13-1600 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Appiication,valuation:
Applicant:
L'•J'tihc�alri
13-00001600
57656 SALIDA DEL SOL
762-240-014-55 -34243 -
POOL - RESIDENTIAL
RL AG/EQ OVERLAY
16000
' Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT ^
BUILDING PERMIT !!
Owner:
AV CONSTRUCTION, L
315 S BEVERLY DR STE 208
BEVERLY HILLS, CA 90212
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section.7000) ofbivisiori 3 o the Business and Professionals Code, and my License is in full force and effect.
License Class: C8,10,27,2" License No.: 656128
A'Date�/� contractor': .,y, '
Y
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt frorr 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 sheis exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora permit subjects the.applicant to a civil penalty of not more. than five hundred dollars ($500).:
1 _ 1 1, as owner of the property, or my employees with wages as their;solii dompensation, 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 oYproperty who builds or improves thereon,
and who`does'the work himself or herselfthroughhis 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,yearof 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 .
(_ 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 contractors) licensed _
pursuant to the Contractors' State License Law.).
I—) 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.).
Lender's Name:
Lender's Address:
LQPERMIT
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA;- CA 92236
(76.0)398=9222
Lie. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/16/13
D
DEC 1 2
pF I A QUINT+
CIT'( _ - ncPT.
------------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one'of the following, declarations:
_ A have and will maintain a certificate of consenrto self s -insure for:workers' compensation, aprovided
for by Section 3700 of the Labor Code, for the pe^formance of the work for which this'permit'is
issued.
I have and will maintain workers compensatiortinsurance, asrequiredby,Section 3700 of the tabor.
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 7600006481131
I certify that, in the performance of the work for which this permit is issued;.) shall not employ any
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 workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
at Applicant: r
WARNING: FAILURE TO SECURE ORKERS' 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.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is*performedunder 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 ordinances and state laws relating to building construction, and hereby authorize representatives
�/
of this county to enter upon the above-mentioned property for iinnspecti�onn pur ---�---
Xat� Signature (Applicant or Agent):L /�/ G_
Application Number . . . . . 13-00001600
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 10:31:19 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
-----------------------------------------------
Due
----------
Permit Fee Total 178.75 .00 .00
178.75
Plan Check Total .00 .00 .00
.00
Other Fee Total. 98.24 .00 .00
98.24
Grand Total 276.99 ..00 .00
276.99
LQPERMIT
Bin #
City of La QuInta
-Building &r 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: zxm
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:Telephone:
Address:
Project Description: A/
City, ST, Zip:
Telephone:
State Lic.#: d5&5y-'/,.-7P
City Lic. #...
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
M. .......
Construction Type: Occupancy:
S tate Lic. 4:
Project type (circle one) Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.;#Stori
f
I es:
F Units:
Telephone #,of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
11
Submittal
Reqld
Rec1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
or
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 4
Electricalg<
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
Developer Impact Fee
Planning Approval
Called Contact Person -
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
nc r1lar
Total Permif
Fees rr,,
MY IF LAQW-0.0.
COMMUNM U&VU&Vf4LXT
STING LANDSCAPE LIGHTING IN REAR YARD
iTING OVERHEAD UTILITY LINES IN REAR YARD
'URNITURE FOR ILLUSTRATION PURPOSES ONLY
II
14780.FT. COPING '
15" WIDE CONCRETE COPING WITH LIGHT BROOM FINISH
'OOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART.
INTI -COVERS 10" ASME /ANSI APPROVED
BY OTHERS
11144W...
CITY FLA QUINTA-
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 4�01_005ABY _
-ALL NRR"BORARENT MYER INSTALLATION MEBNI1G cLwwNa HfA1WJm9 aF TIE GW
SOChT'FOR TESTING NO MATERIALS OR THE AMERICAN SOOETYOFLEdVVSCAL (ASME
ELECTRICAL'
EOULPOTENML BONDING REQUIREMENTS SHALL BE INSTALLED TO EIMSU
TIEVOLTAGE
GRADUNM IN THE POOL AREA AS PER CEC ART. SM25.
SURFACE AREA OF POO ONLY 318
20.1 O CALIFORNIA BUILOINO.COOE,(BASEOQN
IBC)
?131 O CALIFORNIA "MECHANICED AL;:CODE (BAS
2D08U16)
7.0,1 O CALIFORNIA OLUM'BIN E3.;CO' DE,(SSED
AON
IUPC)—..
