13-0206 (RPL)T4hf P.O. BOX 1504 / VOICE (760) 777-7012
78-495 CALLE TAMPICO ` J FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/26/13' .
Application Number: 13-00000206 Owner:
Property Address: 58615 JEREZ TD DESERT DEVELOPMENT
APN: 764-650-6 - - - 81570 CARBONERAS
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 72395
Contractor: D e
Applicant: Architect or Engineer: BUBBLE SPRINGS
I P.O. BOX 1046
RANCHO MIRAGE, CA 92 0 FEB
//[ J (760) 341-2336 013
Lic. No.: 728796
CITY OF �A QUINTA
Rlluwaa _-
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 License No.: 728796
_.�Data-'e�C /� Contractor:
NER-BUILDER DECLARATION
_ I hereby affirm under penalty of perjury that I exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business a rofessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or rep v 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.).
1 _) 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:
LQPERMIT
LI
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.
_ 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 Policy Number 7600001635121
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 Code, I sof fo hwit ply with those provisions.
Date• Applicant:'
WARNING: FAILURE TO SECURE ORKERS' COM14 ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO TH T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTER ST, 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 as 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 constr tion, and reby u horize representatives
of this county to enter upon the above-mentioned property for ' e io pur S.
Datea� Signature (Applicant or Agent):
Application Number . . . . . 13-00000206
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
8/25/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K
11.00
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
518.00 Plan Check Fee
336.70
Issue Date . . . .
Valuation . . .
. 72395
Expiration Date . .
8/25/13
Qty Unit Charge
Per
Extension
BASE FEE
414.50
23.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
103.50
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
8/25/13
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 . . . .
27.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/25/13
Qty Unit Charge
Per
Extension
BASE FEE-
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL, SPA, FIRE PIT,
AND BBQ [2 INCH GAS
LQPERMIT
Application Number . . . . . 13-00000206
----------------------------------------------------------------------------
Special Notes and Comments
PIPING TO EQUIPMENT AND 1 INCH TO
FIXTURES] THIS PERMIT DOES NOT INCLUDE
EQUIPMENT SCREENING WALLS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION.. 2010 CALIFORNIA
BUILDING CODE.
February 26, 2013 8:45:58 AM AORTEGA
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 616.00 .00
.00
616.00
Plan Check Total 361.20. .00
.00
361.20
Grand Total 977.20 .00
.00
977.20
Bin.#
C( / of. LCA QU" to
-Building u Safety Division
P.O. Box 1504,"78-495 Calle Tampico
4.Quinta, CA 92253 • (760) 77T70 12
Building Permit Application and Tracking Sheet
Permit #
O2O10
Project Address: l /r '�
Owner's Name:'—'
A. P. Number.
Address: S7 u iJ
Legal Description:
City, ST, Zip:�c�/i 3-3
Contractor. v _
v fr.
Telephone: ?lO•— 77/
Address: / /
Project Description: /D. 01.,/,
City, ST, ZiP
' />
/DoMP
Telephone:
zs
City Lie'. #i
State Lia # :
Arch., Engr., Designer
Address:
City, ST, Zip: '
Telephone: .
r r
State Lie. #:. ,w _» i ,
Name of Contact Person: _r
Construction T YPe Occupancy: � . p cy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: #Stories:
# Unity:
Telephone # of Contact Person: 7e o _ ;7,5--
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
SubmIttal
Rcq'd
Recd
TRACMG PERMLT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections 2b
Plan Check Deposit. .
Truss Calcs.
Called Contact Person Pian Check Balance
Title 24 Cates.
Plans picked up Constructlon
Flood plain plan
Plans resubmitted Mechanical
Giading plan
2i1 Review, ready for correc ' nsElectrical
Subcontactor List
Called Contact Person Y Plumbing
Grant Deed
Plans picked up SALL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
1"4 Review; ready for correetionsfissue Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
6MS44Kn" Oeo*ni5 k4u&W-60 'Lo AZWT
- z 1. SQFT: 999 Sq.R.
1: 315'- 5.0' PERIMETER: 147'
iERSl 2 INTERIOR MATERIAL: PEBBLE PLASTER
QUARTZITE STONE
is FEATURES: POOL INCLUDE$ (1) SWIMOUT WITH UMB0.ELlA SLEEVE (I) TANNING
SHELF WITH UMBRELLA SLEEVE: STONE TILE TABLETOP WITH BENCH SEAT
I
SPECS
I
10' X 10' - SQFT: 78 SQ.FT.
1: 3!5' PERIMETER: 32'
D HEIIGHT: +18' SPILLWAY: STACKED STONE SPILLOVER
STONE TILE INTERIOR MATERIAL: PEBBLE PLASTER
'ER FEATURE SPECS
12.5'x 1.5' SQFT: 20 SQ.FT.
I: 1.5i PERIMETER: 30'
D HEIGHT: +24' SPILLWAY: STACKED STONE SPILLOVER
;TONE TILE INTERIOR MATERIAL: PEBBLE PLASTER --
K I
LASTERKI
. DECKSQFT: 1868 SQ.FT. COLOR: TBD
IYPE:I STAMPED CONCRETE
INCLUDES: POOL DECK AREA; FIRE -PIT DECK AREA; STEPPING STONES SPA
BOND BEAM CAP; WATERFALL BOND BEAM CAP; AND FIRE -PIT CAP
I
I
.DECKSQFT: 616 SQ.FT. COLOR: TBD
IYPE:I TILE SUB -BASE
INCLUDES: COVERED PATIO AREA
I
. DECKSQFT: 587 SQ.FT. COLOR: TBD
TYPE:I COLORED BROOM FINISH
INL.UDES: EQUIPMENT PAD, SIDEWALK ON BOTH SIDES OF HOUSE
ESNES
-ER: TROPICAL BREEZE WITH ABALONE MINI PEBBLE PLASTER
WAYS; COCOA CARAMEL QUARTZITE
RUNE SIERRA BLUE SLATE STONE TILE (6'X6') WITH NATURAL GREY GROUT
NATE (FALL, FIRE PIT & 8BQ FACE: SIERRA BLUE SLATE STONE TILE (6'X6') WITH
:COLORED SEAMLESS TEXNRED STAMPED CONCRETE IN DIEGO BUFF WITH
DESERT TAN RELEASE
:OUN i RTOP: GEMSTONE 2- PATIO QUARTZITE
PLANTING AREA
TWO - 36"FIREPOTS
INCLUDES FIRE RING,
VOLCANIC PEA GRAV , GAS
VALVE AND KEY
+24"S CKED QUARTZITE
ST O 'WATERFALL; -STONE
T VENEER ON FACE AND
DES; AND
CONCRETE CAP
�f TANNING SHELF
WITH UMBRELLA
SLEEVE
SWIM OUT WITH
UMBRELLA SLEEVE
PLANTING AREA WITH
ARTIFICIAL TURF AND
STAMPED CONCRETE
STEPPING STONES
PLANTING AREA WITH
ARTIFICIAL TURF AND
STAMPED CONCRETE
STEPPING STONES
BBQ - QUARTZITE STONE
COUNTERTOP WITH STO
TILE SIDES, TOP AND SI 42"
ALFRESCO GRILL AND E BIN
STAMPED C CRETE
STEPPING S ONES
., i
\QUIPMENT LOCATION
(J
OFJ
N \ Ln
F N
O� a
J
Q L L0C
Lp Co
D Lob
z
—� O
U
z
LAWN
Scale:
+12" FIREPIT WITH
m STONE TILE VENEER
TONE SIDES AND
CONCRETE CAP
A
O.PLANTING AREA WITH
O ARTIFICIAL TURF AND
O TAMPED CONCRETE
STEPPING STONES
O •
PUTTING GREEN
/f
STONE TILE VENEER
ON BENCHBSEATP WITH
- „
111,—/. ___ - - . - _ --_ �, _-'-�--'---;•-----, � _,.._ .-.-•.c-ti . ,..-4. __.......�.. _ ...V ,,. �.-..
3
18'3"
1
PLANTING AREA -
0 6"
•r
41 11 S' +18" SPA WITH STACKED
_ QUARTZITE SPILLWAY; STONE '
TILE VENEER ON SIDES AND
• \ I / CONCRETE CAP +
BENCH SEAT -
` O O oO O 1 PLANTING AREA. WITH
O- ARTIFICIAL TURF AND
'STAMPED CONCRETE
STEPPING STONES
w O
OSUB BASE FOR TRAVERTINE BY
• tI .OTHERS
Ooo.
ARTIFICIAL TURF AND ,
STAMPED CONCRETE
STEPPING STONES
8 FIREPLACE (BY OTHERS)
TILE SUB BASE FOR '
TRAVERTINE BY OTHERS