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13-0516 (RPL)P.O. BOX 1504 -' WORKER'S COMPENSATION DECLARATION 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 .provisions Section'7000) of Division 3 of the Business Professionals Code, and my License -is in'full'force and effect._ I have and will maintain a certificate'of consentto self insure for'worke`rs' compensation, as provided License Class: C8;.. 0, 27, 2 License No.: 656128 for by Section 3700 of the Labor Code, for -the' performance of the work.for which this permit is . -Application Number: '1- 6000516 Properfy-Address: 57712 SALIDA DEL SOL APN: 762-240-014-57 -34243 - Application description: POOL - RESIDENTIAL Property Zoning: RL AG/EQ OVERLAY Application valuation: .28000 ..S Appli Architect or Engi eer: . ra, 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ALTA VERDE CORAL MOUNTAIN, LLC 315 S BEVERLY DR 208 BEVERLY HILLS, CA 90212 Contractor: TESERRA P.,,O BOX 12 8 0 COACHELLA,.CA'92236 .(760)39.8-9222 Lic. No.: 656128 Date: 4/23/13 .. .. - . - LICEN ED CONTRACTOR'S DECLARATION -' WORKER'S COMPENSATION DECLARATION I hereby affirm under. penalty of perjury that I'rqflicensed under of Chapter (commencing with I hereby affirm under, penalty of perjury one of the.followin9 declarations: .provisions Section'7000) of Division 3 of the Business Professionals Code, and my License -is in'full'force and effect._ I have and will maintain a certificate'of consentto self insure for'worke`rs' compensation, as provided License Class: C8;.. 0, 27, 2 License No.: 656128 for by Section 3700 of the Labor Code, for -the' performance of the work.for which this permit is . .. .� Date Gontrac� t "' .. .• issued. `.• - I have and will maintain workers' compensation insurance, as;requiredb Section.3700 of -the Labor Y .. - ' _ _ -" Code, the performance of the work for which this permit is issued. My'workers' compensation OWNER -BUILDER DECLARATION _ " - insurance'cariier and. policy number are:. ` .l hereby, affirm under penalty of perjury that I am; exempt from the Contractor's State License Law for the Carrier EVEREST NATL' IN. Policy Number. 76000.06481131 - following reason (Sec. 70315, Business and Professions Code: 'Any city or county that requires a permit to _� I certify that, in the performance of a work for which this permit is issued, I shall notemploy any , construct, alter, improve, demolish, or repair any structure, prior to its issuance; -also requires the applicant for the person in any.manner'so as to a , e subject to the.wo_rkers' compensation laws of California, d? permit permit to file a signed: statement that he or she is licensed pursuant to the. provisions of the Contractor=s State and agree that, if I should -.be o to the workeis',compensation provisions of Section .License Law (Chapfer 9 (commencing with Section 7000) of Division 3 of the,Business and Professions Code) or 1. 370 of the -Labor Code, Is -.forthwith comply witfi'those provisions. - . that he or she is:exertipttherefromland the basis for the alleged exemption 'Any violation of Section.7031.5 by an applicant forpermit, subjects, the applicant to a-civilpenalty'of not morethan five hundred 1$5001.: Y PP PP yDa �T I1 A� licant: PP_v_ - (_ I I, as�owner of the property, or my'employees-with wages as'thair sole compensation, will do the work, and the structure is not -intended or offered for sale (Sec:. 7044'; Business and Professions Code.:"The WARNING:. FAILURE TO SECURE WORK ERS"COM PEN SATION'COVERAGE IS -UNLAWFUL, AND SHALL _ 'Contrectors',State license Law,does not apply to.an owner ofproperty'who builds or improves thereon, - SUBJECT AN EMPLOYER TO CAIMINAL.PENALTIES AND CIVIL FINES UP TO,ONE HUNDRED THOUSAND and'who does the work- himself,or-herself•through his orher-own employees, proJided:that the - DOLLARS ($100,000): IN.-ADDIT16N TO THE COST OF COMPENSA`Nbl , DAMAGES AS PROVIDED FOR IN improvements' are not intended, or offered•for sale. If, however; the building or improvement is sold within SECTION 3706-OF,THE LABOR CODE, INTEREST -,`AND ATTORNEY'S FEES... - one -,year of: completion, the owner -builder will have the burden of proving that he or she did not build or • : -- - y _' • ,.improye-for the purpose of*sale.)• APPLICANT 'ACKNOWLEDGEMENT 1—) I, as owner-:of.the'property, am, exclusiJely contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ` 7044,. Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions'set forth on this application. property Who guilds orimproves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each: person at whose request and for - pursuant-to.the Contractors',State:License Law.). . ,. whose benefif. work is"performed under or -pursuant to-any,peimWissued as a result of -this application, 1 _) I am exempt under Seo. $.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold "harmless the City 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 thispermit is issued (Sec. 3097, Civ. C.). •' Lender's Name: Lender's Address: LQPERMIT of La Qwnta, 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 160 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 the abov ormation is correct. •I agree to comply with all city and.county;ordinances and, state laws relating to building o 'ruction, and hereby authorize representatives of,this.county en upon the above-mentioned,property f r tspection purposes. Date: 2 �`Slgnatu�e ('Applicant or Agent): Application Number .. . . . 13-00000516 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 271.50 Plan Check Fee 176.48 Issue Date . . . . Valuation . . . . 28000 Expiration Date 10/20/13 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 19.50 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 10/20/13 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 10/20/13 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 10/20/13 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 ------------- 7-------------------------------------------------------------- Special Notes and Comments POOL/SPA FIREPIT & 128 LN FT OF 1 1/2" LQPERMIT Application Number . . . . . 13-00000516 ---------------------------------------------------------------------------- Special Notes and Comments POLYPROPANE GAS LINE 201000DES.ALARMS AND BARRIERS -REQUIRED TO BE INSTALLED AT PRE PLASTER INSPECTION APPROVED PER S.T. 7 --------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 375.50 .00 .00 375.50 Plan'Check Total 202.48 .00 .00 202.48 Other Fee Total 1.00 .00 .00 1.00 Grand Total 578.98 .00 .00 578.98 LQPERMIT Bin. #City Of La QUft1ta Bu11d(ng sL Safety Drvision � - P.O Box 1504,:78=495 Ca11e'Tamplco 14.01rinta CA- 92253 - .{760}• 777-7012 Building Permit Applicadonand Tracking. Sheet Permit # A. ect Address: S. Wz S414 • . _ - .So'c_. Owner's Name:. 4- A P. Number. Address: '� . Legal Description: s City, ST, Zip: nlr 2 !� ,. Contactor. i2 C./'r Telephone:.. Address: /00 S .ProjectDescription: JV_ JAJ City, ST, Zip: G ...,3 6 Telephone: 6-0 '13"% 8 92 Z Z" State Lic. # : S / City Lia # .v ,L Arch., Engr., Designer Address: City., ST, Zip: Telephone:Coitsttutdlon. State Lic. #: Name of Contact Person: Y' Type. '. Occupancy: Project type (circle.one : No Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: :• 28. O O 0 APPLICANT:.DO NOT WRITE BELOW THIS.UNE N Submittal Req'd Rcc'd" TRACKING PEPJdrrFEES Plan Sets Plan Check submitted item Amount Structural Calcs Reviewed, ready.tor corrections PlaA Chc& Deposit. . Truss C21cs. - Called Contaet Pcrson Plaa'Cheek Balance. line 24 Cafes. Plans plcked up Construction Flood plain plea Plans resubmitted.*.• Mecharilcal Grading plan 2`! Review; ready for co rrectionsriissue Electrical Subcoutactor List Called Contact -Person Plumbing Grant Deed Plans picked ap SMI. H.O.A. Approval Plans resubmitted, Grading IN HOUSE:- ''d Review; ready for correctionsAssut Developer Impact Fee Planning Approval Called Contact Person' A.I.P.P. Pub. Wks. Appr Date of perm Itlssue School Fees BUILDING MqAF DE 'Total Permit Fees FOR CONSTRUCTION DATE :. 13 BY,6 7- - I �• --- * NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD * PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY su®ap uw un xueaEry nm E0rpm IMPL"m Il�wi�t� r /t f.ir�t!j rsiy-t • rr; r s ra i •' r ��arr ii' �ww FARE PIT WTa� SCAI.E:NOT TO SCALE POOL SPLIT MAIN DRAIN SUC' ANTI -COVERS 10" ASME / ANS CONCR LIGHT E ON MINIMUM TAP APPROVED i n , t ': � ,�� '� A DEL L SURFACE AREA OF POOL ONLY 352 SQ. FT. PERIMETER 86 LN, FT, DEPTHS MIN. T -O" MAX _ POOL & SPA COMBINED SPA SPECIFICATIONS TILE SIZE7' X 7' SQ. FT. 49_L N. FT 28 SPA DAM WALL WIDTH FINISH 12" TILE TYPE 6"X 6" WATERLINE TILE TRIM NO. OF JETS 4 RANDOM QUARTER ROUND — �aawsfsy.aaEm�exFIRE R.B.B. TILE RAISED SPA AT -0- SPILLWAY TYPE DAM WALL DATE 03-23-13 DESIGNED BY JH DECKING SPECIAL NOTES pk�l SQ. FTSEE NOTE FINISH LT. BROOM EXPANSION JOINTS YES CANTILEVER YES EXECAVBATIKHOE/ STEEL pp ��yy TYPACCESS FROM ELEVATION SEE SUPER DEEP END RAMP DECK DRAINS LOVE SEAT DECCO DRAIN -- CONCRETE REMOVAL LOADS CURB CORE — SOD REMOVAL LOADS STEPS — PI?iIOIAI. NOT TO SCALE _ V 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 BY OTHERS FIRE PIT r -^l 1 A 1171A1n- 'T'I 1=0 1 154 SQ.FT. COPING POOL LIGHT JUNCTION BOX POOL LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER POOL EQUIPMENT: 250,000 BTU HEATER *ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED .ECTRICAL 3' -12' POLYPROPYLENE GAS PIPE 4S METER AIN HOUSE 200 AMP ELECTRICAL PANEL OWNER RESPONSIBILITIES OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION. (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SU,3JLCT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT THE TIME OF ISSUANCE OF PERMIT. (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED. (4) AGREE THAT TESERRA IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA. (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION. (6) FILL POOL IMMEDIATELY AFTER PLASTER. ( FOLLOW INSTRUCTIONS - DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF TESERRA AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF TESERRA IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE SWIMMING POOL PLAN FOR: NAME CORAL MOUNTAIN LOT 57 SURFACE AREA OF POOL ONLY 352 SQ. FT. PERIMETER 86 LN, FT, DEPTHS MIN. T -O" MAX _ POOL & SPA COMBINED SPA SPECIFICATIONS TILE SIZE7' X 7' SQ. FT. 49_L N. FT 28 SPA DAM WALL WIDTH FINISH 12" TILE TYPE 6"X 6" WATERLINE TILE TRIM NO. OF JETS 4 RANDOM QUARTER ROUND — LIGHT 1 - 10OW R.B.B. TILE RAISED SPA AT -0- SPILLWAY TYPE DAM WALL DATE 03-23-13 DESIGNED BY JH DECKING SPECIAL NOTES pk�l SQ. FTSEE NOTE FINISH LT. BROOM EXPANSION JOINTS YES CANTILEVER YES EXECAVBATIKHOE/ STEEL pp ��yy TYPACCESS FROM ELEVATION SEE SUPER DEEP END RAMP DECK DRAINS LOVE SEAT DECCO DRAIN -- CONCRETE REMOVAL LOADS CURB CORE — SOD REMOVAL LOADS STEPS — TREE REMOVAL BY STEP FACE IRRIGATION REMOVAL BY — TILE BASE — IRRIGATION REPAIR — SAND AND VISQUEEN — 6" R.B.B. FT, RIBBONS — 12" R.B.B. FT MOW STRIP — 18" R.B.B. '- 24" R.B.B. — 30" R.B.B. — TAN SHELF DEPTH MASONRY ONCRETE COPING TYPE ROCK POCKETS — CENTERS R.B.B. FACING -- SPILLWAY TYPE DAM WALL SIZE STEPS — PLUMBING FILTER HAYWARD SIZE 425 SQ. FT. POOL PUMP HAYWARIkE ECOSTAR PROP. EXT. WALLS — PLANTER WALL — RETAINING WALLS -- BOOSTER PUMP -=— SIZE —' EQUIP. WALLS — ADDL PUMP---- SIZE — FIREPIT ADDL PUMP SIZE — HEATER HAYWARD SIZE 250,000 BTU TIME CLOCK ECOSTAR SUB PANEL ADDL OUTLETS — SKIMMER TYPE FRONT LOADS FILL LINE AUTO PEBBLE/ STE GAS LINE FM STUBS LIGHTS POOL 1 - LIGHTS SPA FOUNTAINS 1 SPRAYHEADS -- ROLLED BOND BEAM — SHEER DESCENTS — 1 50OW 1 -100 LIGHTS IN POOL - IN SPA BEHIND SPA — EYEBALLS YE FENCING STUB SET EQUIPMENT MISC — FENCE TYPE PLUMBING SIZE HEIGHT GATE GATE REVERSAL GUN ITE DEEP END RAMP REMOVE & REHANG EXTEND 2nd STEP — LOVESEAT SPILLWAY TYPE EBT. START- TART CANTILEVER CONCRETE CANTILEVER EBT. COMPLETION COPING CONCRETE OTHER R.B.B. - SEE STEEL OWNER RESPONSIBILITIES OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION. (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SU,3JLCT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT THE TIME OF ISSUANCE OF PERMIT. (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED. (4) AGREE THAT TESERRA IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA. (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION. (6) FILL POOL IMMEDIATELY AFTER PLASTER. ( FOLLOW INSTRUCTIONS - DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF TESERRA AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF TESERRA IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE SWIMMING POOL PLAN FOR: NAME CORAL MOUNTAIN LOT 57 STREET CORAL MOUNTAIN TILE JOB ADDRESS57712 SALIDA DEL SOL CITY LA QUINTA PHONE OFFICE RES LOT 57 TRACT PAGE BOOK MAP BOOK PAGE NO. CITY MAIL ADDRESS WHITE PLASTER CONSTRUCTION OFFICE PHONE NO. SCALE iII= 1 1 DATE 03-23-13 DESIGNED BY JH PROJECT MGR. BROCK B,JOB#REVISIONS CHE KED BY pk�l DATE: SAFETY FEATURES: * ALL ANTI -ENTRAPMENT COVER INSTALLATION MEETING CURRENT STANDARDS OF THE AMESOCIETY FOR TESTING AND MATERIALS OR THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS (ASME) ELECTRICAL: EQUIPOTENTIAL BONDING REQUIREMENTS SHALL BE INSTALLED TO ELIMINATE VOLTAGE GRADIENTS IN THE POOL AREA AS PER CEC ART. 680.26.20 1 O CALIFORNIA BUILDING CODE (BASEDON20061BC) 2❑ 1 ❑ CALIFORNIA MECHANICAL CODE (BASED ON 2006 UMC) 2❑ 1 ❑ CALIFORNIA PLUMBING CODE (BASEDON2009UPC)MLEz<,PART5 201 0 CALIFORNIA ELECTRICAL CODE (BASED ON 2006 NEC) 201 O CALIFORNIA ENERGY EFFICIENCY STANDARDS GOVERNMENT CODE SECTION 4216.2. (a) (1) EXCEPT IN AN EMERGENCY, ANY PERSON PLANNING TO CONDUCT ANY EXCAVATION SHALL CONTACT THE APPROPRIATE REGIONAL NOTIFICATION CENTER, AT LEAST TWO WORKING DAYS, BUT NOT MORE THAN 14 CALENDAR DAYS, PRIOR COMMENCING THAT EXCAVATION, IF THE EXCAVATION WILL BE CONDUCTED IN AND AREA THAT IS KNOWN, OR REASONABLY SHOULD BIE KNOWN, TOCONTAIN SUBSURFACE INSTALLATIONS OTHER THAN THE UNDERGROUND FACILITIES OWNED OR OPERATED BY TPE EXCAVATOR AND IF PRACTICAL, THE EXCAVATOR SHALL DIELINEATE WHIT WHITE PAINT OR OTHER SUITABLE MARKING THE ARE TO BE EXCAVATED CONSTRUCTION AUTHORIZATION SALES FIELD DIG PRE-GUNITE UNDERGROUND MASONRY DECK PRE -PEBBLE SELECTIONS of mao ,.Wto IXa 4LLZ 0 W NW NZ NTU Wmamn0Q IL iQi STONE TILE BOULDERS DECK COLOR NATURAL GREY HAYWARD PEBB/PLAS WHITE PLASTER SIGNATURE CITY OF L FOR CONSTRUCTIO111 SELECTIONS of mao ,.Wto IXa 4LLZ 0 W NW NZ NTU Wmamn0Q IL iQi STONE TILE BOULDERS DECK COLOR NATURAL GREY HAYWARD PEBB/PLAS WHITE PLASTER SIGNATURE IDRAINAGE NOTE: Drainage and irrigation for planters and pots, by others,Iunless otherwise noted. 0 1 0 0 U 00 ��co r q4an.00 0 0 ++ co QO