07-1953 (SOTB)P.O. BOX 1504,. ' ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO" FAX (760) 777-7011.
LA QIJINTA,' CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PECTIONS (760) 77777153
BUILDING PERMIT
- Date: 7/05/07
i Application Number: -____ 07-00001953 s Owner:
Property Address: 81745 RUSTIC CANYON DR DANIELLS� RESIDER Q
APN: ° .764-280-999-40 -300237-'81-745 R CANyL`ONN
Application description: STRUCTURES OTHER 'THAN • BUILDINGS LA QUINTAL 922E3
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1000
i
Contractor: 1
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lica 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 1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business an Professionals 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
LicenseClaw. 8 C27 C29 - License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. i
. Date: Contractor: _ 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
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 of the 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 to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should to 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 - 700 of.the Labor o e, I hall forthwith 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 —" - -
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: Date: �pplican -
1 _ 1 I, as owner of the property, or my employees with wages as their sale 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 SECUR ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property 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 for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. I '
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,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
Date:
Owner:
CONSTRUCTION LENDING AGENCY
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:
LQPERAIIT .
• of La Quetta, 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 ' formation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin cons uction, and hereby authorize representatives
of this co u ty t enter upon the above-mentioned prope f r inspe 'on purposes.
—Date :nature (Applicant or Agent):
FA
Application. Number . . . . . 07-00001953
�. Permit . . . BUILDING PERMIT'
�+ Additional desc .
Permit Fee';. 25.00
Plan Check Fee
16.25
Issue -Date . . . .
Valuation . . .
. 1000
-Expiration Date 1/01/08
Qty Unit Charge Per'.
Extension
-BASE
FEE
1-5.00-
5.00..5.00
..5,002 . 0000 HND RLDG
501 -2; 000.
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . . 15.75.
Plan Check Fee
3:94
Issue Date
Valuation
0
Expiration Date 1/01/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 .7500.PER ELEC
DEVICE/FIXTURE 1ST 20
.75
Special Notes and Comments
------------
- FIREPIT PER APPROVED PLAN ONLY
Fee summary Charged
Paid Credited
Due
-----------
Permit Fee Total 40.75
---------- ----------
.00 .00
40.75
Plan Check Total 20.19
.00 .00
20.19
Grand Total 60.94
.00 .00
60.94.
.. LQPERMIT -
.
Bin,#
City of. La Quinta
Building a Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
BuildingPermit t Application and Tracking Sheet
Project Address:iy5" G Owner's Name:
��4U Zsi<.S
U6 12
A. P. Number.
Address:
Legal Description: City, ST, Zip:
Contractor: MM-
M
Telephone:Ri
^
Address:
Project Description:
City, ST, Zip: �u3
��C i✓1.-1.1� C� QN
Telephone: ��( g— cJ ZZ 2—
State
State Lic. # : tip �j G t Z City Lic. #. -
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contac[ Person: �
C— _0 2 -= t!:&k, yy Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: �St�— -2 gnid V
N Submittal Req'd
Plan Sets
Structural Calcs_
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
mate clue of Project: `0®p
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
Plan Check submii
Reviewed, ready ft
Called Contact Pei
Plans picked up
Plans resubmitted
2"' Review, ready I
Called Contact Pei
Plans picked up
Plans resubmitted
Jrd Review, ready f
Called Contact Pei
Date of permit isst
DUEL
TRACKING .
PERNUT FEES
7ted :7:779�
[tem Amount
r corrections
Plan Check Deposit
son
Plan Check Balance
Construction
Q
`U
Mechanical
or correctionsrissue
Electrical
son
Plumbing
l' Ods
5.114.E
Grading
it corrections/issue
Developer Impact Fee
son
A.I.P.P.
e
R
..DING & SAFEMD
AF�
@/ L"
tal Permit
JM CnML—r-, .
Fees
TY
TREES
15GAL 24BOX
36BOX
OTHERS KEY BOTANICAL NAME
COMMON NAME
2
AST ACACIA STENOPHYLLA
SHOESTRING ,ACACIA, 'STD'
2
TOTAL;
TY
SHRUBS
1GAL
5GAL
15GAL
OTHERS KEY BOTANICAL NAME
COMMON NAME
2
AD. .AGAVE DESMETTIANA
7
1
APC ARTEMISIA POWIS CASTLE;
IiAV f� v2
�c�l�d1 (�+�q A4VE
5
CAV,.CALLISITEMON. VIMINALIS ITTLE
JOHN' 0 BOTTLE. BRUSH
6
CSA: CASSIA ARTEMISIOIDES
FEATHERY CASSIA'
;5
CSP CASSIA PHYLLODENIA
SILVER—LEAF CASSIA
2
DL .DASY.LIRION LONGISSIMA
MEXICAN GRASS TREE
4
GB :ECHINOCACTUS
BARREL .CACTUS
2
HP HESPERALOE PA..RVIFLORA
RED YUCCA
4
LMY LANTANA YELLOW
YELLOW
1
.MONTEVIDENSIS
STHSTENOCEREUS THURBERI
MARGINATUS :'MULTI'
2
YR 'YUCCA RECURVFOLIA
PENDULOUS YUCCA
4
33
4
TOTAL
TY
'
VINES
1GAL 5GAL
15GAL
OTHERS KEY BOTANICAL NAME
COMMON NAME '
12
PV PYROSTEGIA. VENUSTA
FLAME VINE,BIGNONIA VENUSTA
12
TOTAL
TY
LIGHTING
FIXTURES
COLOR KEY DESCRIPTION
SPECIFICATION
4
MATTE BRONZE SI; - SPOT -LIGHT
MODEL: PULSAR B25-:35—WB
5
MATTE BRONZE PL. PATH -LIGHT
MODEL: MERCURY 7—B50 -20 -WB
2
MATTE BRONZE WL ; WELL -LIGHT `
MODEL: NOVA' B25-20—WB
11
TOTAL
TYGROUND
COVERS
SURFACE
w
KEY DESCRIPTION
SPECIFICATION
10.
TONS
R ROCK
1/2" APACHE BROWN
z 2--
_TONS
R _ ROCK,
2",-4" APACHE. BROWN
TY
MISCELANEOUS
KEY DESCRIPTION
SPECIFICATION
3
B BOULDERS
2'x3'
4
L.FT.
HB HEADER BOARD
1"x4" BENDER BOARD
TY
MISCELANEOUS
KEY DESCRIPTION
SPECIFICATION
122"
L.
GR' GAS RUN
142
LFT.
ER ELECTRICAL RUN
1
GFI AND SWITCH FOR. GFI
1155
SQ.FT
C CONCRETE
NAURAL' GRAY SALT FINISH
1
FP FIRE PIT +18" BEFORE GRADE
+12 ABOVE PLATFORM THICK CUT, QUARTZITE: CAP
WITH EL DORADO' STONE FACE
CITY OF LA QUINTA
BUILDING & SAS=EW DEIN.
APPROVED
FOR C, ONSTRUCTION
DA gy
--------------
�—
i
--
---
--
� I
_I
i
I
FJ�
I
#4'TIE
STEEL AT
36" DIAM.
- TOP COURSE --�`— -
VBTU
E RING: INSIDE DIMENSION WATERPROOF
MEMBRANE.
# I (TYP. INTERIOR
Y9G,o1L SURFACES)
#4 BAR
PPROVED: VERT AT
32' O.C.
(TYP.)
_ 7A
76
L
_..........._....._.----....._....._..__..........__.._.._ o.. _
ENGTH-OF...GAS.PIPE._...._is_
BX8X8 CMU
DIAM. OF GAS PIPE SOLID.G ROUT
OUTDOOR FIRE RING
1/27=1 -0"
GAS -SHUTOFF GAS LINES SHALL BE INSTALLED
VALVE GRAVEL PER CPC FOR DEPTH,
LOCATED COURSE COVERAGE, ANC PLACEMENT.
WITHIN 36" LIGHTER SAND WATER PROOF -
OF UNIT MEMBRANE .
(TYP.) STONE CAP
3-I/2 #4 TIE STEEL
#4 BAR VERT. AT 32". O.C.
8x8x8_CMU; SOLID GROUT
F.S.
CLR ..
METAL GAS RISER GRAVEL SUMP
2" ¢S DRAIN OR PROVIDE 12" DIAM. 31 CU. FT.
OPENING IN FOOTING CRUSHED ROCK
7A OUTDOOR FIRE RING - STONE CAP
-011.