14-0349 (PLBG)P.O: BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000349
Property Address:
53725 AVENIDA VALLEJO
APN:
774 -122 -026712 -000000 -
Application description:
PLUMBING .
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2900
Applicant:
Ti4it °F 4Qul«rw
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
UCENS D CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am I ensed under' provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and -P fessionals C d my License is in full force and effect.
Sc tionA�s.sCfDiv cense No.: 818149Date:Contractor:
OWNER -BUILDER DECLARATION
1 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 riot build or
'improve for the purpose of sale.).
(_ 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 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
1 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:
RONALD STOCKDALE-
53725 AVENIDA.VAL
LA QUINTA, CA 922
Contractor:
LAGUNA FALLS CUSTOM
P.O. BOX 2322
INDIO, CA 92202
(760)347-8977
LiC. No.': 818149
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .4/01/14
r
PO . CITY OF LAQUINTA
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
vrT 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 LAWC010355
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 become subject to the workers' compensation laws of California,
and agree that, if I should be ome ct to the workers' compensation provisions of Section
3700 of the Labor Code, I s Korth 7.0r
mp
ol - 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 ($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.
APPUCANT 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building co) and h thorize representatives
of thsou iy /
b -mentioned property es
Yter upon the
te: Sig,�ture �
(Applicant or Agent):
Application Number . . . . . 14-00000349
Permit . . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 11.92 Plan Check Fee
_.00
Issue Date Valuation
0
Expiration Date 9/28/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS • PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
PLUMBING - INSTALL 75 L.F. OF 3/4 INCH
POLY GAS LINE FOR FIRE PIT PER ATTACHED
APPROVED PLAN_ 2013 CALIFORNIA BUILDING
CODES.
-------------------------------------------------------
---------------------
Other Fees . .. . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, PLUMBING
23.83
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 11.92 .00 .00
11.92
Plan Check Total .00 .00 .00
•.00
Other Fee Total 115.40 .00 .00
115.40
Grand Total 127.32 .00 .00
127.32
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:
A&yo
Owner's Name: f, aDG(c em
A. P. Number:
Address:
Legal Description:
Contractor:11 ��,
1� t^^� �' � GO[ �'
City, ST, Zip:
Telephone: ><
Address: 3 o 4W 1 S,4 7—
Project Description: a� Tl g' 1 V y T
City, ST, Zip: l�lv( t C GA- '97 22-01
r v cvh,Q c GT G/ i A 0
TeleP ho ne 7 % �
�0 3
.4
G s (�Y, ko/'
State Lic. #: l
Ci Lic.�¢—
Arch., Engr., Designer:
Address:
",
City., ST, Zip:
Telephone:
;;
truction Type: Occupancy:Cons
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 41k4e , // t f i, Cr!
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: 760 2 -SO SY? f-
Estimated Value of Project ,"-/—
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Review, ready for correctionsrissue
Developer. Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
3
�J Y
,
0
d
LEGEND
ELECTRICAL AND PLUMBING EQUIPMENT LIST OF MATERIAL
POOL -
O LIGHTJUNCTION BOX LEl PENTAIR DUAL SPEED PUMP Qj -
STANDARD WHITE PLASTER .
O DUAL PORT SKIMMER Ej PENTAIR 3/4 HP WHISPERFLO PUMP36'LN 3+ 4' BLOPROPANE
CK WALL • -•.
2
_
O
MP PROUCTS AUTO FILL
O PENTAIR 320 SQ. FT. CARTRIDGE FILTERQ
3
4. 4' BLOCK WALL -
45'LN EQUIPMENT
0
....
4O
SPLIT MAIN DRAIN
E4 PENTAIR HEATER 4O0K BN -(PROPANE)
-
Q
RETAINING WALL -. .
51'4• N3'
�
E4
5
3OOW POOL LIGHT
E5 - -
.a 1OOW SPA LIGHT
5
BLOCK WAU. -
.5'•153'LN '
C
OPROPANE
TANK
E6 POOL TIME CLOCK
BLOCK WALL - I COURSE '
16,
LN WALL
�
O7
PLUMBING LINES
POOL DEMENSIONS. -
BLOCK42.'
- 3
BLOCK WALL • 3 COURSES
4B'6' LN 6'xBk1G' - B
.
O7
RETURN LINES •
SUCTION LINES-
E3
3
BLOCK WALL -COLUMNS _
+5'B' -16'X16'
z uz• PVC
E2
L
,
�
EI
EB
O
\
3' wd
C 3' wd
f
50' In 1" Poly. Line
I......................................-9"wd
5
I
ES
_9.''wd
- _
`
Beac
T
\
\\
Entry ,
a
POLY GAS LINE
C'
m
yj
N
FIRE PIT
F-1
�-d
E�'q-
oa
3
�J Y
,
0
d
LEGEND
ELECTRICAL AND PLUMBING EQUIPMENT LIST OF MATERIAL
POOL -
O LIGHTJUNCTION BOX LEl PENTAIR DUAL SPEED PUMP Qj -
STANDARD WHITE PLASTER .
O DUAL PORT SKIMMER Ej PENTAIR 3/4 HP WHISPERFLO PUMP36'LN 3+ 4' BLOPROPANE
CK WALL • -•.
2
i
51 ft. 4in.
opertyline....._ _...._ ._...._ ._...._ ._......_. _...._. _.:.._ ._...._ ._.....:_....._. 1- ._..
CITY OF LA QUINTA
-BUILDING & SAFETY DEPT.
APPROVE®
DATE BY
81-730 Highway 111, Ste 2 Fax: (760) 347-8975 J. Mancilla Designed 537725 Avenida Vallejo
Indio CA 92201 E -Mail: jaime@lagunafallspools.com 4/1/2014 for: La Quinta CA 92253
_
O
MP PROUCTS AUTO FILL
O PENTAIR 320 SQ. FT. CARTRIDGE FILTERQ
3
4. 4' BLOCK WALL -
45'LN EQUIPMENT
..
FI: 11
....
4O
SPLIT MAIN DRAIN
E4 PENTAIR HEATER 4O0K BN -(PROPANE)
-
Q
RETAINING WALL -. .
51'4• N3'
-
5
O
ELECTRICAL PANEL BOX
3OOW POOL LIGHT
E5 - -
.a 1OOW SPA LIGHT
5
BLOCK WAU. -
.5'•153'LN '
OPROPANE
TANK
E6 POOL TIME CLOCK
BLOCK WALL - I COURSE '
16,
LN WALL
�
O7
PLUMBING LINES
POOL DEMENSIONS. -
BLOCK42.'
- 3
BLOCK WALL • 3 COURSES
4B'6' LN 6'xBk1G' - B
.
RETURN LINES •
SUCTION LINES-
(�'. 13'x 3O
�
�'P7 SPA OEMENSIONS
!lN�1 TxT-+T
BLOCK WALL -COLUMNS _
+5'B' -16'X16'
z uz• PVC
LiB
i
51 ft. 4in.
opertyline....._ _...._ ._...._ ._...._ ._......_. _...._. _.:.._ ._...._ ._.....:_....._. 1- ._..
CITY OF LA QUINTA
-BUILDING & SAFETY DEPT.
APPROVE®
DATE BY
81-730 Highway 111, Ste 2 Fax: (760) 347-8975 J. Mancilla Designed 537725 Avenida Vallejo
Indio CA 92201 E -Mail: jaime@lagunafallspools.com 4/1/2014 for: La Quinta CA 92253