07-2218 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tjht 4 4 Qu&&
Application Number: 07-00002218
Property Address: 54240 AFFIRMED CT
APN: 767-320-999-301 -32879 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant: I _ AQ, Architect or Engineer:
mb
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am Ijens ed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Psionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
Date:-Xcontractor.
R -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 contractorls) 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 ISec. 3097, Civ. C.I.
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
DARAGATZ RESIDENCE
54-240 AFFIRMED CT
LA QUINTA, CA 92247
1111111111111111 14
IE VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/07
Contractor: 3L� TESERRA
P.O. BOX 1280fCOACHELLA, CA 92236/rl' JUL 3 r ?007
(760)398-9222
Lic. No.: 656128 ciry0FLe_.__
-----------------------------------------------
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 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 manneobecoe
bject to the workers' compensation laws of California,
and agree that, if I sto the workers' compensation provisions of Section
3700 of the Labor Ccomply with those provisions.
Dater/d Applicant:
WARNING: FAILURE TO SECURE WATION 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 i ormation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi g const cti on, and hereby authorize representatives
of this cou ty tt tenter upon the above-mentioned pr ope r i spe tion purposes.
Date: Signature (Applicant or Agent):
1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tjht 4 4 Qu&&
Application Number: 07-00002218
Property Address: 54240 AFFIRMED CT
APN: 767-320-999-301 -32879 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant: I _ AQ, Architect or Engineer:
mb
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am Ijens ed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Psionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
Date:-Xcontractor.
R -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 contractorls) 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 ISec. 3097, Civ. C.I.
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
DARAGATZ RESIDENCE
54-240 AFFIRMED CT
LA QUINTA, CA 92247
1111111111111111 14
IE VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/07
Contractor: 3L� TESERRA
P.O. BOX 1280fCOACHELLA, CA 92236/rl' JUL 3 r ?007
(760)398-9222
Lic. No.: 656128 ciry0FLe_.__
-----------------------------------------------
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 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 manneobecoe
bject to the workers' compensation laws of California,
and agree that, if I sto the workers' compensation provisions of Section
3700 of the Labor Ccomply with those provisions.
Dater/d Applicant:
WARNING: FAILURE TO SECURE WATION 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 i ormation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi g const cti on, and hereby authorize representatives
of this cou ty tt tenter upon the above-mentioned pr ope r i spe tion purposes.
Date: Signature (Applicant or Agent):
Application Number . . . . . 07-00002218
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
15._00
Plan Check
Fee
9.75
Issue Date . . . .
Valuation
. . .
. 500
Expiration Date
1/27/08
Qty Unit Charge
Per
Extension
-----------------------------------------------------------=----------------
BASE FEE,
15.00
Permit
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25
Plan Check
Fee
4.31
Issue Date . . . .
Valuation
. . .
. 1
Expiration Date
1/27/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
PER ELEC DEVICE/FIXTURE
1ST 20
2.25
----------------------------------------------------------------------------
Special Notes and Comments
BBQ ONLY - POOL UNDER
CONSTRUCTION
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY
REVIEW FEE
.98
STRONG
MOTION (SMI)
- RES
.50
Fee summary Charged
-----------------
Paid
Credited
Due
----------
Permit Fee Total
----------
32.25
----------
.00
----------
.00
32.25
Plan Check Total
14.06
.00
.00
14.06
Other Fee Total
1.48
.00
.00
1.48
Grand Total
47.79
.00
.00
47.79
LQPERMIT
Bin #
City of La Quinta
Building u Safety Division
P.O. Box 15041 78-495 Calle Tampico {
La Quinta, CA 92253 - (760) 777-7012 ^
Building Permit Application and Tracking Sheet
Permit #
Project Address: . oZ if n
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor. _RRA
Telephone:
Address:
BOX L 47
Project Description:
City, ST, Zip: Cm cht[ e4'- vz.3 6
Telephone: ZZZ—
v v C&frS 1
State Lic. # : QS 2 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
0
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft::
# Stories:
# Units:
Telephone # of Contact Person: lb 2 Qf4f
Estimated Value of Project: #S00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERIIIIT FEES
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 correctionsrissue
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
D e a DE
School Fees
BUILDING &.SAFETY DEP'7.
APPROVEU
V,#
Total Permit Fees
DATE BY
tel.
Lu EF. / OFUTLET
PRE-HUNGf '
740.0
S.S. DOORS STUCC OR LIGHT
SWITCH
"STONE (WATERPROOF)
VENEER '
ARIES --- -- -
I.C.B.O. #
FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION BSI
U.L. APPROVED.
( LIGHT I 'L
GRILL
I
AN
FREE-STANDING OUTDOOR KITCHEN' - PLDIMENSIONS -2
IA �E TO FIT APPLIANCES
1/2"-_
6X8XI6 CMU- 6ROUf'.CELLS WITH STEEL
#4 BARS VERT. AT 24' O.C_(TYP.)
BBQ LAYOUTS MAY V=TYPI
I . FOOTING SIZE a REI
. _ I
STONE CAP, TILE
OR POURED CONC.
#4 BAR HORIZ. AT
3. 32' O.C. (TYP.) '
6X8XI6 CMU
M GROUT CELLS WITH STEEL
•#4 BAR
F.S. VERT. AT
24' O.C. (TYP.)•
N 2-#4 BARS HORIZ. CONT.
VARIES t 6"L
IC FREE-STANDING BBQ _ WALL SECTION
I/2"=1'-0"
1/2"=1'-0"
BBQ ISLAND - SIDE EL EV.
