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07-1921 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13c&ht 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 07-00001921 54240 AFFIRMED CT 767-320-999-301 -32879 - POOL - RESIDENTIAL LOW DENSITY RESIDEN'1'iAL 30000 Architect or Engineer: a/P 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 frofessionals Code, and my License is in full force and effect. License Class: C8 C27 C29 LicenseNo.: 656128 ate: 3hta- ntractar. 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).: 1 _ 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.). (_) 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: LQPERMIT Owner: DARGATZ 54240 AFFIRMED COURT LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92 36 (760)398-9222 Lic. No.: 65612 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 JUL 0 3 Xyl Date: 7/02/07 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. N 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 SEABRIGHT Policy Number BB1070510 _ 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 asbecome subject to the workers' compensation laws of California, and agree that, if I should b ome subject to the workers' compensation provisions of Section 3700 of the Laborgqe, I s all forthwith comply with those provisions. WARNING: FAILURE TO SECUREWOM?Me 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 ye'fuimed 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 abiLve information is correct. I agree to comply with all city and county ordinances and state laws relating to building,struction, and hereby authorize representatives of this county tgenter upon the above-mentioned_AuWa for i pection purposes. (Applicant or Agent): Application Number . . . . . 07-00001921 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date Valuation . . . . 29783 Expiration Date 12./29/07 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 -------------------- 1 THOU BLDG 25,001-50,000 32.50 . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/29/07 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 12/29/07 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 12/29/07 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 Permit . . . . . . WALL/FENCE PERMIT LQPER,NIIT Application Number . . . . . 07-00001921 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 217 Expiration Date 12/29/07 Qty Unit Charge Per Extension . BASE FEE - 15.00 -------------------------------------------------------------- Special Notes and Comments -------------- POOL/SPA, 10 L.F. 5' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited ----------------- Due ---------- ------- - -- ---------- Permit Fee Total 403.50 .00 ---------- .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 614.43 .00 .00 614.43 LQPERMIT Bin # _ tmate alue of Project: �� tea City ®f La Quinta Permit # \ \o/ Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet r oject Address: wner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor Telephone:. Address: l2?j Project Description: City, ST, Zip: Cdl�G CJ" �7 Z3 Telephone: ZZ Z State Lic. # : �p �� t Z Arch., Engr., Designer: r City Lic. #: 1 D` Address: Structural Calcs. City, ST, Zip: Reviewed, ready for corrections Telephone: Plan Check Deposit Construction Type: Occupancy: Lic. #: _ Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: C— O ��VIV 2• .-Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: ASO— Z Est' d V � _ tmate alue of Project: �� tea APPLICANT: DO NOT WRITE BELOW THIS LINE TRACIQNG PERMIT FEES q Submittal Req'd Rec'd Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up . Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.N.I. H.O.A. Approval Plans resubmitted Grading rN HOUSE:- Jrd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees 4 Total Permit Fees 30000 cg9 85- n ,_ 1 � h� i Iii � j. \ l=l ✓ G ,h �-: �_ �-. r�,-�... , �7 \� .,f�� E. r C) +,J may' t^-. To F/ vA 2�\ I _tP '2 -LA" CONSTRUCTION AUTHORIZATION SALES FIELD DIC SURFACE AREA OF POOL SIZE _ PRE-GUNfTE SIZE _ i UNDERGROUND PA SPECIFICATIONS SIZE _ CONSTRUCTION AUTHORIZATION SPECIFICATIONS TYPE SALES FIELD DIC SURFACE AREA OF POOL SIZE _ PRE-GUNfTE SIZE _ PERIMETER o UNDERGROUND PA SPECIFICATIONS SIZE _ MASONRY SIZE X SQ. FT. TIME CLOCK DECK SPA DAM WALL WIDTH PRE -PEBBLE NO. OF JETS SKIMMER TYPE SPECIFICATIONS TYPE SIZE SIZE X FILTER SIZE . SURFACE AREA OF POOL SIZE _ i SIZE _ PERIMETER o DEPTHS MIN. MAX. PA SPECIFICATIONS SIZE _ TILE SIZE X SQ. FT. TIME CLOCK TILE TYPE SPA DAM WALL WIDTH WATER LINE NO. OF JETS SKIMMER TYPE TILE TRIM LIGHT QUARTER ROUND STUBS FOUNTAINS/SPRAYHEADS R.B.B. TILE RAISED SPA AT LIGHTS IN POOL SPILLWAY TYPE STUB SET EQUIPMENT SPECIAL NOTES PLUMBING SIZE EXCAVATION / STEEL TYPE ACCESS FROM ELEVATION DEEP END RAMP LOVE SEAT CONCRETE REMOVAL SOD REMOVAL TREE REMOVAL BY IRRIGATION REMOVAL BY IRRIGATION REPAIR 6" R.B.B. 12" R.B.B. 18" R.B.B. 24" R.B.B. 30" R.B.B. TAN SHELF DEPTH ROCK POCKETS CENTERS PLUMBING FILTER SIZE . POOL PUMP SIZE _ BOOSTER PUMP SIZE _ ADD'L PUMP SIZE _ ADD'L PUMP SIZE _ HEATER SIZE . TIME CLOCK SUB PANEL ADD'L OUTLETS SKIMMER TYPE FILL LINE GAS LINE STUBS FOUNTAINS/SPRAYHEADS SHEER DESCENTS LIGHTS IN POOL IN SPA STUB SET EQUIPMENT MISC. PLUMBING SIZE GUNITE DEEP END RAMP _ EXTENDED 2nd STEP LOVESE'AT SPILLWAY TYPE._, CANTILEVER _ COPING R.B.B. SEE STEEL DECKING SQ. FT i.,.... FINISH EXPANSION JOINTS CANTILEVER DECK DRAINS _ DECCO DRAIN LOADS CURB CORE LOADS STEPS STEP FACE TILE BASE SAND AND VISQUEEN ft. RIBBONS ft MOW STRIP COPING TYPE _ R.B.B. FACING _ SPILLWAY TYPE _ STEPS PROP. EXT. WALLS PLANTER WALL _ RETAINING WALLS EQUIP. WALLS FIREPIT EBBLE/PLASTER LIGHTS POOL LIGHTS SPA ROLLED BOND BEAM _ BEHIND SPA EYEBALLS FENCING FENCE TYPE _ HEIGHT GATE GATE REVERSAL . REMOVE & REHANG EST. START EST. COMPLETION OTHER SIZE OWNER TO. (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED (4) AGREE THAT TESERRA IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF TESERRA AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF TESERRA IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE SWIMMING POOL PLAN FOR: NAME _ DARGATZ RESIDENCE STREET may- 2`1C) JOB ADDRESS jCITY PHONE OFFICE RES L❑T �r^I TRACT PAGE BOOK MAP BOOK PAGE NO. ICITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO, SCALE DATE DRAWN BY SOLD BY CHEC 1/8a=1' J❑B# I REVISIONS SELECTI❑NS ATE STONE TILE BOULDERS DECK COLOR JANDY PEBB,/PLAS SIGNATURE DRAINAGE NOTE: Drainage and irrigation for planters and pots, by others, unless otherwise noted. L0 N N N 01) U o U � t\ J v 00 WN 2 Q cD U Ly In 4 co O U N o d' N z LO N W Ld I z Q M U o � _O O� Q I � U D S LL Eli W C.) z LU a 0 U N m © a O Q 0