RPL (13-1530)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00001530
53385 AVENIDA MENDOZA
774-092-019-7 -000000-
POOL —RESIDENTIAL
COVE RESIDENTIAL
16000
Titit.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 00) f Division 3 of the Business and PrA;�6
ode, and my LicenspSis in full force and effect.
license CI ss: nse No.• , 6
Doty I Contractor I
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 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, 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 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:
V
Lender's Address:
LQPER111IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/02/13
Owner:
ROPER MORRIS CONSTRUCTION
51200 CALLE PALOMA
LA QUINTA, CA 92253
b
Contractor:MORRIpp
50855SWAOSHINGTON INC,NSTRUC STTE-1;216
LA QUINTA, CA 92
(760) 272-9292
Lic. No.: 867583 F��P
- 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.
have and will maintain workers' cc ensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the ork for which this permit is issued. My workers' compensation
insurance carrier and policy numbe are:
Carrier EXEMPT Po cy Number EXEMPT
-I certify that, in the performance th work for which this permit is issued, I shall not employ any
V person in any man r o as tc e s to the workers' compensation laws of California,
and agree that, if I ho Id be o ct e b' o the workers' compensation provisions of Section
3700 of the Labor o e, Is II it comply with those provisions.
i.
'Date: Applicant: -
WARNING: FAILURE TO SECURE ORKERS' OMVEA(TION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM AL PENALTIESIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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*abnforma
ssation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state th' n is correct. I agree to comply with all
city and c unt ordinances and state laws relating t, and hereby authorize representatives
of this co tt e r upon the above-mentioned purposes.
Dai V ignature JADplicant or Agent)
Application Number . . . 13-00001530
Permit . . . POOL 2013
Additional desc .
Permit Fee 178.75 Plan Check Fee
.00 .
Issue Date . . . . Valuation . . .
. 0
Expiration Date -5/31/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
Special Notes and Comments
POOL AND SPA AT FRONT YARD [DENISE
POELTLER ENGINEERING] THIS PERMIT DOES
NOT INCLUDE POOL OR EQUIPMENT
ENCLOSURES. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
December 2, 2013 12:17:11 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG,STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 178.75 .00 .00
178.75
Plan Check Total .00 .00 .00
00
Other Fee Total 98.24 .00 .00
98.24
Grand Total 276.99 .00 .00
276.99
LQPERMTT
bin #
CG
City of La, Quinta 4
Building & SafetyDivision ,
P.O. Box 1504, 78-495 Calle Tampico _
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S 3'- 3 8S A41 • M, dV1DZA-
Owner's Name: SAlwe A'
A. P. Number: % 7 N ' a-- (�
Address:
Legal Description:
City, ST, Zip:
Contractor: jupur
Telephone:
`:> ">:>::»>:>r
Address: Sb 8 SS �S 1 rV 6W C� G' .
Project Description:'
City, ST, Zip: p Qaif& f � / aW
o p J- S"DAr acltiv o
Tele hone: (� �q
•. ::'s'.s>`^s;x'.,
:City 'Lic.
State Lie. #: �j �01 �'i%j 3 #: IDY33:1.:
Arch., Engr., Designer:
NOV 2
Address:
CI .;
City., ST, Zip:
MUN17Y pEV A.
Telephone:
P one:
r f: r
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::::...................:....:.:..:>: }:.}..........
Construction n T
o e-Occu c
Type: Occupancy:
P Y•
V
.
State Lic. #
,
. Project type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person: �p
Sq. Ft.:
# Stories:
#Units: 1
Telephone #,of Contact Person: --7&.o 17191 12-
Estimated Value of Project: /(o/OoD
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan. Check Balance
Title 14 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Review, ready for corrections/iss
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 correctio 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
l �ti �0�3 � �! TO •lSsa•t+.% l�` corhvt�eAers �PD� • : • � � . ' , , ..
3 $� �, CITY OF LA QUINTA4SUB- �"CONTRACTOR LIST Ao�et'
JOB ADDRESS 5 /1�Gi✓�Jt72�}— PERMIT NUMBER l \S�� OWNERI' ' �"`s C-`�Il}1 E6 R �0%Z' S C
This form shall be posed on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any-changes to this list must be approved by the Building Division .prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant'. "On File" is not an acceptable response.
Trade Classification :.
/ n
Contractor ::..:.:. ; ::.::
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;::.;; . ;:. .:.: su a
W.orkeis.C.om ensation.ln.. r ice::..::: ..•;>:::...;:.::::.:.
Cit ..Business
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund; CalComp)
Policy Number
(Format Varies) 1
Exp. Date
(xxlxx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK (C712) :-;.
