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12-0624 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000624 Property Address: 80045 NORTH RESIDENCE APN: 775-380-999-7 -31627 Application description: POOL- RESIDENTIAL Property Zoning: MEDIUM DENSITY RES Application valuation: 14000 4 BUILDING& SAFETY DEPARTMENT BUILDING PERMIT Owner: CLUB DR NADADOR, LLC 78120 CALLE ESTADO,.SUITE 203 LA QUINTA, CA 92253 Architect or Engineer: PIA ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of he Business Ind Professionals Code, and my License is in full force and effect. License Class: 8 10 2 License No.: 656128 ZD.te:W,�',ZXontractor: ' 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.). (_ 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.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 FE; Contractor:082nq2TESERRA 111P.O. BOX 1280COACHELLA, CA 921)NTA (760) 398-9222 Flf1l�?�iI;Pr Lic. No.: 656128 Date: 6/07/12 r ----------------------------------------------- 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. V_ 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 s to come subject to the workers' compensation laws of California, and agree that, if I shout b ome subject to the workers' compensation provisions of Section of the Labor Code hall forthwith comply with those provisions. o 111 -ate: 41" /Z 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 Xtion is correct. I agree to comply with all city and county or finances and state laws relating to buildin, and hereby authorize representatives of this/county en upon the above-mentioned property purposes. D� L nature (Applicant or Agent): Application Number . . . . . 12-00000624 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 153.00 Plan Check Fee 99.45 Issue Date . . . . Valuation . . . . 14000 Expiration Date 12/04/12 . Qty Unit Charge Per Extension BASE FEE 45.00 12.00 .9.0000 THOU BLDG 2,001=25,000 108.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 12/04/12 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 ... 12/04/12 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 . . . .27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 12/04/12 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 SPA, FIREPIT, 46 L.F. 5' GARDEN WALL @ LQPERMIT Application Number . . . . . 12-00000624 ---------=-------------------------------------"----------.------------------- Special Notes and Comments EQUIPMENT ENCLOSURE & COURTYARD _ CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. 1 ------------------ BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ---------- Paid Credited -------------------- Due --------------------------- Permit Fee Total. 251.00 .00 .00 251.00 Plan Check Total 123.95 .00 .00 123.95 Other Fee Total 1.00 .00 .00 1.00 Grand Total 375.95 '.00 .00 375.95 • LQPERMIT NO EXISTING LANDSCAPE LIGHTING IN REAR YARD • NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY POOL EQUIPMENT 50 AMD' SUBPANEL WITH 30' CLEARANCE AT FRONT AND SIDE NEW 5'4' HIGH CMU 8*18'x18' WALL POOL EQUIPMENT: 400,9DD BTU HEATER 'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED ELECTRIC CONDUIT 1128' - It POLYPROPYLENE GAS PIPE 7�Lf /oTR�--uFTur�l•wN:wnmli (',Y SirenA3jA•YLrRtiTR•.lrrwml � GAS METER MAIN HOUSE 200 AMP ELECTRICAL PANEL INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH SECTION 114 - MANDATORY REQUIREMENTS EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS TO THE POOL POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, t FIELD LAYOUT WILL VARY T . MSQR IPOOL AREA CONUFTE BI OTHERS 253 SQFT. I SUB BASE CONCRETE BYOTHBm A F-2a+Y• Ce NTA 'ETY DEPT. APPR TIED FOR CONSTR CTION sa�•sa t DATE 7 Z BY 49'-11' SB. I! IIo0Raw TIE TRY MD.OFETB 4 BDIP.HMWB_ PaErt Y®AT NSI QUVMFOUD_ um 1-SGIY 80PNIS. RM TLE S% RAMMAT 4 — /-- -- SIWAYTYTE IOURM0T6NIAYIF4a — N®IOBOBRi ROIIIDBDD®al— SPIEK FENCING DECKING EXOAV I N / STEEL GUN ITE 00Fgm ROOD BOBDad UNBEhT WR' TYPE SFUMYTff T:.NTILNaR coltlal Pi � RBI ' RBA•SEE ORE. TJO•AIdORJONTa_ ELP47 M BY THE TJIVATORA'AFPRNCIx/6THE DMATDRSIV UDS2FATEIInWITERWORO06R ID SUUBIE14MMMI EARETOBEE)MVATID CANnUMR— TI®T3oTaav BOULDERS WA OMDRA °— ROYEWIT J osaUW— ONIpETERSIM l Rama Q.Wcom— saDREYWIL R6bB arae ftaxRSlaft0I WJMTMR30KOY TIES FLaMTmR AsWR aAIDA1DtEd®1 PEBBIRAS 'SANDY BEACH' PEBBLE TEC v (� 1 1 I� 1 1 WW u FIRE FIT AT +18' CAP BY OTHERS AND TILE VENEER FACE, P BRONZE FIRE GLASS MEDLA, VALVE AND KEY e'ay SEATWALLAT +18'VM STONE FACE AND CONCRETE CAP BY OTHERS SPA AT 0' DECCODOAINBYOTHERS ` SUB BASE CONCRETE BY OTHERS t t \t t 58'-' SB. t m SPECIFICATIONS T(PF QUbME 8 X_ SURFACE AREA OF POOL ONLY PERRETER DEPTHS YBL VAX POOL B SPA CODE) ,aa • ^e as i.. .,•�� SRI6TMnuwuTN IIo0Raw TIE TRY MD.OFETB 4 BDIP.HMWB_ PaErt Y®AT NSI QUVMFOUD_ um 1-SGIY 80PNIS. RM TLE S% RAMMAT 4 — /-- -- SIWAYTYTE IOURM0T6NIAYIF4a — N®IOBOBRi ROIIIDBDD®al— SPIEK FENCING DECKING EXOAV I N / STEEL GUN ITE 00Fgm ROOD BOBDad UNBEhT WR' TYPE SFUMYTff T:.NTILNaR coltlal Pi � RBI AOCBBHAOY STAT RBA•SEE ORE. TJO•AIdORJONTa_ ELP47 M BY THE TJIVATORA'AFPRNCIx/6THE DMATDRSIV UDS2FATEIInWITERWORO06R ID SUUBIE14MMMI EARETOBEE)MVATID CANnUMR— TI®T3oTaav BOULDERS WA OMDRA °— ROYEWIT DANDY RS-4'ONETOUC1fREIDEN osaUW— ONIpETERSIM l Rama Q.Wcom— saDREYWIL R6bB arae ftaxRSlaft0I WJMTMR30KOY TIES FLaMTmR AsWR aAIDA1DtEd®1 1 Tmsmwo PLUMBING HaTR JAM aM 410 {NOP. BXf.tH1AlU= /UYIIBi1II1 RETw VAW= POoINAIF JM .E MM 2OW VAR xloarBR.TAD — ICE — MUPW — 4QE — AHxxRAD — ama — HrATBR AYEH111 THHE— RS-401ETOUCH ' BDIP.HMWB_ PaErt Y®AT NSI ELECTRICAL: MASOWY SEAT VIAL 80PNIS. STONE1 EL DORADO STONE VENETOFIELD LEDGE AOOLOUREIB — DbrERT1TE DUALPM BLUE AUTO MOUE 1 t WW 4 — /-- -- 11d/18 YN." IOURM0T6NIAYIF4a — N®IOBOBRi ROIIIDBDD®al— WMOMP00. g=8063pmW YES IB —iBfETYPE FENCING pUgA=aM 21lr SUC7M & 2 t7 E'l= IBDR GATE GUN ITE 00Fgm ROOD BOBDad UNBEhT OATEReA30AL RBgYEa1BNND— ' SFUMYTff T:.NTILNaR coltlal Pi � •••. ••••• , m. w�r.snow�4 OTHER RBA•SEE ORE. -/- -/- /- BY THE TJIVATORA'AFPRNCIx/6THE DMATDRSIV UDS2FATEIInWITERWORO06R ID SUUBIE14MMMI EARETOBEE)MVATID OWNER RESPONSIBILITIES DIG f— RESIDENCE CLUB LOT 7 1 Ib'ul' I 0604E 2012 I OESIG!®9Y I PRDJE CiRAHMIxiR I OIECI®BT I "I GARAGE I REVISIONS MASONRY DECK SIGNATURE PRE-PEBBLE4— oruFJACENo1eaPaReDaTdPPr I�aE1M. a„ mro roa ro Dp rom oro gin u..a = o Q4Z wil MO W J U L.LJ Z LTJ 0 U) W SAFETY FEATURES: ALLAFDMWMETTMAROCAUTION1E:rMCU WffMWMCFT1EANDaMN SWETYFDRTBTMNDwTBwAGATIENWE BDCMOFMEDM OMOMPMQ nlar-ty ELECTRICAL: 3 STONE1 EL DORADO STONE VENETOFIELD LEDGE fMWOTBINLBD MR3YEBRa NNLLBEWTAMTOal TEYOLTAOE 4 — /-- -- =0031TONTIEP00LA1F4MPER=MT.6M 201 O CALIFORNIA BUILDING CODE (RAB®ONMMOC) 201 O CALIFORNIA MECHANICAL CODE (BAB®ONWUYC) 201 0 CALIFORNIA PLUMBING CODE (MBB]ON=UPC)+m K—. 201 D CALIFORNIA ELECTRICAL CODE (RNMONMMIEC) - /- -- l 5 5 G 6 11 /-' 201 O CALIFORNIA ENERGY EFFICIENCY STANDARDS 7 OOJBWE/f000EBEC1101InUPy(p EfTJPf NAN BEE®ITY,ANY P6a1DIRAR' TONIDIA.7 ANYDL'1VA1101181YLLCONTKTIIEAPNid'RATERWOIMlN0iRY1110Nf9iIBRATIEABFTNO ' all lDa00 GAYg BUF NOTMDETI .4$40AUMM DAY86PF"TOCDWBC 10THNTDrAVATCRFTM BTAVAYI WU BEODD lRMARE1TINTD10tlF1110RREASO lBNDRDBEC1O11TO CONTAN BUBD(FACEIIBTALLMENS OTHERTTMN THE U1DHaRDM FKiRESO1N®DROPBUTED -/- -/- /- BY THE TJIVATORA'AFPRNCIx/6THE DMATDRSIV UDS2FATEIInWITERWORO06R ID SUUBIE14MMMI EARETOBEE)MVATID SELECTIONS MASONRY DECK SIGNATURE PRE-PEBBLE4— oruFJACENo1eaPaReDaTdPPr I�aE1M. a„ mro roa ro Dp rom oro gin u..a = o Q4Z wil MO W J U L.LJ Z LTJ 0 U) W nlar-ty CONSTRUCTION AUTHORIZATION STONE1 EL DORADO STONE VENETOFIELD LEDGE SALES FIELD TILE I SERENGETI OLDUVAJ S'x8' ECLUBCRIVEUNDERGROUND DIG BOULDERS WA COLOR DECK BY OTHERS PRE-GUNITE DANDY RS-4'ONETOUC1fREIDEN PEBBIRAS 'SANDY BEACH' PEBBLE TEC MASONRY DECK SIGNATURE PRE-PEBBLE4— oruFJACENo1eaPaReDaTdPPr I�aE1M. a„ mro roa ro Dp rom oro gin u..a = o Q4Z wil MO W J U L.LJ Z LTJ 0 U) W Bla# OtOf� La QUII1td Bolog 8E Safety Division P.O. Box 1504,78-495 Calle Tampico U.Quinta, CA 92253 -:(760) 777-7012 Building Permit Applicationand Tracking Sheet Permit # lg Project Address: �j O O YS -AJ.r 1C/(,r C( Owner's Name:. S 1 pCnl 1 T A. P. Number. Address: g0 O Y$AL RES(:E L V Legal Description: Con �S . City, ST. Zap. a u Telephone: r Address: r00 A VC--' S . Project Description: City, ST, lap: 'e2 3 J6 (per Telephone: 0 P8 922Z. State Lie. #: S /. 2 8 City Lie'. #; N &&-I — w.ru CodKr • d,05- /* Arch., Engr., Designer. Address: City., ST. Zip: Telephone: State Lic #: , Construction Type: oc�upancY= Project type (circle one New dd'n Alter Repair Demo FL; # Stories: #Univ Name of Contact Person: 11,z CSq. Telephone #.of Contact Person: p 0 Estimated Value of Project: 0 O O APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Rcq'd Rcc'd TRACICYIVG . PERMIT FEES Plan Sets Plan Check submitted GG `J Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance. Titre 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechartica Giading plan 2i° Revicw, ready for correctionsfissue Electrical Subeoutaetor List Called Contact Person Plumbing Grant Deed Pians picked up S.1VL L ILO.A. Approval Plans resubmitted Grading IN ROUSE:- 3" Review; ready for correctionslissac Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees