14-0645 (RPL)P.O BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000645
Property Address: 79690 BAYA
APN: 772-330-019- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 24000
Appli t:
i
Tit!t 4 4 Qaihm
Architect or Engineer:
A*
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------------------/CONCTOR'S
------------------------
LICENSEDECLARATION
I hereby affirm under penalty of perjury that I am licprovisions of Chapter 9 (commencing with
Section 7000) of ivision 3 of the Business and Proode, and my License is in full force and effect.
License Class: 8x,27,2nseNo.: 656128
Date: ___J;!7 omractor:
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.:
(_ 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 ISec. 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 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
BRINK, ADAM
79690 BAYA
LA QUINTA,
CA t.
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA S
(760)398-9222
LiC. No.: 6561,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/16/14
--------------------------------1y-----------
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 EVEREST NATL IN P cy Number 7600006481141
I certify that, in the performance o e work for which this permit is issued, I shall not employ any
person in any manner so as t 'come subject to the workers' compensation laws of California,
//anndd agree that, if I should be me subject to the workers' compensation provisions of Section
/���� 37,00 of the labor Code, I all forthwith comply with those provisions.
"Date: s• f /�/c� 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 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 infor tion is correct. I agree to comply with all
city and county rdinances and state laws relating to building constt tion, and hereby authorize representatives
of this county en upon the above-mentioned property for ins action purposes.
Date: S - / Signature (Applicant or Agent):
s
LQPERMIT
Application Number . . . . . 14-00000645
Permit . . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date . . 11/12/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
-7 --------------------------------------------------------------------------
Special Notes and Comments
POOL AND SPA AT REAR YARD ONLY [DOUGLAS
FERRELLR ENGINEERING) THIS PERMIT DOES
NOT INCLUDE EQUIPMENT ENCLOSURE OR
DETACHED PATIO COVER. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2013 CALIFORNIA
BUILDING CODE.
May 15, 2014 5:15:50 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
-------------------------------------
----------
Due
----------
Permit Fee Total 178.75 .00
.00
178.75
Plan Check Total .00 .00
.00
.00
Other Fee Total 98.24 .00
.00
98.24
Grand Total 276.99 .00
.00
276.99
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City of La Quinta
Building 8Z' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
•
Project Address: �' l f{y/�
Owner's Name: O 0AI SO f
A. P. Number:
Address:��} A
Legal Description:
City, ST, Zip: Qdtwr� 25 3
Contractor:C(Z
Telephone:
`<:>:::> :>>,>::>?::>:«:>;:<......
Address:9( /00 4vi!!:::�
Project Description: E-Li/p O L s
City, ST, Zip: * � 270 C
D fr o L AJC
Telephone: p7198,9z Z
S Iti.'•C:Silie<S?::v;f:J�:r;;.v 4. �.iiiFC:'S!`v,. `:
State Lic. # : Zg
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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Construction Type: Occupancy:
�cirele one New Addn Alter Repair Demo
State Lic. #:
Name of Contact Person: o
Sq. Ft.: # Stories:
# Units:
Telephone #,of Contact Person: O2 10 27 IP
Estimated Value of Project: 000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
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:-
'"' Review, ready for correctio issu
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
ANDSCAPE LIGHTING IN REAR YARD
OVERHEAD UTILITY LINES IN REAR YARD WROUGHT IRON GATE ' OWNER TO MAINTAIN STRIP
URE FOR ILLUSTRATION PURPOSES ONLY 36"X36" V SETBACK PER HOA
6,-7„ WROUGHT IRON FENCE AT +38"
DARK BROWN PAINT
STONE, SANTA BARBARA
URSED FUTURE BBQ AT +36 AND +42" WITH TILE COURNTERTOP FUTURE PATIO DECK
ROOF TILE TO MATCH
4X12 WD.BM
6X12WD.BM -- -- -- -- -- -- -- --
I
I — —
SPECIFICATIONS
C L CEILING TH TYPEGUNITE SIZE ms's r
y1I G LIN LL AI I
T R E CH IST SE SURFACE AREA OF POOL ONLY 468 SO. F7.
FINI F N T ARO D PERIMETER 96 LN. FT DEPTHS MIN. X-6'
POOL & SPA COMBINED S1 c0 FT 1110 UNET.
N T TU OA PAI TO SPA SPECIFICATIONS TILE
C O (2) ILIN A HTS TBE TYPE
S��L' K �SM FT.�_ LN. FT.
PR ID BYO ER OU D RE BY WATERLINE YES. TILE
N CT AN T E T CN, QAOF �1ETTS 8 TILE TRIM —
QUARTER ROUND —
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_FIAEPLXE A9b WIRE FOR TWb HE"ATEAS _ --� - W SO. Fr. SPF NOTE a 1114
EXCAVATION STEEL COLOR ACID WASH D
\ FlNISN Q
•
ACCESS FR80'BO0 E)IP/WSIONJOINTB YES AS REQUIRED O,p
PONE MANTLE T'V' EJNATON— CANTILEVER YES n
f0 MATCH iDEEP END
DECK DRAINS ¢ m ••
LOVE SEAT cecco DRAIN-7--
27-l'Z
CONCRETE REMOVAL No LO CURSCORE G
u -r
D GLO MODEL RH�2 AL ves zas0 srEPs —
O� REMOVAL BY • STEP FACE =
TONE HEARTH �j G TION REMOVAL BY AS REQUIRED TILE 845E
Y { �]ENIOWV
n REPAIR REQUIRED
SAND AND VISWEFN —
S' RB.B.EE
RIBBONS —
EL 12'R.B.S. — NOW STRIP —
IELGARD MEGA-ARBEL EXISTING DECK
A, VICTIORIAN TO REMAIN T S ,e ae.rs
C N 3vae.e.
CABANA FRONT VIEW scALEY—
TAN SHELF DEPTH 6' WD
I< _' i .. - Q ou E D Hj/(12 ROCK POCKETS — MASNGONN ERY
�MWASH COLORED CONCRETE
1 pI 40DErDERB
R.B.
B. FACING —
1 E A GLO svluwarTrvEBrcuEDera+EslzE
D PLUMBING
I STEPS — —
A C AP O FILTER DANDY SIZE 460 SO. FT. PROP. EXT. WALLS RE -BUILD �l
o p 17 T 1 A , I.I S� BPOOL PUMP OOSTER PUMP DJAW& Y SIZE 2 2HPHP ARIABLE PLANTER — T
AL PUMP — SIZE — EQUP.T �S —
46- AML
o / ADDL PUMP SIZE —
�/ NEATER DANDY SUE 400,000 BTU
TIMECLOCK RS -4 WITH 1 -AQUA LINK ®j
o• • . SUB PANEL STD. JANDY
CQ OLER •.•:•, •.•. ADDL OUTLETS PANEL FOR CABANA I
SKIMMERLINE TYPEFROO D
I I :•.1:T6:•:•'• ,JSJ(« ri FILL UNE AUTO BB STI
��pp L,JC T•/
GAS LINE YES STUBSUGHTSSPA -
...... 'CS
FOUNTAINS /SPRAYHEAGS— ROLLED
BENDBOND BEAM
SP
TANNING SHELF AT 6" WATER DEPTH SHEER DESCENTS — EYES
:-. WITH ONE UMBRELLA SLEEVE uc7ITswPooL 1.500w INSPA -100w
I 1 SNBSET EQUIPMENT FENCING
6' I .'.(L / PLUMBING SIZE 2 SUCTION E 2 7 RETURN HE GHFENCE TYPE
*38'
RAISED SPA AT +18" WITH LIGHT BROOM FINISH COLORED
/ GATE DB -AW SELF CLOSING LATCH
3••s wD 'CONCRETE CAP STACKED STONE SPILLWAY AND: 1
SCALE Y4"= 1 '
8
MAIN HOUSE 200 AMP ELECTRICAL PANEL
DEMO CONCRETE SIDEWAL AS REQUIRED
FOR ACCESS, REPAIR CONCRETE WHEN
FINISH
i
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I
188 - 1-12" POLYPROPYLENE GAS PIPE
ELECTRIC CONDUIT
JF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
2mim DRIVE WAY'
/ GUN ITE GATE REVERSAL
RANDOM STONE VENEER FACE DEEP END RAMP REMOVE n RENANG 1
: •:4T` EXTEND Ltl STEP
LOVESEAT - V_
SPA SPLIT MAIN DRAIN SUCTION MINIMUM T APART. SPILLWAY TYPE STACKED STONE B' w MAY 14
ANTI -COVERS 10" ASME /ANSI APPROVED cANnLEvER ND .RT. --D. AUGUST 2014
COPING CONCRETE OTH ER I. AQUA UNK
"SPA AT 18"
RB.B.-SEE STEEL
4,$ WD .. .. CABANA
�:•••,.• /`.•• 'OW14ZR RESPONSIBILITIES'
POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART. OWNER TO,(1) DETERMINE THE O
/ ANTI -COVERS IO"ASME/ANSI APPROVED MTAKE WMETHAPPOOLANDEQUIPMNTELEVATION OFPDOLORSPAUB ECT TO AC MYNCEOF OF ATKW.
(A LOCAL BUILDING
IGD POOL AT THE WE OFISSUA CE OF PERMITTOACCEPTANOE OF
LOCALBLMWNODEPARnaELL AT THETGIFOF ONLY FOR
.•.�'••. j (n AGREE THAT HAOTESERREIS NOT RESPONAT SIBLE
MICE WLYWRRMNDITIOYS R3 ROBJEELL IS INSTALLED.
� ' .'. a'• P)
AND ANY GUNGE�E CURBaB, SIDEWALK& DRIVEWAY UNDERGROUND OR OTHER ITEMS NS MTI�A�CCES9AREA
l9 SEE TNAT ALL FENCING GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
169 SO.FT. COPING AND CAP PRIOR TO WiEP1ASTER INSPECTION.
R) FRLPOOLwAEDUT RINSPECION. L(FOLLOWIN9IHLICTION9-DD NOT USE RUBBEA NOBS)
/ m TAKE NOTICE THAT TWS DRAW,NG IS THE SOLE PROPERTY OF TESERRA.0 TIMI ANY IDS): WITHOUT
530sam CONCRETE DECKING W+RTTEH PERMSaON OF TESEARA IS PROmS,TED BY LAW.
SPS APPR0VE8P POOL AND DRAPOEINLOGTpN9 AND HAB RFAI,—AESPONSR sANO wln s.90.
TURES) DATE
�QZ CITY OSA ^QUINT SWIMMING POOL PLAN FOR:
POOL/ SPA LIGHT JUNCTION BOX vl NG & SAFETY DEP SIN
POOL/SPA LIGHT ON GROUND FAULT C C I&*9I E JOHNSON RESIDENCE 1 OF 3
APPROVED
EET 79-690 BAYA 07
/ JLOE ADDRESS ICITY LA DUI A
, PH NE OFFICE RES
REPAIR LAWN AS REQUIRED FOR CONSTRUCTION MAA TRACT PAGE BOOK
D Z MBOOK PAGE NO. ICITY
VP , MAI ADDRESS
CO STRUCTION OFFICE PHONE NO.
ALE 1 DATE I DESIGNED BY I PROJECT MG C BY
POOL EQUIF
WITH 30" CL
REMOVE PLANTS
TRENCHI
POOL EQUIPMENT: 400,000 BTU mpUMq E
'ALL EQUIPMENT SHALL BE SEIS
MENT 50 AMP SUBPANEL��
RANCE AT FRONT AND SIDE
AS REQUIRED FOR SAFETY FEATURES:
•ALL TYFORTESnNNTCDVER MATERI MATERIALS OR
G. REPLACE WITH SAME SOCIETY Epi TESTINOAND MATERW.90P TXE AIAFAICAN SOCIETY OF NECHAMCAI ENGINEERS(ASME)
H AMTING ERICAN OCTET OFMEClANDARDSOFTHEAMENIRS(
iitwi■.I�
04-28-14 JT. JH TOM H. li
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-ill■\\�..
9
.•
�:
117■\1":�
„
:�
SPECIE 5
2ALWHEN FINISH
`
/ GUN ITE GATE REVERSAL
RANDOM STONE VENEER FACE DEEP END RAMP REMOVE n RENANG 1
: •:4T` EXTEND Ltl STEP
LOVESEAT - V_
SPA SPLIT MAIN DRAIN SUCTION MINIMUM T APART. SPILLWAY TYPE STACKED STONE B' w MAY 14
ANTI -COVERS 10" ASME /ANSI APPROVED cANnLEvER ND .RT. --D. AUGUST 2014
COPING CONCRETE OTH ER I. AQUA UNK
"SPA AT 18"
RB.B.-SEE STEEL
4,$ WD .. .. CABANA
�:•••,.• /`.•• 'OW14ZR RESPONSIBILITIES'
POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART. OWNER TO,(1) DETERMINE THE O
/ ANTI -COVERS IO"ASME/ANSI APPROVED MTAKE WMETHAPPOOLANDEQUIPMNTELEVATION OFPDOLORSPAUB ECT TO AC MYNCEOF OF ATKW.
(A LOCAL BUILDING
IGD POOL AT THE WE OFISSUA CE OF PERMITTOACCEPTANOE OF
LOCALBLMWNODEPARnaELL AT THETGIFOF ONLY FOR
.•.�'••. j (n AGREE THAT HAOTESERREIS NOT RESPONAT SIBLE
MICE WLYWRRMNDITIOYS R3 ROBJEELL IS INSTALLED.
