12-0434 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 1
12-00000434
Property Address:
58703 JEREZ
APN:
764-650-010- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
69885
T,iht
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TD DESERT DEVELOPMENT
81570 CARBONERAS
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/19/12
Contractor:
Applicant: Architect or Engineer: BUBBLE SPRINGS ADR. 0 �U I•t U
P.O. BOX 1046 APR
RANCHO MIRAGE, CA 92270
(760) 341-2336 41 Lit1--A AWINTA
�I Lic. No.: 728796 I AMdEPT
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business7d Profes ' ode, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C53 D35 ense No.: 728796 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
at — '� ontractor: 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
OW R -BUILDER DECLARATION - insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I ampt from the Contractor's State License Law for the Carrier EVEREST NATL Policy Number 7600001635121
'following reason (Sec. 7031 .5, Business and Pr fessions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject t he workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should be subject to orkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, al o i ly with those provisions.
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 IS5001.:te:�/'��' . cant:
(_ 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 WARNING: FAILU E TO SECURE ORKERS'CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not *apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and*who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(._ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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 per i ue (Sec 7, Civ. C.)•
Lender's Name:
Lender's Address:
LQPERMIT
of La Quinta, its officers, agents and employees for any actor 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 coon, and hereby authorize representatives
of tho
county to enter upon the above-mentioned property f s purp se .
ae✓ /� Sig ure (Applicant or Agent):
Application Number . . . . . 12-00000434
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee 504.50 Plan Check Fee.. 327.93
Issue Date . . . . Valuation 69885
Expiration Date 10/16/12
Qty Unit Charge Per Extension
BASE FEE 414.50
20.00 4.5000 THOU BLDG 50,001-100,000 90.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/16/12
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00'
----------------------------------------------------------------------------
Permit . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/16/12
Qty-. Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE.SWIMMING POOL 30.00
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc,.-.
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . 0
Expiration Date 10/16/12
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 6.0000 EA PLB FIXTURE 12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
5.00 3.00o0 EA PLB GAS PIPE 1-4 OUTLETS 15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA,BBQ WITH SINK TO BE PLUMBED TO
LQPERMIT
LQPERMIT
Application Number . . . . . 12-00000434
-------------------------- ----------------------------------------
Special Notes and Comments
SEWER, FIRE PIT & 2 FIRE POTS.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
3.00
Fee summary Charged Paid
Credited
Due
Permit Fee Total 620.50 .00
.00
620.50
Plan Check Total 356.93 .00
.00
356.93
Other Fee Total 3.00 .00
..00
3.00
Grand Total 980.43 .00
.00
980.43
Bin. #
City of La Quin to
Buliding U Safety Division
P.O. Box 1504,78-495 Calle Tampico
La..Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # 'A
Project Address: S _ —2
Owner's Name:.
A. P. Number. 0
Address:
Legal Description:
City, ST, Zip:
COnitaetOr d��,E
Telephone: s<
„' x$> '
Address:7,, Sa-
Project Description:
City, ST, Zip: v��
.'
Tele hone-
State Lic. # :
City Lie. #;
Arch., Engr., Designer
Address:
City., ST. Zip:
Telephone:
State Lic. #: ^ µ' "'cu
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'a Alter Repair. Demo
Sq. Ft.: # Stories: # Unitp:
Telephone # of Contact Person: –,7,(.p – S- 7G 76
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES'
Plan Sets
Pian Check submitted
Item Amount
Strgcturai Caics.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cake.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain•plau
Plans resubmitted.'.
Mechanical
Grading plan
2id Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for corrections/issue
Developer.Impact Fee
Planning Approval
Called Contact Person
Pub: Wks. Appr
Date of permit issue
School Fees '
Total Permit Fees
CUSTOM BASALT ROCK
FIRE POT
+ 18 " SPA WITH
STACKED STONE
SPILLWAY
BEACH ENTRY WITH
QUARTZITE ENTRY
TRIM
Length: -43'
Width: 21'x 37'
Depth: 3.5' - 5.0'
Perimeter: 155'
Square Footage: 900 sq.ft.
Material: Pebble Plaster
spa opeumcavionri
Length: 10'
Width: 8'
Depth: 33 . 57
Perimeter: 30'
SquareFootage: 62 sq.ft.
Material: Pebble Plaster
Water Features: Stacked Stone
Square Footage: 2012 sq.ft.
�,eamless Textured stamped
color to be selected
1/4 Anow I
+36" STACKED STONE WATER
FEATURE WITH 2 UP -LIGHTS
CUSTOM BASALT
ROCK FIRE POT
BAR TABLETOP WITH BENCH
SEAT. TABLETOP TO MATCH
WATERLINE TILE
FIREPIT - POURED STAMPED
CONCRETE FIREPIT AT + 12 TV
ELEVATION
BBQ ISLAND -TILE TOP TO
MATCH WATERLINE AND
STUCCO TO MATCH HOUSE
EQUIPMENT
LOCATION
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