07-2247 (RPL).,
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
20 "it44Q
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00002247
Pro perty=Address: 54 7
-25—AFFIRMED CT
APN: 767-20 -999-297 -32879 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000
Applicant:
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am Ii nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Pr essionals Code, and my License is in full force and effect.
LicenseCla s: 58 C27 C29 LicenseNo.: 656128
Date: tContractor,
�'-- 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:iat@nded 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.).
(_ 1 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.).
1 _) 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:
GOPEZ RESIDENCE
54-275 AFFIRMED CT
LA QUINTA, CA 92253
Contractor:
TESERRA/✓f a
P.O. BOX 12
COACHELLAJ A 92236
(760)398-922/r1
Lic. No.165 C8llt�
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/06/07
—————— ---..r -- — F — — — — — — — — — — — —
WORKER'S COMPENSAT6-OECL^AR` ION
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 SEA 3RIGHT Policy Number BB1070510
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any
person in any manner so as t become subject to the workers' compensation laws of California,
and agree that, if 1 should becme subject to the workers' compensation provisions of Section
jf JZ700 of the Labor Cof, I sha forthwith comply with those provisions.
WARNING: FAILURE TO SECURE W0i7 EAB%QOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,000).. 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 wink is peifuimed 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.
1 certify that I have read this application and state that the aboveLinf.,-mioan is correct. I agree to comply with all
city and county ordinances and state laws relating to bui nnd hereby authorize representatives
of this.coupty tq enter upon the above-mentioned prop or inpurposes.
Application Number . . . . . 07-00002247'
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee 284.50 Plan Check Fee 184.93
Issue Date . . . . Valuation . . . . 30000
Expiration Date 2/02/08
Qty Unit Charge Per Extension
BASE FEE 252.00
5.00 6.5000 THOU BLDG 25,001-50,000 32.50
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc . .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation 0
Expiration Date 2/02/08
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 2/02/08
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 2/02/08
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, ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 07-00002247
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 388.50 :00 .00 388.50
Plan Check Total 210.93 .00 .00 210.93
Grand•Total 599.43 .00 .00 599.43
LQPERMIT
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CONSTRUCTIQ°I�' AUTHORIZATION
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FIELD
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PRE-GUNFE
PAGE NO.
PERIMETER
UNDERGROUND'
-
-' MAX.
PA r$PEC�ICATIONS
MASONRY
TILE
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DATE
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SPECIFICATIONS
TYPE 61L�����
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AP BOOK
PAGE NO.
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PA r$PEC�ICATIONS
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SIZE X SQ. FT.
DATE
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JOB#
TILE TYPE
WATER LINE
REVISI❑NS
�
DATE
N0, OF JETS 1
TILE TRIM
LIGHT
QUARTER ROUND
RAISED SPA AT S
R.B.B. TIL F
SPILLWAY TYPE O N e
SPECIAL NOTES
EXCAVATIO / STEEL
TYPE E C(°
ACCESS FROM
ELEVATION T C b b
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
OCKETS !==CENTERS
PLUMBI��..
FILTER SIZE
POOL PUMP SI
BOOSTER PUMP SI
ADD'L PUMP SIZE `-^-
ADC'L PUMSIZE
HEATER SIZE
TIME CLOCK
SUB PANEL
ADD'L OUTLE
SKIMMER TYPE i
FILL UNE J
GAS LINE- STUBS �-
FOUNTAINS/SPRAYHEADS ., 1
SHEER DESCENTS
LIGHTS IN POOLP% IN SPA
STUB SET EQUIPMENT
MISC.
PLUMBING SIZE
GUNITE
DEEP END RAMP
EXTENDED 2nd STEP v-
LOVESEAT
SPILLWAY TYP ! C
lKe
CANTILEVER >_
COPING
R.B.B. - SEE STEEL
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SQ. FT. � (6 -, r') `'
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DECK DRAINS
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LOADS CURBCORE
LOADS
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PROP. EXT. WALLS
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RETAINING WALLS "
EQUIP. WALLS
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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 GAYS 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
(B) 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 RESPON51BIUlIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME _ GOPEZ RESIDENCE
HONE OFFICE
C�
OT 2.C47
rL
TRACT
PAGE BOOK
AP BOOK
PAGE NO.
ICITY
MAIL ADDRESS
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 GAYS 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
(B) 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 RESPON51BIUlIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME _ GOPEZ RESIDENCE
HONE OFFICE
RES
OT 2.C47
rL
TRACT
PAGE BOOK
AP BOOK
PAGE NO.
ICITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO,
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SCALE
DATE
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REVISI❑NS
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others, unless otherwise noted.
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Bin #
City of La Quinta.
Building u Safety Division.
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
. Building Permit Application and Tracking Sheet
Pe'rmit.#
r�'O.La
Project Address:
Owner's Name: r_
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone: {
Project Description:
Address: ( , 3
City, ST, Zip:einQ %tXwc'i
Q .
Telephone:
State Lic. # : _ J •- City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: 1 �s�
Construction Type: Occupancy:
Project type (circle one): New . ' Add'n Alter Repair Demo .
Sq. FL:
# Stories:
#Units:
Telephone # of Contact Person: 2257'—Qa q
Estimated Value of Project: �� 7
APPLICANT: DO NOT WRITE BELOW THIS UNE
q
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submittedg
ID pl
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called ContactPerson
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Gradin g.plan
2" Review, ready for'corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
1I.0.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctioWissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees