13-1597 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00001597
Property Address:
57628 SALIDA DEL SOL
APN:
762-240-014-54 -34243 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
RL AG/EQ OVERLAY
Application valuation:
16000
Applicant: Architect or Engineer:
�-oM c4=�henc,�R QA.
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
hereby affirm under penalty of perjury that I am licensed under provisions of.Chapter 9 (commencing with
Section,70001 of Division 3 of'the, Business and Professionals Code: and"my License is in full force and effect.
License Class: C8, 10, 27, 2 LicenseNo.: 656128
Date: Contractor:
- 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 7600) of Division 3 of the Business and Professions Code) or
that -he or she is exempt n h i fthe.,
a d t e basis r o 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 ($560).:
1 _ 1 I, as owner of the property, or my employees with wagesas their -sole compensation will do the work, and
the.structure is not interided 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 tfie
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 _ 1 1, as owner of the property, am exclusively contracting with licensed,contractorsto 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. , BAP.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.I.
Lender's Name: _
Lender's Address:
LQPERAI IT
Owner:
AV CONSTRUCTION, LLC
315 S BEVERLY DR STE 208
BEVERLY HILLS, CA 90212
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/16/13
Contractor: A
TESERRA U
P.O. BOX 1280 IDECOACHELLA,
CA 92236 C + 2013
(7.60)398-9222
Lic. No.: 656128 CITYOFIrgI0U1HITe
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I haveand will maintain a. certificate of consent t& -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 ii issued: My workers' compensation
insurance carrier and policy number are:
Carrier EVEREST NATL IN - Policy Number 7600006481131
I certify that,in the performance of -the work for which this permit is issued, I shall not employ any
person irrany manner so as tobecomesubject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, l shaI forthwith comply with those provisions.
KDate: Applicant:
WARNS TO SECURE 'RKER MPEN ATI N COVERAGE I UNLAWFUL AND SHALL
G U C 0 SCO S 0 CO G S
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL .FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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, eacK 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 ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
4te:/44// Signature (Applicant or Agen /
Application Number . . . . . 13-00001597
Permit . . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/14/14
Qty Unit Charge Per Extension
1.00 178.7500 EA MISC POOL/SPA 178.75
----------------------------------------------------------------------------
Special Notes and Comments
POOL AND SPA AT REAR/SIDE YARD [DOUGLAS
FERRELL ENGINEERING] THIS PERMIT DOES
NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
December. 16, 2013 10:47:26 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, POOL 97.24
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMiT
Charged Paid
178.75 .00
.00 .00
98.24 .00
276.99 .`00
Credited Due
.00 178.75
.00 .00
.00 98.24
.00. 276.99
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet .
Permit #
Project Address: ��� DL
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor
C
Telephone:
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Address:
Project Description:
City, ST, Zip:
Telephone:
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State Lic. #
City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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...:.......................
Construction Type: Occupancy:
State Lic.#:
Project tYPa circle one): e Add'n Alter Repairair Demo
Name of Contact Person: _,�/
-v�'l.i��
Sq. Ft.: C���
#Stories:
# Units:
Telephone # of Contact Person: �j �,���J� �v
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted'
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
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 Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctio ss ,y b
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
RE
Isles
2W Irra
Total Permit Fees
DEC 112013
CITY 8F LA QUA
COMMUNITY DEVELOPM
STING LANDSCAPE LIGHTING IN REAR YARD
STING OVERHEAD UTILITY LINES IN REAR YARD
'URNITURE FOR ILLUSTRATION PURPOSES ONLY
15 WIDE CONCRETE COPING WITH LIGHT BROOM FINISH
POOL SPLIT MAIN DRAIN SUCTION MINIMUM T APART.
ANTI -COVERS 10" ASME /ANSI APPROVED
SPA AT 0" WITH 4 JETS AT RANDOM HEIGHTS
AND LIGHT BROOM FINISH CONCRETE COPING
n A 1 -.,ir-% A
ELECTRIC CONDUIT
123'- li" POLYPROPYLENE GAS PIPE
GAS VALVE IN COMPLIANCE WITH
ANSI 2 21.158 - 2008
ISO / IEC 17025
MAIN HOUSE 200 AMP ELECTRICAL PANEL
ALL AMiFENIRAAffM COVER INSTALLATION MEETING CURRENT STANDARDS OF TM EAMESCAN
SWEET FOR TESTING AND MATERIALS OR TE AMERICAN GWEN OF LECILVRCJ L ENOM RB WBMA)
ELECTRICAL•
EQUPOTENML BONDING REQUIREMENTS SNAU BE INSTALLED TO ELIMINATE VOLTAGE
GRADIENTS IN THE POOL AREA AS PER CEC ART. SM28.
ZO 1 O CALIFORNIA BUILDING CODE (BASEDON2GCBISC)
ZO 1 O CALIFORNIA MECHANICAL CODE (BASEDON20MUMC)
ZO 10 CALIFORNIA PLUMBING CODE (SASEDON2W9UPC)--
3131O CALIFORNIA ELECTRICAL CODE (BASEDONmw NEC)
ZO 1 O CALIFORNIA ENERGY EFFICIENCY STANDARDS
GOVERNMENT CODE SECTION 42182 (tl (1) EXCEPT IN AN EMERGENCY. ANY PERSON
OVRERTO(1)
DETERMINE THE AI>PROXIMAIEDE
I
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ANTI -COVERS 10" ASME / ANSI APPROVED
.
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MAP BOOK PAGE N0. ICITY
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121
SE ECTIONS
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POOL EQUIPMENT: 250,000 BTU HEATER
'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
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PROP. OCT. WALLS
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GAS VALVE IN COMPLIANCE WITH
ANSI 2 21.158 - 2008
ISO / IEC 17025
MAIN HOUSE 200 AMP ELECTRICAL PANEL
ALL AMiFENIRAAffM COVER INSTALLATION MEETING CURRENT STANDARDS OF TM EAMESCAN
SWEET FOR TESTING AND MATERIALS OR TE AMERICAN GWEN OF LECILVRCJ L ENOM RB WBMA)
ELECTRICAL•
EQUPOTENML BONDING REQUIREMENTS SNAU BE INSTALLED TO ELIMINATE VOLTAGE
GRADIENTS IN THE POOL AREA AS PER CEC ART. SM28.
ZO 1 O CALIFORNIA BUILDING CODE (BASEDON2GCBISC)
ZO 1 O CALIFORNIA MECHANICAL CODE (BASEDON20MUMC)
ZO 10 CALIFORNIA PLUMBING CODE (SASEDON2W9UPC)--
3131O CALIFORNIA ELECTRICAL CODE (BASEDONmw NEC)
ZO 1 O CALIFORNIA ENERGY EFFICIENCY STANDARDS
GOVERNMENT CODE SECTION 42182 (tl (1) EXCEPT IN AN EMERGENCY. ANY PERSON
OVRERTO(1)
DETERMINE THE AI>PROXIMAIEDE
JAT=OLOR.......F.
OFJ'ISSUANCE OF PERMRT70PGCEPfINCEOF
13)wEiOWtI CONCRETE 6MELL ATWICE DAILY FOR SEVEN DAYS AREA SMELL IS PISTAILED.
(Il A(YEETWITTESERRA 6NDT RE BDaE FOR UNDEROROIiNO CONDmoMBOR08.ECT8•
CIIRBS• DRM1I.IlYAYB.IANNS, OR OTIERIIEYB wnE AC.CE86 AREA
SESTHAOIWAOEro
IG PFJOATTALLFE"Cl1q WTEB, ONUOE pOOR81F.Ef LpJiL C00ES FOB Af`OOl EN0.081DSi
wLLPON.R
OATERINSPFR1 T
(B) aLLPOOLDOEDwTELrAFIER TER(FOLLOWNeTiNCTKNIB-Dp NOT USE RI®BER xO9E)
TAIDi ROFINr TMSOttavnq E PR OPERIY OF TEBERRAAID RUT ANY IiBEYSfIIOUf
In I PROMB
wurrEN PERMERMteelONoc TESERMI RMON®rtm BY LAW.
oWID1AWRD.FJ RAM,fOp4 AIo1 Et♦ IDC�IKNB ANDNAB READ TME REBftlNF@MEMAND IOIQBNIDVC
SIONATUREN - DATE
SWIMN INS POOL PLAN FPR*
NAME
CORAL tV OUNTAIN L T 54
STREET CORAL MOUNTAIN
',
JOB ADDRESS A LSOL jcTA
PHONE OFFICE I RES
LOT 54 ' TRACT PAGE BOOK .
MAP BOOK PAGE N0. ICITY
I
MAIL ADDRESS
CONSTRUCTION OFFICE P ONE NO.
SCALE
DATE DESIGNED BY
PROJECT MGR
CHECKED BY
A.=1'
12-10-13 JH
I BROCK B.
JOBB
REVISIONS
DATE:
1
Ln
2
0
3
J
5
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640
Q�
7
Z 4
D
S
121
SE ECTIONS
STONE I—I