12-0203 (PLBG)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/06/12
Application Number: 12. 00.00,0203 Owner:
Property Address: 81214 SANTA ROSA CT HENRY PENTZ
APN: 764-270-999-21 -300234- 81214 SANTA ROSA COURT
Application description: PLUMBING LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES _
Application valuation: 1500
Contractor:
Applicant: Architect or Engineer: DESERT OUTDOORS IN t/
79405 HIGHWAY. 11J, MB /(.217?
LA QUINTA, CA 92 53
(760)399,- ' 9600
Lic. No-.:964474 C�jy��s.` l
'LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9'(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of.Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure'for. workers' compensation, as provided
Lice a Cla s: C27 C53 License No.: 964474 - for by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is
1 V issued. -
Date 7��� Contractor: - y� I 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 s issued. My workers' compensation
OWNER-BUILDER�DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NORGUARD INS Policy Number DEWC229889
following'reason (Sec. 7031.5; Business and Professions Code: Any city or•county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, l shall not employ anyr+.
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 become subject to the workers' compensation laws of California,^
permit to file a signed statement that he or she is licensed pursuant-to the•provisions of the.Contractor's State and agree:thiti it I'should become subject to the workers' compensation provisions of Section
.License Law (Chapter 9 (commencing with Section.700%of Division 3 of the Business and Professions Code) or 3700 of the Labor C e, l shall fon c p with those provisions.
th
that he or sheds exempt erefrom and the basis for the,alleged exemption. A'ny,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).: Date: -V& /' ppflant:
as owner of the property, or,my employees %Lith 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 WARNING: FAILURE TO'tSECURE WORKERS'•COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does-not apply to an ownerof-property who builds or improves thereon, - SUBJECTANEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES.UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OFCOMPENSATION, DAMAGES AS PROVIDED,FOR IN
`improvements are not intended or offered'for sale. If, however, the building or improvement is sold within . SECTION 3706 OFTHE 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 -
improve for, the purpose of sale.). APPLICANT. ACKNOWLEDGEMENT•
(_) I, as owner of the property, am exclusively, contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is.hereby made to the Director of Building` nd 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 builds or improves 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 benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) 1 am exempt under Sec. , BAP.C. for this reason the owner,, and Ithe 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY - permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the 1 certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned pr ope for inspection po as
Lender's Name:
)_11S."te ?( S'o
ature (Applicant or Agent): lt'� • v'/j%G%Cy
Lender's Address: "t
LQPERMIT
Application Number . . . . . 12-00000203
Permit
ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . .
15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
9/02/12
Qty Unit Charge
Per
Extension
--------------------------------------------------------------------------=-
BASE FEE
15.00
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
9/02/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
=
EA PLB GAS
PIPE 1-4 OUTLETS
3.00
---------------------------------------------------------------------------
Special Notes and Comments
120 L.F. 111 GAS LINE
FOR FIRE PIT &
60
L.F. 3/4" ELECTRIC LINE.
2.010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG
STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
Credited
Due
---------------------------
Permit Fee Total
----------
33.00
--------------------
.00 .00
33.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
34.00
.00 .00
34.00
LQPERMIT
City Quin to
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La..Qi rota, CA 92253 -:(760) 777-7012
Building Permit;Application and Tracking Sheet
Permit # n �3
ov
Project Address: `—Z L\ ScLg_�
Owner's Name: .
A P. Number
Address. ,-\
Legal Description:
City, ST, Zip: L5�k C4
Contractor. Desert Outdoorssg`
Telephone:
Address: 78-065 Main St. Ste. 205
Project Description: \J-
City, ST. zip: La Quints; Ca. 92253
5
Telephone: 760-399-9600:.```
City Lie'. #;
6 C_.9 t
State Lic. # : C-53 964474
42 N
Arch., Engr., Designer. Flying Buttress
Address: 77725 Enfield Ln. Ste. 130
city,ST,zip: Palm Desert,, CA. 92211
Telephone: 760-772-441°1 ti
State Lic. #: 33446,,e'
Name of Contact Person:v_ls
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: .[&[2—Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Sobmittal
Req'd
Recd
TRACIMG
PERMfF 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 Calm
Plans picked up
Construction
Flood plain plan
Plans resubmitted '
Mechanical
Grading plan
tad Review, ready for correctionshssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O A Approval
Plans resubmitted
Grading
IN ROUSE:-
3" Review', ready for correctionslissae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr -
Date of permit issue
School Fees
Total Permit Fees
pf
(E) PALNTER =,a
1
(E) BLOCKWALL / `\
(E) PALNTER AREA -� ��'.. ', ' '.
STUB DRAIN LINE
WATER & ELECTICAL
CONDUIT TO PALNTER
POCKET
(E) BLOCKWALL
(E) BLOCKWALL
M9RELLA SLED
(E) GRASS
STUB DRAIN LINE TO
THIS LOCATION.
LANDSCAPER TO DO
GRASS, PLANTER
DRAINS & RUN DRAIN I
LINE TO STREET
(E) GRASS
V IVU V �� � .. � �... v . v
THIS LOCATION. (E) A/C UNI
LANDSCAPER TO DO
GRASS, PLANTER
DRAINS & RUN DRAIN DOOR ALARM
LINE TO STREET
POOL & SPA LIGHT
SWITCH r 36" BETWEEN
(E) PALNTER AREA -A\
(E) GRASS
ELECTRIC
5'-10"
-mss>TTfrT7T's'�ta ._
� .
SIT -N -SPIN SPA:
-7'00+18" ELEV.
-6 JETS'
-1 LIGHT
-STONE SPILLWAY'.;
-STONE AROUND
OUTER SPA E.
-CANT. CAP I'
J -LOX
BREAK DOWN
POOL:
A=308 SQ. FT.
P=76'
SPA:
A=38 SQ. FT.
P=22'
SPA CANT.
A=28 SQ. FT.
DECK
A=387 SQ. FT.
TOTAL DECK
A=415 SQ. FT.
(E) BLOCKWALL
(E) W.I. GATE TO
SWING AWAY FROM
POOL AREA SELF
CLOSING & SELF
LATCHING
REMOVED &
REPLACE ACCESS
BLOCKWALL TO
MATCH (E) BY DPPS
ods r
ESI
C
DON
64;P
AWARD o0
o SINCE 1884
h ® �
NATIONALi
SPA d POOL
INSTITUTE
JOB#
FILTER & HEATER
EQUIP""`ENT:
-(1)
400,000 BTU HEATER
-(1)
2 HP CIRC. PUMP
-(1)
425 SQ. FT. FILTER
-(1)
AUTOMATIC WATER LEVELER
-(1)
SKIMMER
-(1)
SALT SYSTEM,k
NOTES:
1. DPPS TO ATTACHED DECK
DRAINS TO EXISTING
DRAIN LINE ONLY ON REAR
YARD.
1
EiXISTING DRAIN LINE IN
REAR YARD.
1
OR REPLACED ANY SOD,
PALNTS, SPRINKLERS, ETC. `
ON BACK YARD
ELECTRIC
5'-10"
-mss>TTfrT7T's'�ta ._
� .
SIT -N -SPIN SPA:
-7'00+18" ELEV.
-6 JETS'
-1 LIGHT
-STONE SPILLWAY'.;
-STONE AROUND
OUTER SPA E.
-CANT. CAP I'
J -LOX
BREAK DOWN
POOL:
A=308 SQ. FT.
P=76'
SPA:
A=38 SQ. FT.
P=22'
SPA CANT.
A=28 SQ. FT.
DECK
A=387 SQ. FT.
TOTAL DECK
A=415 SQ. FT.
(E) BLOCKWALL
(E) W.I. GATE TO
SWING AWAY FROM
POOL AREA SELF
CLOSING & SELF
LATCHING
REMOVED &
REPLACE ACCESS
BLOCKWALL TO
MATCH (E) BY DPPS
ods r
ESI
C
DON
64;P
AWARD o0
o SINCE 1884
h ® �
NATIONALi
SPA d POOL
INSTITUTE
JOB#
FILTER & HEATER
EQUIP""`ENT:
-(1)
400,000 BTU HEATER
-(1)
2 HP CIRC. PUMP
-(1)
425 SQ. FT. FILTER
-(1)
AUTOMATIC WATER LEVELER
-(1)
SKIMMER
-(1)
SALT SYSTEM,k
NOTES:
1. DPPS TO ATTACHED DECK
DRAINS TO EXISTING
DRAIN LINE ONLY ON REAR
YARD.
2. COSTUMER SHOULD HAVE
EiXISTING DRAIN LINE IN
REAR YARD.
3. DPPS WOULD NOT REPAIR
OR REPLACED ANY SOD,
PALNTS, SPRINKLERS, ETC. `
ON BACK YARD
ELECTRIC
5'-10"
-mss>TTfrT7T's'�ta ._
� .
SIT -N -SPIN SPA:
-7'00+18" ELEV.
-6 JETS'
-1 LIGHT
-STONE SPILLWAY'.;
-STONE AROUND
OUTER SPA E.
-CANT. CAP I'
J -LOX
BREAK DOWN
POOL:
A=308 SQ. FT.
P=76'
SPA:
A=38 SQ. FT.
P=22'
SPA CANT.
A=28 SQ. FT.
DECK
A=387 SQ. FT.
TOTAL DECK
A=415 SQ. FT.
(E) BLOCKWALL
(E) W.I. GATE TO
SWING AWAY FROM
POOL AREA SELF
CLOSING & SELF
LATCHING
REMOVED &
REPLACE ACCESS
BLOCKWALL TO
MATCH (E) BY DPPS
ods r
ESI
C
DON
64;P
AWARD o0
o SINCE 1884
h ® �
NATIONALi
SPA d POOL
INSTITUTE
JOB#
ADDENDUMS DATE SELECTIONS
1
STONE
2
BOULDERS NONE
$
DECK COLOR":: ` NAT GRAYIBROOM.
4
pEBBL REG. POWDER BLUE
51
STUCCO COLOR .
61
WATERLINE
7
GROUTCOLOR