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11-1027 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO r LA QUINTA, CALIFORNIA 92253 .: Application Number: 11'-00001027 Property Address: 53408 VIA DONA APN: 772-420-999-21 -298944— Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation:, 23000 Applicant:t J Architect or Engineer: 4.4 *-Q". BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: YATES 53408 VIA DONA LA QUINTA, CA 92253 Contractor: AZURE POOLS AND SPAS 'P.O. BOX 10641 PALM DESERT, CA 92255 (760)322-7665 I Lic. No.:.802919 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/21/11 2011 �wA OUINTYA F!1.- W,E: �:FPT CX1 • .� - - - -J- - - - - - - - - - - - --- - - - - - - - - -. -. - - - - - - - - - - - ---- - • LICENSED CONTRACTOR'S DECLARATION - - - -. - - - - - ` � � - - - - - - - - - - - -. - - - 7- - - - - -. - - - - -. - - - - - - - - - - - , L 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 Division 3 of the Business a Professionals 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: C53 * License No.: 802919 • ` for by Section 3700 of the Labor Code, for the performance of the work for which this permit is n _ , - - " - ►/ issued. �_ te: tractor. 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 O NE -BUIL R DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am a em t from the Contractor's State License Law for the Carrier DELOS INS CO Policy Number 04DKRM1202794 following reason (Sec. 7031.5, Business and Profenns Code: Any city or county that requires a permit to - _ 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 becomes ject to the workers' compensation provisions of Section to License Law (Chapter.9-(commencing with Section 7000) of Division 3 of the Business andProfessions Code) or . • 37011 f the Labor Code, I s all ort with with those provisions. . y 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).: te• Ascant: - - (_ 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: FAILU T. SECURE WORKERS', CONUSATeN 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 himselfor 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.). - APPLICANT ACKNOWLEDGEMENT - (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of ' conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . ' Each person upon whose behalf this application is made,•each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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 relatedtothe work being • performed under or following issuance of this permit. • Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all ' work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinanes and state laws relating to building c s ruction, and hereby authorize representatives - of thi unty to entton the above-mentioned property for nsp ctio purposes. Lender's Name: ///''7V /Jt lllfir_� - ' ate: //.I V S' ature (Applicant or Agent): 0 Lender's Address: - 0 LQPERMIT Application Number...- . . . . 11-00001027 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date Valuation . . . 23000 Expiration,Date 3/19/12 Qty Unit Charge Per Extension BASE. FEE 45.00 21.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 189.00 Permit . . . MECH POOL Additional desc . Permit -Fee . . . . 26.00- Plan Check Fee.. 6.50 Issue Date Valuation 0 Expiration'Date 3/19/12 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 45.00Plan Check Fee 11.25 . Issue Date Valuation . . 0 Expiration Date .3/19/12' Qty Unit Charge Per Extension BASE_ FEE 15.00 1.0.0 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 3/19/12 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 1.00 3.0000 EA, PLB GAS PIPE 1-4 OUTLETS 3.00 ----------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, FIREPIT. ALARMS/BARRIERS SHALL LQPEPMIT Application Number . . . . . 11-00001027 -- --------------------------------- Special Notes and Comments -------------- 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 338.00 .00 .00 338.00 Plan Check Total 178.10 .00 .00 178.10 Other Fee Total 1.00 .00 .00 1.00 Grand Total 517.10 .00 ..00 517.10 LQPERMIT Vjuu!ioo2 INSTALLATION CERTIFICATE CF-6R-MECH-03 Pool And Spa Heaiau S sterns (Page I of 2 Site Address: Enforcement"Agency: 1?ermit Number: . Pool and Spa Heating Systems requirements §114 1Systems and Egtiipment_ 1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulatio�is. Has a readily accessible on-off switch mounted outside of the heater. 1� 3. Weatherproof plate or card containing operating instructions for the.pool or spa heater, .PS 4. No electric resistance heating except for listed package units that has fully insulated er„closures 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. R” 5. Heating system has no piiot light. § 114(b):. Installation. Pf 1. 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. 2. A over for outdoor pools or. spas that have a heat pump or gas heater. Xf 3. Pool system has directional inlets to adequately mix the pool water yd!4. Time switch which will allow the pump to be set or programmed to run during off--pez:k periods only §150(p) Pump Siiing and flow rate specification X! 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. 3. -The pump is capable of operating at 2 or more speeds (not applicable if pump is less faan 1 horsepower). Ja' 4. Each auxiliary,poof load is served by either a separate pump, or the system is served by a multi -speed pump. Pool cizinp (Vallip-C am .,ot Max Pool Volume (gallons) Mir. Pipe D or Greater • (inches) Min Filter Area or more (sq -are feet) Max Pump Flow tam. 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 J, 7.8 60 _ 117 48,000 3' 3 360 .8.9 70 133 _J %[[ore. 'r or pumps grearer inan t np. L he maximum Pump t• -low is the lowest speed default filtration [Q/ 5. Calculated volume of pool �/ V (gallons)._ 6. Return Pipe Diameter_ (inches). f� 7. Suction Pipe Diameter (inches). (� 8. Filter.l'ype __(� G���t� _(Cartridge, Sand, DE). 9. Filter Surface Area (sf). 10. Max Pump Flow. _ - (gpm)• August 2009 LdJG02/002 INSTALLATION CERTIFICATE CF-6R-MECH-03 Pool And Spa Heatict $ stems. Wave 2 of 2 SIle A re • � � ���^� Enforcement Agency: IPermit Number. u - i' System Piping d E 1. The suction side pipe is'straighi for at least 4 pipe diameters before entering the pump (See table below for the required straight run lengths for various pipe sizes). 2. The design uses low pressure drop fittings (sweep9o's) a Pipe Diameter inch Required Pipe"Length leading into u inch 1.5 6 2 g 2.5 to 3 12 Filtration Equipment + O 1: If a backwash valve is used: The diameter of the backwash multi -port valve is 2 istch_!s or as large as the circulation pipe, whichever is greater DECLARAflOR4 STATEMENT m I certify under penalty of perjury, under the laws of the State of California, the information provided cri this form is, true and correct. v. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for const~.vction, or an authorized representative of the person responsible for construction (responsible person).' ' • I 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 ,pecifications approved by the enforcement agency. a • I reviewed a copy of the Ceitificate of Compliance (CF -IR) form approved by the enforcement agency that identifies the specific requirements.for the installation. 1 certify that the requirements detailed on the CF -IR that apply to t.ie installation have been met. e 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 to the enforcement agency for all applicable inspections. I understand that a signed copy of tltl3 installation Certificate is required to be included with the documentation tate builder provides to . the building owner at occupancy. Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92,253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # C);' Project Address: 4-D2 V i\A- bayta, Owner's Name: A. P. Number: Address: V, Legal De§cription: City, ST, Zip: Contractor: Am ' pools& Telephone: - —HFe Spa-st fac. Address: P.O. Box 10641 Project Description: Cityz ST, zip: Palm Desert, CA 92255 Telephone U0✓ZZ. *7t, u City Lic. #. L-;> Mace State Lic. # '70-b" Z,–q m Arch., Engr., -Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one)( Nevy). Add'n Alter Repair Demo Name of Contact Person: Sq. F'L: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 6 0 APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Rec.'d TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item: Amount Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit Trus s Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up 'Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2.d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees--T— Bin #` City of La . Quinta Builcring.& Safety Division P.O. Box. 1504; 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (�t''6� Project Address: ��� v i j9 -DOW >4 A. P. Number: ./3 ' "yO� V (Q OONA Owner's Name: �' S Address: Legal • Description: S..City, ST, Zip: Contractor: 2 C l.Y� L S 2 U ql- S fps _L C �.t, •,..,.::z.:;. r. Telephone: p " ""�> °'��„ -�., 17 � Address: Project Description:. City, ST, Zip: )O c m -DC'S r•v_ 44 M20 %i Un A G Sa. )Z-1 7 7-rJ Tele hone: /- ..:>: s v: p .(f/G � Z 2— •i?�0�' : "`.�.�..^�� y.:���~.., � State Lic. / City Lic. #; Arch., Engr., Designer: /J G L .lam ✓1 '/J G rG �/7'JS) y/i/c I �' S Address: City, ST, Zip: Telephone: Construction Type: Occupancy: Pro'ect type circle one`: New Add'n Alter Repair Demo State Lic. #::, ""• ' %` "" y" " "" " Name of Contact Person: Sq. FL: I # Stories: # Units: Telephone # of Contact Person: �o Estimated Value of Project: 1412aU� APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACKIING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit s Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. 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