RPL (08-1860)P.O. BOX 1504
78-495 CALLE TAMPICO
LA-QUINTA, CALIFORNIA 92253
Application Number: 08-00001860
Property Address: 79045 MISSION DR W
APN: 646-330-065-2 -30185 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
T4ht 4 4 4"
Applicant: Architect or Engineer:
�lw
--------------------
(—TK�N D CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perju that I licens under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busi ss an Pr w de, and my License is in full force and effect.
License Class: C8 C27 C29 nseNo.: 656128
Kat F-' tractor:
NER-BUILDER D l7tR T.ON
I hereby affirm under penalty of perjury that I exempt from the Contractor's Stale License Law for the
following reason [Sea 7031.5, Business a 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
I I I am exempt under Sec. , B.&P.C. for this reason '
Owner:
BUILDING & SAFETY DEPARTMENT
'BUILDING PERMIT
Date:
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/13/08
Owner:
TD DESERT DEV
C/O TOM CALLINAN
79285 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
TESERRA C� 1
P.O. BOX 1280 'ciy 0,�
COACHELLA, CA 92236 9�'c►� 'f�
(760)398-9222 �OvGiT D
Lic. No.: 656128 FAtiw
---------------------------------------------
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 performanc ork for which this permit is issued. My workers' compensation
insurance carrier and poli numbers
Carrier SEABRIGHT Policy umber BB1080510
_ I certify that, in the performance the wor for which this permit is issued, I shall not employ any
person in any manner so as to be e sject to the workers' compensation laws of California,,
and agree that, if I should become sub o orkers' compensation provisions of Section
3700 f the Labor Code, I shall f wi wi rovisions.
Ap 'ant:
WARNING: FAIL, To
URE WOR(E O VERAGE 1 fUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA ENAL SAND CIVIL FINE UNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIO 0 T OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CO E REST, 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 employees for any act or omission related to the work being
performed under or following ' suar this permit.
2. Any permit issued as a result f this applic ion becomes null and void if work is not commenced
within 180 days from date of suance of s ch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state a abo ' ormation is correct. I agree to comply with all
city and county ordinances and state laws relatin con 'on, and hereby authorize representatives
of thispougty to enter uggg.the�above-mentio pr in purposes. .
Application Number . . . . . 08-00001860
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. 20000
Expiration Date . .
5/12/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .'.
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
5/12/09
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 _
5/12/09
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
5/12/09
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, BBQ. 150 LF
OF 1 1/2"GAS
LQPERMIT
Application Number . . . . . 08-00001860
----------------------------------------------------------------------------
Special Notes and Comments
•LINE.. ALARMS/BARRIERS SHALL BE IN PLACE
AT PRE-PLASTER'INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited Due
--------------------------'-------------------------------
Permit Fee Total 311.00 .00 .00 31.1.00
Plan Check Total 160.55 .00 .00 160.55
Grand Total 471.55 .00 .00 471.55
LQPERMIT
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Bin #
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City of. La Quinta �.
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # O
Project Address: .-�yj�zOlf/��/ -
Owner's Name: L
A. P. Number:
Address: —7q-041�;— ive f. f --
Legal Description:
Contractor: e rraTelephone.
City, ST, Zip: Ae-
Address: b— ��
Project Description: S
O
��33 �j
City, ST, Zip: a CJ �") LZ
Telephone: �—qZIZ
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:Sq.
Construction Type: OdG Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
FL: #Stories: # Units:
Telephone # of Contact Persona Avo v— CMZ $
Estimated Value of Project: O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
l
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for correctionsfissue
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
1/11.3 >Oe:" -A- 4AX4 --f- -v ,t?ec ,kgz
ng
TilY 4 4 Quha
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #:
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD:
Due Date: A54 O
Status:' 1 st Review
Building Plans. Approval
(This is an approval to issue a Building Permit)
r
The Planning Department has reviewed the Building Plans for the following
project:
Description:
Address or General Location: W-045 - ' 2�
Applicant Contact:
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
0 ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
1 1
Les Johnson irector-Planning Date
t
T4 &f WC4
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX'(760) 777-7011
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
To CDD: 11-13-0t3
Due Date: A54 P
Permit #: Status:* 1 St Review
Building Plans. Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description:
Address or General Location:
Applicant Contact: jltaA-t
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
❑ . ...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
Les Johnson, Director -Planning Date