12-0208 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00 0 0 02 08
Property Address:. 81401 -'JACARANDA --CT
APN: 764=280-999-156 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 31200
Tjht 4 4 Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CHRIS CLARK
81401 JACARANDA CT
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant: Architect or Engineer: DESERT OUTDOORS I �Q n
79405 HIGHWAY _ Y 1 PMB 47 1111
LA QUINTA, CA 913
(760)399-9600 'IJ
L1C. No.: 9644(74
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License�j ass. C27- 3 License No.: 964474
ate: ✓ ` I ontractor:
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).:
(_) 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.).
(_) 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.).
(_ ) I am exempt under Sec. , B.&P.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
Date: 3/07/12
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.
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 is issued. My workers' compensation
insurance carrier and policy number are:
Carrier NORGUARD INS Policy Number DEWC229889
I certify that, in the performance of the work for which this permit is issued, I 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 b �e subject to the work co pensation provisions of Section
G70 of the Labor Code, sl�y'fort ith comply t�thos pr isi ns.
Date: `' li pplicant:
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
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 ve information is correct. I agree to comply with all
city and county ordinances and state laws relating to b ' i -g nstruction, and her by authorize representatives
of s ty/qty o e1^/te—r upon the above-mentioned pro erty f nspMirpos
e .
daw t � 'snature (Applicant or Agent):
Application Number . . . . . 12-00000208
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
297.50 Plan Check Fee
193.38
'Issue Date . . . .
Valuation . .
. 31200
Expiration Date
9/03/12
Qty Unit Charge
Per
Extension
BASE FEE
252.00
7.00 6.5000
------------------------------------------------------------------------------
THOU .BLDG 25,001-50,000
45.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date
9/03/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
•1.00 11.0000
----------------------------------------------------7------------------------
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
9/03/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.0.0
Permit . . .
PLUMBING
Additional desc .
Permit Fee . .
33.00 Plan Check Fee
8.25
Issue Date
Valuation . . .
. 0
Expiration Date
9/03/12
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
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
LQPER,NI IT
Application Number 12-00000208
PermitWALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 217
Expiration Date 9/03/12
Qty Unit Charge Per
Extension
BASE FEE
15.00 '
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, OUTDOOR FIRE PLACE, 10 L.F.
54" SCREEN WALL CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE AT,
PRE -PLASTER INSPECTION. 2010 CODES.
. ----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit•Fee Total 416.50 .00 .00
416.50
Plan Check Total 219.38 .00 .00
219.38
Other Fee Total 2.00 .00 .00
2.00
Grand Total 637.88 .00 ..00
637.88
LQPER,NI IT
FIREPLACE'
FINISH, TILE
KIT, AND WC
EXACT DESI
DETERMINE
REMAIN BEL
NEW PAVEI
YARD TO N
UTILIZE EX
NECESSAR
REFER TO 3D POOL STUDIO RENDERINGS FOR
APPROXIMATE ELEVATION AND DESIGN. MATERIALS TO
BE SELECTED BY HOMEOWNER. LANDSCAPE SHOWN
ON RENDERINGS IS APPROXIMATE AND WILL VARY IN
FIELD
RAISED SPA AT +18" WITH PAVER
CAP Til FIS VFNFFR Til F
JACARANDA COURT
'ION BLOCK
L TO MATCH
,+4'-6" HEIGHT.
ING AT TRASH
IAY TO
2S TO MATCH
SITE PLAN
SCALE: %8" = 1'-0"
COPING
TYPICAL JET DERAIL
-NOT TO SCALE
Tl1M r%r IA/AI 1
FIREPLACE ELEVATION
NOT TO SCALE
MATERIAL SELECTIONS:
STONE COPING:
STONE VENEER:
TILE:
BBQ. COUNTERTOP:
BOULDERS:
PAVERS:
PEBBLE:
MISC:
MISC:
SIGNATURE:
OWNER
SIGNATURE:
CONTRACTOR
j —
,QI -1 gI -1 gi "
DEEP ROOT
BUBBLER SYSTEM
LEGEND
1. FINISH GRADE
2. BUBBLER HEAD
3. 12" PVC SCHEDULE 80 RISER
4. PVC SCHEDULE 40 STREET ELL
5. PVC SCHEDULE 40 TEE AND ELL
6. CLASS 200 PVC LATERAL
7. 4" A.D.S. PERFORATED PIPE
42" LONG W/ ONE BUBBLER
8. 3/4" PEA GRAVEL
9. DRAIN GRATE
U)
Tf
O
O
0
H
O
H
w
w
0
LL
O
H
z
w
U)
z
O
0
w
_
O
0
w
(D
z
Q
_
0
Tf
o
U)
z
0
z
0_
Lu
0)
Lu
�2
0 w
w w
H O
w
e�a
Lv
rn a
z s
z
� do
i�
u
z
OOL DIMS:24'-0" X 11'-6"
Q. FT. 337 S.F.
IS
PER' 94'
EPTH MIN. 31-611
DEPTH MAX. 51-011 11
SPA DIMS: 7' X
42
PER.26'
±6'PT.
COPING MAT'L: P
PER.
DECK MAT'L PAVERS
DECK S.F. 667 S.F. REAR, 121 S.F. SIDE
DEMO S.F. AS NECESSARY
E LTIPM)ENT LIST:
HEATER: PENTAIR - 400,1000 BTU
FILTER' 420 S.F. CARTRIDGE - PENTAIR
PUMP` PENTAIR - VAR;IABLE SPEED
PUMP: -PENTAIR - 2 HP. JET BOOSTER -
CONTROLS: PENTAIR - E-ASY TOUCH
MISC.
w
C.)
z
o
o W ��
Z
0
U
z Q
Q N
CF)
J f Z Q
z W U
Lu QQ
F �/
U I-
Q
Q z
Z
W
o c)
g
U O T— J
Q 0
o
U
Z
w
(L
0
w
w
O
U)
M
0
U
Lu
I
w
U:)
W
Q�
6
as
O A
u
wj
co
DATE;
MAR. 6, 2012
DRAWN BY:
JOIN / JOE
SCALE:
1/8"-1'-0"
JOB NUMBER:
SHEET NUMBER:
OF 1
Bin.#
.0ty' Of La QE.lnta
Building sur 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: -T `•— 0t J G N
Owner's Name: .
A. P. Number.
Address: Ol -• ` J L �-
Legal Description:
City, ST, Zip:
Contractor: Desert Outdoors
.... a3.:...�:.
,
Telephone: :m-a*�".,.':.'x .�.:
Address: 78-065 Main St. Ste. 205
Project Description:
city, ST, zip: La Quinta, Ca. 92253)
S
H '
mw
Telephone: 760-399-9600 3"��
State Lic. # : • C-53 964474 city Lic #.:
N ��
Arch., Engr., Designer Flying Buttress
� � -
Address: 77725,Enfield Ln. Ste. 130
city, sT, zip: Palm Desert, CA. 92211
Telephone: 760-7'72-4411
State Lic. #: 33446f.
.: � : ; � , •-""'
Construction Type: • Occupancy:
Project type (circle one): New Add'n Alter Repair Demo .
Sq. Ft.: # Stories: #Units:
Name of Contact Person:
I
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACICTiVV G
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
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2" Review, ready for correctionslissueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE--
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees