RPL (07-3080)P.O. BOX 1504'
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253.
1 Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07 000030801 i
1j
77240 CALLE MONTEREY_/
774-032-019- -
POOL - RESIDENTIAL*
COVE RESIDENTIAL
25000
Architect or Engineer:
4'4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
FARMAN RESIDENCE
77-240 CALLE MONTEREY
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
.(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/04/07
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- LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with
"
I hereby affirm under penalty of perjury one of the following declarations:
Section 70001 of Division 3 of the Business and ofessionals 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 Clas : CS 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: W J'Aentractor:
- 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
OWN R -BUILDER DECLARATION
insurance carrier and policy number are:
hereby affirm under penalty of perjury the empt 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 f 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 mbecome 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, ime 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
700 of the Labll 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
isoas
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:
I Date: B •Applicant:(
1 1, as owner of the property,"or my employees with wagesas their sole compensation, will do the work, andthe
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The -
WARNING: FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALLContractors'
State License Law does not apply to an owner of property who builds or improves thereon;
SUBJECT AN EMPLOYER TO CLTIES 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 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
1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work foi which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
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 essation of. work for 180 days will subject
permit to cancellation. -
I certify that I have read this application and state that the ab a inform tion is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi onst cti ,and hereby authorize representatives
of this count to nter pon the above-mentioned grope fo ins action urposes.
II
Date: / e (Applicant or_AgentL'
LQPER ITT
•Application Number .
. . . . 07-00003080
•Permit
BLDG POOL PERMIT
Additional desc .
Permit•Fee`
252.00 Plan Check
Fee
163.80
Issue Date
Valuation
. .
. 25000
Expiration Date
6/01/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00-
23.00 9.0000
THOU BLDG 2,001-25,000
267.00
Permit
MECH POOL
Additional desc .
Permit Fee . . . . .
26.00 Plan Check
Fee
6.50
Issue Date
Valuation
. .
0
Expiration Date ..
6/01/08
" 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
6/01/08
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..
6/01/08
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
--7----------------------------------------
Special Notes and Comments
' POOL, SPA, ALARMS/BARRIERS SHALL BE IN
LQPER ITT
�
SPECIFICATIONS
TYPE CIO t-\k"f1� SIZE 2t2-Orl X NO ! -6
SURFACE AREA OF POOL O 7 �'
PERIMETER ��� DEPTHS MIN. 3—Orr MAX�j _0n
mN
N 01
rnrn
Q m m
J 0 N
_j —
W .. t0
I X p
UQ LL Z
W
L3N
N W.
U
W Ca J
Q [7 Q
❑ 8 C]
❑ t0
m =
Q
SPA SPECIFICATII4r,S
SIZE _12—X_ SQ. FT.
SPA DAM WALL WIDTH 15
NO. OF JETS '"�
LIGHT a
RAISED SPA AT } < a�
SPILLWAY TYPE SANE �� 1!'
SPECIAL NOTES
TILE t
TILE TYPE lC
WATERLINE
TILE TRIM i r
QUARTER ROUND11
R.B.B. TILE
DECKING e
SQ. FT. 503`
EXCA A,,T gt&/ STEEL
TYPE. tOc�-r'rr ��
ACCESS FROM
ELEVATION
DEEP END RAMP '
LOVE SEAT .'
CONCRETE REMOVAL LOADS
SOD REMOVAL Zf LOADS
TREE REMOVAL BY
IRRIGATION REMOVAL BY
FINISH 260 0
EXPANSION JOINTS
CANTILEVER l a
DECK DRAINS
DECCO DRAIN
CURB CORE
STEPS
STEP FACE
TILE BASE i
IRRIGATION REPAIR
SAND AND VISQUEEN
!
IPLANTER
s /
3
jy
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COl O neap
GONG 9ECK1rAci
'�.A>J. {� {� S N E ` A'( �Ot� W D
A r1 Q o � E � MQj�� LLA S I.EE�I r✓
6" R.B.B. FT
12" R.B.B. FT
RIBBONS
0
y
00
C .
k
v
.
as
r�.
MOW STRIP
24" R.B.B. FT
30'.' R.B.B. EI
r�
TAN SHELF DEPTH
ROCK POCKETS
CENTERS
N RCY4
COPING TYPE rt O0 C
R.B.B. FACING
SPILLWAY TYPE ST�KI� S �'" ' SIZE
STEPS
PROP. EXT. WALLS '�
WALL
RETAININGWAL�S
EQUIP. WALLS
PLUMBING
FILTER C SIZE :
POOL PUMP �'�' SIZE 2= 96 4W
/
BOOSTER PUMP SIZE
ADDL PUMP j SIZE
ADDL PUMP SIZE
HEATER SIZE
TIME CLOCK
SUB PANEL, G
ADDL OUTLETS
SKIMMERTYPE
FILLUNE_ e5
GAS LINE' STUBS N 4
FOUNTAINS I SPRAYHEADS
SHEER DESCENTS
LIGHTS IN POOL 1 SAD �N SPA
STUB SET EQUIPMENT
MISC. it"i'. AJC
r c
PLUMBING SIZE `'
FIREPIT
E B E / P L�V R
LIGHTS SPA L
ROLLED BOND BEAM
BEHIND SPA
EYEBALLS
LEoo
F E N C I N C-,
FENCE TYPE
HEIGHT
GATE
GATE REVERSAL
REMOVE & REHANG
G U N I T E
DEEP END RAMP
EXTEND 2nd STEP
LOVESEAT
S-r'cN� S L
SPILLWAY TYPE "�
CANTILEVER �S
COPING
R.B.B. - SEE STEEL '` si
EST, START
ST.COMPLETION i .
i
OTHER S'T M'1
C11 vez e_
OWNER RESPONSIBILITIES
OWNER TO:
(1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION,
KE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO
(2) TA ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT THE 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 8Y LAW.
/
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
SWIMMING -POOL PLAN FOR:
NAME FARMAN RESIDENCE
_
� 1 ^� � `(
STREET - '1' 0VJV ,9W1
JOB ADDRESS Gln' A—
PHONE OFFICE RES 9 (k
LOT TRACT PAGE BOOK
(t
MAP BOOK PAGE N0. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE
DATE
DRAWN BY
T
SOLD BY
161
CHECKED BY
JOB#
REVISIONS DATE:
3
411
CO SING &SAFETY DEPT.
APP
UCTION
W
6
v
z
S• ACTIONS
W
CONSTRUCTION AUTHORIZATION
SALES FIELD
DIG
PRE -GUN ITE
UNDERGROUND
MASONRY
DECK
W .
.�
z
�
�
LL
STONE
�.� �L1j
TILE
I 2 -e L +! o
(�K� N z� I I
BOULDERS
DECK COLOR
$0m P��/LO f �
DANDY
>�-C2�A�~SwI:
HLAs
Soh ��••-.�-�
SIGNATURE
_
PRE -PEBBLE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by others,
unless otherwise noted.
Bin #
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
Perruit #
1-4
Project Address: -q yc) c.ug—
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone: ON�-
Address:X. P.Q.Project
Description:
City, ST, Zip: C-HLZ Lt' IV c ( q Z
(l
Telephoner b - / Z• l r"K,
s.. _ s
City Lic. #:
ILP 11
S
/
State Lic. # : j
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
f
3 } V,
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:`�'�-���r
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: p-� 5 O�
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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:-
"a 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