12-0935 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO,
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
12-00000935 `
58549 JEREZ
764-650-003- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
72968
c&ty/ 4 4 4"
Architect or Engineer:
f3lA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TD DESERT DEVELOPMENT
81570 CARBONERAS
LA QUINTA, CA 92253
Contractor:
BUBBLE SPRINGS
P.O. BOX 1646
RANCHO MIRAGE, CA 9227
(760)341-2336
LiC. No.: 728796
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/17/12
`°aDAUG 2 1201 .
CITY OF LA
-------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
iowner- er wave ur en proving a e o she
one ion,
year o comp ett o w a o
-
------'----------------------------------------—
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 Business and Professionals 9�, 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 € 8e No.: 728796.
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ,
/Data-1%''� )contractor:
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
• OW -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am mpt from the Contractor's State License Law for the
Carrier EVEREST NATL Policy Number 7600001635121
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
—.1 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 to the 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 become subject t she workers' 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 Co al rthw' ply 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 ($500).:
ate�`+��pplicant:
(_ 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: FAILURE TO SECUR WORKERS' MPENSATION 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 PENALTIES 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
i
I Ih b 'Id ll h th b d f that h r h did not build or
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,
i
o w
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
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 hereby authori representatives
oft t's county to enter upon the above-mentioned property for in do urpos
Date�9ranature (Applicant or Agent):
Application Number . . 12-00000935
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
518.00 Plan Check Fee
336.70
Issue Date . . . .
Valuation
72968
Expiration Date
2/13/13
Qty Uni.t.Charge
Per
Extension
BASE FEE
414.50
23.00 4.5000
--------------------------------------
THOU BLDG 50,001-100,000
---=----------------------------------
103.50
Permit . . . MECH POOL
Additional desc
1
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation
0
Expiration Date
2/13/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
-------------------------------------------------------------------7--------
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
2/13/13
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 . . . .
33.00 Plan Check Fee
8.25.
Issue Date . . . .
Valuation
0
Expiration Date
2/13/13.
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
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
---------------------------------------------=------------------------------
Special Notes and Comments
POOL/SPA, BBQ,.FIREPIT. ALARMS/BARRIERS
LQPERMIT
Application Number . . . . . 12-00000935
Special Notes and
Comments
SHALL BE IN PLACE
AT PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED. 2010 CODES.
--------------------------------------------------7-------------------------
Other Fees . . .
. . . . . . BLDG
STDS
ADMIN (SB1473)
3.00
Fee summary
-- - - - - - - - - - - - - - --
Charged Paid
---- - - - - -
Credited.
Due
Permit Fee Total
--------
622.00
- --
.00
---- - - - - ----
.00
-- - - - - - -
622.00
Plan Check Total
362.70
.00
.00
362.70
Other Fee Total
3.00
.00
.00
3.00
Grand Total
987.70
.00
.00
987.70
ANDALUSIA LOT # L003
0 58-549 Jerez
I La Quinta, Ca 92253
J CIO Maryanne Remilong
Bubble Springs Pool Construction
PO Box 1046 760.341.2336 office
Rancho Mirage, Ca 92270 760.275.7676 cell
Bubblesprings@msn.com 760.837.9018 fax
IL SPECS
35'X 24'
SQFT: 839 SQ.FT.
1: 3.5'X 5.0'
PERIMETER: 170'
EQUIPMENT LOCATION
4ERS: 1
INTERIOR MATERIAL: PEBBLE PLASTER
6" X 6" TILE
5: +12' WATER FEATURE WITH STACKED STONE SPILLWAY AND CONCRETE CAP; AND
2 O SED PILLARS T +18
COC O POTS D LE
VENEER FACE water surrace area: 26
sq.ft. - perimeter 37)
SPECS
TXT
SQFT: 48 SQ.FT.
is 3.5'
PERIMETER: 27
:D HEIGHT: +18"
SPILLWAY: STACKED STONE SPILLWAY
6" X 6" TILE
INTERIOR MATERIAL: PEBBLE PLASTER
S: +18" WITH STACKED STONE SPILLWAY
RESIDENCE
X
TYPE: BROOM FINISH CONCRETE
TOTAL DECK SQFT: 2106 SQ.FT.
.AL: INCLUDES: POOL AND SPA DECK; RAISED BOND BEAM CAPS FIREPIT CAP AND
EQUIP ENT PAD
CITY, OF LA OUINTA
PULDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 621112, BY
PLANTING AREA
I
PLANTING AREA
BBQ - STUCCO ON SIDES
TO MATCH HOUSE; TILE
COUNTERTOP
N +12" FIREPIT WITH
CONCRETE CAP AND
TILE TO MATCH POOL
' Firepit
M
-5.0' WD
FINISH ECKING WITH /
18" CALIFORNIA EDGE
(2) TWO RAISED PILLARS AT
+18" WITH CONCRETE CAP,
TWO FIREPOTS AND TILE
VENEER FACE
POOL
Water Featur.
PLANTING AREA
r R
'1`
SWIM OUT -18" WD
+12" WATER FEATURE WITH
STACKED STONE SPILLWAY AND
CONCRETE CAP
-3.5' WD
V
O
SWIMOUT WITH (2)
TWO UMBRELLA
SLEEVES
t0
M
6' WD
-18" WD
n
'4
6
1 +18" SPA WITH
FLOATING STACKED STONE
DECK STEP SPILLWAY AND TILE
VENEER FACE
Permit # _a
g6.
1 �
JC Project Address: _ �y
A. P. Number:
Legal Description:
Contractor: _ S
Address:- _ d
Cit}. ST, Zip: Ad
Telephone740 _ Y d 3�
State Lic. # : 7� 7
Arch., Engr., Designer:
Address:
FT
ct Person -
_(.110,4
Contact Person: —�
#1 Submittal Req'd
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.0 -A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
wner's Name:
ST, Zip:
'0 [PojeDescription:
rct Descri ti
1 /ooL
City Lic.
Construction Type: Occupancy:
Project type (circle one): New. Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Units:
- 0, _J
- is 7— r Estimated Value
of Project:
APPLICANT:
DO NOT WRITE BELOW THIS
LINE P--
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2"" Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing'
Plans picked up
S.M.I.
Plans resubmitted
Grading
7rd Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees
Amount