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12-0354 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:—_712 - 0.00,00354 Property Address: 79199 CETRINO APN: 772-110-048- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 Applicant: T,it!t 4 XP Qulk& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: Nla LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines nd P ofessionaIs Code, and my License is in full force and effect. License Class* 'C , 10, 27, 2 License No.: 656128 CDaContractor:' ^_ -J - 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 _ 1 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.). (_ I 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 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: GOZA DENNIS D 725 CASTLE ROCK RD WALNUT CREEK, CA 94598 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: . 4/05/12 WORKER'S COMPENSATION DECLARATION 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 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 as to become subject to the workers' compensation laws of California, and agree that, if Ishould b come subject to the workers' compensation provisions of Section 0 of the Labor Code, I all rthwith comply with those provisions. Date/2'A_nt:f 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. ,y 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 i ormation is correct. I agree to comply with all city andW?_ nces and state laws relating to building co ructi and hereby authorize representatives of this cupon the above-mentioned property for ins n purposes. Date:;ignature (Applicant or'Agent):^z Application Number . . . . . 12-00000354 Permit . . . BLDG .POOL PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . Valuation . . . . 3000 Expiration Date 10/02/12 Qty Unit -Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 Special Notes and Comments SPA REMODEL: REMOVE EXISTING BOULDER SPILLWAYS. BUILD -NEW SPA.DAM WALLS WITH STEEL REINFORCEMENT PER APPROVED ENGINEERING."2010 CODES. -=------------------------------------------------=------------------------- Other Fees . . . . . .. . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 54.00 .00 .00 54.00 Plan Check Total 35.10 .00 .00 35.10 Other Fee Total 1.00 .00 .00 1.00 Grand Total 90.10 .00 .00 90.10 LQPEIN1IT NO EXISTING LANDSCAPE LIGHTING IN REAR YARD NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD • PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY DEMO PLAN REMOVE FLAGSTONE COF PROTECT PEBBLE AND LIGHTS WITH PLASTIC AND PLYWOOD IN FRONT OF EACH SPILLWAY REMOVE EXPOSED PEBBLE TEC 3' ABOVE WATERLINE STRIP EXISTING PEBBLE FIN& INSIDE SPA BREAK BOULDERS AS REQUIRED AND REMOVE AT BOTH SPILLWAI REMOVE EXPOSED PEBBLE TL_ _ ABOVE WATERLINE ON EITHER SIDE OF STEPS E DRAIN POOL AND SPA 1 r PONE ON 4ND SPA CAP CONSTRUCTION. PLAN THICK STONE QUARTZITE TO MATCH STEPS NEW RANDOM QUARTZITE VENEER TO TERMINATE W ABOVE WATERLINE DRILL AND EPDXY STEEL INTO EXISTING GUNITE FOR STEEL CAGE NEW GUNITE DAM WALL BOTH SIDES STACKED STONE SPILLWAY BOTH SIDES SPA WITH NEW PEBBLE TEC FINISH TO MATCH EXISTING POOL, WITH WATERLINE TILE RE -MOUNT JETS AT SAME LOCATIONS NEW RANDOM QUARTZITE TO MATO QUARTZITE VENEER TO TERMINATE 3' ABOVE WATERLINE SPECIFICATIONS TYPE SIZE X _ SURFACE AREA OF POOL ONLY PERIMETER DEPTHS MIN. MAX POOL& SPA COMBINED GOZA SCOPE OF WORK & 1. CITY PERMITS 2. DRAIN EXISTING POOLANOSPA 3. PROTECT ADJACENT/EXISTING PEBBLE -SURFACE AROUND SPA 4. DEMO EXISTING SPA INTERIOR PEBBLETEC FINISH 5. DEMO AND REMOVE PEBBLETEC FINISH ON SPA EXTERIOR ABOVE WATERLINE 6. DEMO AND REMOVAL OF EXISTING BOULDER SPILLWAYS 7. DEMO EXISTING FLAGSTONE COPING (ON SPA AND POOL), STEPS S. BUILD NEW SPA DAM WALL�WITH EL REINFO�NG,,OXYHERE REQUIRED9. ADJUST E ING SPA PLUMHYDRO-THS AS / �O Aj � REQUIRED ENGIAJee1 —S 10. GUNITE SHELL STRUCTURE FOR COMPLETE SPA DAM WALL ����� 11. INSTALL NEW QUARTZITE STACK STONE SPILLWAYS, VENEER, THICK STONE CAP AND INSTALL TILE WATERLINE 12. INSTALL NEW RANDOM QUARTZITE VENEER AND THICK STONE STEPS 13. RE -SURFACE SPA INTERIOR WITH PEBBLETEC SANDY BEACH AND PATCH EXTERIOR OF SPA WATERLINE WHERE REQUIRED 14. REFILL AND DO CHEMISTRY BALANCE OF WATER PATCH PEBBLE TEC AS REQUIRED AT BOTH SPILLWAYS NEW RANDOM QUARTZITE TO MATCH QUARTZITE VENEER TO TERMINATE 3' ABOVE WATERLINE „-.. _.IZITECOPING AND STEPS WITH THIN QUARTZITE RISER FACE VENEER CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FO ONSTRUCTION DATE A / yl- BY <c:�< rRILE LTRDE Lr Rae N•RB.E TQ RBF TN1BNElF PLUMBING MTER_ Sig POOLRIP BOE BOOBTERRW BIDE AOR RSV BOE AML PUP 60 IEATER BOE TUE OOO Wm PANEL ADR OUTLM SK MMERTYPE FILL UNE OASUME BNF Liam N POR STUB SET EWPABO_ LOVESEAT_ BPDLWAY TYPE OOPND_ RB.IL-SEE REEL DWNEF OWNER TO (H) TV (7) TAM LOC ro' AM SEE ANL IM P RK (S FDL ( TAX wRT CN11ER APPRC mamT FKR SP LLWAY TWE STEPS_ NOP. EXT. WAL PLANTER VAL RETADOA WAL EQUP. WALLS - RM_ ROIEOSONO BEHIOSPA_ EYEILIIJB_ FENCING Ma TYPE _ HEimR_ GATE GATE REVERSIL REMOVE B RIM OTHER ILiTIES' SWIMMING POOL PLAN FOR: _ GOZA RESIDENCE E I DATE I DESIGNED BY I PROJECT MG 1' 03-09-2012 JT. TOM H. 24M% REVISION m. ,e in N Nm Nm mm amm Q�N jt W..m UX':QM Q DN UN aN nm Wm $r�ne�i am 8082 mO pp.. 0,11 •',dad m O= IL 1 W _JA Z I 3 tR Iz SAFETY FEATURES: sm 80, FT. IN FT._ TILE TOE — WATIAUE TUTRO _ WADAYWALLWmGI Na OF JETS m1NITERFam- EOOPOIFHNLBOIONGRECUREIENTSSHALLBENSTAII MELUMTEVMTA(E GRAI ENIB N THE POOL AREAAS PERCECART.OMA UaNr . R18 TEE RAIM SPA AT 201'Cl C CALIFORNIA MECHANICAL CODE (BAEEDON2CWt MC) 5 BNLLWAYTYPE DECKING BF ALNOTM . BaFi. FDOW _ EXCAVATION / STEEL TYPE EIVANSOIJOINO ACCESBRO/ GNITUVER — ELEVATION OECNORAW _ DEEP END RMV LOVE SEAT EXCAVATON VALL BE COImI1C 1®N AN AREA THAT q g101TN, Qi lffiINNABIY EH OUID8E INOVM, TO OECOOOLWJ_ CONCRETE REAMAL LOAD? COITAN SUBSUI6ACE NSTMLITWSOTIER TNM THE (ROEIGRaW FACLITES OA EDO WERATED MM CORE — WOREMOVAL LOAM STEP` TFEEfENOVALBY STEP FACE_ ONOATM REIbVKBY TLE SASE _ UON AMM REPAIR SALES FIELD BAIO ANO Vmm6 GOZA SCOPE OF WORK & 1. CITY PERMITS 2. DRAIN EXISTING POOLANOSPA 3. PROTECT ADJACENT/EXISTING PEBBLE -SURFACE AROUND SPA 4. DEMO EXISTING SPA INTERIOR PEBBLETEC FINISH 5. DEMO AND REMOVE PEBBLETEC FINISH ON SPA EXTERIOR ABOVE WATERLINE 6. DEMO AND REMOVAL OF EXISTING BOULDER SPILLWAYS 7. DEMO EXISTING FLAGSTONE COPING (ON SPA AND POOL), STEPS S. BUILD NEW SPA DAM WALL�WITH EL REINFO�NG,,OXYHERE REQUIRED9. ADJUST E ING SPA PLUMHYDRO-THS AS / �O Aj � REQUIRED ENGIAJee1 —S 10. GUNITE SHELL STRUCTURE FOR COMPLETE SPA DAM WALL ����� 11. INSTALL NEW QUARTZITE STACK STONE SPILLWAYS, VENEER, THICK STONE CAP AND INSTALL TILE WATERLINE 12. INSTALL NEW RANDOM QUARTZITE VENEER AND THICK STONE STEPS 13. RE -SURFACE SPA INTERIOR WITH PEBBLETEC SANDY BEACH AND PATCH EXTERIOR OF SPA WATERLINE WHERE REQUIRED 14. REFILL AND DO CHEMISTRY BALANCE OF WATER PATCH PEBBLE TEC AS REQUIRED AT BOTH SPILLWAYS NEW RANDOM QUARTZITE TO MATCH QUARTZITE VENEER TO TERMINATE 3' ABOVE WATERLINE „-.. _.IZITECOPING AND STEPS WITH THIN QUARTZITE RISER FACE VENEER CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FO ONSTRUCTION DATE A / yl- BY <c:�< rRILE LTRDE Lr Rae N•RB.E TQ RBF TN1BNElF PLUMBING MTER_ Sig POOLRIP BOE BOOBTERRW BIDE AOR RSV BOE AML PUP 60 IEATER BOE TUE OOO Wm PANEL ADR OUTLM SK MMERTYPE FILL UNE OASUME BNF Liam N POR STUB SET EWPABO_ LOVESEAT_ BPDLWAY TYPE OOPND_ RB.IL-SEE REEL DWNEF OWNER TO (H) TV (7) TAM LOC ro' AM SEE ANL IM P RK (S FDL ( TAX wRT CN11ER APPRC mamT FKR SP LLWAY TWE STEPS_ NOP. EXT. WAL PLANTER VAL RETADOA WAL EQUP. WALLS - RM_ ROIEOSONO BEHIOSPA_ EYEILIIJB_ FENCING Ma TYPE _ HEimR_ GATE GATE REVERSIL REMOVE B RIM OTHER ILiTIES' SWIMMING POOL PLAN FOR: _ GOZA RESIDENCE E I DATE I DESIGNED BY I PROJECT MG 1' 03-09-2012 JT. TOM H. 24M% REVISION m. ,e in N Nm Nm mm amm Q�N jt W..m UX':QM Q DN UN aN nm Wm $r�ne�i am 8082 mO pp.. 0,11 •',dad m O= IL 1 W _JA Z I 3 tR Iz SAFETY FEATURES: 1 11 • ALL ANDEMRW&W COVBI INSTALLATION AEE MO OIRRFHT STAMUOS OF TIE AMWM SWETY FORTEBTVB ANDNATERIALS OR THE AMERrM SOCIETY OF EEOMNICALB GOEEPD (ABMEI 21 ELECTRICAL: 3 ' EOOPOIFHNLBOIONGRECUREIENTSSHALLBENSTAII MELUMTEVMTA(E GRAI ENIB N THE POOL AREAAS PERCECART.OMA w . 201 O CALIFORNIA BUILDING CODE 18ASEDON20018BC) 201'Cl C CALIFORNIA MECHANICAL CODE (BAEEDON2CWt MC) 5 21310 CALIFORNIA PLUMBING CODE (8ASE)ONM09UPC)NNN,—. 2010 CALIFORNIA ELECTRICAL CODE (BASEO0112708NEC) 2010 CALIFORNIA ENERGY EFFICIENCY BTANOARDB GOVBDOIBIT CODE RECTION 421611.) (1) EXCEPT N AN EMERGENCY. MY PERSON RNNNG TO COIOUCT AME UVATON 9NLL CONTACT THE APPRCRUATERECDONAL NOWICATIW MTEIkATLEAST TWO WORT 0OAYB.BUTNOTMOFETN.W I/CMEMOMTOAYYBB,, RIIOR TOIXMBIBIfOO THATEXCAVATIO,FHE EXCAVATON VALL BE COImI1C 1®N AN AREA THAT q g101TN, Qi lffiINNABIY EH OUID8E INOVM, TO COITAN SUBSUI6ACE NSTMLITWSOTIER TNM THE (ROEIGRaW FACLITES OA EDO WERATED BYTHEDUVATMMM.FPRACTMALT WAVATMMWLDBNFATEWGHWHITEPANTOROOS SELECTION S SWARE MA MCLS TE A(E TO FE EXCAVAI® CONSTRUCTION AUTHORIZATION STONE T.B.D. SALES FIELD TILE T.B.D. DIG BOULDERS PRE-GUNITE DECK COLOR EXISTING UNDERGROUND JANDY EXISTING MASONRY FIEBBIPLAS SANDY BEACH DECK SIGNATURE 11 PRE-PEBBEE-11 DRAINAGE NOTE: Dmhepm�pTmadPaabyoDBIS, 9�W(88 LLLJ U z W 0 V I L(�li/ LL Q N O CD . BIR.# CjtyOI La �ui Ita Buiiding 8i. Safety Divlrion .' Box 1504,76-495 Calle Tampico_, la.Quinta, CA 92253 -:(760) 777-7012 Building Permit' Application'and Tracking Sheet : Permit #P.O. 1 Project Address:. % 9'Owner's Name:. 02 A. P. Number Address- —TI (7 Legal Description:. Ci ST Zi tY• P �-AQ V1nIF^ Cit Z Contracto . — Telephone: p� " S t , , %"• y Address:26 O 'AVE S Project Description: S • ��� City, ST, Zip: Cwt q1z Z3 Telephone: ' :. R. 0 Z Z° ..Z State Lie. #: f 2 City Lia #; Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lie. #: . ;. '. ' Name of Contact Person:J.� '� Construction Type:. Occupancy: Project type (circle one): New Add'nAlter Repair Demo Sq. FL: # Stories: # Units: Telephone # of Contact Person: p . '_ S / Estimated Value of Project/,30-00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . 'muss Cates.. C41ed Contact Person Pian Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechariitsl Grading plan 2" Review, ready for correctionsfissue Electrical Subeoatactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correctionsfissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wlcs. Appr ' Date of permit issue School Fees Total Permit Fees