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12-0038 (RPL)S P.G. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000038 Property Address: 81184 LAGUNA CT APN: 764-280-004-8 -35996 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 37000 T4'!t 44 Q" Architect or Engineer: P (/'- BUILDING 1' BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Code, and my License is in full force and effect. License Class: C27-053 L' enseNo.: 964474 7i?ontractor: 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).: (_) 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.). (_) 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: r� `, t P( LQPERMIT Owner: HARRY HUNTER 81184 LAGUNA COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Contractor: A DESERT OUTDOORS INC if 79405 -HIGHWAY 111, PMB 4 LA QUINTA, CA 92253 N 2 2na2 (760)399-9600 r�1 Lic. No.: 964474 ! 1/12/12 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 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 become subject to the workers' compensation provisions of Section 3700 of the abor CodQ, I shall forthwith c ly ith those provisions. Vale. A/�/ .�i pplicant: WARNING: FAILURE TO SECURE WORKERS' �COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 c3MW ordinances and state laws relating to building construction, and hereby authorize representatives of this /unly to e�er upon the above-mentioned property for p/� ate: gnature (Applicant or Agent): . . Application Number . . . . . 12-00000038 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 330.00 Plan Check Fee 214.50 Issue Date- Valuation . . . 37000 Expiration Date 7/10/12 Qty Unit Charge Per Extension BASE FEE 252.00 12.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 78.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 7/10/12 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 7/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 ------------------------------------------------------------------------------ 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ' t Permit , PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . 0 Expiration Date .. 7/10/12 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 j 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT LQPERMIT Application Number . . . . . 12-00000038 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 281 Expiration Date 7/10/12 Qty Unit.Charge Per Extension BASE FEE 15.00 --------------------------'-------------------------------------------------- Special Notes and Comments POOL/SPA, FIRE PIT & 13 L.F. 4!6" EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION.'2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 449.00 --------------------- .00 00 449.00 Plan Check Total 240.50 .00 .00 240.50 Other Fee Total 2.00 .00 .00 2.00 Grand Total 691.50 .00 .00 691.50 LQPERMIT I E INSTALLATION CERTIFICATE CF-611-MECH-03 Pool And Spa Heating Systems (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: Pool and Spa Heating Systems requirements §I14(a): Systems and Equipment. 1�/1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations. ; 2. Hasa readily accessible on-off switch mounted outside of the heater. (�� Weatherproof plate or card containing operating instructions for the pool or spa heater. (3 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. e5. Heating system has no pilot light. §11Installation. P. 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. 20'2. A cover for outdoor pools or spas that have a heat pump or gas heater. e 3. Pool system has directional inlets to adequately mix the pool water 00"4. Time switch which will allow the pump to be set or programmed to run during off-peak periods only §150(pLpump Sizing and flow rate specification 1. The pump specified is listed in the CEC database of certified pool pumps. 2. The pump flow rate shall be calculated based on pool sizing table below. R �. The pump is capable of operating at 2 or more speeds (not applicable if pump is less than I horsepower). 4. Each auxiliary pool load is served by either a separate pump, or the system is served by a multi -speed pump. Pani s121no 1VAIIIPC ArP hasp t nn am a vim..m annwahlo 4uwn..vn.. d.. nCL_ 6.......,\ 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 v4uw: r or pumps greauer rnan t np. t ne maximum Pump How is the lowest speed dejauli filtration ❑ 5. Calculated volume of pool /0� (gallons). ❑ 6. Return Pipe Diameter 2J11 (inches). ❑ 7. Suction Pipe Diameter 2. (inches). ❑ 8. Filter Type acwfe4 t e (Cartridge, Sand, DE). ❑ 9. Filter Surface Area f (24C) (sf). ❑ 10. Max Pump Flow W (gpm), 2008 Residential Compliance Forms August 2009 J INSTALLATION CERTIFICATE CF-6R-MECH-03 Pool And Spa Heating Systems (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: .51 System Piping GYI. 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). t 2. The design uses low pressure drop fittings (sweep90's) Pipe Diameter Required Pipe Length inch leading into pump (inch) 1.5 6 2 8 2.5 10 3 12 Filtration Equipment O I. 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 • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • 1 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 ori'the CF -1R that apply to the installation have been met. • 1 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 to 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 building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Responsible Person's LB License: Person's Si vale -e - 2008 a e.✓ 2008 Residential Compliance Forms August 2009 Bill # :. City. of- La Quinta Building er Safety Division P.O. Box 1504,"78-495 Calle Tampico 4-Quinta, CA 92253 - (760) 777 7012 Building Permit-Application'and Tracking Sheet : Permit # Project Address: 7� (-v^ J k —r " Owner's Name:. A. P. Number. Legal Description: City, ST, Zip: Lk—U 114 ZZ3 3 Contractor. Desert OUtti00r5 Telephone a .. " •�., Project Description: Address: 7$-065 Main St. Ste. 205 city, ST, zip: : La Quinta, Ca. 92253,1 \. Telephone: 760-399-9600 State Lia # : w -C-53 964474 City Lie. M Arch., Engin, Designer: Flying Buttress ' ��� 1 " C; S. Address: - 77725•Enfield Ln. Ste. 130 city, sT, zip: Palm Desert, CA. 92211 Telephone: 760-772-4411 State Lic. #: 33446 Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units-. Name of Contact Person: _ Telephone # of Contact Person: oo e -? —735,7 1 Estimated Value of Project: .0C),7 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rev Recd TRACMG PERMrr FEES. Yian Sets Plan Cheek submitted I ' 2 Item Amount Structural Cities. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Caned Contact Personplan Check Balance Title 24 Cales. Plaits picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- 3" ReAew, ready for correedonsfissuc Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees 4 Total Permit Fees