10-0007 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t�t44Q"
Application Number: 10-00000007
Property Address: 53035 MERIWETHER WY
APN: 767-200-998-80. -330761-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 9000
BUILDING. & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
EAST OF MADISON
PO BOX 1482
LA QUINTA, CA 92
Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
�. (760)398-9222
Lic. No.: 656128
cf�
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Businel and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers'*compensation, as provided
License Cla C , 10 , 27 2 cense No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is "
issued.
Date: 4 S .% tractor: V - - 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law. for the Carrier.SEABRIGHT INS Policy Number BB1100510
following reason (Sec. 7031.5, Business and Professions Code: -Any city or county that requires a permit to - I certify that, in the performance of the work for which this permit is issued, I shall not employ any
-.construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, ,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 0 of the Labor Code I shall forthwith comply -with those provisions."
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 IS5001.: Date: " O plicant: �•� -
( 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 WARNING: F LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR. IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - - -
- - 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.). - APPLICANT ACKNOWLEDGEMENT -
",(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.) whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
of La Qumta, 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 co y ordinances and state laws relating to buil ftg construction, and hereby authorize representatives
of this umy o e ter upon '.above-mentioned propert)for i ssection purposes.
ate: 0 S' ature (Applicant or Agent): "
Application Number . . . . . 10-00000007
Permit BUILDING PERMIT
Additional desc .
Permit Fee 108.00 Plan Check Fee
70.20
Issue Date Valuation
9000
Expiration Date 7/04/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
7.00 9.0000 THOU BLDG 2,001-25,000
63.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 21.00 Plan Check Fee'.
5.25
Issue Date . . . . Valuation . . .
. .0
Expiration Date 7/04/10
Qty Unit Charge Per
Extension
�- BASE FEE
15.00
8.00 .7500 PER ELEC.DEVICE/FIXTURE 1ST 20.
6.00
Permit . . . PLUMBING
Additional desc .
Permit Fee 27.00 Plan Check Fee
6.75
Issue Date Valuation . . .
. 0
Expiration Date 7/04/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
----- ----------
Special Notes and Comments
2 FOUNTAINS WITH FOCUS LIGHTS AND
SUBMERSIBLE PUMPS. 2007 CODES.
---------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
7.02.
Fee summary Charged Paid Credited
Due
Permit Fee Total 156.00 .00 00
156.00
Plan Check Total 82.20 .00 .00
82.20
Other Fee Total 8.02 .00 .00
8.02
Grand Total 246.22 .00 .00.
246.22
LQPERMIT
Bin # City of La Quiilta
Building & Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application a n,4 Tracking Sheet
Project Address: Owner's Name:
� Cddja
A. P. Number: Address:
03 H w
Legal Description: City, ST, Zip: �,q C 22 $3
Contractor:T
Tel hone:
ep
Address: 6 /00 A U E
S
7 �
Project Description:S
/,
City, ST, Zip: Coi4C�l Ec.�
`12 Z 3 C-- --
- — CE 14 t U C ✓)
L I( Irl
Telephone M•x " o:.: a<h :. .
S �-rLS 13 Lx-
.EState
StateLie. # : CS Ic lZ 8
City Lie. #;
'
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lie. #:
� ::.;�:�,
" ' i .y;? >. ; ; hxod ;•
Construction Type: O=p cy:
Project type circle one): ew Add'n Alter Repair Demo
Name of Contact Person: L4 o t915-
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
0 Z $ O 2 /8
Estimated Value of Project:
000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT 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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
—1,JiLU1NG
& A
UIW
A
DEPFRPPRQ�®pCONSrRUCN
BY %.t)7 -
Total
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GENERAL :
1. SEE SET IOO
HEOI FOR GENERAL NOTES
r • 2 SEE SHEET LIAI FOR ESTABUSMMENT OF
•. CENTERUNLS. TTP.
. 1. SEE SHEET GIAI FOR CR,TKAL EVA ROUTE
OIMENSIONS.
a Poo . 4 , l ' - . 1 _ "� ;; • 1 .
V I;TIA
COLUMNS :iT .. r • 4 - , r - .. _ _ -n
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COLUMNS a .. . '
MIDIFV8. PATI/ ' -� ..1..y_ : • - 'N .
PA
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lJ •¢'. PA I �I' ,. •, �' / \ l ._ %2l Hutto wAu ' — TIAL'
cmoREDcoNCRAND eol `. .•`` f . `4-S 6 — I" 1. • __+ --'--- I L��a wrvRb�¢rcAr• s MAAI SON
• '� •�"� ODLDRED LONG PAVING I � .f, _ _.I � + � ) , ' l I T
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till:
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PRE
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W PAVERS !
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i : �� • • T.b• YAM Ts .. �_'^ -��� _ %r.. ,t i .a.S N.anxrnlRu am .
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TYP. TYP.ITY - - '. a. B' 6 t]rtlxEll er: a ®1- LA mai I� 1
:.
I COLORED LONG i I I �'
_. _.. .. _ DEPT.
• �' _ BUILDING &SAFETY
~ .\ �� PRE -CAST PAVERS 1 .. . • 6.tEFT 1rRf.:
' . I APPROVED
ati
A ollo Terrace, Pool, and Spa -Plan T '- _ SI RRALCAN POOL/ FOR CONSTRUCTION
• ;� EVENT LAWN ,
o •_-- , r �R„ ENLARGEMENTS
DAA �
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GENERAL NOTES:
I. SEE SIIEEI Ual roR c:BtRAI NOTE
2 SEE SrsFn GIAI r00. WISER EVA RWIF [MMFMgPII
1. SEE sr,En LIAR f00. LTE rUMOTURE UYoIlt
TERRACE S -Rs PFR IuOrrrtG U0.F
0
V;I(T A
THL —
Vi
All) ISON
CLS IN
r.0. urs r�w•+oR
vlrm+ �iaisrm
FFnm muse—su
aAVAs caa*ucTlw a*
ULI; BLfOIfSiS
LA UUINTA. CA
ENLARGED SITE PIAN
(North Gubhouse)
LI. 2