12-0751 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
•
i6u
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I i
:Moo�coy�2�
Ca t UnN gm
— — Owner:
Property Address: 54785 AVENIDA RAMIREZ GUNNAR.JORGENSEN
APN: -774-2957014=2 .-000000- 54785 AVENIDA*RAMIREZ
Application description: POOL - RESIDENTIAL LA.QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL
Application.valuaii6n: .12000
VOICE (760) 777-7012
FAX (760) 777=7011
INSPECTIONS (760) 777-7153.
Date: 7/.10/12
Contractor:
Applicant: Architect or. Engineer: KAN.CON POOLS AND SPAS, 114
46625 -DESERT VILLA,#1
INDIO,. CA 92201
IUL - 102012
(71qO);397-7.6991
01A Lic. No.: 946,375
GRYPFLA.QfJ1ATA
FINANCE DEPT. �J
------------ — — 7 —1 -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- --
UICENSEDCONTRACT
OR'S, DECLARATION •WORKER'S COMPENSATION DECLARATION
I heiebya'.ffi . affirm under penalty of perjury that amlicensed under provisions'oi-Chal5ter 9 (commencing with I,hereby affirm under penalty of,perjur� one of the following - diclarations:�-*
Section 7000) of Division 3 of the Business and Professionals Code; and my,G86rise is in full force and effect._I have _aAd'wili maintain a certificate of consent to self -insure f6;,workers"compensaiion, asprovided.
License Class: C53 License No.: 946375for by Section 3700.of the Labor Code,'fo'r the performance of the work for which this permit is
issued.
C-:7-Dale:;7F*_qontractoir:,� I haveand will maintain workers' compensation insurance, -as required by Section 3700,of the Labor
dodej for the perf o_rmanca'of.the.work for whichcompensation"
this.permit is issued. My workers'
OW14ER:BUIUDER DECLARATION* insurance carrier and policy number are
I hereby, affirm under penalty of perjury that I am-exempt'from.the Cont'ra&-or's State License Law for the , Carrier EXEMPT. Z 'Policy, Number ..'EXEMPT.
following reason (Sec. 7031.5, Business and Professions Code: Anycity or-coyhty that requires -a permit to 1. certify, that, in the'.performaii6e of the work forr,which'this peemit is issued, I shall not employ any q
:construct, alter, improve, clemolish, or, repair any structure, pri6r to its issuance, also requires the applicant for the person in any manner so as to.becomesubjectto the workers' compensation laws of.California,
permit to file a signed statement that he oeshe is licensed pursuant to the provisions of the Contractor's State. and agree that,, if I. should become subject to the-work61rs' compensation provisions of Section
:,License Law (Chapt6i'6 (comme6cing with seetii5ri 7000) of Division 3 of.the.Business.and Professions Coi e)'or 3700 of the Labor Code, I shall forthwith comply, with ith those provisions.
that It . a or . she is exempt therefromla*ndthe basis !for 'the4Iiig6d exemption. Any, violation of Section 7031 .5',by
Date: Applicant Call; Lkc:k
any applicant for a p'ermit subjects the applicant to �ivil'$enalty of'not more than five hundred dollars ($500).:
. . property, . C
1, as owner,of. the property, or my employees v�i6 wages as their.s6le-c`6Qensation, Will do the work, and
the structure is notintended or offered for sale (Sec. 7044, Business afid';OroieisioA Code: The WARNING: FAILURE TO.SEdURE WOkERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contreiciorsa,'State License Law, does not apply to an.9mmer'of property who builds or improves thereon, SUBJECT AN EMPLO'YtR-lq.,CRIMINAL^PiNALTIES� AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who clo't
iis�he:work himself or herself through his or her-ow6'emplc;y6es, provided that the DOLLARS ($100,000). IN ADDITION TdTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvernii61s are not intendedoroffered for sale. If, however, the b61ldina or'6provemerit is'sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTOR4EY'S FEES-.
one year of compidtion,"the'bwri7er-6-6ilde'r�W!;iI have the burden of proving that heor she did'not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
1, as owner of the property; am.exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Diiector of Building and Safety for a permit subject to the
7044; Business and Professions Code: the Contractors' Stati:�License Caw does not apply to ano vner of conditions and restrictions set forth on this application.
property who builds or impioves thiireon, and who contracts for the projects with a contractors) licensed 1 . Each person upon whose behalf this application is made, each person at whose'request and for
pursuant -to the Contractors' State License Law:)• whose benefit work is performed under or pursuant to any permit issued, is a result of this - application,
I am exempt urider'Sec. B.&P.C. for thii reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit, to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that 1. have., r44&this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). Pty and county ordinances and state laws relating to building construction, and hereby authorize representatives
of -this county to enter upon the above-mentioned property for inspection p
Lender's Name:
Dater: 1 7sr""(Ap�ljii�blnt or Ager.771,11
_gqatur� �(Apj��cbln, =Ag. I a�f2j —4-�
Lender's Address: 17�Wll lov
LQPERMIT
w�
Y1A
LQPERMIT
Application Number . . . 12-00000751
Permit BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 135.00 Plan Check
Fee..
87.75
Issue Date, Valuation
. .
. . 12000
Expiration Date 1/06/13
'
Qty Unit Charge Per:,
Extension .
'BASE` FEE
45.00 "
10.00 9.0000 THOU" BLDG'2,001-25,000
90•.00
Permit MECH POOL
P;dd tioria1 desc =
Permit 'Fee 26.0:0 _ Plan• Check
Fee
Issue; Date Valuation.,-.
F"
Exprration-Date 1/06/13
Qty Unit.: Charge Per
Extension
BASE FEE
15.00
b
,1.00 11.00.00':EA MECH• FURNACE:>100K
11.00
..
— ------------------------ — — —
...- — — — — ,-- — — —
— — —"— —
— — — — — — — — — —•—
—.— — — —
•4. ;Permit 'ELEC POOL: PERMIT RES
. _
..
Addi:t-ional desc; :••
,
_
PermtFee . 45.00 Plan. Check
Fee
-•11.25
Issue_Date- Valuation
0
._Expiration Date 1/06/13
Qty..:. Unit.Charge Per.
'Extension
BASE FEE.
1.00 3O'A000.:EA ELEC" PRIVATE'�"SWIMMING•
POOL'
,
.30.00
Permit PLUMBING
"Additional_.desc
',Permit_ Fee 27.00. Plan, Check
Fee
6..75
Issue •bate Valuation
0
Expiration Date 1:/06/13
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
.
POOL. ALARMS/BARRIERS:SHALL BE IN PLACE
LQPERMIT
r
Application Number
12-00000751
---------------------"--------------------------------------------------_----
Special Notes and
Comments
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
23.3.00
00
00
233;00
Plan,, Check Total
1'12.25
.00
.00
112.25
Other�Fee:Total
1.00
.0.0
.00
1.00
'Grand" Total
346.25
.007.
.00
346':25.
LQPERMIT
utn ff
I
City of La Quinta
BLd1ging.8r Safety Division"
Total Permit Fees
Permit # ^ (�
P.O. Box 1,504, 78=4.95 Calle Tampico
La Quinta, CA 92253 --(760) 777-7012 �-
Building Permit Application and Tracking Sheet
X
Project Address:
wner's Name ".
cp"�usrZ l�Nt�7A
A. P. Number:
gyU U
Address:
5�t- s
Legal Description:
_
,City' ,,ST, Zip:
a 225
Contractor: L GV 827LS
S.
ND .�j. /� ele honer
S i�G. P. ..
Add r ss:
i0 �2S
I. LA C 't Project' Description: ' oL—
�
City, ST, Zip:
11
22a'
Telephone:
h one•
6
State Lic. # :CH6319
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
one
Construction ruc '
h on Type: Y
P: Occupancy:
P an cY••
State Li
Project oJ
e ct �r
cle
tYPe ic on
e . New Add'n Alter Repair Demo
Name of Contact Person:
�� QQ S =t.-,- vt� q•#
Stories:
Telephone # of Contact Person:i.
#Units:
• Estimated'Value of Project:
. �.
APPLICANT: DO NOT WRITE BELOW THIS LINE,
#
Submittal
Req'd .
Rec'd
TRACKING `.
PERMIT FEES
Plan Sets
Plan Check submitted
-
Item
Structural Calcs.
Reviewed, readv for corrections
Amount
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked'up
Construction
Flood plain plane
Plans resubmitted
Mechanical
Grading plan
2"a -Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Contact
.
Plumbing
Grant Deed
Plans picked up_
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact,Person
A.I.P.P.
Pub. Wis. Appr
:Date of permit issue
School Fees
Total Permit Fees
... ..... _.._._....._- .._..........-DECK 0 DRAIN .....
r P
PLANTER AREA
NEW GREY CONCRETE ACID WASH
j
BAJA SHELF
d
DECK JET
nn
'I
B
14'
3
` p � 3'
54-785 AVE RAMIREZ court yard pool
LA QUINTA CA 92253 DEPTH
RESIDENCE ,
W8• DEPTH
a
;WASH
NEW GRAY CONCRETE 'ACID
DRIVEWAY
GARAGE .. - BLO 'WALL
pOol io 4
a
CITY OF LA OUINTA KANCUN POOLS AND SPAS
BUILDING & SAFETY DEPT.
TITLE
.APPROVED
FOR C NSTRUCTION 54-785 AVE RAMIREZ
LA QUINTA CA 92253
In
SIZE CAGE CODE DWG NO REV
A4
�v ����------------------SCALE
SHEET
Su
LA M 117 011 N'T RACT 0 R LIST
.. I . P
JOB ADDRESS PE
BER 0
BUILDER
111hriorin sball be Oosted on the job with, t. ..80 qripf2 timA Jn a CObsRicu0iia-D Only pers0hs are authorized appearing on this list or their employee to work
on this job.. Any changes to this list must -be approved by the 9113dIT16 Division PrIl#r to commencement of work.. Fail6re to comply Will result In a stoppage of work and/or the voidance
of building permit. For each applicable trade, -Z161nfarmhtinn 6A'wh
rpfAet#4,a'I^%"' nmI,m
..* K- -�#A I... ell— - ----___ -
VII F-110 IQ ISUL 031 4Z%A.UJJ4ClUJt; lVbPU11ZiU.
TradeClassification 'Contractor, at ntr$"
41 .... 0
Company Nanfe C i W
la I bMn dhi,� Carrier Name Pqflcy Number Exp. Date
it ` M611*11
Ie 0• L
x xg X�w (0. Stato Fund, CalComp) 40:ormat Varies) (xxlixixx)'
11EARTHwORK.(P712)
C
.1.1censo Number
Ixxxx).
Exp, Date'
fxxixx.ixx)
75- "J./ -6
CONCRM Iq_
!D Rg q7 3 23E6 Am: %.on s
Lo uQ 5 13 7 2.
1
1026.�
laa
FR,AMIN9
STRUCi`.SfEiEL-(d!51)
QW ?4D' -S kup 59K I W_ 4 -.Szz
7012-§ 1
031
MASONRY IC -291 C_
KANXON GAMS A�VSQAS IKE r. it
5- C
PLUMBING (C -36)
C 6; 1AQ
r
DRYWALL (C-9)
HVAC. (C720Y
ELECTRICAL (C.4%;
RQOFING".IG39)>:?
:SHEET -METAL (C43),
fLPRRING
1�v
INSUI:AT1�oN;,!(C-,2-)
,
SI
EWAGEPIM
.SP. --42)
PAINTING
AINTING (C` 3)
CIN
CERAMIC TILE (Cr>4)
6-5
CABINETS IC -6)1
FENCING IC -13)
LANDSCAP!NG(C=27).%'....,
PAI;I:A`TION CEiiTIFaTCF-6R-MECIi-03'
Atid S `a HeatioS stems
dress: (Page I of 2
4,Enforcement Agency:I Permit Number.
