08-1250 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
ApplicatioA valuation:
Applicant:
Date:
Tay/ 4 4Q".
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
X08-00001250
f,81577 RUSTIC CANYON DR
764-280-999-56 -300236-
POOL - RESIDENTIAL
MEDIUM HIGH DENSITY RES
25000
Architect or Engineer:
�1A
LI E C TRACTOR'S DECLARATION
r penalty of perjury at I' e d under provi ' ns of Chapter 9 (commencing with
' ion 3 of the Busi ess P f s fi Is C ,and my License is in full force and effect.
9 L' nse No.: 656128
e
ntractor:
OWN_ - ILDER DECLARATION
I hereby affirm under penalty of perjur that I a exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, 8usines and ofessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair ny structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or a is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing wi 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 awn 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 noubuild 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(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 performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: '
LQPERMIT
Owner:
PHILLIPS
81577 RUSTIC CANYON DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/25/08
Contractor: D d -�
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236 AUG 0 12008
(760)398-9222
Lic. No.: 656128 CIT.- 1: I
LA ounur.
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 re: '
Carrier SEABRIGHT P i y umber B1080510
_ I certify that, in the or ance ofn w c this permit is issued, I shall not employ any
per n in any manner �^o c subject t t workers' compensation laws of California,
agree that, if I should b t w rkers' c xo
en provisions of. Section
0 of the Labor Code, I sh f rth ith o ose provisions. .
D A t:
WARNING: FAIL E TO SECURE WORKER ' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO THE COS F 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 act or omission related to the work being
performed under or following issuance of this pe it.
2. Any permit issued as a result of this application o es nuI and void if work is not commenced
within 180 days from date of is f, uc r it, c sation of work for 180 days will subject
permit to cancellation.
I certify that I havi d this application a state that th a v ,info ion is correct. I not
to comply with all
city and c un y rnces and state laws ating to bui i co si ct n, and her uthorize representatives
of 0 ter upon the above-mentio d prope y or in pe
/"'- alum (Applicant or Agent):
Application Number
08-00001250
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
252.00 Plan Check
Fee
163.80
Issue Date . . . .
Valuation
.
. 25000
Expiration Date
1/21/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.0.0 9.0000
THOU BLDG 2,001-25;nnn
207 00
Permit . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . .
Valuation
0
Expiration Date
1/21/09
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
1/21/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.00
PermitPLUMBING
Additional desc .
Permit Fee . . . . ..
33_00 Plan Check
Fee
8.25
Issue Date . . .
Valuation
. . . .
0
Expiration Date
1/21/09
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, BBQ, FIREPIT
& 4 L.F..4'
LQPERMIT
Application Number 08-00001250
---------------------------------------------------------------------=-----;
Special Notes and Comments
EQUIPMENT WALL, CITY STANDARD. 150 L.F.
2 1/2" GAS LINE: ALARMS/BARRIERS SHALL
BE IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary. Charged Paid Credited. Due
Permit Fee Total 356.00 .00 .00 356.00
Plan Check Total 189.80 .00. 00 189.80
Grand Total 545.80 .00 .00 545.80
F
••r y SPECIFICATIONS oIIn
j ti + '135`P
CON T1 - TYPE_s�E�71-O° x I- Nm .
G.y PooL AP�a Pay suRFACEARFA0FPo0l
1¢PD
DEPTHS MIN.--!--!2!'MAX
` ' - -203' SIDEYARD PAvER ¢ ,°o m
t ' ` A ♦ , BPA E�P �I SIICAT TITTLIE 7YEFF J -N
• , i" 1-1030 WUO- ARD PANE f SIZEc SPA u wATEwrE w.. o
. ° , _ A • :� •' + z �} .-.: �'t - HD.a TRLE TtmA _ - QI¢.Z +
;--kUEEWALL TO 6E COLJSTRUGTED .'.. AAr , RBpflTDE N
y + - • REE AT +18"�UITH LT. BROOM COUG y. •,T. BY DE�/ELOPER ` •. o umz
POLwAr TYLE p N
F CAP, STOVE vEUEER - - SRI=NOTES , in w
Y BSHEE WL 7 DECKING EE UOTE Limn
AUD TI TREE I�rjb LJIDE SHEER
DE SC EU TS - m
• �� EXCAVAT / STEEL F�P®PI ¢m4
_ TYPE
".RAISED SPA AT +18' WITH Lr. E12-OOP'1 COLIC °D
STOVE vEl JEER- �J BELOW WL- AIJD OEEPEIDRAAv �a DRnae n
STACKED STOVE SPIL-LLJAY _ -
LOVE SEAT _
i' , a •, ,Fr _ i ��' _. .=' • mxrnflE REMOVAL — LONGS aamcon �.
• ,+ , e , .t ... SOD REAwx — LOADS STEPS
TREE REMOVAL BY — STEP FACE
• • • , �'. 1 - e . , IRRIOATIONREWVAler � TEESABE "'—
s.. NRIOATIONTEPAN BANDANDVMFM
ag' v Lip PEBBLE1 , \ ( h6 r e aea mBBoa
v) zaea' LON ID
+ f • jr Rea
FIILEPIT'AT +12" WIrH TH1GK nL6IJL., .. _- -F _ sraea
• ,� • GUT STOAJE CAP AUP STOVE ..
�ELJEF-R 3V R&B FF
. - n • • C S S LI13 for- F 1gP I 6$ •• :_COB& -F- PA�/ERS LATH , L rMReIEIFOBmN .
f' T IJ'rI•I�ENF�• .� UD MABONR l/`' ly/I�
' • gY OLIr`I s. :` fd><9e BOROEJ�S L _ •' ROaPmmTs c�vDTYFe L ,
+ T. , Z } ♦ .
CENTERS Its S. FACING
PLUMBING00 PROP. EXT. WALLS
S1EDH _ U.
e
l. SUE 110,SQ
PLA
CO.i I PW70UL SAS eL , GCE SeIQe, 00 9 f I . ply Sa __ - rEc p'.wALLS
W ALL
f f7 �' - FSoosTENrANv -..
ALJD 2H")�2u"5jPI nILEyS 5tEE1 ZGEC{k ES� l TpdJLJ1UG9 SHE1-F 'AT 181 LID AUD ,i ��AM —� FF�sIT JJJ V
EI ¢ICALCjF�. PE p I OUE UMBML-L.A. SLEE\/F-
I A
.' ® Se;: EG�LJIFT�EhltB1l ullaw�rtNa"�,�a AL°GuB,B
T' 1 ® e i Ear STtkc°AnID Ra1n�T°f1ATcN Not15E. !' ;
STGMmR
' - •. ? T , O __-_
GAS LINE Me�/•t.r - STUBS
PEBBLE ,/ — TE -50
® r •F"� - ` I� FOUNTAINS I SPUWf/0S +' RGLLEnaw ou
NONOPA
QL 4
/ IIGHBN - INP - EYEBRIB
® _ - IJ �O Li SASS-"EOUII FENCING
FENCE
} ` ` • o \. t •,:../ - nMRNoe� REDOX '...
GATE
• " . ® :Y - - ' - - GUNITE .� GATEREVEIMAL"
. .' • A DEEP END RAMP REMOVEe
O - .A I • i i/.Y •. 1 , ' •'f ' . • .. E%TBDetlDP
•t ��' _ _______-_ r +• ,•.• . . 1 •.. .. SLLLMIAYTTYPE T
J CANTILEVER
o . —OTHERnit
(IN upi Am
FUSS. - SEE STGO
. J
O
OWNER RESPOYISIBILITIES
ovAYEnro El M TAKENmcEnuTPOOLANDEanPMENTLOCATIONSARESUBECTMADc®rAMMOF0 1nEOCAL BDNCOEPARTIENFAT7NEDETERMINE THE APPROXIMATE AneEoFLwarcEDFlERlar TION OF POOL OR SPAAT LAYOUT aaTraExcAVATux.
+ 18' THICK GUT STOUF STEPPIU TWICE GAS Y AFTER
O PE (4AWET EETDOWN AT SMIswTREsva�Ns FORRUNDEalmUNDCOM ONSORR�TS.
