12-0915 (RPL)P.O. BOX 1504 ^'
78-495 CALLE TAMPICO 40
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 12-00000915
Property Address: 61232 CACTUS SPRING DR
APN: 764-280-999-19 -300235-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 25000
Owner:
BRYAN HUTTON
61232 CACTUS SPRING DRIVE
LA QUINTA, CA 92253
VOICE 6 -7012
FA (76 7 7011
INSPECTION (7 77 -7153
Date: 8/14/12
Applicant: Architect or Engineer:
Contractor: ^ 11
PICASSO POOLS INC u
42335 WASHINGTON ST ST
PALM DESERT, CA 92211
4 2012
01pt
c O
(760) 345-4600 br—
Lic. No.: 810111
LA
C1" of: EP'r•
D
FINANCE
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and*my License is in full force and effect._
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B C27 C license No.: 810111
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
C I. J1 .�
ate: 11 YI\ y D ntractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1960476-2012
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the abor Code,11 s el orthwi omply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
Zy
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: �� pplicant:
(_ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 _ 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.).
I—) 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: fit
LQPERMIT
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 Ouinta, 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 co t coon, an by authorize representatives
of this c y to enter upon the above-mentioned property f action purposes.
Date: (C. ignature (Applicant or Agent):
Application Number . . . . . 12-00000915
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00
Plan Check
Fee
163.80
Issue Date . . . .
Valuation
. . . .
25000
Expiration Date
2/10'/13
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
207.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
2/10/13
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 . . . .
45.00
Plan Check
Fee
11.25
Issue Date . . . .
Valuation
0
Expiration Date
2/10/13
Qty 'Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 30.0000
---------------------------------------------------------
EA ELEC
PRIVATE SWIMMING
POOL
-------------------
30.00
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
33.00
Plan Check
Fee
8.25
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
2/10/13
Qty Unit Charge
Per
Extension ..
BASE
FEE
15.00
2.00 6.0000
EA PLB
FIXTURE
12.00
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
Permit . . . . .
WALL/FENCE
PERMIT
LQPERMIT
Application Number . . . . . 12-00000915
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check'Fee
.00
Issue Date . . . .
Valuation . . .
. 128
Expiration Date 2/10/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
-----------------------=----------------------------------------------------
Special Notes and Comments
POOL/SPA, 716" L.F. 4' GARDEN WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. 2010
CODES.
------------------------=---------------------------------------
Other Fees BLDG STDS ADMIN (SB1473)
------------
1.00
Fee summary Charged Paid
----------------- ------ --- ----------
Credited
----------
Due
-
Permit Fee Total 371.00
----------
.00 .00
371.00
Plan Check Total 189.80
.00 .00
189.80
Other Fee Total 1.00
.00 .00
1.00 ;
Grand Total 561.80
.00 .00
561.80
LQPERMIT
SPOOL.
` 18'x9' @ +0"
46" WATER DEPTH
VARIOUS BENCH DEPTHS
2 - SPA LED LIGHTS
10 -JETS
BOULDER WATERFALL @ +42" 6- +S6' PEBBLE FINISH, TILE WATERLINE
MULTI -SPILL NATURAL LOOK CONCRETE COPING
2 - UMBRELLA SLEEVES
Sxm
_ 0
Q r�
�A__l Ww
CITY STANVARP EQUIPMENT WAW
Avx
STUCCO/PAINT TO MATCH
OKIP AKOUNP WOOL PERIMETER
91001
INSTALL 2158F OF SELOAKI?
MEWAR011. PAVEKS TO MATCH
REUSE 1208F OF EXIST10 MATERIAL
s � -• e
BUILDINGUNI k
CITY OF LA QUINTA
DEPT.
APPROVED
FOR
-
.- • - •
DA :.
Pi 0
Poolpl-a ndscape
39301 BADGER ST. STE. 700
PALM DESERT, CA 92211
PH. (760) 345-9300
FAX (760) 200-0779
LIC #810111
EXISTING BBQ TO REMAIN
EXISTING DECKING TO REMAIN
EXISTING FIRE PIT TO REMAIN
TIE INTO EXISTING DRAINAGE
1$0 LF OF 1.5" GAS LINE
POLY-ETHELENE PIPE
400,000BTU DEMAND
194 LF OF ELECTRICAL CONDUIT LINE
USING 4 GAGE WIRING
UTILITIES
ACCESS
I
81° # City of La Quinta
Building 8t Safety Division
Permit # P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 3a S n ` Owner's Name:
A. P. Number:
Address:61p ,
Legal Description:
City, ST, Zip:
Contractor: I C SSO
C .
Telephone:
_
Address: -9
15
Project Description:
City, ST, Zi M .i'4CCft
Tele hone
C1 ZZkMOW
a;a -:•
Stale Lie. # :
City Lie. #; 3 Q 8
Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone:
x ;�. ' �� .
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: L90)
3 51 4 (Q Cc
to
Estimated Value of Project: 7
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Pian Sets
Plan Check submitted Item Amount
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit
'buss Cates.
Called Contact Person Platt Check Balance
Tide 24 Cates.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2n4 Review, ready for correctionslissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'"` Review, ready for correcdonsAssue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Pool and Spa Heating Systems requirements
§I14(a): Systems and Equipment.
17"1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
FJ"'2. Has a readily accessible on-off switch mounted outside of the heater.
Ef 3. Weatherproof plate or card containing operating instructions for the pool or spa heater.
ff� 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.
13/5. Heating system has no pilot light.
§114(b): Installation.
E 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.
ET 2. A cover for outdoor pools or spas that have a heat pump or gas heater.
FK, 3. Pool system has directional inlets to adequately mix the pool water
,r4. Time switch which will allow the pump to beset or programmed to run during off-peak periods only
§150(p1 Pump Sizing and flow rate specification
R( 1. The pump specified is listed in the CEC database of certified pool pumps.
0� 2. The pump flow rate shall be calculated based on pool sizing table below.
3. The pump is capable of operating at 2 or more speeds (not applicable if pump is less than l horsepower).
4. Each auxiliary pool load is served by either a separate pump, or the system is served by a multi -speed pump.
Pool sizin alues are based on a maximum allowable turnover rate of 6- hours
Max Pool.
Volume
(gallons)
Min Pipe D or Greater
inches)
Min Filter Area or more
(sqare feet
Max Pump
Flow m
Return
Suction
Cartridge Sand
DE
13,000
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
210 5.2
40
78
42,000
2.5
3
320 7.8
60
117
48,000
3
3
360 8.9
70
133
Note: For, pumps greater than / hp. The maximum Pump Flow is the lowest speed default filtration
CT 5. Calculated volume of pool 3!;Dp (gallons).
❑ 6. Return Pipe Diameter 2'/ (inches).
❑ 7. Suction Pipe Diameter
I" 8. Filter Type 66 (Cartridge, Sand, DE).
❑ 9. Filter Surface Area 13- (sf).
❑ 10. Max Pump Flow L► 0 Gila & 7 SD ON (gpm)
,`' 2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-03
Pool And Spa Heating Systems (Page 2 of 2
Site Address: t� Enforcement Agency: Permit Number:
(,,i�-3d c ,J� smipw, `)Q— a" of- UQ,,: 1 11.415
System Piping
1r 1. 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 sizes).
d 2. The design uses low, pressure drop fittings (sweep90's)
Pipe Diameter Required Pipe Length
inch leading into pump (inch)
1.5
6
2
8
2.5
10
3
12
Filtration Equipment
❑ 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
I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
I 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).
1 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.
• I reviewed a copy of the Certificate of Compliance (CF -I R) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met.
• I 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. I understand
that a signed copy of this Installation Certificate is required to be includedwith the documentation the builder provides to
the building owner at occupancy.
2008 Residential Compliance Forms August 2009