RPL (07-3101)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number:
077' 0000310
Property Address:
617.90 MESA CT '
APN:
764-280-999-63 -300237-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
25000 -
Applicant: e
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
ATKINS
61790 MESA COURT
LA QUINTA, CA 92253 '
D
Contractor:
TESERRA
P O BOX 8 D�d�
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
•Date: 12/07/07
:k
COACHELLA 2236
(760) 398 9222 �g
Lic. No...
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ` _ _ — _ _ _ _ _ _ _ ------—————-----—--------------------————-----
LICENSED
_____———————___——_____________________——_ _—
LICENSED CONTRACTOR'S DECLARATION WORKER'S.COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I a icensed under provisions of -Chapter 9 (commencing with - 1 hereby affirm under penalty of perjury one of the following declarations:
' Section 7000) -of Division 3 of the Business an 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 Class: C8 C27 C29 License No.:. 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
r�(�1 issued.
Date:ractor: I� 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 .
O NER-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 - Policy Number BB1070510 '
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 be me 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 becom 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 - 3700 of the Labor Cod hall�f rthwith 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 /��ls/I
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e:tAWC ,cant
(_ 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 WARNING: FAILURE TO SECURE WO MPENSATION 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 _) I, 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 contractors) 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,
(_ 1 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
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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby. affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the abov formation is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).. city and county ordinances and state laws relating to building c'struction, and hereby authorize representatives
of this co nt to enter upon the above-mentioned propert for i spection purposes.
_ L_ ender's Name: .
e: ature (Applicant or Agent): '
Lender's Address:
LQPER 41T
Application Number .
. . . . 07-00003101
Permit` . . ...
BLDG POOL PERMIT
Additional desc .
Permit 'Fee
252.00 Plan Check Fee
163.80
Issue Date
Valuation . . .
. 24680
Expiration Date
6/04/08
Qty Unit Charge
•.Per •'
Extension
BASE FEE"
45.00
23.00 9:0000
THOU BLDG .2,001-25,000
207.00
Permit . . ".
MECH POOL
Additional desc
Permit Fee . . . .
26.00 Plan Check,Fee
6.50
Issue Date
Valuation .
. 0
Expiration Date
6/04/08
r 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
6/04/08
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
6/04/08
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
• f
LQPERMIT
Application Number 07-000031Q1•
" Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00
Plan Check
Fee..
.00
Issue Date
Valuation
. . .
•320
Expiration Date 6/04/08
Qty Unit Charge Per
Extension
BASE FEE
15.00' -
-----Special Notes and Comments
POOL/SPA, 20 L.F.- 4' EQUIPMENT WALL,
CITY STANDARD ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid
Credited
Due
Permit Fee Total 371.00
.00
.00
371.00
Plan Check Total 189.80
.00
.00
189.80
Grand Total 560.80
.00
.00
560.80
LQPERA11T
Bin #
Permit #
3�La
1�
Project Address: —AAmA/
City ®f La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:"� ��
Telephone:
k1�t«
{3>
Address:
P 11'
Project Description:
�i
City, ST, Zip:"CIAL LUf Ctk-
q ZL4000LPxi-
S
hone:
Tele 71.�
%t
Q"' EII s5rw`.
43z7—
State Lic. # : r ll • ;
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
p
State Lic. #:
�.,�; ��R�. 4E� �45� �
�' .
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: C:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: �—Cj ��
Estimated Value of Project: 06 00 O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
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:-
` Review, 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
asp
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ay G $
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-� PS. • c OWNER RESP115NSIBILITIES
OWNER T0:
(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
C AI's gF- I P61 P CDB F LE PSV E R -S [j I� �—I (,"X � I I LOCAL BUILDING DEPARTMENT AT THE TIME OF ISSUANCE OF PERMIT.
n t- (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED,
' - rJ • (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.
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)
11 "� — — (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 ABO
SIGNATURE(S) DATE AqVK
_.-- SWIMMING.PO.OL,.PLAN FQR:
NAME : ATKINS RESIdENCE
STREET, (Js I -'19 o M E5,oi CO u le ---r
JOB ADDRESS '1-1Z I LoC:;I-r
A . ICITYL-A Q L I TA
PHONE OFFIC
LOT '10 Lo 3 TRACT PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY CHECKED
= 1' I I-oz-o'l GIU G�� S' QrS�
°21722 REVISIONS
DATE:
Z
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} SELECTIONS
CONSTRUCTION AUTHORIZATION
STONE
SALES FIELD TILE
DIG BOULDERS ,
- -
PRE-GUNITE
DECK COLOR
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UNDERGROUND JANDY
MASONRY I PEBB/PLAS
DECK
SIGNATURE
PRE -PEDDLE DRAINAGE NOTE: Drainage and irrigation for planters and pots, by others,
unless otherwise noted.
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