07-1949 (RPL)VIII IIS II I I��I 28 Q
/'
P.O. BOX 1504 44
78-495 CALF TAMPICO ,
LA QUINTA, CALIFORNIA 92253 r BUILDING & SAFETY DEPARTMENT
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00001949 '
54280 AFFIRMED CT
767-320-999-302 -32879 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
30000
Architect or Engineer:
� l�-
BUILDING PERMIT
ICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury tit I dcensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine and o liProfessionals Code, and my License is in full force and effect.
License Cl s: C8 C27 C29 A LicenseNo.: 656128
_16Date: dContrac o
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).:
(_) 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 burdenof 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 opply to an owner of
pruperty 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
workfor which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERM[T
Owner:
CROUDY RESIDENCE
54-280 AFFIRMED
LA QUINTA, CA 92
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
JUL 0 61007
Date: 7/05/07
*s
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 manner so as t become subject to the workers' compensation laws of California,
and agree that, if I should be ome subject to the workers' compensation provisions of Section
3700 of the Labor C I sh II forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE OR ' 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
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 ab information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin nstruction, and hereby authorize representatives
of this cou ty o enter upon the above-mentioned propert r spection purposes.
Date: 0 Signature (Applicant or Agent):
Application Number .
. . . . 07-00001949
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
284.50 Plan Check Fee
184.93
Issue Date . . . .
Valuation . . .
. 29750
Expiration Date
1/01/08
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
1/01/08
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
1/01/08
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 . .
1/01/08
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
Permit . . . . .
WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 07-00001949:
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . Valuation
. . .
. 250
Expiration Date 1/01/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
------------------------------------------------- -------------
Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. 10 L.F
X 60" CITY STANDARD EQUIPMENT WALL.
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
LQPERAIIT
Bin #
City ®f La Quinta
Building u Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
V8 La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 5 2��
��' Owner's Name:
A. P. Number:
Address:
Legal Description: City, ST, Zip:
Contractor: Telephone:^= r,
Address:
l2?j Project Description:
City, ST, Zip: ��C CJu3 �P
Telephone: V9 D` ZZ Z a S
l� Vk?-1:::
State Lic. # City Lic. #: IL 4O /t
Arch., Engr., Designer:�
Zo r C�,` S r4 r
Address:
City, ST, Zip:
Telephone: Construction Type: Occupancy:
P Y:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: (� C— 0' s5�
2 �/'�% Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: ",—,5-0 — ,� Esti t d Val
# Submittal
Plan Sets
Structural Calcs_
Truss Calcs,
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
ma e ue of Project: boc-./
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd
Rec'd
TRACKING.
PERMCT FEES
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2nd Review, ready for correctionsfissue
Called Contact Person
Plans picked up
Plans resubmitted
'rd Review, ready for corrections/issue
Called Contact Person
Date of permit issue
+,,
lY 4�
Item
Amount
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A.I.P.P.
•
Total Permit Fees
166 1AW ,
Cor
CINDER BL
CONIC DECKING
0
C dIQ C.
"r") ") 0 L > r..
�.��. � 1G'rr'�� r..�"-� ��\Np v��.l i��..`..,- /-�•T �-Coo„
I
BARBECUE SECTION
SCALE I/2"= I'-0"
DNSTRUCTION AUTHORIZATION
SALES 11 FIELD
i
:-CUNITE
)ERGROUND
MASONRY
DECK
PRE -PEBBLE
TYPE * `
SURFACE AREA S�OF POOL
PERIMETER (cj
PA SPECIFICATIONS
SIZE —_ X SO. FT.
SPA DAM WALL WIDTH
NO. OF JETS
LIGHT
RAISED SPA .AT _
SPILLWAY TYPE
SPECIAL NOTES
EXCAVATION / STEEL
TYPE --
ACCESS FROM
ELEVATION _
DEEP END RAMP
LOVE SEAT
CONCRETE REMOVAL —_
SOD REMOVAL _
TREE REMOVAL BY
IRRIGATION REMOVAL B.Y
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
DECKING ,
SQ. FT... I ,
FILTER —
SIZE
POOL PUMP —
SIZE
BOOSTER PUMP _
SIZE
ADD'L PUMP
SIZE
ADD'L PUMP
SIZE
HEATER
SIZE
TIME CLOCK
SUB PANEL
MAIL ADDRESS
ADD'L OUTLETS
_
SKIMMER TYPE
CONSTRUCTION OFFICE PHONE NO,
FILL LINE
GAS LINE
SCALE
FOUNTAINS/SPRAYHEADS
D BY
Lj
SHEER DESCENTS
CHECKED BY
LIGHTS IN POOL
STUB SET EQUIPMENT
_
MISC. _
PLUMBING SIZE
GUNITE
DEEP END RAMP _
EXTENDED 2nd STEP
LOVESEAT
SPILLWAY TYPE --
CANTILEVER _
COPING _ _
R.B.B. - SEE STEEL
STUBS
IN SPA
, to19r".1 Iull10
_ SIZE i' X
DEPTHS MIN. MAX.
TILE
- TILE TYPE —
WATER LINE —
TILE TRIM
QUARTER ROUND _
R.B.B. TILE _
COPING TYPE
R.B.B. FACING
SPILLWAY TYPE — SIZE
STEPS _
PROP. EXT. WALLS _
PLANTER WALL
RETAINING WALLS _
EQUIP. WALLS .
FIREPIT
PEBBLE/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 ---------
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 CROUDY RESIDENCE
L0
LO
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rT rn
N
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DECKING ,
SQ. FT... I ,
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FINISH _
EXPANSION JOINTS _
CANTILEVER _
DECK DRAINS _--
DECCO DRAIN
CURB CORE
STEPS
STEP FACE
TILE BASE
SAND AND VISQUEEN
RIBBONS _ -
MOW STRIP
PHONE OFFICE RES
� J-0
r�I
v
_
LOADS
LOADS
_
ft.
- f
COPING TYPE
R.B.B. FACING
SPILLWAY TYPE — SIZE
STEPS _
PROP. EXT. WALLS _
PLANTER WALL
RETAINING WALLS _
EQUIP. WALLS .
FIREPIT
PEBBLE/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 ---------
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 CROUDY RESIDENCE
L0
LO
w N
rT rn
N
N
a) n
u o
w
r
J u OD
W N
r Q co
do
a w
O
u N O
It N Z
LC1 rn w
Lj I Z
aM0
J
a o a
�p u
LO .r.
S
DRAINAGE NOTE; Drainage and irrig`a'ifi> ` an j pots, by
others, unless otherwise notel.
J
i
' rt
�{ MtdJ
,j
PHONE OFFICE RES
� J-0
r�I
v
LOT �?, (� TRACT PAGE BOOK
DRAINAGE NOTE; Drainage and irrig`a'ifi> ` an j pots, by
others, unless otherwise notel.
J
JOB ADDRESS C- q_\F�FC ! _,1 ; :1 ' , CITY t_ 4. ;
PHONE OFFICE RES
LOT �?, (� TRACT PAGE BOOK
_
MAP BOOK PAGE NO, CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO,
SCALE
DATE
D BY
Lj
LD BY/
CHECKED BY
JOBW
REVISIONS DATE
w
I
U
w
3
a
4
�
w
5
SELECTIONS
o
STONE
D
O
TILE
(Y z
BOULDERS
U
DECK COLOR
C/ Y OF
JANDY
PEBBJPLAS
ANG & S,gA�q
>
Q
It—rftow
F®R C VE
—
SIGNATURE
0AIM 9174 ..� 'ON
DRAINAGE NOTE; Drainage and irrig`a'ifi> ` an j pots, by
others, unless otherwise notel.
J