07-1609 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253•
Application Number:- 07 -00001609 -
Property Address: 81688• RUSTIC CANYON DR '
APN: 764 -280 -999 -132' -300237 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM .HIGH DENSITY, RFS
Application valuation: 500
Applicant:
Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
44Q
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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).:
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 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 contractors) licensed
pursuant to the Contractors' State License Law.). .
(—) I am exempt under Sec. , B.&P.C. for this reason
Date
Owner:
CONSTRUCTION LENDING AGENCY
Ihereby 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:
LQPER 11T
Owner:.
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTODALE, AZ 85258
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
5/31/07'
-----------------------------------------------
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 Policy Number BB1070510
I certify that, in the performanc f 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 becckne subject to the workers' compensation provisions of Section
W/-Appli
f the Labor Co I shall orthwith comply with those provisions.
Date: fpcant:
WARNING: FAILURE TO SECURE VV RKERS' 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 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 ab '-formation is correct. I agree to comply with all
city and county ordinances and state laws relating to building cans ction, and hereby authorize representatives
of this county to enter upon the above-mentioned prope or inspec 'on purposes.
Date: t9/¢'J'�,� Signature (Applicant or Agent)_.
- Application Number
07-00001609
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 85'
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
LQPERMIT
VINE DETAIL
STAINLESS STEEL WIRE W/ ANCHOR BOLTS
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ALL DRAINAGE B
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TOTAL
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FIRE PIT: TANICAL NAME
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3 CAPE HONEYSUCKLE
TOTAL
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FInURES
DURIN PRODLWTION
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SPECIFICATION
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SURFACE KE)� DESCRIPTION SPECIFICATION
17 . .
FLA I
A.0111�-ANNUAL COLOR
733
i; 6:5E h I -:',',-o
SQ.FT
(606 sq.ft.)
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WITH
87 L.FT
/2" CANTILEVER CAP
GR GAS RUN
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41P
CITY )FLA QUINTA
13UILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
IDA
M-1�13Y
REV NO.-COMMENT2
Al
-DATE'
A P
P ROVED
J%_
Fell
LEGEN
1. nNISH GRADF
2. BUBBLER HEj9kD
FIELD $UP
3. 12' PVC SCHEDULE 80 RISER ;_ER_V_1S_0_R-__-__-__
2 4. PVC SCHEDULE 40 STREET ELL
S. PVC SCHEDULE 40 TEE AND 9LL
RESIDENTIAL LAN
6. CLASS 200 PVC LATERAL DSCAPE PLAN FOR:
7. 4- A.D.S. PERFORATED PIPE
42- LONG W/ ONE BUBBLER
4 a. 3/4- PEA qRAVEL SHEA DESIGNER LOT 7032
9. DRAIN GRA -9
81-688 RUSTI%C CANYQN DRIVE
0
0 6
LA QUINTA, CA. 9�253
900 bi
6 Im
M � 1111,_ SOLD $Y:
DEVELOPMENT
JOE M. PARQEL NO. P.0 No.
DEEP ROOT
DESIGN BY:
RU11 �LESY TRILOGY LOT NO.
7032 JOB No.
M JOE M.
DRAWN BY: SH�ET NAME
SHEET NO
JUAN H. DATE: 05.24.07
REVIIEVVED BY:
PLANTING PLAN
GREG H. SCALE: 1/8"=
;z L
TE
NE
k,w
_7
J
Bin #
City of La Quinta
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
pp g
Perm'
'
Project Address:' 7 G C' D�
,Owner's Name: � ,r ��
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: P. 0 .. 90X' I Z-5(P
Project Description:
City, ST, Zip: e O/1-C F ly LL,(4 �fA _ 77-2-3(10
• • a l , l l
Telephone:
State Lic. # : (� ( City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: ~
State Lic. #:
Name of Contact Person: Js11k72A),4tJL>C_Z
Construction Te:
Type: Occupancy:
N�`-Vl� P
Project type (circle one): New AddPn Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:(O
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACIQNG .
PERMIT FEES
Plan Sets
Plan Check submitted
g/��C';
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanicml
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing GAS
(—q OLCK e% 5
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. Appr
Date of permit issue
School Fees
w w
=17C)f
114 1P
Total Permit Fees
APPROVED
FOR CONSTRUCTION
DATE gY �'7