14-0602 (RPL)fA
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 14-00000602 Owner:
Property Address: 58747 JEREZ T.D. DESERT DEVELOPMENT
APN: 764-200-999-12 -316813- 58747 JEREZ
Application description: P06L - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 275-7676
Application valuation: 45000
Applicant:
Architect or Engineer:
q\1 W.
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 Pes Code, and my License is in full force and effect.
License Class: C53 D35 cense No.; 728796
I
Contractor.
/L ER D RATION
I hereby affirm under penalty of perjury t t I am a mp 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).:
(_ 1 1, 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.).
( 1 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
Contractor:
BUBBLE SPRINGS
P.O. BOX 1046
RANCHO MIRAGE, CA 92270
(760)341-2336
Lic. No.: 728796
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/12/14
SIA`► 1 ' �"
rVTY Of LA_ Q_90erTA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: -
haveand 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
t
ed.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
e, for the performance of the work for which this permit is issued. My workers' compensation
`rance carrier and policy number are:
Carrier NATL Policy Number 76001635
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 subjec a workers' compensation provisions of Section
3� 7700 of the Labor Code 5� co pl with those provisions.
�Datr� �% - Applicant
/ v
WAR G: (LURE TO SECURE OR EN ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN ES 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 above information is cor ct. I agree to comply with all
city and county ordinances and state laws relating to buildin s ucti ,and rebs authorize representatives
of this county to enter upon the above-mentioned pert or ins n p se
Date:.% %A7�Sig nature (Applicant or Agent)::� `
Application Number . . . . . 14-00000602
Permit . . .
POOL 2013
Additional desc . .
Permit Fee . . . .
178.75
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
11/08/14
Qty Unit Charge.
Per
Extension
1.00 . 178.7500
----------------------------------------------------------------------------
EA MISC POOL/SPA
178.75
Permit . . .
ELECTRICAL 2013
Additional desc . .
Permit Fee . . . .
23.83
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
11/08/14
Qty Unit Charge
Per
Extension
1.00 23.8300
----------------------------------------------------------------------------
LS ELEC DEVICES,
FIRST 20
23.83
Permit . . .
PLUMBING 2013
Additional desc .
Permit Fee . . . .
11.92
Plan Check Fee
00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
11/08/14
Qty Unit Charge
Per
Extension
1.00 11.9200
----------------------------------------------
LS PLBG GAS
SYS, 1-4. OUTLETS
11.92
Other Fees . . . . .
. . . BLDG
------------------------------
STDS ADMIN (SB1473)
1.00
PLAN
CHECK, ELECTRICAL
23.83
PLAN
CHECK, POOL
97.24
PLAN
CHECK, PLUMBING
23.83
Fee summary Charged
Paid
----------
Credited
--------------------
Due
----------------------------
Permit Fee Total
214.50
.00 .00
214.50
P1an.Check Total
.00
.00 .00
00
Other Fee Total
145.90
.00 .00
145.90
Grand Total
360.40
.00 .00
360.40
LQPERMIT
POOL SPECS
SIZE: 53'X 27'
DEPTH: 3.5'- 5.0'
SQFT: 871 SQ.FT.
PERIMETER: 168'
TILE: to be selected
INTERIOR MATERIAL: pebble plaster
NOTES:
SPA SPECS
SIZE: 12.5' x 6.5'
DEPTH: 3.5'
RAISED HEIGHT: +18"
SQFT: 75 sq.ft.
PERIMETER: 33'
TILE: to be selected
INTERIOR MATERIAL: pebble plaster
SPILLWAY: stacked stone
NOTES:
WATER FEATURE SPECS
NOTES: TANNING SHELF AT 6" WATER
DEPTH; WITH 5 COLOR
CASCADE LED LIGHT BUBBLER
FEATURING 5 COLORS AND 7
UURTMROWS
DECK SPECS
DECK TYPE 1: Pavers
TOTAL DECK SQFT: 1964 sq.ft.
DECK TYPE 2: Acid Wash Concrete band
TOTAL DECK SQFT: 327 sq.ft.
FINISHES
PLASTER Pebble
DECK TYPE 1: Pavers
DECK COLOR:
DECK TYPE 2: Acid Wash Concrete
TILE: to be selected
BBQ: Tile with stucco sides
ADDITIONAL:
WATER FEATURE: TANNING SHELF AT 6" WATER
DEPTH; WITH 5 COLOR CASCADE LED LIGHT
BUBBLER FEATURING 5 COLORS AND 7 LIGHT
SHOWS
SWIM OUT: 6" WATER DEPTH WITH UMBRELLA
SLEEVE
ATTACHED BBQ TABLE: +42" TILE COUNTERTOP
WITH 6" TURNDOWN AND STUCCO ON SIDES TO
MATCH HOUSE; AND ONE UMBRELLA SLEEVE
BBQ; +36" WITH TILE COUNTERTOP WITH 6"
TURNDOWN AND STUCCO SIDES TO MATCH HOUSE;
INCLUDES ALFRESCO 42" STAINLESS STEEL
COOKING HEAD WITH INFRABROIL, ROTISSERIE AND
INTEGRATED LIGHTING AND
STAINLESS STEEL ACCESS DOORS & DRAWERS
COMBO; ONE ELECTIRCAL OUTLET
LAwN
0 0
0
0
PM NO
EA 5.0' WD
PON!
t —
3.5'WD
I
c
PLV47NOAREA
I
1
t
RESIDENCE
6"
PLANnNG
AREA
POOL: -0- ELEVATION WITH TILE AT WATERLINE AND
PEBBLE PLASTER
FIRE PIT: +12" WITH TILE SIDES AND ACID WASH
FINISH CONCRETE CAP; INCLUDES GAS LINE, FIRE
RING, VOLCANIC PEA GRAVEL, VALVE AND KEY
BRIDGE: CANTILEVER DETAIL
FAUX WOOD GRAIN IEXTURE
�w0 6nw•Nt9!
SPA: +18" WITH STACKED STONE SPILLWAY; TILE AT
WATERLINE; PEBBLE PLASTER; TILE SIDES; ACID
WASH FINISH CONCRETE CAP; AND 6
'FLUSH -MOUNTED HYDRO -THERAPY JETS
INTERLOCKING PAVERS
EQUIPMENT LOCATION 88' FROM CORNER
OF HOUSE, 5' FROM PROPERTY LINE IN
INSET
ofta
Clip' OF- CH QUiNTA
BUILDING & SAFETY DEPT.
FOR CONSTRUCTION
DATE 16151144 BY _
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Project Address: —
Cjtj/ O f , .La Quihta
BMW 8T Safety Division
P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253 -(760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:.
A. P. Number.
Address: 81 51 b(utrcLL
Legal Description:
City, ST, Zip: V a �22
Contractor: ?JI
Telephone: z lir 9 3 Ko
ProjectDescription: —fool 5
Address: JU
�(t/
City, ST, Zip:
t"'a
Telephone: 2Zf
State Lia #: 7Z q City Lie. C-
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
a h.. :
Construction Type: • Occupancy:
Project type (oirde one): ew Add'n Alter Repair Demo
Name of Contact Person:
d u`ie
Sq. FL:
Stories:
#Units
Telephone # of Contact Person: 766 Z 7 tT .
Estimated Value of Project'N
APPLICANT:
DO HOT WRITE BELOW THIS UNE
N
Submittal
Req'd
'Rec'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check Submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Chcck Deposit.
Truss Cates.
Called Contact Person
Plan Check Balance
True 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for correctionstissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.XL
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:
r"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P,P,
Pub. Wks. Appr
Date of permit issue
Kcc N 1101C
School Fees
.T
Total Permit Fees
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