-171oA *.1`41121 i 11U-Al:IiA Ph,i,rIT. 0 1 ) i _ -1 r.1
Pool and Spa Heating Systems requirements
§I14(aj; Systems and Equipment. �t
I. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
!a' Has a readily accessible on-off switch mounted outside of the heater.
i Weatherproof plate or card containing operating instructions for the pool or spa heater.
td 4. No electric resistance heating except for listed package units that has fully insulated enclosures and tight fitting
covers that are insulated to at least R-6. Or if documentation is provided that at least 60 % of the annual heating
energy is from site solar energy or recovered energy.
t5. Heating system has no pilot light.
§114(b): installation.
I . System is installed with at least 36" of pipe between the filter and heater, or dedicated suction and return lines,
or built-in or built-up connections for future solar heating.
O 2. A cover for outdoor pools or spas that have a heat pump or gas heater.
AT -3. Pool system has directional inlets to adequately mix the pool water
,Er -4. Time switch which will allow the pump to be set or programmed.to run during of -peak periods only
§150(p) Pump Sizing and flow rate specification
0' l . The pump specified is listed in the CEC database of certified pool pumps.
V.. The pump flow rate shall be calculated based on pool sizing table below.
. The pump is capable of operating at 2 or more speeds (not applicable if pump is less than 1 horsepower).
❑ 4. Each auxiliary pool load is served by either a separate pump, or the system is.served by a multi -speed pump.
Pool shdna N.I.*_ � _ I.___.1
Max Pool
Volume
(gallons)
--- - - - - u.■u■ ampWOWr1
C t0r0YCr'Fulic 01 0- 110Yri
Min Pipe D or Greater Min Filter Area or more
inches (square feet
Max Pump
Flow
Return
Suction
Cartridge Send
DE
1.3 000
1.5
1.5
100 2.4
20
36
17,000
1.5
2
130 3.1
25
47
21,000
2
2
160 3.9
30
58
28 000
2
2.5
1 210 5.2
40
78
42,000
1 2.5
1 3
320 7.8
60
117
48 000
1 3
1 1
AAA go I
7n I
111
Note: For pumps greater than I hp. The maximum Pump Flow is the lowest speed defy I i filtration
O 5. Calculated volume of pool QQ(gallons).
O 6. Return Pipe Diameter _ �t1
(inches).
❑ 7. Suction Pipe Diameter_ 2'
(inches).
❑ 8. Filter Type ?j %Q (Cartridge, Sand, DE).
❑ 9. Filter Surface Area (sf),
010. Max Pump Flow____N (gpm).
2008 Residential Compliance Forms August 2009
_; INSTA[,LATION CERTIFICATE, CF=6R-IMECH-03
Poot And S a Heatin Systems'' (Page 2 of t
Site Address: r..r.....:.... s:,:..,...: Pormit Nurehec
C (-rq c)
System .Piping
Er I. The suction side pipe is straight for at least 4 pipe diameters before entering the pump (See table below for the
required straight run lengths .for various pipe sixes).
J2"'2. The design uses low pressure drop fittings (sweep90's)
Pipe Diameter Required Pipe Length
inch leading. into puimp (inch)
1.5
6
2
g '
2:5
10
3
12
Filtration Equipment
O 1. If a backwash valve is used: The diameter of the backwash multi -port valve is 2 inches or as large as the
circulation pipe, whichever is greater
DECLARATION STATEMENT
• 1 certify under penalty of perjury, under the laws of the -State of California, the information provided on this form is true and correct.
• 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• 1 reviewed a copy of the Certificate of Compliance (CF -IR) form approved by: the enforcement agency that identifies the specific
requirements for the installation. I certify -that the requirements detailed on theCF-IR that apply to the installation have been met.
• 1 will ensure that a.completed. signed copy of this installation Certificate shall be posted, or made available with the building
permit(s) issued for the'building, and made.available to the enforcement agency for all applicable inspections. 1 understand
that a signed copy of this,Installation Certifieate_is required to be included with the documentation the builder provides to
the building orwn,cr at occupancy.
Company Name: (installing Subcontractor or. General Contractor or Builder/Owner)
Responsible Person's Name: Respefrs le Per n. Signature:
\\
CSLB License: Date Signed: sition With Company (Titles:
Uw�v-
2008 Residential Compliance Forms August 201