10-1342 (RPL)4
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P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00001342 - _ . Owner:
Property Address: - 81823 IL SERENATA'DR LARRY CHAPPELL
APN: 764-010-011-55 -30092 - 81-823 IL SERENATA DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25825
Contractor: (�
Applicant: Architect or Engineer: MASTER POOLS AND SPAS �!
73555 HIGHWAY 111
PALM DESERT, CA 92260
(760)346-6115
` I Q LiC. No.: 238947
n
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provi 'ons of Chapter 9 (commencing with
Section 70 0) of Division 3 of the Business a d Prof sionals Code, nd my License is in full force and effect.
License CI s: 53 L' ense o.: 238947
/Date, 10Contractor:
I I OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5. Business and Professions 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 ($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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/10/10
U in
Of LA
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 .7600002580101
_ 1 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 show d become subject to the brkers' compensation provisions of Section
3 00 of the Labor C , she onhwit mp with those provi ' s:
,Bate: �_ pplican
lo�
WARNI G: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001• 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 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.
1 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 build**�,9 construction, and her authorize representatives
of this coun y to nter upon thea e -mentioned property for 'nsi tion pu pose
4.
te: - fi /OSign re (Applicant or Agent) ((I'll 7
Application Number . . . . . 10-00001342
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 258.50 Plan Check Fee 168.03
Issue Date . . . . Valuation . . . . 25825
Expiration Date 6/08/11
Qty Unit Charge Per Extension
BASE FEE 252.00
1.00 6.5000 THOU BLDG 25,001-50,000 6.50
-----------------------------------------------------------------------------
Permit MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 6/08/11
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 11.25
Issue Date . . . . Valuation 0
Expiration Date 6/08/11
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 6/08/11
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
t POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number
. . . . .
10-00001342
----------------------------------------------------------------------------
Special Notes and
Comments
PLACE AT PRE -PLASTER INSPECTION.
.EQUIPMENT ENCLOSURE NOT INCLUDED. 2007
CODES.
-------------------------------------------------------
Other Fees . . .
. . . . .
---------------------
BLDG STDS ADMIN (SB1473)
2.00
Fee summary
------------------
Charged
----------
Paid
----------
Credited
--------------------
Due
Permit Fee Total
362.50
.00
:00
362.50
Plan Check Total
194.03
.00
.00
194.03
Other Fee Total
2.00
.00
.00
2.00
Grand Total
558.53
.00
.00
558.53
f
LQPERMIT
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #- �' 1 a
Project Address: _ �r-sal
/�
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor: `
City, ST, Zip: �t
Telephone:
Address:
Project Description: Mew�(,�,�
City, ST, Zip: 2�0�
Telephone: -7(jv7,*,->.61
State Lic. # :23 1� City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person. Sq. Ft: #Stories: #Units:
Telephone # of Contact Person:-760 5'—Iq 4z-
Estimated Value of Project
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionsRssue
Electrical
Subcontactor Idst
Called Contact Person
Plumbing
Grant Deed
Plana picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correcdonvUsue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
b
t
1-211
U:\DRAWINGS\DRAWINGS RESIDENTIAL\A-L\CHAPPELL-LARRY\CHAPPELL-LARRYI.dwg, 12/3/2010 3:19:44 PM
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BIJILDI � A DEPT.
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�,-- 6R CONSTRUCTION
--- ---
DATE/� c�'/� Ry -
/C
FOOL AREA: 281 S.F.
FOOL FER: al L.F.
SFA AREA: 58 S.F.
c.3FA FER: 22 L.F.
DECX AREA: 4a4 S.F.
EQu I FENT
LOr,,ATI0N
2& I_1 11
tu
Qfl
141--711
Size: I I' x 27'
Surface: 28G'
Depths Min: 310"
Spa Size: 7' ROUND
Spa Surface: 38'
Spa Depth: 3,G, -
Total Gallons: 10,000
—SPECIFICATIONS
Shape: FREEFORM
5Q.FT, Perimeter: 81' I/f
Max: 5' Break/Min:
SPA RAISED @: I g"
5Q. FT, Spa Perimeter: 2Z 1/f
—EXCAVATION ---
Finish Elevation: -3 1/2" @ existing concrete Method: 3G" BOBCAT
Access: OPEN Site Preparation: YES
Gradin : N/A Concrete Removal: N/A
Dirt Removal: YES/ALL Sod Removal: by MA5TERPOOL5
Dry Well Location: N/A
00'���
Number:
LO
Raised Bond Beam (+G": N/A )(+ 12": N/A )(+ )8": 5PA )(Other: N/A )
O�
(D CN Cc co
r
C M U
Pump Type: N/A
--POOL PLUMBING—
Pum Type: PENTAIR Size: V5-3050 H. P.
H. P,
Filter Type: N/A
Filter T e: PENTAIR Size: 320 5.F.
U
Skimmer Type: N/A
v
No• N/A
Heater Type: N/A
Heater Type: PENTAIR Size: 400,000 BTU B.T.U.
Heater Vent by: 5TACKLE55
Heater Vent by: N/A
Jet Pump Type: SAME A5 FILTER PUMP Size: VARIABLE 5PEEb.P.
Eauiprnent Location: PER PLAN P/C Slab/ Pit: SLAB
lze: N/A
Plumbin material: PVC SCH 40
T
GO
;,
Circulation Dlschar e Size: 2"
3
Circulation Suction Size: 2 112"
L
Returns in pool: # 3 Size: 1 .5 Returns Inlet type: ADJ. EYEBALL
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Backwash: N/A,
LO
c
Returns in 5 a: # 1 Size: 1 I/2" Returns inlet type:
0)
M
A/5 valve location: EQUIP
Gas line by: WA 51ze:
---STEEL-�-
5tandard/5 ectal: STANDARD S a Dam Wall Length: N/A
Number:
'
i@
Raised Bond Beam (+G": N/A )(+ 12": N/A )(+ )8": 5PA )(Other: N/A )
G" On Center: N/A Extra Depth: N/A
Selector Valve Type: COMPOOL
Size: 2 12" x Dumber: 2
Pump Type: N/A
--POOL PLUMBING—
Pum Type: PENTAIR Size: V5-3050 H. P.
H. P,
Filter Type: N/A
Filter T e: PENTAIR Size: 320 5.F.
Skimmer Type: N/A
5klmmer Type: WATERWAYS Size: 2" No: I
No• N/A
Heater Type: N/A
Heater Type: PENTAIR Size: 400,000 BTU B.T.U.
Heater Vent by: 5TACKLE55
Heater Vent by: N/A
Jet Pump Type: SAME A5 FILTER PUMP Size: VARIABLE 5PEEb.P.
Eauiprnent Location: PER PLAN P/C Slab/ Pit: SLAB
lze: N/A
Plumbin material: PVC SCH 40
P/C 51ab
It: N/A
Circulation Suction Size: 2 112"
Circulation Dlschar e Size: 2"
Backwash: N/A Size: N/A
Circulation Suction Size: 2 112"
�
Returns in pool: # 3 Size: 1 .5 Returns Inlet type: ADJ. EYEBALL
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Backwash: N/A,
Size: N/A
Auto-fdl Line (with no Obstructions): YES
A/5 valve location: PER PLAN
Gas line by: MASTER Size: 1 112" Len the 30'
Automatic Cleanin : DED VAC LINE 51ze: 2.0
Chlorinator(s): EA5Y1`OUCH W/ IC40
Water feature(s):
—5PA PLUMBING—
Jet Suction Size: 2 112"
Jet Discharcie Size: 2'
Jet Type: WATEpwAy5
Number:
d)
N
Jet Air Line Size: 2"
Len the
Selector Valve Type: COMPOOL
Size: 2 12" x Dumber: 2
Pump Type: N/A
Size: N/A
H. P,
Filter Type: N/A
Size: N/A
Skimmer Type: N/A
52e: N/A
No• N/A
Heater Type: N/A
Size: N/A
B.T.0
Heater Vent by: N/A
O
Jet Pump YPe: N/A
lze: N/A
,:juipmentLocation: N/A
P/C 51ab
It: N/A
um ing materia , PVC SCH 40
LU
Circulation Suction Size: 2 112"
�
Circulation Discharge Size: 2"
w'
i
Backwash: N/A,
Size: N/A
Length: N/A
Returns in 5 a: # 1 Size: 1 I/2" Returns inlet type:
ADJ. EYEBALL
Auto -Fill Line (with no obstructions): N/A
A/5 valve location: EQUIP
Gas line by: WA 51ze:
N/A Len the
N/A
Automatic Cleanin : N/A
Chlorinator(s): N/A
Water Feature(s): N/A
—ELECTRICAL -
15Y: MASTER Light(s): 3 Cord Length: TBD
J -BOX location: PER PLAN Switch location: CcD. HOUSE
Switch run: N/A Panel Change: N/A Light run: TBD
Remote. Switch Type: EA5YTOUCH
Spa Switch Location:@ FA.9YT0[J(-.0eater Switch Location:@ FASYTC)UCH
Corner Radii: STANDARD
Ste s: PER PLAN
Pool Bench Depth: N/A
S a -De the 3'C"
Grab Rail: N/A
—GUNITE—
# Inlets: 10 # Jets: G
Auto -Fill Location: PER PLAN
Tan Ledge Depth: N/A
Spa Bench Depth(s):
Hand Rail: N/A Cup Anchors: N/A
—MASON ARY—
Fence Removed By: N/A Replaced by: N/A Material: N/A
Size of O enln : N/A
Ectuipment Wall by: N/A Size: N/A Material: N/A
BBQ: N/A Fire Pit: N/A MA42e LAVA
a�:k
—DECKING—
By: MASTER Finish: SALT FINISH S .ft: 484 5.F.
Color: DAvssIERRP,#G 1076 Cantilever: YE5 Deck Drain: DECO DRAIN Ca IS IN D C
Steps: N/A Expansion: YES Rail Anchors: N/A
Fiber Mesh: N/A Sand * Plastic: N/A
-TILE * STONE—
Tile: MASTER TILE Color: CER IRI BLU G e x G Grout Color: CUSTOM # 19 PEWTER
Coping/Other: CANTILEVEEa0(0Ift TffE5 Brick: N/A
Step Trim: N/A, Numbered Tile: N/A
TBD
---INTERIOR FIN151-1---
P135ter Color: N/A Pebble Color: TAHOE BLUE
Ll6jht5:3 Name Plates: I Recessed Steps: N/A
Cup Anchors: N/A Rall Anchors: N/A A-V Covers: 4
COVER * FITTING COLOR: DARK GREY
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—DECKING—
By: MASTER Finish: SALT FINISH S .ft: 484 5.F.
Color: DAvssIERRP,#G 1076 Cantilever: YE5 Deck Drain: DECO DRAIN Ca IS IN D C
Steps: N/A Expansion: YES Rail Anchors: N/A
Fiber Mesh: N/A Sand * Plastic: N/A
-TILE * STONE—
Tile: MASTER TILE Color: CER IRI BLU G e x G Grout Color: CUSTOM # 19 PEWTER
Coping/Other: CANTILEVEEa0(0Ift TffE5 Brick: N/A
Step Trim: N/A, Numbered Tile: N/A
TBD
---INTERIOR FIN151-1---
P135ter Color: N/A Pebble Color: TAHOE BLUE
Ll6jht5:3 Name Plates: I Recessed Steps: N/A
Cup Anchors: N/A Rall Anchors: N/A A-V Covers: 4
COVER * FITTING COLOR: DARK GREY
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—DECKING—
By: MASTER Finish: SALT FINISH S .ft: 484 5.F.
Color: DAvssIERRP,#G 1076 Cantilever: YE5 Deck Drain: DECO DRAIN Ca IS IN D C
Steps: N/A Expansion: YES Rail Anchors: N/A
Fiber Mesh: N/A Sand * Plastic: N/A
-TILE * STONE—
Tile: MASTER TILE Color: CER IRI BLU G e x G Grout Color: CUSTOM # 19 PEWTER
Coping/Other: CANTILEVEEa0(0Ift TffE5 Brick: N/A
Step Trim: N/A, Numbered Tile: N/A
TBD
---INTERIOR FIN151-1---
P135ter Color: N/A Pebble Color: TAHOE BLUE
Ll6jht5:3 Name Plates: I Recessed Steps: N/A
Cup Anchors: N/A Rall Anchors: N/A A-V Covers: 4
COVER * FITTING COLOR: DARK GREY
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