11-1143 (RPL)- s.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-0,0001143
Property Address: 60301 DESERT SHADOWS DR
APN: 764-270-999-52 -300232-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 21000
Tiht .4 4v Q"
Applicant: Architect or Engineer:
Nf�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
UC ED NTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I m is under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a d o e als Code, and my License is in full force and effect.
License Ci ss: C27-053 License No.: 964474
ate: ontractor:
WNER-BUILDER DECLARATION _
I hereby affirm under penalty of perjur�that I a exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, eusined P fessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repot ny 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 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—) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
JIM FLORES
60301 DESERT
LA QUINTA, CA
SHADOWS DRIVE
92253
Contractor:
DESERT OUTDOORS INC
794.05 HIGHWAY 111,
LA QUINTA, CA 92253
(760)399-9'600
Lic. No.: 964474
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/17/11
D A.
OCT 2; 2011 .
PM 4 CITY OF LA QUINTA
FINANCE DEPT.
--=--------------------------------------------
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 NORGUARD INS Policy Number DEWC229889
I certify that, in the perfor of a work for which this permit is issued, 1 shall not employ any
person in any manners as t b c me ject to the workers' compensation laws of California,
and agree that, if I shou be o e u to the workers' compensation provisions of Section
I_ 700 of the Labor Code, I al f h it comply with those provisions.
WARNING: FATLURE TO SEURE WORK RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO RIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. INADOW,10N 10 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODLI 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 ab ve ' f tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building str c on, and hereby authorize representatives
V
o my t enter up 4 the above-mentioned p rty spe - n purposes.
R ignature (Applicant or nt):
Application Number . . . . . 11-00001143
Permit . . . BLDG POOL PERMIT
Additional desc .'.
Permit Fee . . . . 216.00 Plan Check Fee 140.40
Issue Date Valuation . . . . 21000
Expiration Date 4/14/12
Qty Unit Charge Per Extension
BASE FEE 45.00
19.00 9.0000 THOU BLDG 2,001-25,000 171.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc .
Permit Fee 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/14/12"
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 4/14/12
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 4/14/12
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 & FIREPIT. ALARMS/BARRIERS.SHALL BE
LQPERMIT
Application Number
. . . . . 11-00001143
----------------------------------------------------------------------------
Special Notes and
Comments
IN PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE
NOT INCLUDED. 2010
CODES..
----------------------------------------------------------------------------
.Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.,00
Fee summary
Charged Paid
Credited
Due
Permit Fee Total
314.00 .00
.00
314.00
Plan Check Total
'164.90 .00
.00
164.90
Other Fee Total
1.00 .00
.00
1.00
Grand Total
479.90 .00
.00
479.90
LQPERMIT
PROPERTY LINE
110N�It W APPIVdc
dO�irWAtf101iTo
-42"
-54" POOL W.D.
W.D.
21'
BENCy
EXISTING GREY
CONCRETE DECKING TO
REMAIN
POOL
W
EQUIP
O'w
Lu
a.
a Pi
` 1n �M�LMIIAI J
5'
16'-5"—
FP
6'-5"—FP
+6,• •.
AC
City OF LA QUINTA
BUI[DING & SAFETY DEPT.
APPROVED
OR CONSTRUCTION
EXISTING GREY
n
CONCRETE
DATE
DAT v^lV �lI BY & DECKING TO
REMAIN
07T -c6
'DESERT SHADOWS
GAS V/
METER O
ELEG. I
PANEL
�ccees
Lu
z
w
a
O
Bin.#
QtY Of 'La Qurnta
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 #
I l_ 11y.3
Project Address: so% A0p_-b4
Owner's Name:.
A. P. Number.
Address: GC .6v 'DCS i 5+
Legal Description:
Desert Outdoors
Contactor. �
City, ST, Zip: LA Q, -j I tj M CA ?z 53
Telephone: >• �';�. a:a:�°„ x "ys�=,
;
Address: 78-065 Main St. Ste. 205
Project Description:
city, ST, zip: La Quinta, Ca. 92253
Telephone: 760-399-9600
city Lic• #:
State Lic. #: 'C-53 964474
Arch., Engr., Designer. Flying Buttress
Address: 77725Znfie1d Ln. Ste. 130
'.
city, sT, zip: Palm Desert, CA. 92211
Telephone: 760-7'724411 '
State Lic. #: 33446 .v
`„ .yam
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 10�
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
'muss Calcs.Called
Contact Person
Plan Check Balance _
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.*.
Mechanical
Grading plan
tad Review, ready for rnrrections/isstte
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 correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
INSTALLATION CERTIFICATE CF-6R-MECH-03
Pool And Spa Heating System .(Page 1 of 2
Site Address: Enforcement Agency: Permit Number:
Pool and Spa Heating Systems. requirements
§114(a; Systems and Equipment.
EY 1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
El' 2. Has a readily accessible on-off switch mounted outside of the heater.
13"'3. Weatherproof plate or card containing operating instructions for the pool or spa heater.
E'4. No electric resistance heating except for listed package units that has fully insulated enclosures and tight fitting
covers that are insulated to at least R-6. Or if documentation is provided that at least 60 % of the annual heating
energy is from site solar energy or recovered energy.
0'5 . Heating system has no pilot light.
§114(b): Installation.
tel. System is installed with at least 36" of pipe between the filter and heater, or dedicated suction and return lines,
or built-in or built-up connections for future solar heating.
172. A cover for outdoor pools or spas that have a heat pump or gas heater.
121"3. Pool system has directional inlets to adequately mix the pool water
EJ'4. Time switch which will allow the pump to be set or programmed to run during off-peak periods only
§150(p)Pump Sizing and flow rate.specification
Ck"1. The pump specified is listed in the CEC database of certified pool pumps.
E�'2. The pump flow rate shall be calculated based on pool sizing table below.
17' 3. The pump is capable of operating at 2 or more speeds (not applicable if pump is less than 1 horsepower).
O'4. Each auxiliary pool load is served by either a separate pump, or the system is served by a multi -speed pump.
Pnnt si2ina (Vahtpc arp hacPd nn a maximum alinwahta hvr near ro#a of (L hnivml
Max Pool
Volume
(gallons)
Min Pipe D or Greater
inches)
Min Filter Area or more
((square feet
Max Pump
Flow m
Return
Suction
Cartridge Sand
DE
13,000
1.5
1.5
100 2.4
20
36
17,000
1.5
2
130 3.1
25
47
21,000
2
2
160 . 3.9
30
58
28,000
2
2.5
210-, 5.2
40
78
42,000
2.5
3
320 .7.8
60
117
48,000
3
3
360 8.9
70
133
Note: Forpumps greater than I hp. The maximum Pump Flow is the lowestspeed default filtration
❑ 5. Calculated volume of pool �j.�/Z (gallons).
❑ 6. Return Pipe'Diameter i.(inches).
❑ 7. Suction Pipe Diameter 2 _'(inches).
❑ 8. Filter Type (Cartridge, Sand, DE).
❑ 9. Filter Surface Area L/20 (SO.
❑ 10. Max Pump Flow (gpm).
' 2008 Residential Compliance Forms August 2009
-INSTALLATION CERTIFICATE CF-6R-MECH-03
Pool And Spa Heating Systems (Page 2 of 2
Site Address: Enforcement Agency: Permit Number:
t00 - 30 SE- kljo bs. V>f Lk csF
System Piping
e7 1. The suction side pipe is straight for at least 4 pipe diameters before;, entering the pump (See table below for the
required straight run lengths for various pipe sizes).
Er 2. The design uses low pressure drop fittings:(swee090's)
Pipe Diameter Required Pipe Length
inch leading into pump (inch)
1.5
6
2
8
2.5
10
3
12
FiltrationEquipment
O/1. If a backwash valve is used: The diameter of the backwash multi -port valve 'is 2 inches or as large as the
circulation pipe, whichever is greater
DECLARATION STATEMENT
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person).
• 1 certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• 1 reviewed a copy of the Certificate of Compliance (CF -IR) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met..
• I will ensure that a completed, signed copy of this Installation Certificate shall,be posted, or made available with the building
permit(s) issued for the building, and made available td the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation. Certificate is required to be included with the documentation the builder provides to
the buildine owner at occuoancv.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Responsible Person's Name:
Res ible Person's S.
7:
CSLB License:
Date S'gne: /'
Position With Company (Title):
1Z,115 I l
2008 Residential Compliance Forms August 2009.
s