RPL (07-2156)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/23/07
Application Number: 07-00002156
Owner:
Property Address: 79370 MISSION DR W
HOLLIS
APN: 649-590-018- - -
79370 MISSION DRIVE WEST
Application description: POOL - RESIDENTIAL
LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000
Contractor: d
.Applicant: Architect or Engineer:
TESERRA D
P.O. BOX 1280
COACHELLA, CA 922.
JUL 2 5 2007
(760)398-9222
1n
IF^
Lic. No.: 656128 �1 of 6AQUIRTA
FIN 6
' 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 Business a 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 lass: 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
Date: ractor:
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
R -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 orae 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 shout come ublect 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 I s hfo with 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
y
any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
te:
(_) 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: FAILURt TO SECURE WOR ERS' 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
impr6vements 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 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:
LQPER)'.IIT
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.
1 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 buildi co uction, and hereby authorize representatives
of this c /ty�ytoo eenJnpr upon the above-mentioned prope f r in ction purposes.
11 te: --3ture (APpticant or Agent):
,AK
Application Number .
. . . . 07-00002156
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
284.50 Plan Check Fee
184.93
Issue Date . . . .
Valuation
30000
Expiration Date
1/19/08
Qty Unit Charge
Per
Extension .
BASE FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000.
32.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0.
Expiration Date-
1/19/08
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..
1/19/08
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
1/19/08
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
--------------------------------------------------------------------=
Special Notes and Comments
-------
POOL/SPA, GAS & ELECTRIC STUB -OUTS FOR
LQPERMIT
Application Number . . . 07-00002156
------------------------------------------------------------------=---------
Special Notes and Comments
FUTURE; SEPARATELY APPROVED AND
PERMITTED APPLIANCES
ALARMS/BARRIERS SHALL BE IN PLACE.AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary . Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 388.50 .00 .00 388.50
Plan Check Total 210.-93 .00 .00 210.93
Grand Total 599.43 .00 .00 599.43
LQPERA11T
r
P -t
F,
CA r-1
d
Fli 1-01
Sone VeAee- X46& +0 ex+e,71 Ava+erliOc-
GA'S 4 F-LIE--C-FI;ZlC S"'rUR-OU7
q 6443 405
ro/- hoatee-
r6. 9Jrqi
-3 - 517
SID
MASTER ILLWAY F EST. J&r(j
• PINING CANTILEVER EST. COMPLETION
BATH
COPING — CO OTHER 44,yf Ame -,;,,m i,-,
P.B.B. - SEE STEEL , d r L
OWNER RESPONSIBILITIES
OWNER TO: (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
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET, DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(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
(5) 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)
(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 ABOVE.
0(ywell
Lo('Mi�on
B
Rancho Lc Quinta
SWIMMING POOL PLAN FOR:
NAME HOLLIS RESIDENCE
STREET 79-370 MISSION DRIVE WEST
JOB ADDRESS RANCHO LA QUINTA ICITY LA QUINTA
PHONE OFFICE RES
LOT 52 TRACT PARCEL 18 PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY CHECKED
4-.12-07 LY BROCK
J013# REV v
ISIONS DATE
2
3
4
5
CONSTRUCTION AUTHORIZATION
SALES FIELD
DIG
PRE-GUlNrTE
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE
�Reirnova6le-
STONE
5U,1_561
SPECIFICATIONS
S oull V4,7 %r"'i 00
0
Grout LrOz- '-n
l�e
DECK COLOR
1,2z Ix
JANDY
TIAF�-C-
t3ub&ler-s '-f-kiv- Serf e5 6,15c,4de 1Vc)rzle.5)
PEBB./PLAS
TYPE LJ 0 t-
SIGNATURE
SIZE 34LC,'_x
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
0
ch -1
z
0
0
L.Li
U)
ou.tkler he4 dS belOV 40 �ell- leve I
SURFACE OF 7
LO
C"I
C7)
PERIMETER
DEPTHS MIN.
MAX.
04 1
CD 0)
SPA SPECIFICATIONS
TILE
SIZE --7L-7 X L SO. Ft.
TILE TYPE )(6
C)
SPA DAM WALL WIDTH
WATER LINEy
<
-i *--1 00
N 0. OF JETS
0
TILE TRIM
QUARTER ROUND
-J .. C-4
Ld X
1: <
t -T r -f:7 6)0 F: I ij I t� I �6 0 0(-. P fF4C I::-- 1
GHT
LIGHT
RAISED SPA AT qr
R.B.B. THE
0 LL- LO
< to
0
0
SPILLWAY TYPE -ShC 4 5 NIP-
C14z
SPECIAL NOTES
u) 04 W
0) V)
DECKING
I z
Do W
SQ. F7 1, o 2.1 L�
< C0 0
0 to :D
EXCAVATION /0TEL
TYPE
Seen 84
FINISH
EXPANSION JOINTS IS A
00 <
to
1
ACCESS FROM - '1
rZ
CD
F-JDECK
171 I\Jc-i F�Y 0TI F,:: 9
ELEVATION
DEEP END RAMP
CANTILEVER re
DRAINS �95 �v 0(ulorll i� FAnf
00
a -
LOVE SEAT G
DECCO DRAIN
CONCRETE REMOVAL
LOADS
CURB CORE
SOD REMOVAL
LOADS
STEPS
TREE REMOVAL BY
STEP FACE
r�>
F -I P- F FT -1 A I T 1- J El FFCy", r I I 'S�-
IRRIGATION REMOVAL By CAP4L&ezP&4te
IRRIGATION REPAIR
61 R.B.B.
ft,
TILE BASE
SAND AND VISQUEEN
E- V a �,O
F
RIBBONS
12" R.B.B.
ft
MOW STRIP
18' R.B.B.
24" R.B.B
ft,
30' R.B.B.
TAN SHELF DEPTH
ft,
MASONRY
COPING TYPE
ROCK P
""?s-!�;oxre
CENTERS
R.B.B. FACING
SPILLWAY TYPEFG
SIZE
FIL_
STEPS
PLUMBING
FILTER
PROP. EXT. WALLS
SIZE
POOL PUMP SIZE
2- 5'
PLANTER WALL
BOOSTER PUMP SIZE
RETAINING WALLS
_.-•EQUIP.
IIIIIIIIIIIIIIIIIE=
ADD -L PUMP SIZE
WALLS
ADD'L PUMP SIZE
HEATER -54j) SIZE
TIME CLOCK ff,� 6 -4WA
15ide-
SUB PANEL
ADDL OUTLET -q
SKIMMER ME Gr
FILL LINE
GAS LINE 6M
PEBBLE PL S ER
LIGHTS POOL 00 k m
BSt�G
LIGHTS SPA 1-21-TOL43
FOUNTAINS/SPRAYHEADS -I-?6&4f4;4
ROLLED BOND BEAM
SHEER DESCENTS
BEHIND SPA --
00
LIGHTS
EYEBALLS
0
IN POOL IN SPA
FENCING
06
0
me SET EQUIPMENT &
misc.
PLUMBING SIZE A3 -t -1746 t;f'A
f &ftlm
FENCE TYPE
HEIGHT
GATE
GUNITE
GATE REVERSAL
DEEP END RAMP
REMOVE & REHANG
EXTENDED 2nd STEP
LOVESEAT
SID
MASTER ILLWAY F EST. J&r(j
• PINING CANTILEVER EST. COMPLETION
BATH
COPING — CO OTHER 44,yf Ame -,;,,m i,-,
P.B.B. - SEE STEEL , d r L
OWNER RESPONSIBILITIES
OWNER TO: (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
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET, DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(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
(5) 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)
(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 ABOVE.
0(ywell
Lo('Mi�on
B
Rancho Lc Quinta
SWIMMING POOL PLAN FOR:
NAME HOLLIS RESIDENCE
STREET 79-370 MISSION DRIVE WEST
JOB ADDRESS RANCHO LA QUINTA ICITY LA QUINTA
PHONE OFFICE RES
LOT 52 TRACT PARCEL 18 PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY CHECKED
4-.12-07 LY BROCK
J013# REV v
ISIONS DATE
2
3
4
5
CONSTRUCTION AUTHORIZATION
SALES FIELD
DIG
PRE-GUlNrTE
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE
SELECTIONS
STONE
5U,1_561
TILE
S oull V4,7 %r"'i 00
0
Grout LrOz- '-n
l�e
DECK COLOR
1,2z Ix
JANDY
14 0
SA ---l/ I rn
PEBB./PLAS
r --v I
z rn
I'P4//7 0 " O -q Z-1
SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
others, unless otherwise noted.
00
T -
__j
LLQ
0
Of
CL
N
Ln
1--
0
1
CY
LLJ
O=
0
o<
Ld
0
ch -1
z
0
0
L.Li
Bin #
'Permit # /' n
Project Address: / "3
A. P. Number:
Legal Description:
Contractor: ` rQP A
Address: O Box
City, ST, Zip: ffjn r b P tI
Telephone: 3q$^C?ZZZ
State Lic. # : &5; &( 2S
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: a
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
m) (,� f Owner's Name:
Address:
City, ST, Zip:
:7 G Project Description:
CA- C 2M3 6
Lic. #:
J�1��Con�struction Type: Occupancy:pe
(circle one): 6ew) Add'n Alter Repair Demo
d Zr Sq. Ft : # Stories: # Units:
S^ �1 Estimated Value of Project: 30
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd TRACKING . PERA13T FEES
Plan Check submitted Item
Amount
Reviewed, ready for corrections Plan Check Deposit
Called Contact Person Plan Check Balance
Plans picked up Construction
Plans resubmitted Mechanical
Z°" Review, ready for correctiousfissue Electrical
Called Contact Person Plumbing
Plans picked up S.M.I.
Plans resubmitted Grading
E3,dw, readyfor corrections/issue Developer Impact Fee
ontact Person A.I.P.P.
Date of permit issue
Total Permit Fees