{ PAPS ou uArI�E SOIL- o P k•i: ., AND ANY DAMAGE TOCURSS.SWEwaNS.DRIVEwAMLAWwaDD�R1TESMTHE ACEBSANFw
r P •. .. B - (•+) BEE THAT ALL FENCING. GATES, AIDGARAGEOOORS ME.ETLOCALNDES FOR_fRla06URE
_ PRIOR TGPREnusTER wsFECTION.
' COEELE PAVERS UITH(B) FILL POOL IMEDIATE.YAFrERMAMM(FOLLOwlrm"Wr&s-ODNDTUSERL�SI HM) t
Ffx9" EORDERS InTAIENOTCEnuTTwsvuwwomTHESOLEPROPERTYOFTESERRANmTHATARYUSE WMQUT
t WIMENP MUX)NOFTESERRAISPPAMITFDSYLAw.
OWNER APPROVES AM POOL AND EOIAPAENNT LOCATIONS AIDHASREAD 7lERFePOlSBUii$P/O1IO11�SABUE
. - , '1. A , - A.' • RGNATIeEP GATE
'BWIMMING POOL PLAN FOR: '
e !. AGOBBLE PAVERS LJITH t AME PHILLIPS RESIDENCE .
_ I + l STREET- 1=5�'J U -n CANYON DRIVE
rdx9" BORDERS a - rx f
. a+'• - 1 + .>, JOB ADDRESS- CrM AQ IOTA
PHONE OFFICE
LOT
{ ,..` Y ., r,• Ya A A I ,. • + .µ ~A A • .. - 4 - f - -+. 1- `,s ,. F.� w: MAP BOOK TRACT PAGE RES BOOK .
p-• w rt • H ,' ,+ • ` , • - -_� '� :� "Y y. MAP BOOK PAGE N0. CITY
,� -i., sL°�+ t� A' «. a •�- x�. ..T'^IF ' ,.. MAIL ADDRESS
.. Y: , i ,""' . X • ' t ti ti * ,. 4' , 'L •A` s •''i :a .._ • '4 , CONSTRUCTION OFFICE RHONE NO.
+ - -
S
------------- BY CH
TE
_ -
- � y IAU--C?S JT � _ SI-IAl-IA �
JOB 9
REVISIONS DATE'
Z
;
SELECTIONS 111
CONSTRUCTION AUTHORIZATION STONE
uj
SALES FIELD rnF
' - DIGBOULDERS .
` PRE-GUNITE DECK COLOR
UNDERGROUND 1 DANDY J
.. - , .. MASONRY PEBBIPLAS 6'r�`` OFU�
DECK . .. SIGNATURE
PRE -PEBBLE DRAINAGE NOTE:^�BR°m�Iw,n.gBRmSBR0P0m nOSBIB
urim o6owise nDW.
Bin #
City of. L'a 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
Permit #
Project Address:
'
�G' (
Owner's Name: i/
A. P. Number:
`
Address: /— S_ C Cni
Legal Description:
City, ST, Zip:
Contractor: er raTelephone:
Address: �--
'9U
Project Description:
City, ST, Zip: e t l
Telephone: 4 q2�Z
State Lic. # : 2
Arch., Engr., Designer:
V(a, qL36
L
City Lic. #:
9
L� J
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: L, Occupancy:
Project type (circle one . New dd'n Alter Repair Demo
Sq. Ft.: __3 ;Stories:
# Units: 1
Telephone # of Contact Person: (760) 7-SO—OZ-911
Estimated Value of Project: 20— 2 K
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd Rec'd TRACKING . PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Coles.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2°" Review, ready for correctionsAssue Electrical
Subcontactor List
Called Contact Person Plumbing
----
=H:O�►—Ap`p`roval ------ --
-- -Plans resuUmiftid--- --- - -- Grading ---
EOVSE
-
_
- -
_ .lannin A royal= = —_ - —
g- PP -------==
_ - "-o __ ._ -
=Ciilted=�t-Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees