14-0374 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000374
Property Address: 81637 RUSTIC CANYON DR
APN: 764-280-999731 -300237-
Application description: POOL - RESIDENTIAL
Property Zoning: •MEDIUM HIGH DENSITY RES
Application valuation: 26000
Applicant:
T4 4 e(P.Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------------- -----------------------
LICENSED CONTRA OR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed u er provisions of Chapter 9 (commencing with
Secti'on 7000) of isi 3 of the Business and Professi als Code, and my License is in full force and effect.
License Class: 0, 27, 2 Lice o.: 656128
`Date:' // �/ Contractor:
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, 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, 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 _ 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:
CANDACE ANTOSZ
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/10/14
81637 RUSTIC CANYON
LA QUINTA, CA 92253
(760)250-2318
[IFID
Contractor:
SIJ PE) 1
TESERRA
I In, ITY (-_-qA fiO4TA
P.O. BOX 1280
i r.1;)I>?,r;3
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
i� 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 ber 7600006481141
I certify that, in the performance of the or for which this permit is issued, I shall not employ any
person i ny manner so as to bec a ubject to the workers' compensation laws of California;
and a e that, if I should becom s ject to the workers' compensation provisions of Section
37 of the Labor Code, I shall hwith co ly with those provisions.
r
Date: Vl-/"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 Ouima, 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 nul nd void if work is not commenced
within 180 days from date of issuance of such permit, or ssation of.work for 180 days will subject
permit to cancellation.
1 certify that I have read this application and state that the above i mation is correct. I agree to comply. with all
city and county di ances and state laws relating to building co ruction, and hereby authorize representatives
of this county er upon the above-mentioned property ' sen purposes.
Signature (Applicant or Agent): -
Application Number 14-00000374
Permit POOL 2013
Additional desc .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 10/07/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
-----------------------------------------------------------------------------
178.75
Permit WALL/FENCE PERMIT 2013
Additional desc .
Permit Fee . . . . 47.19 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 26000
Expiration Date 10/07/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
Special Notes and Comments
-----------
POOL AT REAR YARD W/EQUIPMENT SCREENING
WALL [DOUGLAS FERRELL ENGINEERING] THIS
PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED
- TO BE INSTALLED AT PRE -PLASTER
'INSPECTION. 2013 CALIFORNIA BUILDING
CODE.
April 9, 2014 4:35:30 PM AORTEGA
---=------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, POOL
97.24
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited
Due
Permit Fee Total 225.94 .00 .00
225.94
Plan Check Total .00 .00" .00
.00
Other Fee Total. 159.30 .00 .00
159.30
Grand Total385.24 .00 .00
385.24
LQPERMIT _
Bin #
Permit
City of La Q C1IC1 to .
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name:
A. P. Number:
Address: 3 5-77C— CAW -34 o
Legal Description:
City, ST, Zip:
Contractor: :
Telephone:
Address: 96/00 AVC S7 Y.
Project Description: 00L_ LV
City, ST, Zip: (210h C/Ir -??Z-74
Of'S m
Telephone:760 '7y8'P4?zz
State Lic. # : 6 S 6 12- 8
City Lie. #t
Arch., Engr., Designer.
Address:.
City., ST, Zip:
Telephone: /
Construction. Type: Occupancy:
State L ic. #:
Project hPa c Tcle on New Add'n Alter Repairair Demo
0
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
' Telephone # of Contact Person: d Ll f
Estimated Value of Project: (p Opt%
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PEEM1T FEES
Plan Sets °
Plan Check submitted 4/'7/(4
Item
Amount
Structural Calcs.
+; •
Reviewed, ready for corrections '
Plan Check Depos.t
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
,
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up,.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
3"' Review, ready for correction s
Developer Impact tee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
-
Total Permit Fees
4104
u APR 0 7 2014 .
CITY Oi i -A QUINTA
COMMiUNITY'DEVELOPMENT
March 12; 2014
Candace Antosz
81637 Rustic Canyon Dr
La Quinta, CA 92253
Property: 81637 Rustic Canyon Dr
Account: 015000020864
Dear Ms. Antosz:
This shall confirm receipt of a Design Review submission, received on 03/12/2014, for the above
referenced address for installation of a pool, sidewalk on the side yard and for connecting the
new rear yard drainage to the existing one. Please be advised that the application and plans have
been forwarded to the Association's Design Review Committee for review. The governing
documents for your Association allow forty five (45) days for review.
The Design Review Committee is composed of volunteers. As such, it does not rev_ew applications
to ensure compliance with building codes, or other local or state laws. You are encouraged to
contact the governmental agencies involved to ensure your plans comply with these codes. Thank
you for your patience in this matter and for complying with the Association's policies and standards..
Sincerely,
For the Design Review Committee
Mima Hernandez
Manager Assistant
cc: Board of Directors
Trilogy at La Quinta Maintenance Assoc.
Professionally Managed by Action Property Management. Inc.
60-750 Trilogy Parkway, LaQuinta, CA 92253-7717
Phone: 760-777-6059 Fax: (760) 777-1620
www.actionlifecom
STUCCO AND PAINT BACKSIDE TO MATCH HOUSE .
POOL SPLIT MAIN DRAIN SUCTIONMINIMUM Y APART.
ANTI -COVERS , 0" ASME /ANSI APPROVED '
` TILE SWIM LANE ?
7 BENCH WITH TILE TRIM MARKERS
"�" TILE MARKER ON WALL -
STEPS WITH TILE TRIM MARKERS' F -
p T-4 PL
SR SMITH DMS -102A GRAB HAND
-BADU SWIM JET PACKAGE "A" `
RAIL (REMOVABLE) 4' SB. "
3" DRAIN LINE 4 LED COLOR NICHELESS LIGHTS
6-(r WD LIGHT BROOM FINISH COLORED
' OZONE GENERATOR CLEAR 03 3-W CONCRETE DECKING T' '
"r: • ' ATTACH TO EXISTING DRAIN LINE`
EXISTING DECKING TO REMAIN:
• _ POOL EQUIPMENT: 400,000 BTU HEATER 0 T I _
'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED ---------- '------ +
BUYER TO REMOVE A/C FOR
" EXCAVATION AND RESET A/C
1 - •
• =, r J
POOL EQUIPMENT 50 AMP SUBPANEL'
1 '`+ WITH 38" CLEARANCE AT FRONT AND SIDE
T I 1 ,
�--- q
N ELECTRIC CONDUIT �I I r '{
VP
• `�.1 I I I •
- LIGHT BROOM FINISH COLORED
' ` ( CONCRETE DECKING I i u r , ''; ' CITY LA QUINT
I II ----
------BUILDING &SAFETY DEP
I, 114 114-10" u v
EXISTING DRAIN LINE i L� FOR. CONSTRUCTION
TO STREETI
75'- 1j" POLYPROPYLENE GAS PIPE' i ® ® I (DE] % ' � � � .
' .. T . , - 'I� s„"/,• �; • . _. DATE BY �.
6Q Se� VAO.A,
5 A/C TO BE REMOVED AND I .
r RESET BY HOMEOWNER III W
! MAIN HOUSE 200 AMP ELECTRICAL PANEL
sffoc Nola
WmJ
TNG
EXCAVATIO
MM�OfJJ c
_
LIN MATCH EXISTING
gU
TYPKE3B
ACCESS FROM D Y EET
ON JOINS YES
O mO
ELEVATION — -
DEEP ENO RAMP NO
_ YES
RaNS 3• CONNECT TO EXISTING
r
N
LOVE BEAT
DRAIN —
m S
IL
CONCRETE REMOVAL YES L
' RBCORE —
SOD REMOVAL
TREE REMOVAL BY YES
IPAIGATIONREMOVALSY O'
IRRIGATION REPAIR
AM ViSQUEEN — -
T RB.B.
—
12-R.B.B. — FT
MONSRUP —
1RCR.B.B. 33' Fr
20R.B.B. FT.
37 R.S.B. FT
-
TAN SHELF DEPTH NO
a
ROCK POCKETS NO
MASONRY
OCPING TYPE —
[g'NO
.
R.B.B. FACING STONE
-
SPILLWAY TYPE 6OE
PLUMBING
HfFP6 —
FILTER JANDY - SUE 460 CV
PROP. EXT. WALLS —
'
POOL RMP DANDY 8DE 1,0KP2S
PLANTER WALL —
BOOSTER PIA1P= SIZE — -
ADOLRMp B OU Sim 4.0 HP
RETawNGwoos
EOWP. wALLs —
FIREPIT
ADDL PUMP -=— SIZE —
HEATER JANDY WE 400,000 BTU
TIME CLOCK JANDY PDA WTH 10900
SUB gygy YES PUREUNK AOUAUNK -
ADDL ounEr6 NO
SgMMERTYpE DUALPORT
FOL LINE
BBL , , no urnun ccsFm
LIGHTS T POOL 1 LID COLOR IN SPA -' W W' ' UH 'L�'
Som SET EQUIPMENT FENCING '''I 'lle`=-J'll'IH
MSC —
PLUMBING612E 176 6 17 FENCE7
a /IE6IIr
(L4
GUNITE GA sAL
DEEP END RAMP E 8 REINN(i YES
EXTEND aid STEP
LOVESEAT YES
SPILLWAY TYPE 1 �.
CANTILEVER NES iffilo�rnDr. ,
COPING CONCRETE R DANDY 4 FUNCTION AND IO900
R.B.B. - SEE STEEL -1 ALT - PACKAGE
10 A '01117 nFNrRATOR-Cl EAR 03
OWNER RESPONHIBILITIE S DMS-I00A GRA13 HAND �•
OWNER TO:
(1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPAAT IAYOIIT ON DAY OF EXGVATXNL
0) TAKE NOME THAT PARTME ATT?EIITWLSSR9AREBUIIJECTTKIACCfFTANff OF
LOf%,DOINN iONCRETE H8.L ATTIETTMEOP 1991YFOROFPENOT. '
(9) NET CONN CONCRETE KNELL AT IFABTTWCE BILLY FOR SEVEN DAYBAFTER 91ELLI8OWTALLFD.
