E
t
1 0
U
0000 j
5. PVC SCHEDULE 40 TEE AND ELL
I
c
L `
Ile6 B
10.01. 0
,
A
or
DEEP, ROOT
BUBBLER SYSTEM
.
IMM MK ,, B[FrxVAX
LEGEND
1. FINISH GRADE
11MIRM PAVER P°L
}
2. BUBBLER HEAD
RAIM PENTAIR • 400,008 M
Tame 320 S.F.CWMDOE- PENTAIR
d�
RPP. PENTAIR-2.5HPJETPUMP
3.'13- PVC SCHEDULE 80 RISER
ms
4. PVC SCHEDULE 40 STREET ELL
U
5. PVC SCHEDULE 40 TEE AND ELL
MATERIAL SELECTIONS.
W
8. CLASS 700 PVC LATERAL
QLu�
7. 1' A.D.S. PERFORATED PIPE
a
U
ce—
42- LONG W/ ONE BUBBLER
PAVERS: ANTIQUE COBBLE
8. 3/4" PEA GRAVEL
0•
B. DRAIN GRATE
N
b
I,
N
aa
G•
AFRELS 2023
DRAWN BY:
JOIN
srALe ,
UB"ol'-0'
JOB NUMBER,
exEErxwmER:
1.OF 1 .:;
a
1
9
i
V2'
�
L `
Ile6 B
10.01. 0
,
A
or
DEEP, ROOT
BUBBLER SYSTEM
.
IMM MK ,, B[FrxVAX
LEGEND
1. FINISH GRADE
11MIRM PAVER P°L
}
2. BUBBLER HEAD
RAIM PENTAIR • 400,008 M
Tame 320 S.F.CWMDOE- PENTAIR
+
RPP. PENTAIR-2.5HPJETPUMP
3.'13- PVC SCHEDULE 80 RISER
ms
4. PVC SCHEDULE 40 STREET ELL
U
5. PVC SCHEDULE 40 TEE AND ELL
MATERIAL SELECTIONS.
W
8. CLASS 700 PVC LATERAL
4
7. 1' A.D.S. PERFORATED PIPE
a
U
ce—
42- LONG W/ ONE BUBBLER
PAVERS: ANTIQUE COBBLE
8. 3/4" PEA GRAVEL
0•
B. DRAIN GRATE
b
LE:
PEBBLE:
GROUT:
MISC:
8L4
aMml
SIGNATURE:
mTrmlara
W
Ile6 B
O
do
A
or
pollom
tra xae
SM 102 TR 41'
IMM MK ,, B[FrxVAX
Stoma@
11MIRM PAVER P°L
om vAn PAVERS
oEbmv. 32 S.F. CONC.
RAIM PENTAIR • 400,008 M
Tame 320 S.F.CWMDOE- PENTAIR
RBa PENTAIR -VARIABLE SPEED
RPP. PENTAIR-2.5HPJETPUMP
=mm PENTAIR -EASY TOUCHSVISALT
ms
U
W
w�
a
U
ce—
ZQ z
Q
.g
O
b
I,
aa
G•
AFRELS 2023
DRAWN BY:
JOIN
srALe ,
UB"ol'-0'
JOB NUMBER,
exEErxwmER:
1.OF 1 .:;