- SIDE ELEV
1/2'=1'-0"
No S V"" _T' Ts
�Tc� �► � �: c_�Ur•IT� .TCS % v�1-�1 � J;` ,��... G��L' � � ��' C�'
AraQ 2u" Q Z_o �N \C � rte! (C)t..-.0 Q\- \CE �a�)
CONSTRUCTION AUTHORIZATION
1 11 SA LE8 FIELD
DIC;
PRE—GUNITE
UNDERGROUND
MASONRY
DECK
PRE—PEBBLE
SPECIFICATIONS
TYPE SIZE ;5,; t X
SURFACE AREA OF POOL
PERIMETER _ I ! 0 !
DEPTHS MIN. MAX.
PA SPECIFICATIONS TILE
SIZE X -__7_ SQ. FT. TILE TYPE f'
SPA DAM WALL WIDTH 155 WATER LINE C
NO. OF JETS– TILE TRIM
LIGHT 1 " a' QUARTER ROUN
RAISED SPA AT f O , R.B.B. SLED
SPILLWAY TYPE aC. ar
SPECIAL NOTES _
SIZE
Y
.
EXCAVATION
t
ADA PUMP
FINISH _ t 00 M
EXPANSION JOINTS
TYPE -+G
CONSTRUCTION AUTHORIZATION
1 11 SA LE8 FIELD
DIC;
PRE—GUNITE
UNDERGROUND
MASONRY
DECK
PRE—PEBBLE
SPECIFICATIONS
TYPE SIZE ;5,; t X
SURFACE AREA OF POOL
PERIMETER _ I ! 0 !
DEPTHS MIN. MAX.
PA SPECIFICATIONS TILE
SIZE X -__7_ SQ. FT. TILE TYPE f'
SPA DAM WALL WIDTH 155 WATER LINE C
NO. OF JETS– TILE TRIM
LIGHT 1 " a' QUARTER ROUN
RAISED SPA AT f O , R.B.B. SLED
SPILLWAY TYPE aC. ar
SPECIAL NOTES _
PLUMBING t
FILTER 1
SIZE
POOL PUMP
DECKING`
SQ. �T � �' e �'\ r_
EXCAVATION
STEEL
ADA PUMP
FINISH _ t 00 M
EXPANSION JOINTS
TYPE -+G
ACCESS FROM a -,'-
ELEVATION
/
SUB PANEL
CANTILEVER ..R 7
DEEP END RAMP
DECK DRAINS
LOVE SEAT
GAS LINE -�
DECCO DRAIN
CONCRETE REMOVAL
N f3
LOADS
CURB CORE
SOD REMOVAL
% I C)
LOADS
STEPS 1-- —
TREE REMOVAL BY
STEP FACE
IRRIGATION REMOVAL
TILE BASE -"
IRRIGATION REPAIR
U
SAND AND VISQUEEN �---�"
6" R.B.B.
ft
RIBBONS
12" R.B.B.
MOW STRIP —
1B" R.B.B.
N
24" R.B.B.
30" R.B.B.
ft
i
TAN SHELF DEPTH
ROOK POCKE
MASONRY
CENTERS
COPING TYPE
PLUMBING t
FILTER 1
SIZE
POOL PUMP
SIZE
BOOSTER PUMP L-
SIZE +–•
ADA PUMP
SIZE
ADD'L PUMP "'s"
HEATER
SIZE
SIZE 7I JQ
TIME CLOCK GS
/
SUB PANEL
ADD'L OUTLE
SKIMMER TYPE
nu LINE A=�
GAS LINE -�
STUBS r
FOUNTAINS/SPRAYHEADS
SHEER DEEr
/-Sorg
LIGHTS IN POOL
N SPA
STUB SET EQUIPMENT__
MISC.
PLUMBING SIZE
GUNITE
DEEP END RAMP
EXTENDED 2nd STEP
LOVESEAT e
SPILLWAY TYPE
CANTILEVER S
COPING"'
R.B.B. - SEE STEEL
R.B.B. FACING
SPILLWAY TYPE -z;71v1
STEPS _--
PROP. EXT. WALLS
PLANTER WALL
RETAINING WALLS
EQUIP. WALLS S
FIREPIT
PEBBLE/PLASTER
LIGHTS POOL
LIGHTS SPA J- �
ROLLED BOND BEAM
BEHIND SPA
EYEBALLS
FENCING
FENCE TYPE
HEIGHT
GATE
GATE REVERSAL
REMOVE do ANG
EST. START
EST. COMPLETION
OTHER
SIZE
-LV
OWNER M. (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE N0110E 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
MMING POOL PLAN FOR:
"" _ DARGATZ RESIDENCE
STREET 1,7DL4 - 2L -I) FI Rr E -P COi LT
JOB ADDRESS �� r I ICITY i
PHO IE OFFICE RES
LOT — I TRACT PAGE B❑OK
MAP BOOK PAGE NO, CITY
MAIL ADDRESS
CONSTRUCTI❑N ❑FFICE PHONE NO,
SCALE DATE DRAWN BY SOLD BY CHEC
REVISIONS
1
CITY OF
3 ING & SAFETY DEFT
4 FOR CONSTRUCTION
5 DA 0;7
B
SELECTI❑N
STONE
TILE
BOULDERS
DECK COLOR
JANDY
PEBB,/PLAS
SIGNATURE
r
ATE
DRAINAGE NOTEI Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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