(I) AGREE TINT TE6FAM M NDT REBPOTI&BLE FOR UImEROROUIN WHOTIIONB Ofl DBlE(RB.
AIIDANT DAIKAOE TO CURB9, HIDEMAIILB, OWVENNYB, UW/B, OR OTTER TIETA9 N TMEACCEBBARFA
IP) BEETNT ALLFENCEA. IMTEB,AND GARAGE DOOIR9IEETL(ICAO CODES FORAPOOL ENIXO6URe
PRIOR P O fsueo STET IN9PECnON.
(I) RLLPOOLCEMTTMSOPV.RASTER(FOLLOWOB OCTIONB-OO NOT USE RUBBERHOSE)
m TATENORCe TINT 1N O TESMOf8ilR 601EED n I TOF 1EffmRA ANDINATANY USE NTIN01/T
VAUTIEN PERMSBION OFlEBFAM M PROHIBITED BY UW -
OVAERAPRIDlE8 Ml111 N04AM ECIIF.IDIT IDLTl101fBIJIDIMBfEADTEi�ON®!R®NO NOME9AB0.£ .
SIGNATURES) DATE
SWIMMING POOL PLAN FOR:
NAME ANTOSZ RESIDENCE
STREET 51-637 RU TIC CA DN ROA
JOB ADDRESS KILUUT
LA QUINTA
• r 1 y ---- • MAIL ADDRESS -
a- a c • I ---- �' I CONSTRUCTION OFFICE P4MR"Millillift
._. r - SCALE • DATE ESI EO PROJECT MGR CKED BY
`• - tA. ` "L y xA '4^�. f T" . '.�j� i' I Fk "i t.. _ ... F •. _ .. '!• _. • �' - an= 1' 03-04-14 J B DANIEL H.
• TT t d `�.. •�, L4 .y r .A L „ + • I I ---------------'---'-- P y. - I ., JOB '
I S I O N S DATE
` I .. • 'I _ SAFETY FEATURES: • 1 +
+' 1.. •LL ATNTPMECOVER INSTALLATION MEEIINUCURRENTa STANOARDB OF TNEAMEfIIGN
- n ; n I • ` , 6DDIEIY FOR TE9TINOAND MATERNl80R TImAMIAICAN SOCIETY OF MECJNNK:AL ENOdEEli9(ASME)
1
ELECTRICAL'
BUBBLER BOX ; ... - r
,t -
_ , GRAMENTS IEOUMOTENTHE
REA AS PER DE SHALL EE INSTALLED TO ELIIDNATE VOLTAGE .
- y_. .. : ' - 1 ♦ ' I I ,. ,< ' I , 5 '' GRADIENTS IN THE POOL AREA AS PER GECARr.880.1& � .. - � W
A ESS ' - di I 201 3 CALIFORNIA BUILDING CODE (BASEDON200618C) ~. 7
y - 201 3 CALIFORNIA MECHANICAL CODE (BASEDON20001MC)
• * E - i V _ ,Y- r 201 3 CALIFORNIA PLUMBING CODE (BASED ON 2009 UPC)- -
20 1
PC)•e•." 201 3 CALIFORNIA ELECTRICAL CODE (BASEDON 2008 NEC) T Q.
•j' PL �" PL - 201 3 CALIFORNIA ENERGY EFFICIENCY STANDARDS
•
7
_ GOVERNMENT CODE SECTION 42182 p)) (1) EXCEPT W AN EMERGENCY, ANY PERSON c
• . , - J PLANNING TO CONDUCT AN VEX. (AN SHALL CONTACT THE APPROPRIATE REGIONAL - LJJ
•+ + NOTO'B;ATION CENTER. AT LEAST TWO WORKING DAYS, BUT NOT MORE THAN 14 CALENDAR • - ,
DAYS PRIOR COIO,IENCINO TENT EXCAVATION, IF THE EXCAVATION WILL BE CONDUCTED
.
RUSTIG-CANYON ®AD- ANG THAN rXG LL
L SELECTIONS
N
t C O N STR U CTI O N AUTHORIZATION STONE QUARTZITE SILVER SELECT V)
NSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH } -
SECTION 114 - MANDATORY REQUIREMENTS ` ' _ TILE W.L. AQUARIUS SIERRA BSL -NPT � esu slERlu
SALES FIELD ' � 0 _
'EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS DIG TILE . LANE AND WALL MARKERAQUARIUS WATER DC DEEP COBALT z
'
ro THE Pool PRE-GUNIT DECK COLOR MATCH EXISTING Q'
_. - .
DIOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S T, UNDERGROUND GROUT4
09 NATURAL GRAY - CUSTOM + •
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS MASONRY !. PEBBLE 11
DOLPHIN BLUE REGULAR #1
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, + _ DECK SIGNATURE
FIELD LAYOUT WILL VARY ' DRAINAGE NOTE: Dminage and I*aOon for plantem and pots, by comm,
#. PRE -PEBBLE unless otlrelxAse noted.