07-2289 (BLCK)1111111111111111111111111 23
�j �
P.O. BOX 1504 IEce-^' VOICE (760) 777-7012
78-495 CALLE TAMPICO _ FAX (760) 777-7011
LA QUINTA, CALIFOR A 92Z ��— BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
�� � Date: 8/10/07
Application Number: 07K00002289 4n%D Owner:
Property Address: AFFIRMED CT CROUDY RESIDENCE
APN: 767 320-999-300 -32879 - A �,�,,���� 54-220 AFFIRMED CT
Application description WALL/FENCE IiQni�j �t L�TT�, A 92253
Property Zoning: LOW DENSITY RESIDENTIAL
p Y g a ^ �s�uaci To �te�►I �' `j 1 f
Application valuation: 400 J
Contractor: AUGa ry�o� r
Applicant: Architect or Engineer: TESERRA a ' L`w `D L
P.O. BOX 1280 Cr op
COACHELLA, CA 92236 iriej(.+wJP%liaFaY,�
C -P (760) 398-9222 �►. ;.L�_ ::'E'1' . , �1
Li_C. No.: 656128
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a d Professionals Code, and my License is in full force and effect.
License CI ss: C8 C27 C29 A License No.: 656128
Date:iov:Contracto
WNER-BUILDER DECLARATION
1 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 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.).
1 _ 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.).
I—) 1 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
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 to ecome subject to the workers' compensation laws of California,
and agree that, if I should beco a subject to the workers' compensation provisions of Section
37,PO of the Labor Co orthwith comply with those provisions.
Date pplicant:
WARNING: FAILURE TO SECURE W RKERS' COMP SATION 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 formation is correct. I agree to comply with all
city and county ordinances and state laws relating to building con truction, and hereby authorize representatives
of this cou ty to enter upon the above-mentioned pro pert or ins ection purposes.
Datc ignature (Applicant or Agent):
Application Number . . . . . 07-00002289
Permit . . . . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee
15.00
Plan Check
Fee
.00
Issue Date•
Valuation
. . .
. 400
Expiration Date
2/06/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
---------------------------------------------=------------------------------
Special Notes and
Comments
BLOCK WALL 36" 25
LN FT PER CITY
STANDARDS
Fee summary
-----------------
Charged Paid
--------------------
Credited
Due
Permit Fee Total
15.00
----------
.00
----------
.00
15.00
Plan Check Total
.00
.00
.00
.00
Grand Total
15.00
.00
.00
15.00
LQPFRAIIT
Bin #
City of La Quints
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
r
Project Address:' 01W �/L%� L
Owner's Name: ttv
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: TLf,_
Telephone:
Address:
0 sox12— 5 (--:1
Project Description:
City, ST, Zip: PAC4 CA 9 M - S-6
Telephone: ZZZ—
LOCK WA -U— 3 S L Fr'
C
State Lic. # : &.S 2 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:i
I'I
III I
Construction Type: Occ
State Lie. #:
Project type (circle one)• New d'n Alter Rep emo
Name of Contact Person:
Sq. Ft.:
# St�' s:
#Units:
Telephone # of Contact Person: 'z S^
Estimated Value of roject.
APPLICANT: DO NOT WRITE BELOW THIS L E
#
Submittal
Req'd
Recd
TRACKING.
'ITT 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 corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"dReview, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
v
COI`
CINDER BL,
CONIC DECKING
CUE
311
BARBECUE SECTION
SCALE: UZI= I '-0"
SPECIFICATION
`* �, w TYPE SIZE _ �' _X
Q
SURFACE AREA OF POOL,
{� �( #A,l�F J+Grt - _ DEPTHS MIN.
r� '•4 — MAX
�..�r
+ SPAPECI TIONS _ TILE
SIZE " k 54. FT. , TILE TYPE
epi c SPA DAM WALL WIDTH WATER LINE Ye
—
t• NO. OF JET`.; TSE TRIM
LIGHT __ QUARTER ROUND
RAISED SPA AT _ .—'. _!
�''`' ,F„.,��.e f ';� S.;y'.' tf",x ! 5, ` h Y','s"`9 :*',,i �9%n;,,.. _ . -.
SPILLWAY T PE
' a, • ip d^+� : :.
SPECIAL NO ES _
DECKING
EXGAVA'�ION ST L SQ.
FINISHTYPE
_ EXPANSION JOINTS
ACCESS FROM
CANTILEVER
ELEVATION
DEEP END RAMP — DECK DRAINS�`��
1 f �.I + w
DECCO DRAIN
VLOVE SEAT
CONCRETE REMOVAL LOADS CURB COM
� Cd`v,j
—
,- STEPS
SOD REMOVAL - LOADS
- TREE OVAL BY _ STEP FACE
` ,� y
_ IRRIGATION REMOVAL BY�_--- _-- TILE BASE D 4D00
IRRIGATION REPAIR
6" R.B,B. _ ft RIBBONS
12" R.B.B. "-4 W MOW STRIP
18" R.B.B. " R
TAN t ft
_ .. ` M
ASONRY
t -1 'CV ROCK POCKETS COPING TYPE
77�7S CENTERS R.B.B. FACING
nt
/ - SPILLWAY TYPE SIZE e
A Y?
PLU MBISTEPS
A-
FILTER ,�_ SI�t�`' PROP. EXT. WALLS-
,—
`fir•
AO
an
POOL PUMP SIZE1) t4 PLMJTER WALL i s ' .� ;..� � ,t�1 �••'.7
' RETAINING WALI.S _
BOOSTER PUMP SIZE C'
EQUIP. WALLS `�1 B� J
ADA PUMP "" SIZE ' FlREPIT C;7
ADDI PUMP S17E
HEATER SZE
TIME CLOCK — —
_�5� sr-.tf'r.s r9-�.,�,C:�1la9.. =1C >rCDCJ• SUB PANEL
✓ '(�y�.T :._ Ts '_) 1 {d4�. 4"-; i t"5.9 ^3, 5 1�i ! Aai l a ADD'L QUTI
SKIMMER TYP _
FILL LINEPEBBLE PLA
LIGHTS POOL —
44-
GAS UNE L !'� STUBS LIGHTS SPA
FOUNTAINS/SRR,61-fEADS. ROLLED BOND BEAM
BEHIND SPA
a�: a SHEER OESCFyIS �,` EYEBALLS
j� LIGHTS IN POOL �j*' /"N�SPA — �d _
.;
BOOSTER PUMP FOR LARGER SPILLWAY WITH STUB SET EQUIPMENT_ FENCING
EXTRA 'SUCTION FROM POOL TO UTILIZE BOOS'T'ER misc. NG SIZE - FENCE TYPEPLUM
PUMP AS POOL PUMP wq TAT AUTOMATED ,VALUE. HEIGHT
GATE
GU N'E GATE REMOVE & REVERSAL c _
G _
DEEP END RAMP -
EXTENDED 2nd STEP
w�, k .pfLi1 leis r� - lam!'•', �r t._j ✓rr t f� �1� %, i r-5�5 LOVESEAT — — —
}
ES 8
TART - 1`
.
SPILLWAY TYPFas(, —
E' t. COMPLETION
CANTILEVER _ --- --
Y
R.B.B. - SEE xTEEL __—
,M;
L
OWNER RF-,SPONSIBILITI_S
t✓ ( (° ! ..' "� �.I. 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
— ._ _ .. .. _.._.... a -. —•
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 -- 00 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:
NARE ENVp 4t�j
Lw/
STREET
JOB ADDRESSC-1 dx" ... CITY ti.
PHONE OFFICE RES
LOTTRACT•�I`r, t , .., PAGE BOOK
_.
MAP BOOK PAGE NO. CTTY
1 ..MAIL.- ADDRESS
CONSTRUCTION OFFICE PHONE N❑.
SCALE DATE A. BY LD BY/,–,--CHEC E 13Y
.: y
—� { J
Jf�B#' IONS SATE
C4
RE�/IS �.
2 r_t -
OEIQnii�
t ILDf'NG & SAFETY DEPT.
.yam 3 e
— 4 — FOR CONSTRUCTION
rs WIT � BY
j
1
CON'TUCTION AUTHORIZATION
r SALES Fa'#EL®
0
Ts
SELCCTIONS _
STONE�QAJ
R.n
TILE
BOULDERS Ai —
DECK COLOR V0,
DANDY
�.
PEBB,/PLAS
SIGNATURE
DRAINAGE NOTE1 Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
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