13-0976 (RPL)P.O.'BOX 1504
re
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
-Application description:
Property Zoning:
Application valuation:
, Applicant:
13-00000976
52730 AVENIDA VELASCO
'773-295-013-12 -000000-
POOL - RESIDENTIAL
COVE RESIDENTIAL
12000
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-------------- - - - - -- -----------------------------
LIC ED CONTRACTOR'S DECLARATION
- - I hereby affirm under penalty of perjury tha licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine nd Professionals Code, and my License is in full force and effect.
License Classs C , 10, 27, 2 License No.: 656128
Date: 0 �7 .Contractor:
OWNER -BUILDER DECLARATION
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 (5500).:
1 1 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, i
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. , 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
Owner:
EMPIRE WEST LC
52730 AVENIDA
LA QUINTA, CA
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA,- CA
(760)398-9222
Li-. No.: 6561.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
8/05/13
-----------------------------------------------
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 3700of the Labor Code, for the performance of the work for which this permit is
issued
ZI .
.have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the wor r which this permit is issued. My workers' compensation
insurance carrier and policy numbe re
Carrier EVEREST NATL IN blit Number 7600006481131
1 certify that, in the performanceth work for which this permit is issued, I shall not employ any
person in any manner so as b orae subject to the workers' compensation laws of California,
and agree that, if I should VcgAe subject to the workers' compensation provisions of Section
300 of the Labor Code, A0611jorthwith comply with those provisions.
Date: Applicant:
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 (8100,000). 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/ees for a act or omission related to the work being
performed under or following issuanper '2. Any permit issued as a result of thisn mes null and void if work is not commenced
within 180 days from date of issuarmit, or cessation of work for 180 days will subject
permit to cancellation.1 certify that I have read this application and statbove information is correct. 1 agree to comply with all
city and county or 'nances and state laws relatining construction, and hereby authorize representatives
of this coun to ter upon the above-mentionefor Inspection purposes.
Applicant or Age
LQPERMIT
.Application Number 13-00000976'
Permit POOL 2013
Additional desc .
Permit Fee . . 178-:75 Plan Check -Fee
..00
Issue Date Valuation
0
Expiration Date 2/01/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
Special Notes and Comments
SPOOL - INSTALL NEW SPOOL, EQUIPMENT
SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
-------------------_--------------------------
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
Bin #
City of La Quinta
J U L 8)
Building &r Safety Division . 1 3
P.O. Box , 78-495 Calle Tamp'
15044qo CITY OF LA QUINT i -
La Quinta, CA 92253 - (760) 777-7012 COM, MUNITY DEVELM El
Building Permit Application and Tracking 5heet
Perrn�'t #
Project Address: Szuo
Yeao
Owner's Nae: - -7— Z
/00 ?16-
A. P. Number:
Address: SZ 2-3o A
Legal Description:
City, ST, Zip: tT-k
Contractor. ::z2nf�:�,�-,4
Telephone:
Address: GG 100
AJ
S L/
Project Description:
City, ST, Zip:
9223 6AJo
Telephone:
. ... ...
State Lic. #
City Lic
L Ab7f-.7,5 INZY006 A674F
Arch., Engr., Designer:
*U-Az4W Jocae xlaams
Address:
City., ST, Zip:
TeIephone:
..... .... ....
. . . . . . . . . . . . . . .
onstruction Type: Occupancy:
State Lic. #:
Project type (circle on < Ne-dd'n Alter Repair Demo
Name of Contact Person:
A U LA
-0Z
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: ?-60 2 Q 2 3
Estimated Value of Project: 0,3 0
I(P
APPLICANT: DO NOT. WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc1d
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 Calci.
it
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections�6s e
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
J149
OF LA QWN'La.
a SAMY QE[
1
ET
BUILDING
appo \/i=nl
1
Total Permit Fees
Lr -%l 1 1 %,%.0 . - -- I
GR CONSTRUCTION
DATE _ BY42
4T
EXISTING LANDSCAPE LIGHTING IN REAR YARD
EXISTING OVERHEAD UTILITY LINES IN REAR YARD
-10 FURNITURE FOR ILLUSTRATION PURPOSES ONLY
LIGHT SWITCH ABOVE J -BOX
MAIN HOUSE 200 AMP ELECTRICAL PANEL
AV E N I A V E LAS C-110.1,1
,TION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
114 - MANDATORY REQUIREMENTS
SMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
DOL
►TERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
:NDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
NG EXPANSION JOINTS FOR REPRESENTAION ONLY,
OUT WILL VARY
POOL EQUIPMENT
*ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
SPA LIGHT JUNCTION BOX
SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER
ACCESS STEPS
100 WATT LIGHT
FOUR FUTURE JETS FOR SPA CONVERSATION,
INCLUDE DEDICATED SUCTION LINE FOR FUTURE
JET PUMP ADDITION
UNDERWATER BENCH AT 21" WATER DEPTH
NATURAL GRAY LIGHT BROOM FINISH
CONCRETE COPING �
SPA AQUA STAR CHANNEL DRAIfJ1
ASME / A.NSI APPROVED ✓
yyoT pp0taV�o �ys�a►./
SfAb 'OWNS �9�e APt'�
SPOOL AT 0" WITH PLASTER INTERIOR
AND 6" TILE WATERLINE
SPECIFICATIONS
TYPE GUNITE SIZE X
SURFACE AREA OF POOL ONLY
PERIMETER DEPTHS MIN. MAX
POOL & SPA COMBINED
SPA SPECIFICATIONS
SAFETY FEATURES:
ALL ANTI -ENTRAPMENT COVER INSTALLATION MEETING CURRENT STANDARDS OF THE AMERICAN
SOCIETY FOR TESTING AND MATERIALS OR THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS (ASME)
SIZE -1-8--'--6"X 11'-0" SQ. FT. 150 LN. FT. 49
SPA DAM WALL WIDTH N/A
NO. OF JETS 4
ELECTRICAL:
EQUIPOTENTIAL BONDING REQUIREMENTS SHALL BE INSTALLED TO ELIMINATE VOLTAGE
GRADIENTS IN THE POOL AREA AS PER CEC ART. 680.26.
LIGHT 1 - 100W
20 1 ❑ CALIFORNIA BUILDING CODE (BASED ON2006IBC)
20 1 ❑ CALIFORNIA MECHANICAL CODE (BASED ON 2006 UMC)
20113 CALIFORNIA PLUMBING CODE (BASEDON2009U PC )TITLE TI, PMT5
20 1 ❑ CALIFORNIA ELECTRICAL CODE (BASED ON 2006 NEC)
201 ❑ CALIFORNIA ENERGY EFFICIENCY STANDARDS
RAISED SPA AT 0"
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 BE KNOWN, TOCONTAIN SUBSURFACE
INSTALLATIONS OTHER THAN THE UNDERGROUND FACILITIES OWNED OR OPERATED BY THE
EXCAVATOR AND IF PRACTICAL, THE EXCAVATOR SHALL DELINEATE WHIT WHITE PAINT OR
OTHER SUITABLE MARKING THE ARE TO BE EXCAVATED
CONSTRUCTION AUTHORIZATION
SALES
FIELD
DIG
SQ. FT. 81 SQ.FT.
FINISH LIGHT BROOM
EXPANSION JOINTS YES
CANTILEVER YES
PRE-GLINITE
DEEP END RAMP —
DECK DRAINS —
UNDERGROUND
DECCO DRAIN —
CONCRETE REMOVAL LOADS
MASONRY
SOD REMOVAL — LOADS
STEPS —
DECK
STEP FACE —
IRRIGATION REMOVAL BY
PRE -!PEBBLE
IRRIGATION REPAIR
SAND AND VISQUEEN —
SPECIFICATIONS
TYPE GUNITE SIZE X
SURFACE AREA OF POOL ONLY
PERIMETER DEPTHS MIN. MAX
POOL & SPA COMBINED
SPA SPECIFICATIONS
TILE
SIZE -1-8--'--6"X 11'-0" SQ. FT. 150 LN. FT. 49
SPA DAM WALL WIDTH N/A
NO. OF JETS 4
TILE TYPE 6"x6"
WATERLINE YES
TILE TRIM
QUARTER ROUND —
LIGHT 1 - 100W
R.B.B. TILE —
RAISED SPA AT 0"
SPILLWAY TYPE
SPECIAL NOTES
DECKING
SQ. FT. 81 SQ.FT.
FINISH LIGHT BROOM
EXPANSION JOINTS YES
CANTILEVER YES
EXCAVATION / STEEL
TYPE BOBCAT
ACCESS FROM STREET
ELEVATION S.A.E.
DEEP END RAMP —
DECK DRAINS —
LOVE SEAT 2 AT 21" WATER DEPTH
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":RBr `—
MOW STRIP —
48" R,B:B._ ,__FT
24" R.b.B. —
—
30" R.B.B. FT
TAN SHELF DEPTH 12" WD
MASONRY
COPING TYPE CONCRETE
ROCK POCKETS —
CENTERS
R.B.B. FACING
SPILLWAY TYPE SIZE
STEPS
PLUMBING
FILTER JANDY SIZE CS 200
POOL PUMP JANDY SIZE 0.5 HP STEALTH
BOOSTER PUMP -=— SIZE
PROP. EXT. WALLS
PLANTER WALL
RETAINING WALLS
EQUIP. WALLS
ADDL PUMP SIZE
FIREPIT
ADDL PUMP SIZE —
HEATER ---' SIZE —
TIME CLOCK INTERMATIC TIME CLOCK
SUB•PA NEL —
ADDL OUTLETS —
SKIMMER TYPE DUAL PORT
FILL LINE AUTO
C31 AST
GAS LINE NO STUBS NO
LI OL
LIGHTS SPA 1 - 100W
FOUNTAINS / SPRAYHEADS
ROLLED BOND BEAM —
SHEER DESCENTS
LIGHTS IN POOL IN SPA 1 - 100W
BEHIND SPA —
EYEBALLS YES
STUB SET EQUIPMENT YES
FENCING
MISC DEDICATED SUCTION LINE FOR FUTURE JET PUMP ADDITION
PLUMBING SIZE
FENCE TYPE
HEIGHT
GATE
GATE REVERS
GUN ITE
DEEP END RAMP —
REMOV .AEMG
EXTEND 2nd STEP 2 PER PLAN AT 21" WATER DEPTH
LOVESEAT —
EST. START
SPILLWAY TYPE
CANTILEVER -
EBT. COMPLETION
COPING 31/2" THICK CONCRETE
4THER
R.B.B. - St_c 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 SUBJECT 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
EMPIRE WEST LOT 12
STREET 52-730 AVENIDA VELASCO
JOB ADDRESS ICITY LA QUINTA
PHONE OFFICE RES
LOT 12 TRACT PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE
DATE
DESIGNED BY
PROJECT MGR.
HEC BY
_L11= 1 I
07-29-13
JT,
GRAHAM B,
I
JOB#
R EV I S 10 N S`��"` DATE:
1
2
31,
CITY OF LA QUINTA
q-
APPROVED
5
FOR CONSTRUc, FION
6
DA BY
7
B11
SELECTIONS
STONE
N/A
TILE
VR681 WITH CUSTOM #370 DOVE GRAY GROUT
BOULDERS
N/A
DECK COLOR
NATURAL GRAY
JANDY
INTERMATIC TIME CLOCK
PEBB/PLAS
WHITE PLASTER
SIGNATURE
I DRAINAGE NOTE: Drainage and irrigation for planters and pots, by others,
unless otherwise noted. I
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