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SIALlt7,30 4S
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CONCRETE (C-81*::-' --
FRAMING
STRUCT.:STEEL(651)
gViKyn A tKU Mo
P-( C-6-�
CA"CUK
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/ WC 103p7
MASONRY (C-29)
PLUMBING (C-36)
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tX/s�j mW rWt
60-i3o a 01,�,b a
LATH; PLASTER (G35)
DRYWALL (C-9) ....;
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C-.53
0? i3so
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Ea 8 0.2.0!2.92
SHEET.METAL'(C-43) .`.`
FLOORING (C:-.TS): < :.-: .''
GLAZING (C-17) .' > •; ::.:.
.
INSULATIONIC-2).: ,.`.
SEWAGE.DISP -(G-42) "
PAINTING (C=33) ' - :
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27) .'
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P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001530
Property Address: 53385 AVENIDA MENDOZA
APN: 774-092-019-7 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 16000
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT SCpN�EO
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 867583
Date: Contractor:
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 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, 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 contractors) 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: f�
Lender's Address: 1
Vi
Owner:
ROPER MORRIS CONSTRUCTION
51200 CALLE PALOMA
LA QUINTA, CA 92253
Contractor:
MORRIS CONSTRUCTION INC, RO
50855 WASHINGTON ST, STE C -
LA QUINTA, CA 92253
(760)272-9292
Lic. No.: 867583
VOICE (760) 777-7012
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 12/02/13
OFT 05 2013
clrY
FItuosfr.�_ _�I��
r
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 EXEMPT Policy Number EXEMPT
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 I should become subject to the workers' compensation provisions of Section
3700 of.the Labor Code, I shall forthwith comply with those provisions.
Date: - _ Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 Quima, 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Application Number . . . . . 13-00001530
Permit . . . POOL 2013
Additional desc .
Permit Fee . . . . 178.75 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 5/31/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
----------------------------------7-----------------------------------------
Special Notes and Comments
POOL AND SPA AT FRONT YARD [DENISE
POELTLER ENGINEERING] THIS PERMIT DOES
NOT INCLUDE POOL OR EQUIPMENT
ENCLOSURES. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
December 2, 2013 12:17:11 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 178.75 .00
.00
178.75
Plan Check Total .00 .00
.00
.00
Other Fee Total 98.24 ..00
.00
98.24
Grand Total 276.99 .00
.00
276.99
GENERAL INFORMATION
OWNER: ROPER MORRIS
51-200 CALLE PALOMA
LA QUINTA, CA 92253
LEGAL DESCRIPTION: LOT 7, BLOCK 212
APN: 774-092-019
PROJECT ADDRESS: 53-385 AVENIDA MENDOZA
LA QUINTA, CA 92253
CONC.BILK WALL i 50.00' fe i ZONING: RC - SINGLE FAMILY
X HIGH PONT OCCUPANCY: TYPE V -B NON -RATED
-- e ---
X� SMT P�
GRASS
Z'
R AREA TABULATIONS
z w CONI. PAD ly
\ RESIDENCE 1,941 SQ.FT.
�I GARAGE 458 SQ. FT.
COVERED PATIO 167 SQ.FT.
I I ii TOTAL STRUCTURE 2,566 SQ. FT.
ii TOTAL SITE 5,000 SQ.FT.
i, 2,566 / 5,000
0 - - GRA I
GR�L o __ ___ TOTAL LOT COVERAGE 51.3%
P L��
-�I I
I I
F
L 14W
CCINC
I I
WALL BLOCK
CLI
I I I
0
0 � I
(E) RESIDENCE
I
IM SOFT.
II
e
b'-0' HIGH
CONC. BLK
WAIL
o b'-0' HIGH
BLOCK WALL
CONC.
PAD
I I
I
WALKWAY i PA
to
----------------� ----
3,_m,Xb,_m. GRAVEL
M1. GATE
I CONC. m (E)
I I DECK p ,IS -24 PA 6'-0' HIGH
d2 WOOD
BLOCK WALL I I A FENCE40
61
5'-0' HIGH p - - - - - - - - - - - - - - - - p ;
CONC.BLK- ------
WALL ----------- CONC. `5,-¢,
3050 W.I. WALKWAY PA
GATE 101-1' 3'
(N) 3'-0' HIGHIN.
(N) POOL t SPA BLOCK WALL : (N) OO
EQIlIFMENT • • Q I' b' DEEP
•
O� 10'-3' 1' 0
150 GALLON
m • CCNC.
PROPANE TANK . PA DECK g -Ib 2 .' (E) 5'-0'
CONC. DRIVEWAY • HKoI CONC
BLOCK WALL
3'-0' HIGH PA
BLOCK WALL
1 -
PA to
�..
50.00' 1_ 11 -0'
41-60
EXISTNG CUR DATUM POINT
AND GUTTER
AVENIDA _ MENDOZA
POOL PLAN
SCALE: 1/8"=l' -O" (4 1
NORTH
..r
Rev. #
Date & Description
Job # 2013.06
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Date: 10/28/2013
Sheet
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