07-2134 (RPL)y
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number: X07-00002134 ?
Property Address: 81688 RUSTIC CANYON DR
APN: 764-280-999-132 -300237-
Application description:, POOL - RESIDENTIAL
PropertyZoning: MEDIUM-HIGII DENSITY_ RES
Application valuation: 15000
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fGGH,rGt/
BUILDING & SAFETY DEPARTMENT''
BUILDING PERMIT
Owner:
CONSTANTI
81688
LA QU
VOICE (760) 777-7012.
.. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 7/19/07
LQPERMIT
Contractor: JUL sr L-WW� I✓'
Applicant: Architect or Engineer:
TESERRA
JLTA
P.O. BOX TY OFLAQUINCOACHELLA
t)
(760) 398-9222
Lic. No:: 656128
--------------------------------------------------------------.--.---------------------------------
LICENSED CONTRACTOR'S DECLARATION
- WORKER'S COMPENSATION DECLARATION _
I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) of Division 3 of the Business and rofessionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
_ License Class: C8 C27 C29 License No.: 656128
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate: nt.actor:��__
issued.
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier SEABRIGHT Policy Number BB1070510 -
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance o [he work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to come subject to the workers'.comperisationlaws of California,
permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractor's State
and agree that, if I show beco a subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
370_0 of the La or C e, sII Rh ith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
fi
any applicant for a permit subjects the applicant to a civil penalty of not more than five -hundred dollars ($500).:
e: '/ plicant:
' (_) 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
- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
- Contractors' State License Law does not apply to an ownerofproperty who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the -
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however; the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). - - -
APPLICANT ACKNOWLEDGEMENT
() I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
-IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the
_
7044, Business and Professions Coder The Contractors' State License Law does not apply to an owner of
'conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon -whose behalf this application is made, each person at whose request and for' -
pursuant to the Contractors' State License Law.).' -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I—) I am exempt under Sec. B.&P.C. for this reason
the owner, and the applicant, each agrees to, andshall 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.
Date: Owner:
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
- CONSTRUCTION LENDING AGENCY -
permit to cancellation.
. • I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
1 certify that l have read this application and state that the above informati n is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ, C.). -
city and county ordinances and state laws relating to building construction and hereby authorize representatives
of this cou to ent upon the above-mentioned property f in a tpn as.
Lender's Name:
-
D S;- relApplicant or Agent): -
Lender's Address:
-
LQPERMIT
Application Number
07-00002134
Permit
BLDG POOL PERMIT
" .Additional desc
Permit Fee
162.00 Plan Check Fee
105:30
Issue Date
Valuation
15000 .
Expiration Date
1/15/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13:00 9;.0000
-------------------------------------------------------------------
THOU BLDG 2,001-25,000.
117.00
- Permit . . .
MECH POOL
Additional desc ..
Permit Fee
26.00 Plan Check Fee
6.5.0 ,
Issue Date
Valuation
0
Expiration Date
.1/15/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >1-OOK
11.00
Permit. . . .
ELEC POOL PERMIT -RES
Additional desc
`
Permit Fee
45.00 Plan Check Fee
11.25
Issue Date
Valuation.
0
'Expiration Date
1/15/08
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.
27.00 Plan Check Fee :.
6.75
-Issue Date . . . .
Valuation
0
Expiration Date _.
1/15/08
Qty Unit Charge
Per
Extension
-
BASE FEE
15;.00
1.00 6.0000
EA PLB FIXTURE
6.00
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
SPA ONLY. ALARMS/BARRIERS
SHALL -BE IN
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OWNER RESPONSIBILITIES
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OWNER T0. 1 DETERMINE THE APPROXIMATE ELEVATION OF PO R T F
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d P TE OL 0 SPA A LAYOUT ON DAY O EXCAVATION
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2 .TAKE NOTICE THAT POOL AND EQUIPMENT LOCAl1ONS ARE SUBJECT TO ACCEPTANCE OF
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LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
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3 WET GOWN CONCRETE SHELL. AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLEO
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AGREE THAT TESERRA IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS
AND
ANY DAMAGE TO CURBS SIDEWALKS DRIVEWAYS LAWNS, OTHER ITEMS IN THE ACCESS ARCA
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5 SEE `THAT ALL FENCING GATES AND GARAGEDOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
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FILL fll POOL IMMEDIATELY AFTER PLASTER. FOLLOW INSTR ON -- D NOT RUBBEROSE
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4 UCTI S 0 NO USE ER
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7 TAKE NOTICE. THAT THIS DRAWING E Y
, IS THE SOLE PROPERTY OF TESERRA AND THAT AN
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USE WITHOUT WRITTEN 'PERMISSION F TES
, 0 ERRA IS PROHIBITED BY LAW. :
OWNER APPROVES
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AND EQUIPMENT LDCA11ON5 AND HAS READ THE RESPONSIBILITIES AND NOTICES ABO
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Drainage and irrigation for planters and pots, by - PEBBLE DRAINAGE NATE,
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Bin #
City of La Quints
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 #
n 1
0`
Project Address: ,--
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address:
Project Description:
City, ST, Zip: ��-- rf z. !b
Telephone: ZZZ
State Lie. # : ks 2 City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person:& -S 3,"
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: z+6— lb
Estimated Value of Projec Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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
tad Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3' Review, ready for corrections/issue
Developer ImE act Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees