12-0622 (RPL)4 P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
12 - 00062.2 Owner:
Property Address: 7'205'NOR'-ESIDENCE CLUB DR NADADOR, LLC
APN: 775-380-999-20 -31627. - 1 78120 CALLE ESTADO, SUITE 203
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES
Application valuation: 18000 D
Contractor:
Architect or Engineer: TESERRA Iul
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Im licensed under provisions of Chapter 9 (commencing with
Section 7000) of ivision 3 of the Business ald Professionals Code, and my License is in full force and effect.
License Class: 8,,10, 27, 2 License No.: 656128
/ate: lL ontractor:
- 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).:
(_ 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.).
(_ 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 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
Date: 6/06/12
.JUN 08 2012
CITY OF ! A
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty.of perjury one of the following declarations: '
1 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.
1 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 s as to become subject to the workers' compensation laws of California,
gree that, if I sho b ome subject to the workers' compensation provisions of Section
7 of he Labor Cod shall forthwith comply with those provisions.
late: v 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.
1 certify that I have read this application and state that thea ve information is correct. I agree to comply with all
city and county or finances and state laws relating to buildi co struction, and hereby authorize representatives
of This county t e r upon the above-mentioned property spection purposes.
Date:
/2gnature (Applicant or Agent):
Application Number . . . '12-00000622
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
189.00 Plan Check Fee
122.85
Issue Date . . . .
Valuation . . .
. 18000
Expiration Date
12/03/12
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
12/03/12
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
12/03/12
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/_03/12
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
---------- -------------------------------------------------------
Special.Notes and Comments
DEMO EXISTING POOL. BUILD NEW POOL/SPA,
LQPERMIT
Application Number . . . 12-00000622
----------------------------------------------------------------------------
Special Notes and Comments
BBQ & FIREPIT. INCLUDES 67 L.F. 1 1/2"
GAS LINE. ALARMS/BARRIERS SHALL BE IN
PLACE AT PREPLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED. 2010
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
----------------------------------'---
Credited
--------------------
Due
Permit Fee Total 293.00
.00
.00
293.00
Plan Check Total 148.85
.00
00
148.85
Other Fee -Total 1.00
.00
.00
1.00
Grand Total 442.85
.00
.00
442.85
LQPERMIT
r
• NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
• NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
• PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
POOL EQUIPMENT 50 AAF SUBPANEL
WITH 3D' CLEARANCE AT FRONT AND SIDE
POOL EQUIPMENT. 400,000 BTU HEATER- EXISTING
*ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
1 NEW JANDY VARIABLE SPEED PUMP 2.0 HP
1 DANDY 480 SQ.FT FILTER - EXISTING
NEW 5'4' HIGH CMU
8k8'x18' WALL
ELECTRIC CONDUIT
18T -1? POLYPROPYLENE GAS PIPE
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 A PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURERS
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT WILL VARY
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REb I u c I�..� --
TANNING SHELF AT S' WATER DEPTH
WITH TWO UMBRELLA SLEEVES
DECCO DRAIN BY OTHERS
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DECCO DRAIN BY OTHERS
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P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �
Project Address: go 2 O S .
Name: . �ES rp�,v L J tom. Lar20
A. P. Number
FAdWdrew.
Legal Description:
,�
Como• /
., Zip: LA v Vii►
Telephone:
Address: (g / O O
Project Description: (n/ .
City, ST, Zip:
r L� O
Telephone: O 398 92 22 r " `fit `
�r
/AzOAAS LIME-
1 517,tl4 5
State Lic. # : S 6 / Z 8 City Lie.. #'
Arch, Engr., Designer.
Address:
City.,. ST. Zip:
Telephone:
State Lia #: -
Construction Type:. Occupancy:
Project type (crrcte one) New Add'n Alter Repair Demo
Sq: Ft : # Stories: # unit;:
Name of Contact Person: nnr ' Z
Telephone # of Contact Person: p . Z 0 23 tq
Estimated Value of Project: O O C7
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Raga
Recd
TRA46MG
PERMITFEES"
Plan Sets
Plan Check submitteda�s
Item Amount
Stmdural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calce.
Called Contact Person
Plan Check Balance"
Title 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Giadiag plea
2' Review, ready for correctionsfissue
Electrical
Sabeontactor List
Called Contact Person
Plumbiag
Great Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
BY $OUSE:-
2' Review, ready for correctionsAssae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees