RPL-14-904 (RPL)78-495 CALLE TAMPICO, D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/1/2014
Application Number: RPL -14-904 Owner:
Property Address: 58835 JEREZ T D DESERT DEV
APN: 764650016 81570 CARBONERAS
Application Description: POOL/SPA/BBQ/FIRE PITS AT REAR YARD LA QUINTA, CA 0
Property Zoning:
Application Valuation: $46,000.00
Applicant: Contractor:
BUBBLE SPRINGS
PO BOX 1046
RANCHO MIRAGE, CA 92270
��— (760)341-2336
Llc. No.: 728796
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 Professions Code,
and my License is in full force and effect.
License Class: dCENSE CLASSIFICATION cense No.: 7 96
Date: 11zhotracto
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 f 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.).
(_) 1, 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. Q.
Lender's Name:
Lender's Address: I
WORKER'S COMPENSATION DECLARATION
I hereb it under penalty of perjury one of the following declarations:
ave and will maintain a certificate of consent to self -insure for workers'
compe tion, as provided for by Section 3700 of the Labor Code, for the performance
of th
�hich this permit is issued.
d %j/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:_ Policy Number:
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 become subject to the
workers' compensation provisions of Section 370 the Labor Code, I shall forthwith
comply with th se ovisions.
0 te: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 Building Official 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 re ting to building
construction, and hereby authorize representatives of this city to t upon t bove
mentioned pope for inspection purposes.
"' L ignature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS S81473 FEE
101-0000-20306
0
$2.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION: `
ACCOUNT`
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $47.66 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$11.92
$0.00
" PAIDBY
` i METHOD
'" RECEIPT #
CHECK #'
CLTD BY"
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD '"
RECEIPT #'CHECK
#
CLTD BY
Total Paid forPLUMBING FEES: $35.75 $0.00
4rI)ESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION'
= A000UNT'' _ " '
`'QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
PAID.BY "
METHOD
RECEIPT# `
CHECK #
CLTD BY
Total Paid for POOL./ SPA: $275.99 $0.00
,0 $0.00
POOL SPECS
SIZE: 52'X 19'
DEPTH: 3.5' TO 5.0'
SQFr: 852 SOFT.
PERIMETER: 174'
TILE: at waterline
INTERIOR MATERIAL: pebble plaster
NOTES: Tanning shelf with one umbrella sleeve
SPA SPECS
SIZE: 9' x S'
DEPTH: 35
RAISED HEIGHT: +18"
SQFr: 72 sq.R.
PERIMETER: 34'
TILE: at watedine and spillway
INTERIOR MATERIAL: pebble plaster
SPILLWAY: ble to match waterline
NOTES: Attached fire wall +19',Aft fire alass, valve
and key
DELI( SPECS
DECK TYPE: Acid Wash Finish
TOTAL DECK SQFT: 2404 sqR
NOTES: Pads with artificial turf bands (Turf provided
o ers
EQUIPMENT
CIRC. PUMP: Pentair Intelliflo VS 3050 pump
FILTER: Perdav 520 RCartrid afiner
PerKa t 200 sg.ft. untain niter
JET PUMP: Pentair Whisperflo 3 HP pump
PUMPS: Pentair lntelliflo VS 3050 Waterfa0um
Pentair Intelliflo VS 3050 courtvardpump
HEATER: Pentair Mastertemp Heater 400,000 BTU
AUTOMATION: Pentair Easy Eiqht with indoor controller
LIGHTING: 2 Pentair Intellil rite LED Lights
I PentairLED untain Light
I PaRreo LED Too sten Tight
FINIMES
PLASTER FRENCH GREY CUSTOM MINI PEBBLE
DECK TYPE: Add Wash Finish IN MESQUITE
WATERLINE: RT 141 MATTE WHITE I" X G' with
quartz grout
BBQ: Conaete countertop with stucco sides
ADDITIONAL: '
POOL: -0- ELEVATION WITH TILE AT
WATERLINE AND PEBBLE PLASTER
WATER FEATURE: +12" RAISED WALL WITH
2' CUSTOM CASCADE SHEER DESCENT;
FIREWALL WITH FIRE GLASS, VALVE AND z
KEY; ACID WASH CONCRETE CAP, WITH D
TILE FACE AND SIDES 1 9!
LOUNGE AREA WITH THREE
UMBRELLA SLEEVES
FLOATING STEP IN ACID WASH
FINISH CONCRETE
SPA: +18"SIT AND SPIN' WITH 6
HYDRO -THERAPY JETS; SPA -SIDE
AUTOMATION CONTROL; TILE
SPILLWAY; TILE AT WATERLINE, PEBB
PLASTER AND ACID WASH FINISH
CONCRETE CAP
FIRE WALL: +18" WITH TILE SIDES,
CONCRETE CAP, FIRE GLASS,
VALVE AND KEY
Project Overview
LAWN
24' 1D'.
5.0' WD
0
O
r
POOL
LAWN
e ,_ o
3.5' WD
------------0
I
i LAWN
i
r
RESIDENCE
WATER FEATURE: +12" RAISED WALL
WITH 2' CUSTOM CASCADE SHEER
DESCENT; FIREWALL WITH FIRE
GLASS, VALVE AND KEY; ACID WASH
CONCRETE CAP, WITH TILE FACEr
AND SIDES I CITY Orr -r h QUINTA
BUILDING & SAFETY DEPT.
ROD- AV' E D
FOR CONSTRUCTION
DATE'S `� � BY�_
SWIMOUT WITH TWO UMBRELLA
SLEEVES AND ONE PALTREO LED
z I _STEP LIGHT
UMBRELLA SLEEVE
BBQ: +36" WITH POLISHED CONCRETEf6V 00-1 iiAIQ FINS Rf
COUNTERTOP AND STUCCO SIDES TO
MATCH HOUSE; INCLUDES ALFRESCO 42"
AGBQ42 STAUNLESS STEEL COOKING HEAD
WITH INFRABR0 L. ROTISSERIE AND
INTEGRATED LIGHTING AND AGD-42
STAINLESS STEEL ACCESS DOORS &
DRAWERS; CANTILEVER BAR SEATING AREA
DECKPADS: ACID WASH FINISH
CONCRETE WITH ARTIFICIAL TURF
BANDS (TURF PROVIDED BY
LANDSCAPE CONTRACTOR)
SIDEWALK DOWN SIDEYARD OF HOME -
ACID WASH FINISH (194 SQ.FT.)
DECK AREA FOR TRASH CANS &
SIDEWALK TO GATE - ACID WASH
FINISH (127 SQ.FT.)
OL EQUIPMENT LOCATION
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C>�ty 6F La Qui - to
Bugft a Safety Division
P.O. Box 1504, '78-495 Cane Tampico
. * 4-Qttinta, CA 92253 ---(760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
3
— qb
Project Address: S - I C- p I '
Owner's Name:. T
VJ00rv►en}
A P. Number.
Address: $\ S� Q r✓� r0.
Legal Description:
Contractor: �1
bubble
City. ST, Zip: � ll�'�-Cc, qi,2 J3
Telephone: l p) ] 1 I H
Address: 0 •bc& 0
City, ST. Zip: n
Project Description: TqD 5 0, 1 �--1 fe f5 1-
Telephone: 6. N I . I
State Lir:. #: 12, City Lic. &
Arcfi-, Engr., Designer.
Address:
City, ST. Zip:
Telephone:Construction
State Lic. #:
Name of Contact Person: �ItI•
Type: W 60 Occupancy:
Project type (circle one Demo '
Sq. Ft: nes nth
Telephone # of Contact Person: p
E ' a of Proj
APPLICANT:
DO NOT WRITE 13�&H"k UNE
p
Submittal
Rcq'd
'Reed
TRACJkMG
Pian Check submitted Item Amount
Plan Sets
Structural Cates.Reviewed,
ready for corrections Plan Check Deposit.
Truss Cates.
CaUed Contact Person Plan Check Balance
Tithe 24 Cates.Plane
picked up Construction
Flood plain plan
Pians resubmitted Mecharittal
Grading plan
E'! Review, ready for correctionsfissue Electric
Subcontactor List
Ca led Contact Person Plumbing
Grant Deed
Plans picked ap SALL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'^' Review, ready for eorreedo ae Developer Impact Fee
Planning Approval
Cal(ed Contact Person A,I pp
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees