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14-0627 (RPL)e- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000627 Property Address: 58725 JEREZ APN: 764-200-999-11 -316813- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 Applint: (/O Tiht 4 4 4" Architect or Engineer: ./l/0- ------------------------ /l/0 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------/sionals ------------------------ LICETOR'S DECLARATION I hereby affirm under penalty of perjury that I aprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andode, and my License is in full force and effect. licensClass: C8 0,27 2 nse No.: 656128 Date: V Contractor: 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).: (_ 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, 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: LQPERM IT Owner: BARTKOWSKI RESIDENCE 58725 JEREZ LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 9223 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/14/14 ----------------------------------------------- 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 Sectidn 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 EVEREST NATL IN Zsub'to mber 7600006481141 I certify that, in the performaf ich this permit is issued, I shall. not employ any person in any manner so at to the workers' compensation laws of California, and agree that, if I should to the workers' compensation provisions of Section 3700 the Labor Code, I comply with those provisions. Date: pplicant: WARNING: AILURE 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 cessati of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above info �m n is correct. I agree to comply with all city and county ordinances and state laws relating to building constr ion, and hereby authorize representatives of this county t enter Pon the above-mentioned property for i ection purposes. Date: ignature (Applicant or Agent): Application Number . . . . . 14-00000627 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation 0 �. Expiration Date . . 11/10/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 ---------------------------------------------------------------------------- 23.83 Permit . . . POOL 2013 Additional desc . . Permit Fee . . . . 178.75 Plan Check Fee .00 I6sue Date . . . . Valuation . . . . '0 Expiration Date . . 11/10/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA ---------------------------------------------------------------------------- 178.75 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/10/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ---------------------------------7------------------------------------------ Special Notes and Comments POOL, SPA, FIRE PIT, BBQ, AND EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS . _ AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. ---------------------------------------------------------------------------- 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 Plan Check Total .00 .00 .00 .00 Other Fee Total 145.90 .00 .00 145.90 LQPERMIT Application Number . . . . . 14-00000627 Grand Total 360.40 .00 00 360.40 LQPERMIT a 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: —7 Jt � �� Owner's Name: A. P. Number: Address: S� Legal Description: City, ST, Zip: Contractor: Telephone: >z>>��<::`•.''s'��< . ........:........ Address: Q C c5 Project Description: City, ST, Zip: Telephone: �� 2'— 2 %%;:> :,:.,,;::;,:,..>;:..:,.<>.s'<::<> ... State Lia # City Lic. M. i 6 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ......................... Construction Type: Occupancy: State Lic. #: Project hPa (circle one) Add, n Alter Repair r Demo Name of Contact Person: �� Sq. Ft.: # Stories: # Units: . Telephone #,of Contact Person: Estimated Value of Project: QD0 , APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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 Calcs. 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 HOUSE:- '^' 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 CAPE LIGHTING IN REAR YARD IEAD UTILITY LINES IN REAR YARD aR ILLUSTRATION PURPOSES ONLY GAS VALVE FIREPIT AT +12" WITH POURED IN PLACE LIGHT BROOM FINISH CONCRETE CAP AND TILE VENEER FACE TANNING SHELF AT 18" WATER DEPTH WITH TWO UMBRELLA SLEEVES POOL / SPA LIGHT JUNCTION BOX POOL / SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER POURED IN PLACE COUNTERTOP AT +38" WITH ALX2-42" BARBECUE, STAINLESS STEEL SINGLE DOOR/DOUBLE DRAWER COMBO, FLEX LIGHT, STUCCO AND PAINT EXTERIOR TO MATCH HOUSE, INSTALL LANDSCAPE DRAIN INSIDE STRUCTURE AND CONNECT TO LANDSCAPE DRAINAGE SYSTEM, SUPPLY WATER STUB INSIDE STRUCTURE, DRAIN AND WATER SUPPLY TO BE POSITIONED TO LEFT OF GRILL IM SALT FINISH COLORED CONCRETE WALKWAY WITH SAND, VISQUEEN AND $3 REBAR 18" o.c. 150' POLYPROPYLENE GAS PIPE 2" TO POOL HEATER 1#" TO BARBECUE AND FIREPIT POOL EQUIPMENT 50 AMP SU13PANEL WITH 3S" CLEARANCE AT FRONT AND SIDE POOL EQUIPMENT: 400,000 BTU HEATER 'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED ELECTRIC CONDUIT MAIN HOUSE 200 AMP ELECTRICAL PANEL ^lL THREE RAISED PUNTHS AT 4 IN PLACE LIGHT BROOM FINI7 THREE SPILLING I POTS AND POOL SPLIT MAIN DI ANTI -COVERS 1(" X t i WITH POURED CONCRETE CAP, _E VENEER FACE IN SUCTION MINIMUM Y APART. E/ANSIAPPROVED 257 SQ.FT. POOL AREA SALT FINISH CONCRETE / CAPS 822 SOFT. TOTAL SALT FINISH CONCRETE WALKWAYS /PADS SBS SOFT. COURTYARD AREA SALT FINISH DECKING SALT FINISH COLORED CONCRETE WALKWAY ( WITH SAND, VISQUEEN AND 83 REBAR 16"o.c. SPECIFICATIONS TYPE GUNITE I SURFACE AREA OF POOL ONLY 78 SOFT. PERIMETER 118 U4.FT. DEPTHS MIN.V-Ir_ MAX POOL a SPA COMBINED 773 SOFT. TWO RAISED PLINTHS AT +18" WITH POURED SPA BPECIFICATIONS TILE SIZE r -O' X Z SO. FT. 49 In FT. ZO TRE TYPE WATEiUNE IN PLACE LIGHT BROOM FINISH CONCRETE CAP, NO. OF ATS QUARTER ROUND LIGHT R.S.B. TILE RAISED SPRAT TWO PLANTER POTS WITH DRAINS AND IRRIGATION SPILLWAY TYPE ADDLOUTIETS SKYMERTYPE SPECIAL NOTES DECKING EXCAVATION / STEEL SLEEVES, AND TILE VENEER FACE TYPE FINISH ACCESS FROM EXPANSION JOINTS ELEVATION POURED IN PLACE LIGHT BROOM FINISH DEEP ED RAMP - DECK DRAM LOVE SEAT � DECCODRAW CONCRETEREMOVAL CONCRETE STEPPING PADS WITH SAND, 600 REMOVAL STEPS TREE REMOVAL 6Y STEP FACE IRRIGATION REGIVALBY VISQUEEN AND A3 REBAR 18" o.c. PRI ATI N REPAIR SANDAHD VISQUEEN r RRS, El RRSONS 12• Rsa POURED IN PLACE LIGHT BROOM FINISH COLORED 16 RA.9. El 2A• RJ32L 30' RREL STEPPING PADS ON GUNITE PEDESTAL, TILE TAN SHELF DEPTH ROCK POCKETS MASONRY COPING TYPE CENTERS WATERLINE, PEBBLE TEC FINISH CHANNEL AT Cr, TILE WATERLINE, PEBBLE TEC INTERIOR, ~ LED LIGHT RAISED SPA AT +18" WITH POURED IN PLACE 0 Z O LIGHT BROOM FINISH CONCRETE CAP, TILE _ LIP SPILLWAY AND TILE VENEER FACE — i Lu f-- 1 SPA SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART. f— 0 W > U f) ANTI -COVERS 10" ASME /ANSI APPROVED Q 3' " B.! J U) (n O(-D CL 0 O SALT FINISH COLORED CONCRETE DECKING U LL. WITH 15" CALIFORNIA EDGE, SAND, VISQUEEN f AND 93 REBAR 18" D.C. m 7 SALT FINISH COLORED CONCRETE STEPPING PADS WITH SAND, VISQUEEN AND 03 REBAR 18" o.c. JO • ' ' POOL / SPA LIGHT JUNCTION BOX POOL / SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER I f SPAAIRLINE SALT FINISH COLORED CONCRETE WALKWAY ( WITH SAND, VISQUEEN AND 83 REBAR 16"o.c. SPECIFICATIONS TYPE GUNITE SIZE 4Cr4P X_ SURFACE AREA OF POOL ONLY 78 SOFT. PERIMETER 118 U4.FT. DEPTHS MIN.V-Ir_ MAX POOL a SPA COMBINED 773 SOFT. 7170 LNTI. SPA BPECIFICATIONS TILE SIZE r -O' X Z SO. FT. 49 In FT. ZO TRE TYPE WATEiUNE SPA DAM WALL WM TRE TRY NO. OF ATS QUARTER ROUND LIGHT R.S.B. TILE RAISED SPRAT SPILLWAY TYPE ADDLOUTIETS SKYMERTYPE SPECIAL NOTES DECKING EXCAVATION / STEEL �•ET SEE NOTE TYPE FINISH ACCESS FROM EXPANSION JOINTS ELEVATION CANTILEVER DEEP ED RAMP - DECK DRAM LOVE SEAT � DECCODRAW CONCRETEREMOVAL CURBCORE 600 REMOVAL STEPS TREE REMOVAL 6Y STEP FACE IRRIGATION REGIVALBY TLE RASE PRI ATI N REPAIR SANDAHD VISQUEEN r RRS, El RRSONS 12• Rsa MOW ST W 16 RA.9. El 2A• RJ32L 30' RREL Fr TAN SHELF DEPTH ROCK POCKETS MASONRY COPING TYPE CENTERS RAEL FACING 17 FILTER SIZE POOL PUP SIZE DOo6H3t PUMP SIZE } Ce SPILLING POT SM m AADDDLR)MP SIZE NEATERSIIE TIME CLOCK SUB PAIR ADDLOUTIETS SKYMERTYPE FILL L NE OAS IRE SNE W <I- 0 OVERFLOWING POT SCALE:1/T"1'-W OVERFLOWING POT WITH SUBMERSIBLE PUMP, AUTOFILL FLOAT, PREFABRICATED SUBTERRANEAN BASIN WITH COBBLE OVERLAY ALL ANM1BNRAPMtM COVER INSTALLATION MFETM CURRENT STANDARDS OF THE AMERICAN SOCIETY FOR TESTING AD MATERIALS OR THE AMEPKAJIN SOCIETY OF MEMMOAL ENGIMEE MIS (ASME) ELECTRICAL' EQUIPOTENTML BONDING REQUIREMENTS SHALL BE INSTALLED TO EUMIATE VOLTAGE GRADIENTS IN THE POOL AREA AS PER CFC ART. 61102d. 3013 CALIFORNIA BUILDING CODE (SASEDON200519C) 3O 1 3 CALIFORNIA MECHANICAL CODE (BASEDON20MUMC) 301 3 CALIFORNIA PLUMBING CODE (8ASED0N2DD0UPC),. — 301 3 CALIFORNIA ELECTRICAL CODE (BASEDON20WNEC) 3013 CALIFORNIA ENERGY EFFICIENCY STANDARDS EXCAVATOR AND IF PRA=QkL THE EXCAVATOR SWILL DELINEATE VNR VNHE PANT OR GAINER SUITABLE MARKING THE ARE TO BE EXCAVATED CONSTRUCTION AUTHORIZATION LIGHTS IN FOOL IN STUB SET EQUPMENT PROP. IXT. EQUIP. FENCING FENCE TYPE_ HEIGHT_ GATE GUNITE GATE REVERSAL DEEP END RAMP REMOVE a REMAND EXTEND 2Ta STEP LOVESEAT SPILLWAY TYPE CANTILEVER .,. vowv�rnGN COPONO OTHER R.B.S. - SEE STEEL OWNER RESPONSIBILITIES OWNER TO: (1) OEIENINE THE APPROXRUTE ELEVATION OF POOLOR SPAAT LAYOUT ON DAY OFDICAVATIONL (2) TAKE NOTICE THATPOOLAND EQUIPMENT LOCATIONS ARE SUSACT TOA=EPTANCE OF LOCALSALDILNG DEPAATMQRAT THE TIME OF ISSUANCE OFPERMIT. (al VET DOWN CON CRETE SHELLAT LEAST TRICE OARY FOR SEVEN DAYSAFIER SHELL IS W RAU.ED. (4) AGREE THATTESERRA IS NOT RESPONRNE MR UNDERGROUND CONDMOW OROSECTS. AND ANY DAMAGE TO CURBS. SIDEWALKS, DRIVEWAYS. LAWNS, OR OTHER REMB N THEACCES8 AREA (S) SEETATALLFE MGMTFAANDONUGED 8NEETLOCALCODEBFORAPoOLFNCLO818iE PRIOR TO PREPUASTTR INBPECTIOL (5) Fel POOL MIEINATFLY AFTER EASIER ( FOLLOW INSTMC _0-00 NOT USE WESER HM) (7) TAKE HGTKE THAT THIS O MAWNG 0 THE SOLE PROPWIY OF TESERRA AID THAT ANY USE VARIOUT WRT7ENN PERMISSION OF TESENRA 18 PROHIBITED SY UW. SWIMMING POOL PLAN FOR: NAME BARTKOWSKI RESIDENCE A"= 1' 1 05-02-14 1 JT. I PAUL Y. JOB / REVISIONS -,,T,. �_l 1-3 SELECTIONS OR