12-1168 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: , t—,12-00001168_;
Property Address:
80315 VIA MIRASOL
APN:
772-430-003- r -
Application description: -
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
27000
Code, for the performance of the work for which this permit is issued. My workers' compensation
Applicant:
d
Architect or Engineer:
-
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BERCAW,
80315 VIA MIRASOL
LA QUINTA, ..CA 92253
Contractor
TESERRA
P.O.'BOX 1280
COACHELLA, CA 922
(760)398-9222
LiC. No.: 656128.
_VOICE (760 771 )1
FAX (76 1 77� IO1
INSPECTIONS (760. T
Date: 10/03/12
� � Q
nr I C J 2012
36
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- - LIC SED CONTRACTOR'S DECLARATION -
— - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- WORKER'S COMPENSATION DECLARATION -
1 hereby affirm under penalty of perjury that I 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: 8 0 7 2 License No.: 656128
_
for by Section 3700 of the Labor Code, for'the performance of the work for which this permit is
Date: Z ontractor:
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
• OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
_
1 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 7600006481121
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires 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 b come 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 a subject 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
3700 f the abor Code, I shall hwith 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)•:
ate:LO y /'L pplicant:
1 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: FAILURE 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 -
andwho 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.). -
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 Guinta, its officers, agents and employees for any act or omission related to the 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:•i- _
- -
within 180 days from date of issuance of such p mit, or cessation of work for 180 days will subject.
' CONSTRUCTION LENDING AGENCY
permit to cancellation.
' I hereby affirm under penaltyofperjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the a ve information is correct. I agree to comply'wiih all -
• work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to buildin struction, and hereby authorize representatives
-
- Lender's Name: -
of this ounty to ante po the above-mentioned property r nspection purposes.
[e: LO ,gnatur. (Applicant or Agent): ,
Lender's Address:
.. LQPERMLT .,
-
Application Number . . . . 12-00001168
Permit . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . 265.00 Plan Check Fee
172.25
Issue Date Valuation . .
27000
Expiration Date 4/01/13
Qty Unit Charge Per
Extension.
BASE FEE
252.00
2.00 6.5000 THOU BLDG 25,001'50,000,
13.00 ;
Permit MECH POOL
`
Additional desc
Permit Fee 26.00 Plan Check Fee
6.50
Issue Date Valuation
0
Expiration Date 4/01/13 -
Qty Unit ChargePer
Extension
BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE >100K
----------------------------------------------------------------------------
1.1:00
ELEC POOL PERMIT -RES
Additional desc •. 1
Permit Fee 45.00 Plan Check Fee
11.25
Issue Date . . . Valuation
0
'Expiration Date 4/01/13
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 4/01/13
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, INCLUDES 60 L.F. 1 1/2" GAS
. LQPERMIT - - - •.
.. .
NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
• PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
rPA
PA BD.T
ARTIPICIAL. TURP
POOL EOUIPMENT: a0D.6DD BN HEATER
'ALL EOUIPMENT SHALL BE SELSMICALLY ANCHORED
POOL EQUIPMENT W AMP SUBPANEL
HATH 00' CLEARANCE AT FRONT AND SIDE
SPA EQUIPMENT
POOL EOUIPMENT: b .= BTU HEATER
'ALL EOUIPMENT SHALL BE SEISMICALLY ANCHORED
POOL EOUIPMENT
MI'. IP POLYPROPYLENE GAS PIPE
ELECTRICCONDUIT
®PA
MAIN HOUSE 200 AMP ELECTRICAL PANEL
OA
R E S I D E N C E
_ - -
BPBCIFICATIONS
me_oM4IE epe_ua
CEBETAOE LEI W r—OHJ—
MIN-jP-
arEEL
WN OF J
1 BUILDING
FOR CONS
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O6• REVISIONS
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---------'—
CONSTRUCTION AUTHORIZATION
INSTALLATION OF POOL SYSTEMS AND EOUIPME W4 CO 9
• •
-
� _
— — — — �
�_
SECTION 114 -MANDATORY REQUIRE MINTS
—
— — -' —
,
SALES FIELD
��•`
EXIT ALARMS TO BE INSTALLED ON ALI DOORS WI DIREC ACC SS ,-0 '6
_g:
I
DIG
TO THE POOL TUR,
9_
PRE-GUNIT
POOL HEATERS I PUMP EQUIPMENT SHALL BE INST LLE PER MANU FACTVRER'S —
-
NpERGROUND
RECOMMENDATIONS AND IN ALCOR DANCE WRHL ALREGULATIONS
_ -
MASONRY
ALL DECKING EXPANSION JOINTS FOR REPAYSEW
1,°-'Y=AMIRASOL
DECK
FIELD LAYOUT VALL VARY
PRE-PEBBI
8•= r orm n. PHA r.
O6• REVISIONS
IEBBIPLA6 11-
;IGNATUREll
OPAP,ADE WTE:
(4*111t4ftillum-INU-�
Bin.# City. of La Qut*n: to
i
Buildlng &r Safety Mhion ,
Permit # r,, P.O. Box 1504,18-495 Calle Tampico
j,'! 14.Quinta, CA 92253 -:(760) 777-7012
- �� Building Permit
-Application' and Tracking Sheet
Project Address: , g Q I S I Ip Owner's Name:.
i A. P. Number. Address: go3 IS
Legal Description: Ci ST Zi / w
City, P C. U tAPPI CA?
Contractor:'
Telephoner
Address: g 6 /O dAVEProject Description:
City, ST, Zip:CRA CAT J� ZZ3 6—jE S .
Telephone: ?C6-3,59,9 2 C?y tt,• °r
State Lia 6: 4;, r / Z City Lic. g"
Arch., Engr., Designer.
j
Address
City, ST,' Zip:
Telephone: Construction Type: , Occupancy:
r
State Lic. Project type (circle one : New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft : #Stories: #Units:
Telephone # of Contact Person: 76 O Zs O 27-3 /,Q Estimated value of Project: C� O
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Reed TRACKNG PERMIT FEES
Plan Sets Pian Check submitted Item Amount
Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs. Called Contact Person Plan Check Balance_
Title 24 Calcs: Plans picked up Construction
--=
Flood plain pino _P.laas.resubmitted .--.---- -Mechanical -
Grading plan
2af Review, ready for correctionsfissue
Electrical
Subcontector List
Called Contact Person
Plumbing . y
Grant Deed
Plans picked up
SALL
ILOAL Approval
Plans resubmitted
Grading
IN HOUSE:-
1r° Review; ready for correctionsfissuc
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees