11-0947 (RPL)P.O. BOX 1504
78-495'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
000009— 4477'
Property Address:
81920 GOLDEN STAR WY
APN:
764-280-999-101 -300235-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
13000
Tityl 4 4a 4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TYLER
81920 GOLDEN STAR WAY
LA QUINTA, CA 92253
1Contractor: i D
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/01/11
Applicant: Architect or Engineer:
TESERRA
P.O. sox 1280 '
Qcp. 02 2011
COACHELLA, CA 92236
(760) 398-9222
j �
/
LicCITYAFl.AQUINTA
. No.: 656128
FINAWCE OEPT.�
1
--------------------------------------------------------
- LICENSED CONTRACTOR'S DECLARATION -
I ------------------------------
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 Div' ion 3 of the Business and rofes nals Code, 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: , 10 27, 2 License No.: 656128
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
f�
/ ntractor:
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
/ate:
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EVEREST NATL IN Policy Number 7600006481111 -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to.I
I 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 beco sub' ct to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
37 of the Labor Code, I shall( « ith comply 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).:.
at Z �� A scant:
(_ 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: FAILUR TO SECURE WORKERS' COMPENSATION 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
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
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.). .
(_) 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.).
1 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: 1
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 daysfrom 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 abo information is correct. I agree to comply with all
city and county ordinances and state laws relating to building nstr tion, and hereby authorize representatives
ofthis county3p en upon the above-mentioned property for i s coon purposes.
Zate: Signature (Applicant or Agent):
Application Number . . . 11-00000947
Permit
. . . BLDG POOL PERMIT
Additional
desc ...
Permit Fee
. . . . 144.00 Plan Check
Fee
93.60
Issue Date
Valuation
. . .
. 13000
Expiration
Date 2/28/12
Qty Unit Charge .Per
Extension
BASE FEE
45.00
11.00
------------------------------------------"--------------------
9.0000 THOU BLDG 2,001-25,000
--------------
99.00
Permit
. . . MECH POOL
Additional
desc .
Permit Fee
. . . . 26.00 Plan Check
-Fee
6.50
Issue Date
. . . . Valuation
. . . .
0.
Expiration
Date 2/28/12
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 2/28/12
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 2/28/12
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 ONLY,
INCLUDES HEATER.
LQPERMIT
Application Number . . . . 11-00000947
-------=-------------------------------------------------•-------------------
Special Notes and Comments
ALARMS/BARRIERS SHALL BE 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 242.00 .00
.00
242.00
Plan Check Total 118.10 .00
:00
118.10
Other Fee Total 1.00 .00
.00
1.00
Grand Total 361.10 .00
.00
3.61.10
LQPERMIT
August 24, 2011
Robert Tyler
81920 Golden Star Way
La Quinta, CA 92253
Property: 81920 Golden Star Way
Account: 015000020696
CONDITIONAL APPROVAL
Dear Robert Tyler:
We are pleased to inform you that your plans for installation of a pool and concrete pad by utility
gate, received on 08/24/2011, have been approved by the Architectural Committee with the
following conditions: 7, 8, 9, 11, 12, 13, 17, 18, 19 and 23. Approval is for pool and concrete
only (see attached copy).
Please note: Any damages caused by .contractor due to construction must be repaired; all
irrigation and landscape shall be restored to. original condition.
This approval does not constitute consent by the Association for the applicant to encroach,
trespass, or build on any property other than that of the applicant. This approval is related solely
to the items reserved for approval by the CC&R's in accordance with the Architectural Guidelines.
The approval does not extend to the quality of work done by your architect, or contractor, or to any
structural engineering, soils engineering, or site grading and drainage design. You are urged to
obtain the services. of a state licensed professional for consultation as needed.
The Architectural Committee is composed of volunteers. As such, it does not review applications to
.ensure compliance with building codes, or other local or state laws. Please be advised that this
approval does not relieve you from obtaining any necessary building permits from the governmental
agencies involved to ensure compliance with these codes. Any violations of these ordinances will
be your responsibility to correct. Thank you for your patience in this matter.and for complying with
the Association's policies and standards.
Steri t, CCAM, CMCA, AMS
iunitj Manager
Enclosures
cc: Board of Directors
Architectural Committee
Trilogy at La Quinta Maintenance Assoc.
Professionally Managed by Action Property Management, Inc.
60-750 Trilogy Parkway, LaQuinta, CA 92253-7717
Phone: 760-777-6059 Fax: (760) 564-2474
www.actionlife.com
• NO EXISTING LANDSCAPE LIGHTING IN REAR YARD t 4 11 ' ' . �, 1 •.� i ,
• NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
,I f r 1 k ,,. •I ,
1, 25 �. r,.1 A „ •1 � t .
i '• � � 11�� }, � hr, 'I t
LA : I Lt, aGN . V Til I."IIN• CAP AND
RN: NUUl l� IHIt1GAtIGN AS NEEDED
r� � 1� t 3�'•'
POOL 1 Sf'ltt do CI JUNG I1Uh bUn ,
POOL / SPA'LIGH I ON GROUND FAUI.I ul t UI L Nll ERRUPTER
POOL EQUIPMENT 50 AMP SUBPANEL
WITH 30' CLEARANCE AT FRONT AND SIDE
POOL EQUIPMENT: 400,000 BTU HEATER
'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
ELECTRIC CONDUIT
EN -7 POLYPROPYLENE GAS PI
REMOVE EXISTING CONCRETE
AND REPOUR (48 SQ.FT. )
TESERRA TO REMOVE ROW OF HEDGE
PRIOR TO EXCAVATION
MAIN HOUSE 200 AMP ELECTRICAL PANEL
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 - MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
TO THE POOL
POOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT MALL VARY
GTT
t1jr L
INATSL W E TME
PEBBLE TEC
WD
i
BPECIFICATIONS
TYPE GUNITE SITE 2047 X
SURFACE AREA OF POOL ONLY 200 SO. FT.
PERIMETER SOLN FT. DEPTHS MIN B'!t
POOL d SPA COMBINED NIA
8PA C
KU a
LMM
I2-t1j(A• '
GOLDEN STAR WAY
1
CIN OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
I
IDATE —f-11 gy_
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TREEROOYALBY SHRt
GIRMTM IEMNALGY_
ORIGATONIBAR
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Pm1AO�
LIGHT BROOM SMOOTH FINISH—
COLORED CONCRETE DECKING
,� aaA Ira
WITH CANTILEVER FINISH EDGE
N' ° ° °
POOL SPLIT MAIN DRAIN SUCTION MINIMUM T APART.
NpR°°
TIM BIBFO&IN NM
ANTI -COVERS 10' ASME /ANSI APPROVED
ROCXvo=m +A
CENT
RAISED BOND BEAM AT +18' WITH LIGHT BROOM FINISH
LD.m
Lorin
COLORED CONCRETE CAP AND ONE 18' WIDE SHEER
n� M HAIYWARD
I
DESCENT ( RANDOM STONE FRONT FACE AND SIDES,
STUCCO AND PAINT ON THE BACK SIDE)
POOL RW NAYWARD
I2-t1j(A• '
GOLDEN STAR WAY
1
CIN OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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201 O CALIFORNIA PLUMBING CODE (NEFD0NMMUPC)—*LAwT
201 OCALIFORNIA ELECTRICAL CODE (BASMONEMNE0).
201 O CALIFORNIA ENERGY EFFICIENCY STANDARDS
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SQ FT.
Fqg, BROOM
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BrEP FACE NIA
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GUNITE
OEEPEMRALP NO
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SRLWAYTyFE N/A
8TE a NIA
PROP. EM. WALLS
FIRMER WALL
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-ENDING
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OWNER RESPONSIBILITIES
OVUM. DETERINE TMEAPPROANATE EEVATM OF POOL OR SPA AT LAYOMON DAY OF EXCAVATION.
TAIENOTIGTMTPORANDEQUIPMBOLOCArWNE=ECTM4CEFF94):OF
LOCAL &M DNO DEPARTMENT AT TIE TUE OF BWMM OF F Mff.
((ii11 VIETDOM CONCRETE SHBLATLEAST TIMCE DALY FCRSPA N DAYS AFTER BNBL B INSTALL®.
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AND ANY DAMAGE TOOPRBA SMALK8 DRNM ALAYMCRo 1IBLITBN N THE AOM AREA
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amER APF RDM RAN, PON, AND EOU6IEM LOG„OIS NO HAS READ TIE REWOMUM AND wnCES ABOVE
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Bin #
City of La :Quinta
Building & Safety Division .
P.O. Box 1504, 78495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit W
.
W
Project Address: �� 92 0 G T7:0,J WA
Owner's Name:TAV L�
A. P. Number:
Address: 2
Legal Description:
City, ST, Zip: v,ArrA C 6,3
Contractor �
Telephone: .,�,,,,..:,s'. �Y-s• -
Address: 100 A J 'S Y
Project Descr iption oAJLII Id i
City. ST, Zip: CA 9 73 C
Telephone:(? -6 J0�ZZ
>��.�' •�,�...•.:.;..!n,;�:�wr.-
State Lic. # S C 12- g
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:; .
State Lic. #: < • ;Y?nr:rr:�
Construction Type: Occupancy:
Repair Deo
Pro'Jedtype circle on New Add'n Alter R m
Name of Contact Person: 0 nnA
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: /3/00(-)
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACMNG PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit
Truss Cala.
CaUed Contact Person Plan Check Balance
Title 24 Cala.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2'! Review, ready for correctionsfUsue 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 correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks: Appr
Date of permit issue
School Fees
LE
Total Permit Fees