201 O CALIFORNIA. ELECTRICAL CODE (BASED
200BNEC)
ZO 1 O CALIFORNIA ENERGY EFFICIENCY STANDARDS
GOVERNMENT COOS SECTION 12102 W (1) EKCEPT IN AN ENEROENCY, ANY PI
PLANNING TO 99AANY EKIWAI)N ).MALL CONTACT THE APPROPRUTE
OTNBZBURABLE WZG'TKE ARE TOB EEXGVATW'W...,.'...,.... "'-"
CONSTRUCTION AUTHORIZ TION
SPECIFICATIONS
TYPE GUN I
SIZE 21Y -4r X 11'•
SURFACE AREA OF POO ONLY 318
80. FT
PERIMETER 80 LN. Fr.
DEPTHS MIN 1•-6 MAX
POOL 8 SPA COMBINED
BPA SPECIFICATI NB
TILE
T -R
SIZE�O_SQ.FT. W. FT. 29
TOE TYPE B' X B'
WATERLINE YES
BPA OAY WALL""'T11 INISH 7
TIEMW ,
NO..OF JETS 4 RANDOM
QUARTER ROUND_
116X7 1 - 100W
RBS. TILE
RAISSDSPAAT 'a
SPILLWAY
SPECIAL NOTES
D EC KI N G
EXCAVA7 1�N / STEEL
IiACN HOE
��
FINISH LT. BROOM
7YPE
ACCESS FROM
EXPANSION JOINTS YES
FI NATION SEE SUPER
CANTILEVER YES
DEEP END RNP
DECK DRAINS
LAVE SEAT
DECCO DRAM
CONCRETE REMOVAL
CURB CORE
.6GO RawAL . L"w"
E'sTEPs
TREE RBIOVAL BY '
STEP FACE
RL
'IRAATRAMAL_ AMAL_ RY
'. TLE BASE'..
I IIa R.BS
PLUMBING
FILTER HAYWARD SIZE
POOL Kw HAYWARO Sim
BOOSTER PULP_ SIZE
ADOL RSP SIZE
ADOL PUMP SUE
wATFR HAYWARD Sim
TIME CLOCK ECOSTAR
SUB PANEL
ADOL OUTLETS
amwm TYPE FROM LOA
FILLLILE AUTO
GASUiE _ FM SNE
SPILLWAY TYPEOw144L%LL
STEPS
PROP. EXT. WALLS
PLANTER WALL
RETAINING WALLS
EQUIP. WALLS
PLLaAauJo s� FENCE TYPE
NEIGHT
GATE tall
GUNI.TE GATE REVERSAL
DEEP END RAID REMOVE A RENANO
EXTENb 2PO STEP
LOVESFAT
SPILLWAY TYPE oY. or•Ar
CANTILEVER CONCRETE aT. oor.�rno"
copra CONCRETE OTHER.
R.BS.-SEE STS
OWNER RESPONSIBILITIES
OWNER TO.
(1)CETERMM THE APPROmWTE ELEVATION OF POOLOR SPAAT LAYOUT ON DAY OF EXCAVATION.
(2) TAKENOTICETHAT POOLMD EQUIPMLMUICIITIONS ARE SIIB MCTTOACCHTANCEOF
LOCK BULO NO DEPARTMENT AT TIE TILE OF ISSUANCE OF PERMR.
13
) MEI OONN CONCRETE SHELLATLEIST TVACE DALYFOR SEVER DAYS AFTER S ELL IS INSTALLED.
14) ATMDAMAGE TTOO CSS, SIDERNIM IRNMY& URVH080R OVER RETS WTTECM
ACCESS AREA
(6) SEERWTALL
PRI LABrERI WTEQ AC✓D OARAIL• DOORS Y(>:T LIX'JL CODES FOR A POQ Liif11161RE
OR10iREAA&TERUmPECT LA
(NFILLPOOLlGF TTM AFTERPIABEF.(FO11111V NBTRUCTIONSR"A `DUSERU88ERLOSE1
PI TATENOTICE THATMO TEBO MPROMLEPROPERTYaTESERRAARO TWIT ANY 116EMRIOuf
NRRTB1P6iMIBS10N OF TESERINRPR011®RED SYUW
OYNFA APPRDYFA PLAN, PofA,ANO �IARRDiT IDCATIOifIMOIIV RFMTHE REBPoR®¢1611EBNO WTFFA ABUVE
SIONATURE(S) DATE
SWIMMING POOL PLAN F
NAME CORAL MOUNTAIN L T 55
SCALE DATE DESIGNED BY PROJECT MGR CHECKED BY
AR= 1' 12-10-13 JH BROCK B.
JOBO REVISIONS
SELECTIONS
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