12-0634 (RPL)PCO. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000634
Property Address:
80065 NORTH RESIDENCE
.APN:
775-380-999-8 -31627
Application description:
POOL - RESIDENTIAL -
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
18000
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CLUB DR NADADOR, LLC
- 78120 CALLE ESTADO, SUITE 203
LA QUINTA, CA 92253
Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury t at I n licensed under provisions of Chapter 9 (commencing with
Section 00 of Division 3 of the Busine s d Professionals Code, and my License is in full force and effect.
License la s: C8, 10, 27, 2 License No.: 656128
/Date: C� ontractor:
2' 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 70001 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).:
(_ 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
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.).
1 _) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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: 1 11
Lender's Address: PIFA
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: ,6/07/12
Contractor
TESERRA Nn'
P.O. BOX 1280 ,'iG82012
COACHELLA, CA 92236 !t t 1
r
(760)398-9222
Lic. No.: 656128
------------------
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 Policy Number 7600006481121
I certify that, in the performance f the work for which this permit is issued, I shall not employ any
person in any manner so as to ec a subject to the workers' compensation laws of California,
nd agree that, if I should bec subject to the workers' compensation provisions of Section
. Q 37 of the Labor Code, I sh rthwith comply with those provisions.
Xate: v �2 plicant:
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 information is correct. I agree to comply.with all
city and county rdinanc and state laws relating to buildin construction; and hereby authorize representatives
of t ' count o er on the above-mentioned property f r ' pection purposes.
pate: C Signature (Applicant or Agent):
Application Number .
. . . . 12-00000634..
Permit.
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
189.00 Plan Check Fee
122.8.5
Issue Date
Valuation . . .
. 18000
Expiration Date
12/04/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
------------------------=---------------------.-------------------------------
THOU BLDG 2,001-25;000
144.00
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"
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation
0
-Expiration Date
12/04/12
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 . . . . . 12-00000634
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 25.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 996
Expiration Date •12/04/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 HND BLDG 501-2,000
10.00
------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, FIREPIT, BBQ, INCLUDES 126
L.F. 1 1/2" GAS LINE. 46 L.F. 5' GARDEN
WALL, CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION. 2010 CODES.
-
-------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
-------
-------------
1.00
STRONG MOTION (SMI)
- RES
1.80
Fee summary ACharged Paid Credited
------------------------------
----------
''Due
---------"--------
Permit Fee Total 318.00 .00
.00
318.00
Plan Check Total 148.85 .00
.00
148.85
Other Fee Total 2.80 .00
.00
2.80
' Grand Total 469.65 .00
.00
469.65
LQPERMIT
• J
I BBBBBBo
I' NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
• NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
• PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
POOL EQUIPMENT: 400,000 BTU HEATER
'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
I -NEW Sd' HIGH CMU
811B'X18' WALL
ELECTRIC CONDUIT
v 128' -1=' POLYPROPYLENE GAS PIPE
�� G/`TA1fsK AIFW rL ulna rel
1~,/19 S►7!w/DATe<ABS B'e18' W I I
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 / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT WILL VARY
12r -Ty' . I.
'FIRE PIT AT .12' CAP BY OTHERS AND
TILE VENEER FACE, }'-BRONZE FIRE
GLASS MEDIA. VALVF ANn av
T-0'Xr-0' RAISED SPA AT Ar CAP SY OTHERS,
STACKED STONE SPILLWAY AND TILE VMM
FACE, 4 JETS ALTERNATE HEIGHTS
PL 100 WATT SPA LIGHT
POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART,
ANTI -COVERS 10' ASME /ANSI APPROVED,'
I
DEC ONO BY OTHERS
MASONRY BBQ TILE COUNTERTOP AT
+38' WITH 30' BARBECUE, GRILL AND FLEX LIGHT
300 WATT POOL LIGHT
I
SPECIFICATIONS
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6UB BASE CONGETE8YOf16ffi
TYPE R>1nF
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DEPTHS MN- 78 MAX
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POOL 6 SPA COMBINED 314 SOR.I NLNFT.
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s(.ue DATE DESICNEDBY �AN.A
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DATE 7 /3Y 06-04-2012 JT. REVISS ..__
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2010 CALIFORNIA PLUMBING CODE (BABEOONT®WO)ORARANO,
2010 CALIFORNIA ELECTRICAL CODE (a1BEDONMNEC)
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City. of La Qu%lim ,
Building 8t Safety Division
P.O. Box 1504, *78-495 Calle Tampico
4 Qtdnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: Q -O6 S Al• S1V6"jC� -P
Owner's Name:. �S.rDCJJ
A. P. Number.
Address: (9 0 - 06 S Al - trD c.<- CL -M Przw '
Legal Description:
Contracto . i.s nm&
City, ST, Zip: LA 0.0 NT cA 222
rs -<
Telephone: WIN $�''�• �, ,��
Address: /00 ✓E sv
Project Description:
City, $T, Zip: Z3
% L r • a
Telephone:
G )C7
2
State Lia # S G / Z S CityLio. #,
Ard , Eagr., Designer
Address:
City., ST. Zip: '
Telephone:
State Lia #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.. Ft; # Stories: # Units
Name of Contact Person: �0 M r Z .
Telephone # of Contact Person: -;1-60 .2 o 7 /
Estimated Value of Project Q O
APPLICANT: DO NOT WRITE BELOW THIS UNE
d
Submittal
Req'd
Rec'd
TRACMNG
PERMITFEES-
Plan Sets
Plan Check submitted
l y
Item
Amount
Stmctural Calm
Reviewed, ready for correcHous
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zi° Review, ready for correctionstissue
Electrical
Subeontactor list
Called Contact Person
plumbing
Grant Deed
Plans picked up
MI.
H.O.A. Approval
Plans resubmitted
Grading
DY $OUSE:-
Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.IP.P.
Pub. Wks. Appr -
Date of permit issue
School Fees
Total Permit Fees