10-1312 (RPL)P. AWOO
OX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Quum
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00001312
Property Address: 58505 JEREZ
APN: 764-650-001- - -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 89750
Applicant: J Architect or Engineer:
plk
--------------------------------------------------
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 ode, and my License is in full force and effect.
Lic se Class: C53 D35 is nse No.: 728796
Date�/<ontractor:
-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am a pt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Prof sions 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 IS500).:
(_) 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
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, 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 contractors) licensed
pursuant to the Contractors' State License Law.)-
(_ 1 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
Owner:
TD DESERT DEVELOPMENT
81570 CARBONERAS
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/02/10
Contractor: o
BUBBLE SPRINGS
P.O. BOX 1046 Q
RANCHO MIRAGE, CA 92270 O�
(760) 341-2336 nom^
Lic. No.: 728796
WORKER'S COMPENSATION DECLARATION'S
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, a's pr vid
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
1 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 760001635101
_ 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 bec me subject the workers' compensation provisions of Section
3700 of the Labor Code, I f hw' c mply with those provisions.
ateof- A plicant:
WARNING: FAILURE TO SECURE ORKERS' C ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENA S 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 Ouinta, 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 aprelatiildin
Zabovformation is correct. I agree to comply with all
city and county ordinances and state lawsructid hereby authorize representatives
of th' county to enter upon t above -me ur oses.
ate / 0 S' ature (Applicant
Application Number . . . . . 10-00001312
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 594.50 Plan Check Fee 386.43
Issue Date . . . . Valuation . . . . 89750
Expiration Date 5/31/11
Qty Unit Charge Per Extension
BASE FEE 414.50
40.00 4.5000 THOU BLDG 50,001-100,000 180.00
----------------------------------------------------------------------------
Permit MECH POOL
Additional desc . -.
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . Valuation . . . . 0
Expiration Date 5/31/11
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 1.1.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/31/11
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 5/31/11
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 & FIRE RING.
LQPERMIT
Application Number . . . . . 10-00001312
----------------------------------------------------------------------------
Special Notes and Comments
ALARMS/BARRIERS SHALL BE IN PLACE
AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2007 CODES
------------------------------------------------------=---------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
4.00
Fee summary Charged
--------------------
Paid
Credited
--------------------
Due
-----------------
Permit Fee Total 698.50
.00
.00
698.50
Plan Check Total 412.43
.00
.00
412.43
Other Fee Total 4.00
.00
.00
4.00
Grand Total 1114.93
..00
00
1114.93
LQPERM(T
Bin #
Qty of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
O
Project Address: s SOS T ,per 2 ,
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone: $'
Project Description: �oaL T S /3/3 J 'fAWxS
Address: —71 S'd 1►d 6,5L.GB , 'o
City, ST, Zip: 4"--'40 ibAca= CA a-7Q
Telephone: -> lstj - 9s 76 7g.
State Lic. # : % 6 City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone
State Lic. #:y : '
.Name of Contact Person: _36,4 An r
Construction Type: Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
Sq. Ft :
#Stories:
#Units:
Telephone # of Contact Person: 7 (gyp - 7 — %G 7
Estimated Value of Project: %SO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
I Z
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2ad 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:-
34 Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
f
Cobble Caping Planting Area
All Boulder Wareriall
Bench seat
0
Company Info
Bubble Springs
Address: P.O. Box 1046 fiFs
City: Rancho Mirage
Spa Specific,-.
State/Zip: Ca, 92270
Phone: 760.341.2336 Length: 11.
Cell: 760.275.7676 Width: 6.5'
Email: Bubblesprings@msn.com Depth: 3.5'
License #: 728796 Perimeter: 31'
Square Footage: 62�sc .
Material: Pebble Plaster
Customer Info Water Features: Boulde
Andalusia
Address: 58505 Jerez Street Deck Specifications
City: La Quinta Color and finish to be selected }
State/Zip: CA, 92253
Phone: Pavers: 1873 sq.ft. f
Lot: Lot #1 POD L
Email: Concrete cap: 240 sq.ft.
Cobble coping cap: 110 sq.ft.
Pool Specifications — — — —
Length
-
Length: 50'
Width: 28'
Depth: 3.5'x 5.0'
Perimeter 204'
Square Footage: 1155 sq.ft. LBUILDING
TY OF LA QUNTA
Material: Pebble Plaster DEPT.
Water Features: All Boulder Waterfall & SAF��®
APPROVED
FOR CONSTRUCTION
Qgico
All Boulder Waterfall Brushed Concrete
at varied elevations C()Wrre
+12• Poured
Concrete Rrepit
/ •o- elevation spa
with+24° Boulder
Waterfall
13 If
Asita
Equipment
Location
r
14
Lawn
Cobble Coping Planting Area All Boulder Waterfall
Lawn
Interlocking Pavers
BBQ Island
+24"
Spillway
3.5'
Bench Seat All Boulder Waterfall Brushed Concrete
at varied elevations Coping
all
Cobble Coping
\I/
+1811 +42"
Spillway Spillway
3.5'
Cobble Coping I /
Swim Out with `
Umbrella, Sleeve
1 ,
1 i Tanning Shelve with
Planting Area / Umbrella Sleeves/
Covered Patio Area
Planting Area
6"
Bridge
/
+12" Poured
Concrete Firepit
-0- elevation Spa
with+24" Boulder
Waterfall
► 12' 5"
12'3"'
Bubble Spring5
Address: P.O. Box 1046
City: Rancho Mirage
State/Zip: Ca, 92270
Phone: 760.341.2336
Cell: 760.275.7676
Email: Bubblesprings@msn.com
License #: 728796
Customer Info
Andalusia
Address: 58505 Jerez Street
City: La Quinta
State/Zip: CA, 92253
Phone:
Lot: Lot #1 POD L
Email:
Pool Specifications
Length: 50'
Width: 28'
Depth: 3.5'x5.0'
Perimeter: 204'
Square Footage: 1155 sq.ft.
Material: Pebble Plaster
Water Features: All Boulder Waterfall
Spa Specifications
Length: 11.5'
Width: 6.5'
Depth: 3.5'
Perimeter: 31'
Square Footage: 62 sq.ft.
Material: Pebble Plaster
Water Features: Boulder Waterfall
Cobble Coping
Color and finish to be selected
1 1 '
1 Pavers: 1873 sq.ft.
1 1
I 1
1
1 Concrete cap: 240 sq.ft.
1 1
Cobble coping cap: 110 sq.ft.
Planting Area _
Lawn /