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10-0019 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: fh C10-000.0.00.1,9 C8-1361'"RUSTIC CANYON DR 764-280-999-40 -300236- POOL - RESIDENTIAL - MEDIUM HIGH DENSITY RES 30000 Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 ang Professionals Code, and my License is in full force and effect. License s : (;8,10,27,2 License No.: 656128 ate: _!/ l/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury 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).: 1 _ 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, 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 propertywhobuilds 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. , B.&P.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: MAIN 81361 RUSTIC CANYON DRIVE 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: 1/08/10 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 which this 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 shout become subject to the workers' compensation provisions of Section 37 0 of the Labor Code,hall forthwith comply with those provisions. // c�TSEaCU t: WARNING: FAILURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 ouinta, 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 statethat the ab ve information is correct. I agree to comply with all city and county ordinances and state laws relating to building onstruc"on, and hereby authorize representatives of this count to er upon the above-mentioned property for ;,pection purposes. D�Ce: / // / � Si ure (Applicant or Agent): Application Number . . . 10-00000019 Permit ... . BLDG POOL PERMIT Additional desc . Permit Fee 284:50 Plan Check -Fee 184.93 Issue Date . . . . Valuation 30000 Expiration Date 7/07/10 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 -7/07/10 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 7/07/10 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 7/07/10 Qty Unit Charge Per Extension BASE FEE 15.-00 2.00 6.0000 RA PTR FTXTTTRF 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. Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 10-00000019 Permit . . . WALL/FENCE PERMIT • Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 476. Expiration Date 1/07/10 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SPA, 22 L.F. 4'6" EQUIPMENT WALL, CITY STANDARD & BBQ. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 _-. -CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary. Charged Paid Credited Due ----------------- Permit Fee Total ------------------------------ 403.50 .00 ---------- .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Other Fee Total 2.00 .00 .00 2.00 Grand Total 616.43 .00 .00 616.43 Bin # City of La Quinta Bulling 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: _77 A,1 A. P. Number: Address: g 3 ,, S'►7L OA/ I� �l �E Legal Description: City, ST, Zip: L/k v►nrT-�t- CA S Contractor. ES Telephone: iz'z a� w :� `s` Address: O U A v� Y Project Description: h} W City, ST, Zip: �'� C� 223 � _ _--- - ►aL�tc _-- $3--Ccz.-�=--------_ — - -- _ -.__ � .�. Telephone 2 2 � +: State Lic: # : 9,C C12- 8 City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: g State Lic. #: ` Name of Contact Person: v LA o L M1 Construction T YPe 5 0" 2+ S P Occarpancy: Project type (circle one): New Addin Alter Repair Demo Sq. FL: # Stories: #Units: Telephone # of Contact Person: 2 SO Zj 10 Estimated Value of Project: 3 O D 0 APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Plan Sets Req'd Recd TRACKING Plan Cheek sub PERMIT FEES Item Amount Structural Calcs Reviewed, ready o rrections Plan Check Deposit Truss Cala Called Contact u Plan Checx Balance Tide 24 Cales. Pians picked up Construct5on Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for corrections/issue Electrtcal- Subeontactor 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 Develops Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees { k ,P. , � "cam-.: ,\ ,.-�...tt . ice-•-„' " +; s . I r Y J . .• w '�.. .. ., - + - SPECIFICATIONS • r i . i I ,. - •. '�" TYPE SIZE - X P m SURFACE AREA •�J,,� - IO�I� Pf /ER E)t�Kl �IEI / T Nl'I( "+f f I f I 1 CiI OIV �� I W�L �� tf�/'1 Q�Llr f +1• 13, -1}}1 L1L S•�pNE cOPI^)�-T • - - '_ •s - PER METa DEPTHS MIN. MAX �m'D bl SPA E. El -TVR - ITII�' f"i ✓I V6�i _ „' ..- (� 11 0" PIWr-iL GI GGLE P-�TRE�-r sc^. iRF -V 10 ;` - vLm-p-.Y'IATER-FEATT�R-E WIT! -I T412EE Lo -61 E D" Irl PEGK F-Ayaiz �11�L� WIDTH TILE TRIN o4Z. `' .,. Y. -• f1N.�D PAQ,45, FIdG 5411 LA l"lAY2,r ,"4 -ISE vpUGH'T� - - o m ' uDRr OAARrrERFILS.B. 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Ays S TIE ACCESS ARE A _c " - Y - >,. __' ______________ I • „ , F SEE THAT ALL FENCING.GATER, AND GARAGE OOORS MEET LOGLCODES FOR AP00.N QKL061118 (i) PRENRTTOOPREAASTEAMSPECIION. (6) FILL MADIATELYAFTERPUBTER I FOLLOWiNSTIJOGNS- W NOT USE RI68&IIOG A .. • - io .6 (P) TAPE NOTICE TKAT THIS DRAWING IS THE SOLE PROPERTY OF TESERRA MDTNATANY U9EWiM)OJT WRITTEN PERMSSAN OF TEBERPA IS PROHIRMSY LAW . • 'r I 1 - ' ( DINING •' ' -y. OWNERAPPROVEBPIAN, POOL AND EOAPNENT LOrwom MA PMBJEADTTEIE9g1�RESAND ND11fFH ABOVE - i1.TruE I r e aDNAT E6) DATE W M ANG POOL PLAN FOR: - �p .. , .. r .. , .. - JP - - 2 CAR GNAItAOE ENTIty --- 11 Y TH t b r•' .. ' STREET I` JOB ADDRESS P4 LO C PHONE OFFICE _ LOT TRACT 'PAGE BOOK ' • ' J - t �'- r ' .,; (D _ r ' V : r MAP BOOK PAGE NO. CITY MNL ADDRESS - " - �• �; �` -5 c `-Z� ,A',+ + W ,.. �� ��' Y` - '�' r • _ _ PORCH - •' �r - L - Y- j . �OFFICE ... . PHONE NO. i"� �.. : � ti- ... I _CONSTRUCTION- GUEST \., - � b" WN -I.I-IZ Oq BY SOLD BY 4 .. r _ a• `r J086 - `- 2 l-5 E\/�Ft�-I �1_ I CIA -',.• _ � r , y ,;':, ,+, -' - ? .. LJJJ ITE i;^.,, e�'. i. Y 2 BUILDING & Ht -, •- . , . r JRSsT�I 3 8R4c-K DETAIL_ t ► APPROVED ' 4 CONSTRUCTION 59 pa BY - i k4 EfiI-O"N S f r' LSEL—E _ CONSTRUCTION. AUTHORIZATION STONE -ry� s ` T . SALES FIELD TILE `-tM16TA1A '1� _ `r - . - DIG BOULDERs 17.13 + 'ALL L f PRE-GUNITE - UNDERGROUND , DECK COLOR DANDY DECKING EXPANSION JOINTS FOR REPRESENTATION ONLY, FIELD LAYOUT - - ` �' _ _ r , Z. - ' . MASONRY PEBBIPLAS WILL VARY. + DECK SIGNATURE C�Y011E"�\1Mg1J:LTBY PRE -PEBBLE DRAINAGE NOTE; DIBVIBAeINKI VRIDRTOPIllitnBITdp*bIIODIBTB, unkm ODIOM1 orad