09-0780 (RPL)P.O. BOX 1504,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-0.000.0780
Property Address: 81409 RUSTIC CANYON DR
APN: 764-280-999-44 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000
Applicant:
Q
(}'
-- - - - - - - - - - -.ti- - - - - - - - - -
I hereby affirm under penalty of perjury
Section 7000) of Division 3 of the Business
Licensel'Jass: C8. 10, 27, 2
Architect or Engineer:
PIA
4
BUILDING & SAFETY DEPARTMENT
. BUILDING PERMIT
---------.----------------
WOR'S DECLARATION
MI
provisions of Chapter 9 (commencing with
tIs Code, and my License is in full force and effect.
License No.: 656128
ontractor�
OWNER-BUILDE DECLARATION
I hereby affirm under penalty of perj ry t t I am exempt from the Contractor's or's State License Law for the
following reason (Sec. 7031 .5, Busi s and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, o epair 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.).
(_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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(s) licensed
pursuant to the Contractors' State License Law.).
1 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 performanceof the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
VAN CORP
81409 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
------------------
WORKER'S COMPENSATION DECLARATION
7/20/09
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
ssued.
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, in the performance of the work for which this permit is issued, I shall not employ any
person i 7 ner so as to n an
and agree tif became subject to the workers' compensation laws of California,
If a
od subject to the workers' compensation provisions of Section
3700 of the Labor s �_ rthwith comply with those provisions.
ate: � plicant: - -
WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO 9FMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AVITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LPjSOR 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 testate that the above information is correct. I agree to comply with all
city and county ordinances and sta3e'i relating to building construction, and hereby authorize representatives
of this epter upon t - mentioned property for inspection purposes.
ate: C na ure c t or Agent):
Application Number
09-00000780
Permit . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
207'.00. Plan Check
Fee
134.55
Issue Date
Valuation
. . .
. 20000
Expiration Date
1/16/10
Qty Unit Charge
Per
Extension
BASE FEE
45:00
18.00 9.0000
--------------------- L ------------------------------------------------------
THOU BLDG 2,001-25,000
162.0.0-
62.00..----------------------------------------------------------------------------
Permit . . .
Permit
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date
Valuation
0
Expiration Date
1/16/10
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
1/16/10
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
1/16/10
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
Permit . . . .
WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 09-00000780
Permit WALL/FENCE PERMIT
Additional desc . .
Permit Fee ._. 15.00
Plan Check
Fee
.00
Issue Date' . . . ..
Valuation
325
Expiration Date 1/16/10.
Qty Unit Charge Per
Extension
BASE FEE
15.00
---------------------------------
Special Notes and Comments
-------------------------
'
POOL/SPA, 15 L.F. 416" EQUIPMENT
ENCLOSURE, CITY STANDARS.
ALARMS/BARRIERS SHALL BE IN PLACE AT
' PRE -PLASTER INSPECTION. 2007 CODES.
-=--------------------------------------------------------------------------
Other Fees . . . . . . . . . •BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
Credited
Due
Permit Fee Total 326.00
.00
.00
326.00
Plan Check Total 160.55
.00
.00
160.55 -�
Other Fee.Total 1.00
.00
00
1.00
Grand Total 487.55
.00.
.00
487.55
LQPERAITT
rBin #
Permit #ni
p
City of. La Qu'nta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name:
A. P. Number: L
Address: �% �C VaW 1212e
Legal Description: ?&14— Z $ Q _ GlCj _ A (o
City, ST, Zip:
Contractor:
Telephone:
y .An
Address: �•'(U�f - 7&-
Project Description:
City, ST, Zip:��•
Telephone:h,
State Lic. #
City Lic. #:
�L 0 C Lf �/ JFji
r
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
A N.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: — c\ n L' -
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: (7(.1,p)'V7_ 13 1
Estimated Value of Project: Z U A-65*
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
2nd 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:-
Jrd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
-------------
Date of permit issue
School Fees
Total Permit Fees
NofE'. Pct7L l♦'A W1M fo'Xlo"6pLCEA.! PLA6IS, SPECIFICATIONS 14
SIZE —V O' K •�" `N m
i 6TonLE vE>JF�R wI�, SURFACE AREA OF POOL zee mm
' PERIMETER Q51 DEPTHS MN.Wo" . MAII u Ei ro
SPA SPECIFICATIONS JPN
4f4 Wr-00" V41-ni nhTVW4L 60r1GREfE AFP X(o" � 7ft
&C)Xe-J � �' ��
Smi�.yL eO FY IlL PT._ TAE TrTf w..D
'RAi••K YFwUf�-Q 'fo 4" 9,r;lOW h�l , 4'-0" S1A6 9PAwMwauxt ` �� oa
IWWL4 f 3 fov2 Ft VSFF / (R f�D ,+{YbRD T �fR4PY ND OF JEB awnmRRa m 0 u w
..I�.�. 17@R 1 -Yd R.H. TSE omw
"RB RAI9[0®III
AAT 10" a N Z
. SPILLWAY TYPE TD N Qt W
m
KD —,
9iEOA1 xOTd DECKING �:,. q 1 >IN
l 1pp EXCAVATI /. EEL Flr a.4
ma
/VqPE WAW AT 11'% uf1rGG a 9 PAIaT� ® / /CCEIISFROI Em s FNm "', C3a
'TO IuATi61 }FDI�.E. DieEEP Rug =� DE«mtaum In
W'D LOVE MAT +.%Kip DEDCO DPA! Z
mNDRBE REaAl , LOA09 �� u
',�o q -fir J 1 REE�VALBy —IDAW 91EPF/CE
DIS' d"p�l �q'A ��P µ%o►a � W
IRRIGATION . _ ,(u IfOmATaN Raovu 9r nE eAE
'I ION REANR 9AIID AND wacu 1:�•
l >_
50� i:_...��Q rIhTLRAIi F?ROOIn FI�ISF� GONG
2rR91L
N . TANSHEFOFPOI
ROCKPOCIM79 MABONR 1^ Yj','.
COHKKI TYPE
•. CENTERII ��•� R.B.S. FROND saw m'O -
. ,�L`'
iii
Y i 1 E OF LA �Ei _ . t'j X T I Gi PROP. ETR. WA118 • �O.
ft
BUILDING & SAFETY DEPT. �(iliVb B AM� ftWIE°^,� M.
AM MR
pm—
APPROVED
p� R�
O • ® i ® + LA
AOOL PUP - 9�.
FOR CONSTRUCTION AMODL
AWLounETe—�
_ i �• NOIOER,KE ".. _.
- - �y= �1 - FLl UOE - PES BILE P � �R I .
IT-il -} wDIRE 1" 971198 S uTRIr9ePA
-d✓--U 1 BY FODNfAN9+9AU11EM9 Rg1E0901DffAM �`
DAT
L I SHEERDE9fHR9 '. eewm SPA
IIGMSNFOO. L N am EyEBNOg
R - -SET EOUPMdf FEN CI Nf /•
IL{I (r`••I + ` t+ I wAGINDs E I- FEMfE,YPE
. .I fElDlrr _
DATE
C � • '.r � r OUNITE GATEREVERSAL
DEEP B®RMP REMOVE A REWIG
LOAMT
_ ---
OTHER t`
L'ANIIIEV9R
WPIxO � Ji.d SAIX'
• OWNER RESPONSIBILITIES
aWT+FA TO, O
• �l 11) DETEMNEINE APPPOKWATE ELEVATION OF POOL OR SPRAT LAYWT ON DAY OF EXCAVATION.
(A TAIENDRCE THAT POOL AND WUNEMT LOGRONSARE SUB+ECTMACCEPTANCE OF
LOCAL YETWA OONCRING MSEUAY THE T TWICE ESUMCEOFPEtDR.
AGREE THAT
13NOTRE ONSIELE FOR UN ERMW ENOAY9 AFTERSHEILL ROECTI) 81.
' � IN AGREE THAT Tf:4FRR/iUNOTRE9PONSBEFOR LNDERlWOUND COImRKNR9ptOBECI9,
' MDANY OAllA0E 10 CUR89,9ER
OEYALll,ElRWEW ,UVM9,OROR®i IIEWNMEACCEIIAlEA
IF)111AiTN4TE 9� GARAGE DOOP9 MEET LOCAL 000EBFOR APO0LE1llOSUE
(S)RLL 7'P000LO IMEGUTELYAFIEI PlAS7EA(FOLLOWMTREMM-00 NOT USE RLEGEH HOSE)
.. - M TAKE NOTICE THATRIIS DRAWING 3 TNS SOLE MmPEEYOF TESERRAAND TMTANY 118E WT OUT
WWTIEO POW88ION OF TESERRA E PROKWIM BY UW.
------ I DNIE'R APPROVES PLAµ POOL AND EQUIPMENT LOCAnW AND NAG READ THE PE9f@E360RES AND NDnQES
SIGNATLIREP DATE
SWIMMING POOL PLAN FOR:
NAME VAN GORP RESIDENCE eq
STREETSI-409 RUSTIC CANYON DR.
OBAODRESS TRILOGY C LA DUINTA
.. PHONE 7
LOT
-
LOT 6044 TRACT PAGE BOOK
' .! , •1 A (,f•�. ! � . !! ( I �" S"Ak MAIL MAP BOOK PAGE N0. CRY
1 CONSTRUCOON OFFICE PHONE NO.
SCALE DATE DRAWN BY I SOLD BY ED
MB JEFF
Joe
2 REVISION
DATE:
b& ,.A" AOC Cr ii l 1e'AAF,1 12 O9
LLJ
4 LILT
' 6 Icy
SELECTIONS
+• CONSTRUCTION AUTHORIZATION STONE 6"x6t a". &, "4s a_
{ SALES FIELD TILE
DIG MURDERS - - O
'ALL DECKING EXPANSION JOINTS FOR PRE-GROUN
UNITE DECK
' UNDERGROUND JANDY
REPRESENTATION ONLY, FIELD LAYOUT MASONRY PEBBIPLAS'"" y $.` .::
WILL VARY.! I DECK SIGNATURE
�
., PRE'PEBBLE DRAINAGE NOTE: Dishape andlW tion for plardm and porn, by allele
mile" wovdw row