� ' .'. a'• P)
AND ANY GUNGE�E CURBaB, SIDEWALK& DRIVEWAY UNDERGROUND OR OTHER ITEMS NS MTI�A�CCES9AREA
l9 SEE TNAT ALL FENCING GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
169 SO.FT. COPING AND CAP PRIOR TO WiEP1ASTER INSPECTION.
R) FRLPOOLwAEDUT RINSPECION. L(FOLLOWIN9IHLICTION9-DD NOT USE RUBBEA NOBS)
/ m TAKE NOTICE THAT TWS DRAW,NG IS THE SOLE PROPERTY OF TESERRA.0 TIMI ANY IDS): WITHOUT
530sam CONCRETE DECKING W+RTTEH PERMSaON OF TESEARA IS PROmS,TED BY LAW.
SPS APPR0VE8P POOL AND DRAPOEINLOGTpN9 AND HAB RFAI,—AESPONSR sANO wln s.90.
TURES) DATE
�QZ CITY OSA ^QUINT SWIMMING POOL PLAN FOR:
POOL/ SPA LIGHT JUNCTION BOX vl NG & SAFETY DEP SIN
POOL/SPA LIGHT ON GROUND FAULT C C I&*9I E JOHNSON RESIDENCE 1 OF 3
APPROVED
EET 79-690 BAYA 07
/ JLOE ADDRESS ICITY LA DUI A
, PH NE OFFICE RES
REPAIR LAWN AS REQUIRED FOR CONSTRUCTION MAA TRACT PAGE BOOK
D Z MBOOK PAGE NO. ICITY
VP , MAI ADDRESS
CO STRUCTION OFFICE PHONE NO.
ALE 1 DATE I DESIGNED BY I PROJECT MG C BY
POOL EQUIF
WITH 30" CL
REMOVE PLANTS
TRENCHI
POOL EQUIPMENT: 400,000 BTU mpUMq E
'ALL EQUIPMENT SHALL BE SEIS
MENT 50 AMP SUBPANEL��
RANCE AT FRONT AND SIDE
AS REQUIRED FOR SAFETY FEATURES:
•ALL TYFORTESnNNTCDVER MATERI MATERIALS OR
G. REPLACE WITH SAME SOCIETY Epi TESTINOAND MATERW.90P TXE AIAFAICAN SOCIETY OF NECHAMCAI ENGINEERS(ASME)
H AMTING ERICAN OCTET OFMEClANDARDSOFTHEAMENIRS(
=1
04-28-14 JT. JH TOM H. li
LJ_
O
9
REVISIONS DATE:
1 CHANGED FIRE PLACE BRAND 05.09.14
SPECIE 5
2ALWHEN FINISH
ELECTRICAL' I
EOUIPOTENTIAL BONDING REQUIREMENTS SHALL BE INSTALLED TO ELIMINATE VOLTAGE
GRADIENTS IN THE POOL AREA AS PER CEC ART. SW25.
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2013 CALIFORNIA.BUILDING CODE(BASEDON2DO6I
2013 CALIFORNIA MECHANICAL CODE (BASEDON UMC)
w
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201 3 CALIFORNIA PLUMBING CODE (BASEDON PC)—.—.�
29 1 3 CALIFORNIA ELECTRICAL CODE (BWMEDON NEC)
201.3 CALIFORNIA ENERGY EFFICIENCY STAN ARDS
GOVERNMENT CODE SET. nON 4210.7�,EXVAT(IO)11) EXCEPT IN AN EMERGENCY, ANY PERE$QON
ACT THE APPROPRIATE R
NOTIF7PLANNING TO CONOUCTAhGTION CENTER, ATEb18TrTNAD YVORNDtO D/1OVS SLIT NOT MORE THAN 141
DAYS. PRwR C�OA fIMENCI�NO THAT IXCAV�TION, If THE FXCAVATON WIM 8E CONQIICTED -
/-1
V /
Y•�/
(I_
6 0
7
8
cv
//
/ / 7
—� REPAIR LAWN AS REQUIRED
/
SAWCUT DRIVEWAY FOR GAS1111 IC
9aVATOR AND IF PRAcncu, THE EXCAVATOR SHAI! DELINEATE WHIT WHITE HaNIT OR SELECTIONS
OTHER SUITABLE MARMNO THE ARE TO BE EXCAVATED
CONSTRUCTION AUTHORIZATION STONE QUARTZ GOLD RUSH
III F 11 NPT CERAMIC RXR SO7 RANI] PIC