13-0799 (RPL)Y/ 4,
P.O. BOX 1504 _
75-495 CALLS TAMPICO
LA QUIfNTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00000799 Owner:
Property Address: 58637 JEREZ TD DESERT DEVELOPMENT
APN: �-�%_4 b4-650-007- - - 81570 CARBONERAS
Application description: -POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 76682
Contractor:
Applicant: Architect or Engineer: BUBBLE SPRINGS
P.O. BOX 1046
RANCHO MIRAGE, CA 92270
W 1 (760)341-2336
Lic. 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 Professionals Code, and my License is in full force and effect.
License Class: C53 D35 ice nse No.:- 728796
Date�i� Contractor
O -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 empt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business an essions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repa 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
Licensg.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 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. nr she did not build or
improve for the purpose of sale.). -
1 _ 1 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. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
fS 760) 777-7153
D4a .
FJUN 2 6 2013
CITY OF—Da o
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.
�Phave 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 Policy Number 76001635131
_ 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
/3700 of the Labor�Cyode, I sh r i com 'th those provisions.
Dat � Z9 � Applicant: /
WARNING: FAILURE TO SECURE W KERS' COMPE ON COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE D CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE C T 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 correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereb authorize representatives
of this county to enter upon the above-mentioned property for ' spe io urpos
Dat if �L Signature (Applicant or Agent);
Application Number . . . . . 13-00000799
t
Permit . . . . ELECTRICAL 2013
Additional desc . .
Permit -Fee. 23.83 Plan Check Fee
.00
Issue.Date . . . . Valuation . . .
. 0
Expiration Date 12/23/13
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
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . .12/23/13
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 12/23/13
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, FIRE PIT, AND BBQ WITH [2
INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT
ELECTRICAL] THIS PERMIT INCLUDES
ELECTRICAL AT BBQ. EQUIPMENT SHALL BE
INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE -INSTALLED AT
PRE -PLASTER INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
------------------------------------------- -
Other Fees . ... . . . . . . BLDG STDS ADMIN (SB1473).
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited `
---=-----------------------------------------------------
Due
Permit Fee Total 214.50 .00 .00
214.50
Plan Check Total .00 .00 .00
.00
LOP A11T
a ,
_ Application Number . . . . . 13-00000799
Other Fee Total 98.24 .'00 .00 98.24
Grand Total 312.74 .00 .00 312.74
LOWERA IT
Bin #
00ty of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
BuildingPermit Application and Tracking Sheet
Permit #
1
13.1,
Project Address:52 >Z3 % J --Z,
Owner's Name:
A. P. Number: Z '
Address:
Legal Description:
City, ST, Zip:
Contractor: /
Telephone: o.• :
Address:?/ -f j ��,(/ C •L" V
Project Description:
City, ST, Zip:yj
Telephone:74'a — y-s�/ �,� <t� ''.' .<:::::::: 04 ..•
State Lic. # : City Lic. #.:lN/�ZX—
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: ":: c�:.< w:;} ,.f. :,.
•� 4'}�•<�<..'<
}}
State Lic. #: 'z<` :>$
:::;,,.:,,,,,,, ,y.,...;,...,n...
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project: % G
APPLICANT: DO NOT WRITE BELOW THIS LINE 17
q
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 Coles.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i° 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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
LA QUINTA
Total Permit Fees
-, WAFE 1 Y DEPT,
FOR
NSTRUCTION
DarE6 r-/ � aY�F'7
I
POOL SPECS
SIZE: 55'X 25' SQFT: 1208 SQ.FT.
DEPTH: 3.5' - 5. 0'
PERIMETER: 178'
SKIMMERS: 2 INTERIOR MATERIAL: PEBBLE
TILE: 6" x 6" Tile (to be selected) An'
(D
NOTES: Pool Includes: +30" Modern Water Feature Wall with (3) Three custom 36" cut
X
outs at varied heigths and 36" sheer descents - All tile face, top, sides and back; Two
4—
+30" custom firewall - all tile face, sides and back; Swimout with umbrella sleeves; (4)
four floating steps in 6-9" water depth (.0 (.0 00
M CD C)
SPA SPECS
SIZE: Tx 11' SQFT: 77 sq.ft.
DEPTH: 3.5' to 5. 0' •PERIMETER: 36' •Cy")
fv�' M (N Co
RAISED HEIGHT: -0- SPILLWAY: Tile
(D •
TILE: 6" x 6" Tile (to be selected) INTERIOR MATERIAL: Pebble Plasterdui
4� V
DECK
DECK TYPE: Stamped Concrete (color: TOTAL DECK SQFT: 2770 sq.ft.
Pool & Spa Band, BBQ Area, Firepit Area and Lounge Seating Are'1468 sq.ft.
Stepping Pads around pool: 576 sq.ft.
Stepping Pads in pool: 36 sq.ft.
Covered Patio (sub -base): 660 sq.ft. 0
Equipment Pad: 30 sq.ft. A 1 U)
Rock Garden with 3 landscape
mgr.liU)
4, ISW ghts t %
co
tj
C:
A
Q_
X 0
•
0 C—
+30" FIREWALL with Fire and
Ice, valve and key with electronic
:3 0 Cz
ignition; All tile face sides and
ILIJ
back
+20" FIRE PIT; Tile sides and
cap
-0- Elevation SPA with Tile
spillway
Floating Steps in pool; 6" water
depth
DD
Planting Area
Poured in place stamped 4
Sub -base for
Travertine
-----------------------------------------------------
Sub-base for
Travertine
EQUIPEMENT
LOCATION
111111'111111M
Ranting Area
SWIM OUT WITH UMBRELLA
SLEEVE
OUTDOOR KITCHEN ISLAND;
Includes 42" Alfresco Grill; 18" x
18" Ice Bin; Lowered area with
access to ash removal for Big
Green Egg; 42" Access Doors;
Tile Cantilever Countertop with 6"
Turndown; and tile sides
Poured in place stamped
concrete with artificial turf
pads
CITY OF LA QUINTA
BUILDING & SAFETY DEPT. 1
APPROVED
FOR CONSTRUCTION
DATE -k-,
ILi�—BY61-
0
0
0
•
Scale: