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09-1103 (RPL);1 - P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253. Application Number: -09-00001103 = Property Address: - 81322 -RUSTIC CANYON DR APN: 764 -280 -999 -177' -300236 - Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES App!ication valuatien: 30000 Applicant: Architect or Engineer: P /A BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe t I am lic ed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the s and es ' als Code, and my License is in full force and effect. License C4Q: , 10 , 27, 2 License No.: 656128 C Factor: - - V WNER-BUILDER DECLARATION I hereby affirm under penalty of perjuryexempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Businesessions 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 (5500).: - ( 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and d 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 herselfthroughhis or her own employees, provided that the improvements are notintended 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 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(i) licensed .pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. B.&P.C. for this reason Date: Owner: - CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a constructionlending agency for the performance of 'the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: --P / 1 LQPF,RMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater. 10/15/09 Owner: GINTER 81322 RUSTIC C N DRIVE/1 LA QUINTA, CA 92 OCT Contractor: TESERRA G'IT'f?F! P.O.. BOX 1280 !:ra+.1 agiLFj�;A COACHELLA, 'CA 92236 _ (760)398-9222 Lic. No.: 656128 WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: 1 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 Policy Number BB1080510 I certify that, inthe performa of the work for which this permit is issued, I shall not employ any person in any manner so as t ome sub' to the workers' compensation laws of California, and agree that, if I should beco e s o the workers' compensation provisions of Section 2��-���ppficeant: bor Code, I shall o it ply with those provisions. Date: , WARNING: FAILURE TO SECURE WOR RS' MPENSATION AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES U -O.ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TH 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 actor 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 a e information is correct. I agree to comply with all city and county ordinances and state laws relating to building c 'on, hereby authorize representatives of thi ty nt po the above-mentioned property for ins echo es. DIC' 4 nature (Applicant or Agent) .:Application Number . . . . 09-00001103 Permit BLDG POOL PERMIT Additional desc . Permit. -Fee _ 207.00 Plan Check Fee 134.55 Issue.Date . . . . Valuation . . . . 20000 Expiration Date 4/13/10 Qty Unit Charge Per Extension • BASE FEE 45:•00 18_00 9.0000 THOU BLDG 21001-25,000 162.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 4/13/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 PermitELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . ... Valuation . . . . 0 Expiration Date 4/13/10 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 4/13/10 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, GAS STUB -OUT FOR FUTURE LQPERAIIT Application Number . . . . . 09-00001103 Special Notes and Comments • APPROVED APPLIANCE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT ' INCLUDED.2007 CODES ----------------------_------------------------------------------------------ Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 311.00 .00 .00 311.00 Plan Check Total' 160.55 ,00 .00 160.55 Other'Fee Total" 1.00 .00 .00 1.00 Grand Total 472.55 .00 .00 472.55 Bin # City of La Quinta - Building a Safety Division P.Q. Box 1504, 78-495 Calle Tampico . La Quinta, rA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �� Project Address: Ul�j� (4)•l oyti Owner's Name: 6 t�J^ A. P. Number: ` .4 'r L.4 Address: Legal Description: D > S out Contractor: zP--,i!F a4 " City, ST, Zip: Telephone: Address: "g(�— l 20 A V6- ;E Project Description: City, ST, Zip: = L 77- 7-3 —q{ilQ C)W+ Telephone: 3g?i- q? ZZ State Lic. #: City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one):w Add'n Alter Repair . Demo Name of Contact Person: ` Sq. Ft.: #Stories: # Units: Telephone # of Contact Person:. - 0 Estimated Value of Project: U '� 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"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L r ILO.A. Approval: Plans resubmitted Grading IN ROUSE: 1n° 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 Tu7re . Qoof. � "PA �vr(1 �" x m" raol. fl Aim WW Ni F'7`(-JTHEA ,( ('K_j,jcj. "ALL DECKING EXPANSION JOINTS FOR REPRESENTATION ONLY, FIELD LAYOUT WILL VARY. _.-_ ..7 7"' h"?4 •.AT+Iti' Y'uV GA•P,7Wo 2-'0" I..IIDE z_TorIE tiLA6 'Wlk W1-\yS , V x (o" 61 PLAI,4e, STAGGED vE J �ov2 FW N 1 TED +'Yd�Rtlf� LER ..ZTs. U D L Co u S E 5A ,N,g WR�t>d�-1'i I'�2onl �I✓n1GE. 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(3) WETDOWM CONCRETE SHHJ.AT LEASETVACE DMLY pOR SQIEN DAYS AFTER SHBL R (NSTALI.ED; THAT TESERRA IS ROTRESPON�LE PoRIINOERGRQIYID CONDITIONS OR OBIECTS, AND ANY DAMAGE YO CURBS, SIDEWALKS, ORIVEWAYiS,LAWMS, ON OTHER REAS IN THE ACCESSAREA EQ (5) SEE THAT ALLPENCWQ OATE$ALb BARAGEDOORSMEETLOGLCOOES FORAPOOL ENCLOSURE PRORTOPREPBASTFA WSPECOON. IS) FILL PODLIMMN£DUTaYAFTERPLASTER (FOLLOW INSjAUCTI0M4- DO NOT USE RUSBERI108Ej (T) TAKE NOTICE MAT YH I5 DRAWING IS THE SOLE PROPFATYOF TESERRAAND Ti USE WITHOUT WRITTEN PFRIYSSOII � TESERRA IS PROHBNFD BYLAW MNER APPROVES RAN, PCW, AND EQUIPMENT LOCATIONS AND HASREODTHE RESMMBWDTIES ANO wncEBABOVE NGNATURE(W DATE SWIMMING POOL PLAN FOR: ' IA ME LINTER RESIDENCE CONSTRUCTION NSTRUCTION 0 FICE PHONE NO. SCALEDATE DRAWN BY SOLD BY ECKED Y ill= T' -7125-09 MB JEFF Jam# RSVINS D TE ­ 211 CONSTRUCTION AUTFiO IZATION �{ w z w U) w wMERGROUND Z — SPECIFICATIONS m� 0 DT tC4 R / tIX 610 EDECKCOLOR tYPE � �D�,��e�T sim G I V X, - cp NED PRE-GUNITE "bt Ec>so B13� SURFACE AREA OF POLI. MASONRY 0 DECK PRE-PEBBLE SIGNATURE DRAINAGE NOTE:Bt BJB BRa MRtlBBW rW aBR�BBDO aDS BY QIRB B, PERIMETER 1' DEPTHS MIN. -& MAX ''" n SPA SPECIFICATIONS- JpN 90E %' Y %' SQF_ u FES_ TWYAPTEY�PEE m S SPADANWNLTILE x NO.OF- TRN QUARTER ROLM Q Lai. Z ' �1<1 L16HT ReB.THE OW NSEDEPATI] In Z SPILLWAY ,( O'V SPECIAL NOTES DECKING Nj lD j o� CIT— - EXCAVAT / STEEL ¢m[a] TYPE R ACCESS FRBt EKPANSNTNJONB p 0 EL�VATI(MI 'rd, CAN7T F'_ ^ n - DEEP ENO PNP "'- DECKDRNNB 0 Do LOVE SEAT CONCRETE REMOVAL LOAOB DECID DRAY! -- CURB CORE 6 90D REMOVAL LOADS STEM TREE REMOVAL BY �-� STEPFACE IRRKWTIONRENWALBY TAE 949E IRRIGATION REPAIR �' SAAM AND VISA rj . B• RI RBBONS 17 Fm�- NOWSTRP 13'RB8 2P RB8 3P RB.B FT 6p , TAN SHELF DEPTH 0 \ ROC( POT M A S O N RY COnfCJ2ES t' CENTERS CNG TYPE RBB; FROM 0 irL.I.YN SPILLWAY TYPE1. PLUMBING -" STEPS - � _D_. SW 0, Lei FILT�� ROP. I" WS POOLPIYIP 9'y RANTFBWALL BOOSTERPIYP SDE ' "^"^- RETAIMNGWALLS ECKHR WALISS , ADDL90E �- ADaI fRIP 91IE FMTERT q NEA 812E TIME CLOCK SUB PANEL _- AnDLDuhETs Alm, sKINMERTYPE F RLLUIIE --'PR1MCa'S PSE / PL ^ER GA9 LYE Mlftefst Knew '14" B�E � i FENCING PL(Y,EMG 91ff - Its-_ FBVCETYFE �6l}� �%26A� ' K"IT 511 N GATE Tili ^, L D LI N ITE GATE REVERSAL DEEP END RAAP REAOAT 6 REHANG, "�- ExTEND 2nd STB' - LOVESFAT "'�--C16 <1w - SPILLWAY TYPE SE�. 1Y__ CANTILEVii �^ er, o a Ha COPM OTHER R$B.. SEE STM. V 13WNER REIBRONSIEILI_TIES OWMER TL (I) DE7ERMWETHEMPROIBNATEELEVATKNOFPOOL Qt SP%T UVpUt ON DAY OF EXCAVATION. (2)TAIO;NO�ICE THAT POOLANDEWIPM@ITLOCATION3MESlIB:�CT TD ACCEPTANCE OF LOCAL BUILDING DEPOOLMENTAT THE TIME OF ISSUANCE OF PERMIT. (3) WETDOWM CONCRETE SHHJ.AT LEASETVACE DMLY pOR SQIEN DAYS AFTER SHBL R (NSTALI.ED; THAT TESERRA IS ROTRESPON�LE PoRIINOERGRQIYID CONDITIONS OR OBIECTS, AND ANY DAMAGE YO CURBS, SIDEWALKS, ORIVEWAYiS,LAWMS, ON OTHER REAS IN THE ACCESSAREA EQ (5) SEE THAT ALLPENCWQ OATE$ALb BARAGEDOORSMEETLOGLCOOES FORAPOOL ENCLOSURE PRORTOPREPBASTFA WSPECOON. IS) FILL PODLIMMN£DUTaYAFTERPLASTER (FOLLOW INSjAUCTI0M4- DO NOT USE RUSBERI108Ej (T) TAKE NOTICE MAT YH I5 DRAWING IS THE SOLE PROPFATYOF TESERRAAND Ti USE WITHOUT WRITTEN PFRIYSSOII � TESERRA IS PROHBNFD BYLAW MNER APPROVES RAN, PCW, AND EQUIPMENT LOCATIONS AND HASREODTHE RESMMBWDTIES ANO wncEBABOVE NGNATURE(W DATE SWIMMING POOL PLAN FOR: ' IA ME LINTER RESIDENCE CONSTRUCTION NSTRUCTION 0 FICE PHONE NO. SCALEDATE DRAWN BY SOLD BY ECKED Y ill= T' -7125-09 MB JEFF Jam# RSVINS D TE ­ 211 CONSTRUCTION AUTFiO IZATION �{ w z w U) w wMERGROUND Z — SSLSCTIONS R / tIX 610 EDECKCOLOR SALES FIELD DIG PRE-GUNITE "bt Ec>so B13� " MASONRY PEBBIPLAs 4►k j'{� L,6 8�.►E DECK PRE-PEBBLE SIGNATURE DRAINAGE NOTE:Bt BJB BRa MRtlBBW rW aBR�BBDO aDS BY QIRB B,