07-2401 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00002401
Property Address:
43496 BORDEAUX DR
APN:
609-380-997-55 -293233-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
20000
Td�/
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an rofessionals Code, and my License is in full force and effect.
license Cl s: CB C27C29
License No.: 656128
e: ra or:
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 (5500).:
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.).
(_ I 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 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: fX
LQPERM[T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/07
Owner:
DOHRMAN
43496 BORDEAUX
LA QUINTA, CA
LA.QUINTA, CA
DRIVE
92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
AUG 2 8 2007
CITY OF LA QUINTA
FINANCE DEPT.
------------------
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.
/X I have and will maintain workers' compensation insurance, as required by Section 3.700 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 performance of the work for which this permit is issued, I shall not employ any
person•in any manner so as to b ome subject to the workers' compensation laws of California,
and agree that, if I shou beco a subject to the workers' compensation provisions of Section
3700 of th Labor C e with comply with those provisions.
ate: � pplicant:
WARNING: FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 above formation is correct. I agree to comply with all
city and county ordinances and state laws relatin to build' 'o
he
and hereby authorize representatives
a��of this oun y to tiier upon the above-mentioned prop y /' tion purposes.
Aig re (Applicant or Agent)
Application Number . . . . . 07-00002401
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check
Fee
134.55
Issue Date . . . .
Valuation
. . .
. 20000
Expiration Date'.
2/20/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
2/20/08
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
2/20/08
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
2/20/08
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
POOL. ALARMS/BARRIERS
SHALL BE IN PLACE
LQPERAIIT -
Application Number .. . . . . 07-00002401
Special Notes and Comments
AT PRE -PLASTER INSPECTION.EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 305.00 .00 .00 305.00
Plan Check Total 159.05 .00 .00 159.05
Grand Total 464.05 :00 .00 464.05
LQPERN11T
Bin #
City ®f 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
Permit #
U 1
Project Address: — 7g,&
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: c—kRA
Telephone:I'Velft
ME
Address:
Boxt z5
Project Description:
City, ST, Zip: t( CN- 9,T-e-316
Poo L bN L
Telephone:
State Lic. # City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
i `
Construction Type: Occupancy:
State Lic. #:Project
type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: &SE4-14= 2,—
Sq. Ft::
# Stories:
# Units:
Telephone # of Contact Person: ,rj ^IM
Estimated Value of Project: L�o C7
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
2nd Review, ready for corrections/issue
Electrical
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. Appr
Date of permit issue
School Fees
Total Permit Fees
f
SPECIFICATIONS
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11 SALES 11 FELD
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UNDERGROUND
MASONRYT �
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SURFACE AREA dF POOL 4. -
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PA SPECIE -CATIONS
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SPA OAu WALL WIH
WATER LINE 4
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Ti<E TRIM
QUARTER MN4 —{
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SPUMY
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-
DECKING tp
EXCAVAT!G
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EXPANS✓ON JOHTS--
ELEVATTON
CANTIL EVUR
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-
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DEDCO DRAM 14' _
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5TI7 FACIE -
1TLE gASc
QWATl4TN REMOVAL By �C.JLF.�
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6' k.e-13
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ir P-3w
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24' i13 t
SD' R-E-B.
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TAm SHELF UUTI-L I VW M
MASONRY
ROCK PG#
CORING TYPE
(ENTERS7:ffk=
R.CL.EL FADNG _ t
PFlUM
A
0
s12EB�N
f3
P(ML PUMP ____
SIZE
HO4STU pUwP
SZE
A T PLIMP
512E
AI1D'L PULE
Cr
SZF
1♦cA1ER —
SIZE ✓sr
11ilE CLOCK
SUB PANEL
Q0 pu FLITS T-19
WdMWER TYPE
FBI. UNE
GAS LINE
BRES
FWNTAINS/5PRAYHEADS
5fCFR DE
LIGHITS IN PDCL
IN SPA
STUB SET _QUIPMD+E
$
misc. S ftzy
0"' i L IC
PUAQ1 iG SIZE
T
GUNITE
OEM ENO RAMP
EItEENT M 2M STEP . _ --
LMSEAT
SFLIWAY-
CANTILF.L1<R
R.6.1L - SEE STEU
SPILL WAY TW � � � 97E
-
PROP. EXT. 'HALLS
♦f,ANTER WALL ----- ._^-�--
RETAINING 1BALLS _
FNIP. WALLS { -
FIRERT y —
JaHT5 POOL T
LIGHTS VA
R4u,ED BGNG EaEAM
F01INQ SPA
EYESALLS I
FENCING
FENCE T,pE yr
HE7GFIi + —
�TE / —
SATE REYYRS&
REMOVE k REHANG —
--
Esi r,rIMrkFt7Olt _--
tn
74ALCR Tf} y1) 13FTBUNF TFk APPRUXIMA EL,�VAr" OF I'Oai Lit SPA AT I A.17FA,Ir aN ❑Ar • } FXCAVXTKN
(2) IMF MRMA THA E PG()L NO EGUIPYJENT LOCLk"5 ARE. Su ECI TO ACCEPTANCE V
L=LL 9L&NNG DLFARTMENT AT TTLIE 4F +S:3u1 mCE OF PERMIT
(3) WET DOVM CIMLET€ 3FIEl1 AT I EAST TMU WILY FOR SF3 IN ;SAYS AFTER 91ELL IS USTAI-20
(4) AMEE THAT 1£BERRA rS NOT MPONSMLE Fats UNDEReWMND CONDITIONS OR 00JECTS.
AW ANY MMAL)L TO 0JR S, SaWALIL5, dk CWAYS, LAri145, OR EITHER IrEN5 IN THE AC SS AREA
(5) SEE TKAF ALI. F1rkd WC, 0ATE1, Alm GARAGE 10MR5 MEET LOCAL DOES FOR A POOL F11CLOSURE
PRIZE To 'PLIPLASTER INSPECDON
(4) FTL� PQQL IMMUJATELr AFTEJR PLARrER. (FOLLOW INSTIRUCTION5 -- !1rJ N61 USE RUBBER H6'SE)
(7) TAKC NOTICE THAT THI5 DRAOM 15 rHC SaZ PRL3PERTY OF =- RRA ANf DIA-T ANY
USE, WTKOUT wOr EN PURMI MN OF TA IS PROIIiITED BY , AW.
CaNER APPROVES PLM4, Ka. AND EQUIFWE'LT LGGAVON5 ANO HAS REaO THE RE5POFiSMIJri1E5 ANO NOTICES ARDVF-
SWIMMING POOL PLAN FOR:
SAME POHRMAN RESIDENCE_._
JOB AnDRESS ICITY LA -
PHONE OFFICE -7t,o d 1 .-- RES
LOT TRACT PAGE - - BOOK
HAP B❑❑K PAGE NO, ICITY
MAIL ADDRESS
CONSTRUCTION ❑FFICE PHONE NO.
SCALE DATE DRAWN BY SOLD BY CHEC - Y
1
2.
+,
dp
r''�"' ,ice
4
5�
ELECTIE
STONE
TILE {C —
BOULDERS
DICK COLOR - r--At
JANDY-( wS
PEI B,I L_A y 1- oiL Wrd fL
SIGNATURE
w
C
z
w
Lu
aC
0
0
S-
--
DRAINAGE NOTE; Drainage and irrigation for planters and pats, by
others, Unless otherwise noted,