RPL (10-0357). t.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
10.-00000357
79790 MISSION DR E
649-750-021- - -.
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
15000
IT, 4
u�l'�,iGv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
PlAr
-------------------
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: �Cj8, 10, 27 2 Li ense No.: 656128
�a0 ontractor.
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of pe ury 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, 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 offeredforsale. 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 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.).
(_ 1 I am exempt under Sec. , BAP.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:
CALDWELL
79790 MISSION DRIVE
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
EAST
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater 4/26/10
----------------------=---------------.-
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 INS Policy Number BB1100510
I certify that, in the, performance of the work for whichthis 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.
ate: A �EaCUR�EORKERS,COMPENSATQN
t:
WARNING: FAIL E TO COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CAL 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
ofthis,Coun y to nter upo the.above-mentioned property for inspection purposes.
bat/e: ignature (Applicant or Agent).,
Application Number .
. . . . 10-00000357
Permit . .
BLDG POOL PERMIT
Additional desc
Permit Fee . .
162.00 Plan.Check Fee
105.30
Issue Date
Valuation . . . .
15000
Expiration Date*.
10/23/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9,0000
-----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
117.00
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation
0
Expiration Date
10/23/10
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
1.1.00
Permit . .
ELEC POOL PERMIT -RES
Additional desc ...
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . .
Valuation
0
Expiration Date -.
10/23/10
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
10/23/10
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
-----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS
SHALL BE IN
LQPERMIT
LQPERMIT
Application Number . . 10700000357
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT -INCLUDED.
2007
CODES.
Fee summary Charged
Paid
Credited -
Due
Permit Fee Total 266.00
:00
.00
266.00
Plan Check Total 131.30
00
00
131.30
Grand Total 397.30
R
.00
.00
397.30
RANCHO LA QUINTA R
MASTER ASSOCIATION
Architectural Control Committee r'
April 26,. 2010
Dr. Robert.Caldwell
79-790 Mission Drive East
La Quinta, CA 92253
Re: 79-790 Mission Drive,,East
Approval of Submission E
The Architectural Committee reviewed your submission for an addition of a
Pool/Spa:; hardscape and.landscape. The submission as presented is '
approved upon condwon of
The Committee requires the following:
o All work is to be done in accordance with all applicable requirements of
governmental entities, including the City of La- Quinta and in
accordance with all Homeowners Association architectural guidelines
and governing documents.
• If applicable, a City of La Quinta building, permit be obtained and copy '
furnished to the Association prior to commencement of work.
No access from the Golf Course may be used.
When the work has been finished, please return "'Notice of Completion" to the
Association Office. The Association's architectural consultant will perform a
final inspection "after receipt of such notice; when verification of the approved
plan modifications have been concluded, your Security Deposit will be
processed for refund. '
Thanking you in advance and if any questions please do not hesitate to call
me at the -site office 777.8807.
Sin ere , T
G�far� Iker CLAMP..
Association General Manager F
Rancho La Quinta Master Association
760-777-8807 fax 760-777-8961
' mwalker0drmintemet.com
cc: Architectural Comm.
P.O. BOX 6419 LA QUINTA; CA 92248-6419. 760-777-8807 -PAX 760-777-8961
Bin #
Qty of La Quina
Building &r Safety Division
P.O. Box 1504 78-495 Calle Tampico5
►
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # ��
Project Address:
Owner's Name: AL,Q GlJG-'GG
A. P. Number:
Address: d
Legal Description:
City, ST, Zip: � cA
Contractor:Tel
ephone:
:>:::;:>:;x;;>::,: : ;ri<' :'• `:»<:>:z
Address: Q
Project Description:
City, ST, Zip:
fir» i �✓ ovI 9.} ISA
Telephone: ;:..,:.:;::: • :;.:>,
as :�:;• <:;:t:f::r�:tw:.
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #: >;.<w> <,:> •<»;;<.;°'iv:
Construction Type: Occupancy:
Project
) type (circle one): Add'n Alter. Repair Demo
Name of Contact Person:
Sq. Ft: 3Al#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrections/issueElectrical
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
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OWNER RESPONSIBILITIES
ONNgT) ERNMETHE APPROXIMATE OF OR T ALAVATION
(1)TAKE NOTICE THAT POLAND EQUIPMENT LOCATIONS ARE SUECT TO ACCEPTANCE OF
LOON.BUILDING DEPARTMENTAT TIME SMANCE OF PERMIT
(8) WET OM ETA B LLEAST TWICE ONLYFOR SEVEN DAYS AFTER SHELIBINSTALLED.
(1) AGREE INATTESE NOTRESPWOOROIMDCOFDRXNSOR OBJECTS,
HA
ME
EANDANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS
(6) SEETHATNLFENCING,GATES, AND GARAGE DOORS MEET LOCAL CODES FORAP00LENQDSI
PRIdIroPREPLABTFAM9PECTbR.
(S) FILL POOL IMMEDIATELY AFTER PLASTER, ( FOLLOW INSTRUCTIONS -DO NOT 118E RMMHOSE)
_ (T) TAKE NOTICETINTTHIS DRAWING LATHE ROLE PROPERTY OFTEBEiW1ANDTIMTNA'LAEVAMOUT
WRITTEN PERMSBL TFBERRA 18 PROHIBITED BYLAW.
OWNER ANDHAS READ THE, PGPDYRBATIES AID ASO4E
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SIGNATUREM OTE
SWIMMING POOL PLAN FOR:
""E CALDWELL RESIDENCE
STREET -79-790Ass—i Tkwt f.sr
JOBADDRESS RANCHO LA QUINTA ICITY LA Qj-JTA
PHONE OFFICE RES
LOT TRACT PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CDNSTRUCTION OFFICE PHONE NO.
SCALE. DATE
IV= Tf 3.12. 10
DRAI\M BY
MB
I SOLD BY
GRAHAM
I CjjEC"ED
la
JOB#
221 78
REVISIONS DATE:
1
21
3
4
5
6
SELECTIONS
STONE eSo a NAF To 6r 3or+ * .S -L J OWAa e
TILE CDS SrAA BEI OL�T To /x-5&I%V15WACL
BOULDERS Lom,Jo
DECK COLORe.a,,eSaOrc ypJf1MC
A.f 6 re 6t Sft SL&” r0l%o k 7
JANDY JA I.WH Ill
PEBBIPLAS
SIGNATURE
DRAINAGE NOTE: Dialland lydplltlon for pleMeNBmid polB,byoill
unIm adw wiw Toted.