14-0585 (ELEC):r
•�1 � P � e
fi Y
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000585
Property Address: 78775 SAGEBRUSH AVE
APN: 767 -070 -015 -
Application description: ELECTRICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under pr isions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and ofessianal C , and my License is in full force and effect.
License Class: B -D03 `` se No.: 326317
Cate:r�'''l9'(( Contractoor,
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.).
1 _ 1 I am exempt under Sec. , B.&P.C. for tljs' reason
Date: D — V'( T 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: 11 -
Lender's Address
LQPERMIT
VOICE (760) 777-7012
FAX. (760) 777-7011
INSPECTIONS (760) 777-7153
Owner: --"
JERRY & DEEDEE HOW
ARI
78775 SAGEBRUSH AVE.
LA QUINTA, CA 92253: jjvv Q �t1 �14.
( !H! i�
LA
Contractor:
HAUSNER CONST CO, L
1541 PARKWAY LOOP, STE E
TUSTIN, CA 92780
(714)544-3100
Lic. No.: 326317
5/06/14
-----------------------------------------------
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.
khave 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 INS Policy Number CA20012319131
f certify that, in the performance of the work for which this permit is issued, I shall not employ any
V_ person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the,.work:K compensation provisions of Section
�.� l
3700 of the Labor Code, I halarthwi o p� w those provisions.
D� '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 w
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 o I agree to comply with all
city and county ordinances nd state laws relating to building on uction, an authorize representatives
off this tyeptep 7p the above-mentioned property i ction p
Date /V. {Signature (Applicant or Agent �
Application Number . . . . . 14-00000585
Permit . . .
ELECTRICAL
2013
Additional desc . .
Permit Fee . . . .
35.75
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
11/02/14
Qty Unit Charge
Per
Extension
1.00 23.8300
LS ELEC
FIXTURES, FIRST 20
23.83
1.00 11.9200
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EA ELEC
APPLIANCES, RES
11.92
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 11.92
Issue Date . . . .
Expiration Date . . 11/02/14
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92
----------------------------------------------------------------------------
Special Notes and Comments
ELECTRICAL & PLUMBING - INSTALL NEW TUB
(2) DEDICATED 20 AMP GFI CIRCUITS AND
CONNECT TO EXISTING PLUMBING. 2013
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . PLAN CHECK, ELECTRICAL 11.92
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, PLUMBING 11.92
Fee summary _ Charged
Permit Fee Total 47.67
Plan Check Total .00
Other Fee Total 114.41
Grand Total 162.08
LQPERMIT
Paid Credited Due
.00 .00 47.67
.00 .00 .00
.00 .00 114.41
.00 .00 162.08
Bin#
City of La Quinta
Building til• SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
14 5g5
Project Address:`� S S� jJ� t� sL�
Owner's Name: L4f Q
A. P. Number:Address:
Legal Description:
City, ST, Zip: Z—A 2Uz 3.
Contractor:17 f -G
Telephone'
Address:
Project Description:
City, ST, Zip: lTLc �J<< �(fi /� :8 U
L.�,/�.
Tele ne b
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3
:
:City
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State Lic. # :�� %
Lic. #.:
Arch., Engr., Designer:
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Address:
City., ST, Zip:
Telephone:
Constru ction Type: Occupancy:
:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: .' r `{ L ��
Sq.. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: o J
Estimated Value of Project: L'�
APPLICANT: DO NOT WRITE BELOW THIS LINE
si
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
TrusrCalcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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 Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person.
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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A ✓, :
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
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O 2013 Jacuzzi Luxury Bath • For additional information call Customer Service 800-288-4002 • www.jacuzzi.com/technica/specs
Refer to installation instructions included with fixture before beginning installation. Please confirm product availability and specifications before commencing with any installation work.
PRODUCT SPECIFICATIONS AND AVAILABILITY ARE SUBJECT TO CHANGE WITHOUT NOTICE. LX64000
COMBINATION
WHIRLPOOL PURE AIR
SOAKING BATH
Outer Dimensions
52" L x 29.63" W x 36.50" H
(L) x (W) x (H)
1321 mm L x 753mm W x 927mm H
Drain Location
Left Hand I Right Hand
Bath Weight (empty)
220 lbs (100 kg)
203 lbs (92 kg) 182 lbs (83 kg)
161 lbs (73 kg)
Total Weight /
780 lbs 175 lbs/ft'
Floor Loading
354 kg 1366 kglm'
Operating Gallonage (min -max)
55 (min) / 63 (max) U.S. Gals
208L (min) / 238(max) L
A - Overflow Height
31.50" (800mm)
B - Drain Rough -In (Side Wall)
10.75° (273mm)
C - Drain Rough -In (Back Wall)
13.38" (340mm)
D - Drain Shoe Length
8.00° (203mm)
E - Rim Height
2" (51mm)
F - Deck W dth'
4" (102mm) 'Deck width reflects indicated area only.
G - Service Access Dimensions
See Illustration Below
H - Overall Height
36.50" (927mm)
Water Heater Capacity
(Minimum Recommended)
50 Gallons (189 L)
Electrical Specifications
Device Power Requirements
Blower
120V, 5.OA, 6011z. 50OW Motor, 60OW Heater
NA
120V. 5.OA, 60Hz, 50OW Motor, 600W Heater
NA
Pump/Motor (Ozone)
120V, 7.OA, 60Hz / (120V, .25A, 60Hz)
120V, 7.OA, 60Hz / (120V, .25A, 6OHz)
NA
NA
Heater
120V, 12.5A, 60Hz, 1.5kW
120V, 12.5A, 60Hz, 1.SkW
NA
NA
Light
120V, 1.6A 80Hz
NA
NA
NA
GFCI-protected circuits.
Two dedicated 120V. 20A, 60Hz
One dedicated 120V, 20A, 60Hz
One dedicated 120V, 20A, 60Hz
NA
Combination
Left -Hand Model Illustrated
Top
Drain/Overflow
10.75" (B)Heater
4" (F)'
Blower
CL Overflow
Spout
-
Pump/
Cold
13.38 (C) ZMotor
31.50" (A)
Hot o
--- _ 20.27°
Hand
Held 29.63"
Drain Bottom
Service Access (G), Service Access (G),
Drain
8.0" (D)
5.75" x 13.5°
22.0" x 13.5"
10.75" (B)
2.0" (E)
-52.0" (L)
27.25" 45.5"
I F--- 22.0"--I I
L
fit
Door
16.62°
36.5°
(H)
L33.84'
17.63°
E I -
a
14.0"
TIL
f— 28.63"—►i f
1'14
Front
End Cross Section
O 2013 Jacuzzi Luxury Bath • For additional information call Customer Service 800-288-4002 • www.jacuzzi.com/technica/specs
Refer to installation instructions included with fixture before beginning installation. Please confirm product availability and specifications before commencing with any installation work.
PRODUCT SPECIFICATIONS AND AVAILABILITY ARE SUBJECT TO CHANGE WITHOUT NOTICE. LX64000