08-0338 (RPL)11111101
IE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
35
tTil4t 4
�W
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
08-00000338
54320 AFFIRMED CT
767-320-999-303 -32879 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
30000
Architect or Engineer:
Ok
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 a licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an Professionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
Date: Contractor.
NER-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 Codel 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 ($5001.:
1 _ 1 1, 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, 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.).
1 _ 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:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
LA JOLLA, CA 92037
I'J
Contractor: j
TESERRA U
P.O. BOX 1280
COACHELLA, CA 9 23
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
o In
FEB 25 2008 L
OF LA
Date: 2/22/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 BB1080510
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 become subject to the workers' compensation laws of California,
and agree that, if Ishould become subject to the workers' compensation provisions of Section
3700 of the Labor hall forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WOR '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 above inforn tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building construct on, and hereby authorize representatives
of this county to enter upon the above-mentioned propert cti n purposes.
Dater Signature (Applicant or Agent):
Application Number . . . . . 08-00000338
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee
284.50
Plan Check Fee
184.93
Issue Date . . . .
Valuation
29567
Expiration Date
8/20/08
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
8/20/08
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
8/20/08
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
8/20/08
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 . . . . . 08-00000338
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00
Plan Check
Fee
.00
Issue Date
Valuation
.
. 433
Expiration Date 8/20/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
`PLACE AT PRE -PLASTER INSPECTION.
60" X
20' L.F. CITY STANDARD 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
LQPERMIT
Bin #
City of La}Quinta
Building'u Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 -(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddress: `a cr
Owner's Name: MA-D r�- ✓(.lam
A. P. Number:
Address: {
Legal Description:
City, ST, Zip:
Contractor: pzaG4p
Tele hone:
211117;,1
Address: !9(-,--t00 Ay67 -5—el'
Project Description:
City, ST, Zip: CC/ `l = Ci4- YZZ3L
i
Telephone: �cME="r-�
State Lic. # : ',
City Lic. #:
Arch., Engr., Designer:
Address:
{
City, ST, Zip:
Telephone: ' z '
State Lic. #: Y:>r�
Name of Contact Person: LSSL
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
P Z.�S =- �c� , �
Ci ® '
Estimated Value of Project: � (�®
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
-
Plan Sets
r '
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready forcorrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
+
Mechanical
Grading plan
2°" Review, ready for corrections/issue
t
Electrical
Subcontactor List
Called Contact Person
t
Plumbing
Grant Deed
Plans picked up
(
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
1
Developerlm pact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
t
Total Permit Fees
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CONSTRUCTION AUTHORIZATION
SALES FIELD
DIG
PRE-GUNITE
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE
SPECIFICATIONS
TYPE v �\ (,{ ?j SIZE (2I - 6" x 1 lip I - 1p11
SURFACE AREA OF POOL - `C�
PERIMETER I I / DEPTHS MIN. '� 111 MAX. _'
SPA ,4PECI4QATIONS
TILE
SIZE - I x -f SQ. FT. ,
TILE TYPE G 1
SPA DAM WALL WIDTH
WATER UNE ;
NO. OF JETS q
TILE TRIM
LIGHT "' S
QUARTER ROUND
_1
RAISED SPA AT _�
�I
SPILLWAY TYPE
SPECIAL NOTES
uw
o
DECKING
Q
EXCAVATION /� TEE
FINISH
TYPE
EXPANSION JOINTS
ACCESS FROM
!
ELEVATION
CANTILEVER
DEEP END RAMP
DECK DRAINS
LOVE SEAT
DECCO DRAIN _.
CONCRETE REMOVAL LOADS
CURB CORE
SOD REMOVAL •�•r LOADS
STEPS
TREE REMOVAL BY
STEP FACE
IRRIGATION REMOVAL
TILE BASE
IRRIGATION REPAIR ::Cf_Sd: j ft -A
SAND AND VISQUEEN
6" R.B.B. "- • k
RIBBONS
12" R.B.B. ft,
MOW STRIP
18" R.B.B. R
24" R.B.B.
30" R.B.B.
TAN SHELF DEPTH
MASONRY
ROCK POCKETS
COPING TYPE _
CENTERS
R.B.B. FACING ^24-
SPILLWAY TYPE 'fAcXe SIZE
STEPS >V
PLUMBING
PROP. EXT. WALLS
FILTER SIZE 1coo
PLANTER WALL
POOL PUMP SIZE
_
RETAINING WALLS
BOOSTER PUMP '^ SIZE
EQUIP. WALLS
ADD'L PUMP _..- SIZE r
FIREPIT
ADD'L PUMA SIZE
HEATER SIZE
TIME CLOCK Yl-
SUB PANEL nal
ADD'L OUTLETS_.
SKIMMER TYPE
FILLSNE
PEBBLE PLS RvG - l- v
GAS LINE STUBS -
LIGHTS POOL
LIGHTS SPA
FOUNTAINS/SPRAYHEADS
ROLLED BOND BEAM
v
BEHIND SPA
SHEER DESCENTSt
LIGHTS IN POOL IN SPA
EYEBALLS
STUB SET EQUIPMENT
FENCING
MISC.
9
FENCE TYPE
PLUMBING SIZE
HEIGHT
GATE
G U N I TE
GATE REVERSAL
DEEP END RAMP
REMOVE k REHAN
EXTENDED 2nd STEP
LOVESEAT e -
EST. START
SPILLWAY TYP Int c m G N'e
cANTILeojR
EST. COMPLETIO'- 1 4A42
OTHER
COPING
R.B.B. - SEE STEEL
OWNER RESPONSIBILITIES
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
I LWIVLIIl Ir% Pin! �I
NAME AT GRIFFIN RANCH
STREET 5Li-320 AI, EI M91 -
JOB ADDRESS C CCI 1,-1 CITY
PHONE OFFICE RES
LOT 303 TRACT PAGE BOOK
MAP BOOK PAGE NO, ICITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO,
SCALE
DATE
T�A/N
BY
Sr BY,
CHE KE
-OLD
KS 1?
JpB#
REVISI1INS DATE
1
3CITY
F - OF LA OUINTA
4
APPROVED
5
FOR CONSTRUCTION
STONE
r
TILE
BOULDERS
DECK COLOR
JANDY
�Avjt>j b 4
PEBB./PLAS
rebs% Sc
SIGNATURE
Drainage and irrigation for planters and pots, by
DRAINAGE NOTE,
others, unless otherwise noted.
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