07-1610 (SOTB)P.O. BOX 1504
787495 CALLE'TAMPICO
LA QUINTP:,; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number 07000016.10
Property Address: 81649 RUSTIC CANYON DR
APN: 764-280-999-32 -300237-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 500
Applicant:
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an Professionals Code, and my License is in full force and effect.
License Class:/C8 C27 C29 License No.: 656128
Date: �% �- Contractor:
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).:
(_) 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, 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 I am exempt under Sec. , B.&P.C. for this reason
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 for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT`
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/31/07
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY
SCOTTSDALE, A 258
Contractor: JUN 0 12007
TESERRA P
P.O. BOX 1280
COACHELLA, C 92236
(760)398-9222
Lic. No.: 656128
WORKER'S COMPENSATION DECLARATION
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 Policy Number ElBi070510
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 t become subject to the workers' compensation laws of California,
and agree that, if I should be me subject to the workers' compensation provisions of Section
3700 of the Lab4WRKERS'
h I forthwith comply with those provisions.
Date: (®' -Applicant: WARNING: FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 f6rth 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 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 abov information is correct. I agree to comply with all
city and county ordinances and state laws relating to building co struction, and hereby authorize representatives
of this cou ty tenter upon the above-mentioned !rope rt r 'ns ection purposes.
Date: 0- -Signature (Applicant or Agent):. - .
- Application Number .
. . . . 07-00001610
Permit . . . .
BUILDING PERMIT
- Additional desc .
Permit Fee....
15.00".
Plan Check -Fee
9.75
Issue.Date . . ...
Valuation
500
Expiration Date
11/27/07
Qty . Unit Charge
Per
Extension
BASE FEE..
15.00
Permit . . . . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/27/07
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE
1-4 OUTLETS
3.00
-- ---------------------------------------------------------------
" Special Notes. and Comments
FIREPIT & GASLINE 90'
LF 1 1/2 PER
APPROVED PLAN.
Fee summary Charged
-----------
Paid
Credited
Due
----- ----------
Permit Fee Total
----------
.-33.00
---------- ----------
.00 .00
33..00
Plan Check Total
14.25
.00 .00
14.25
Grand -Total
47.25
.00 .00
47.25
I,
GAS SHUTOFF GAS LINES. SHALL BE INSTALLED
VALVE GRAVEL PER CPC FOR DEPTH,
LOCATED COURSE COVERAGE,AND PLACEMENT.
WITHIN'36" GAS LOG SAND. WATER PROOF
OF UNIT LIGHTER MEMBRANE
(TYP.)
STONE CAP
#4 TIE STEEL!
.� .' #4 BAR, VERT. AT. 32" O.C.
a
8x8x8 CMIJ; SOLID GROUT
-� F.S. 4 F.S.
�4 a.
i
i
-CLR
METAL GAS RISER --.GRAVEL SUMP
2!'o BRAIN OR PROVIDE 12" DIAM. 3 CU. FT. I
CRUSHED ROCK
OPENING IN FOOTING
OUTDOOR FIRE RING - STONE CAP
6 54R UA Piz s
IN5}D�'DIM�NS113N GAS SIRS -RINc,
AI's
�I
W 4- TI I~ ST55 L. - AT,
WATER F9 �7
M5 r1 KAkj'r-_
IN7 5-nI4
5u�FA45.5 _
1.. u
#4 VERT 5.A
7A
11M11 AA IAAAII�AlI
ILM
loil
it
J
1.. u
#4 VERT 5.A
7A
11M11 AA IAAAII�AlI
TY
TREES
15 AL 24B0'
36BOX OTHERS
K Y BOTANI AL 'NAME
CO MON NA E
3
CIT CITRUS LIM. —VALENCIA ORNAGEI-IMPRIOVED MEYER LEMON
1
$T ' SCHINUS TEREBINTH,EFOLIUS
BRAZILIAN PEPPER TREF 'STD'
17 ,
TP ; THEVETIA :PERUVIANA
YELLOW OLEANDER' 'STQ'
3 17
1
TOTAL
SHRUBS
1GAL 5 AL
15GALr 0TH S
K Y BOTANICALNAM
CO MON NAXg
7
BLJ :BOUGAINVILLEA BUSH
LA JOLLA
4 .
HH HEMEROCALLI:S
DAYS ILY
8
HR HIBISCUS ROSA—SINENSIS
CHINESE HIBISCUS"
19
TOTAL
Qix
VINES
1 AL 5GAL
-15GAL 0ftj9S
K Y BOTANI AL NAME
CO MON NA
7•
T.0 TECOMARIA CAPENSIS
CARE HONEYSUCKLE
7
TOTAL.
QjX
IGHTING
FIXTURES
COLQR
K Y DESCRIPTION
- SP CIFICATION
4 •. 3MATTE,.BRONZE
PIL PATH -LIGHT
_..
MOq,EL: MERCURY 7—B50 -20 -WCC ,
1
MATTE BRONZE
WL : WELL—LIGHT-20MOgEL:
NQVq B2,5 —WB
4.
n TOTAL
QTY
GOUND COVERS
SURFACE -
KEY DESCRIPTION
SPECIFICATION
(377 sq.ft) 20
FLAT.,.
AC :ANNUAL COLOR
$39
SQ.FT
SOP HYBRID BERMUDA
(932 sq -ft.) _{ 9
TON$
R .. ROCK3/8"
SCREENED CALIFORNIA GOLD
MI _ CELANEOUS
KgY DESCRIPTION
SP CIFICATION
150.
L;FT.
HB , .HEADER BOARD
1 'x4" "_BENDER BOARD
1
FP FIRE PIT +12 QUARTZITE
SIDES ANP QUARTZITE CAPNO CAINTILEVER—USE
BUTT •JOINTS,
'
QUARTZITE HIGH DESERT
90
LTT. »
Gi GAS RUN
160
SQ.FT
C CONCRETE
NATI RAL GRAY BRO(O FINISH
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPROVED
FOR CONSTRUCTION
bATE5 3r o-7 BY Z5 --t
-117
I_. _
Bin #
-
City of La Quin ta
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
Permit #
/ (J�
l(�
Project Address: , G /ems- G � ��
Owner's Name: s �H>1' W IV— 7' r)9,
A. P. Number:
Address: x'71
Legal Description:
City, ST, Zip:
Contractor:`.
Telephone:
Address: 0.. 9 O • 2-3(P
Project Description:
City, ST, Zip: C,O/;•Lf-LLQ- CA . Z-3 CIO
9 Telephone:
State Lic. # : (2
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
k
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Name of Contact Person:
Telephone # of Contact Person: - O Z -Q .
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMTT 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
Constructbn
Q
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2nd Review, ready for correction issu
S!
Electrical
Nf A
Subcontactor 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
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
-
Pub. Wks. Apprat
p t 'ssue
.
School Fees
r KA-QU111IN-11A
Rl II QINIG & C-%A g:p4 cry
r
'
Pn r7p �.
FOR CONSTRUCTION
Total Permit Fees
�
DATE B", -
t,