13-1231 (RPL)S ,
P.O. BOX 1504 4
uu�tiGu
78-495 CALLE TAMPICO ,//
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00001231 Owner:
Property Address: 81952 CONTENTO JEFF BEYER
APN: 767-660-010- - - 81952 CONTENTO
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18000
Contractor:
Applicant: Architect or Engineer: NOGUES, JULIO CESAR
46625 DESERT VILLA #1
I 92201
(760)760) 397-7- 7699.
Lic. No.: 946375
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C53 \ License No.: 946375
Dater Contractor: J C)u n
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 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/26/13
tp . t13�
SEA 2
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.
krl 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 EXEMPT Policy Number EXEMPT
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 become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date:4- Applicant: C Iy6 �CJFrC
i
WARNING: FAILURE TO SECURE WORKERS' 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: 9/21b 2 Signature (Applicant or Agent):
Application Number . ... . . 13-00001231
Permit . . . POOL 2013
Additional desc .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 3/25/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
----------------------------------------------------------------------------
178.75
Permit . . PLUMBING 2013
Additional desc . .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 3/25/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG.GAS SYS, 1-4 OUTLETS
----------------------------------------------------------------------------
11.92
Permit . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 47.19 Plan Check Fee
00
Issue Date . . . . Valuation . . .
. 18000
Expiration Date . . 3/25/14
Qty � Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, 9 L.F. OF 4 FT. HIGH
EQUIPMENT BLOCK WALL PER APPROVED PLAN
AND ORCO BLOCK DETAIL [20 L.F. OF 1 1/2
INCH GAS PIPING] EQUIPMENT SHALL BE
INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
--------------------------------------------------------------------7-------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited
--------------------
Due.
-------------------------------------
Permit Fee Total 237.86 .00 .00
237.86
LQPERMIT
Application Number . . . . . 13-00001231
Plan Check Total .00 .00 .00 .00
Other Fee Total 158.30 .00 .00 158.30
Grand Total 396.16 .00 .00 396.16
LQPERMIT
Bin #
Qty of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
N�
Owner's Name:
A. P. Number:
Address: Q552 L; T. M
Legal Description:
City, ST, Zip: / A J f W ( A
Contractor:(T L C
Telephone:
Address: 'o J5c
J
Project Description:?&ICL an-SPOL
VV 1
City, ST, Zip: l" t�20
r !
l
Telephone: J
State Lic. # : (7- 5;c 'a
r
City Lic.
Arch., Engr., Designer: �---
9 C L �� (z
Address:
City, ST, Zip:
Telephone:t
n1 ��
State Lic. #:
Name of Contact Person: L
G b e.)C
p cy:
Construe io n TYPa Occupancy:
Project type circle one): Add'n Alter Repairair
Sq. Ft.: # Stories: # Units:
Demo
Telephone # of Contact Person:
6-( , _ -
d�
v Estimated Value of Project: eco
APPLICANT: DO NOT WRITE BELOW THIS LINE
4
Submittal
Req'd
Recd
TRACKNG t
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for`corre'ctioos'-
Plan Check Deposit
Truss Calcs.
Ualled Contact Person
Plan Check Balance,
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for correction su
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 correctionshisue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
-
School Fees
Total Permit Fees
aNno)JddV s
Id3a u3:IVS V Mum
d1N1f10 to �O X1110
9/18/13
0 (2420x3248)
CAPMELA COMMUNITY A=-SOCIA'rlC.)N
ARCHITECTURAL DESIGN REVIEW TEE REPORT
..
I 1A IT:
.ep!ember 10. 20t;
Ken Fitzp-an-,icL Patricia Mohr. 1-)--
I 10\11VOWNER: Jeff Be% er. S 194 , -
"re
1?! S I GN, F. R: N A
I' L)ESCRIPTION: consErucTion, 21,p%x- 16.4:
X Looi zo include Spa
mechanit,:al bite.. \':...:. d,ezk in.- an -d de,:oraziN e Paving.
,aVVII,:\V COXMMFNNTI,: The d;-av-:ntL xvcll CecWC-d u,c. :11
i.CCPi' Riniuh,d 3C6111U-L:c t1u\or anal -arcinite"ural harmun% or the
C.inllel:- cornmun::\. %em is provided as-
rezaM; e\i;dn,_ Thle "Homeowner has advised rhat Thi;;
residence wa;z v -art of 2;�06 Phase I Coriimlcr.on. and as such, approval
of the rear vard cleveiopment inlays prec-&` the current DRC Th
u: . - us the
exiilipe landscaping rna\: nci, 'oe in conif'ormamu with the currentiv
'Guid ! z
aucrox-ed Pianting .:e1Ln,-- rhe 0--S a5 submiried for
the 000i additi-, are _---t T;h2e
rex text.
r
CON -D! APPROVAL is hertt% sante v 0 d:
-P
I nd ic ate Lin p I an. al 1 area s of --K: iIx- an- % ed 1a! dscapin g ..-..
-and site dra;na-ee intent as installed. I is -a -vis th.L:
1wt I.t,.;, 1?7 n,.,x Poo! S\Stern
Indicate on r-11 -.. .. .
F; coilectC4 -ndl —c —C existing
. 3cc :1 . -
h
3-iinucntional irec ,a! s:; ci!cr in
1.- r, -e reconstme6on. or
I lomeo%\ nettion. d-eterminarion as to
; A
rehabiktation if 31! condarea
,
L,,iL,,, -I ton hisoection.
the No T:Ce
mad- by the
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K,)t, Fitzpatrick
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CITY- OF LA QUINTkSUB-CONTRACTOR LIST
JOB ADDRESS R\ cA52 PERMIT NUMBER OWNER F BUILDER.c��)��
This form shall be posted on the job with the Building Inspection -Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any•changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
sif icatio
Trade Clas n
/
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t or :. :.:
:..::::::>. ::• ::: :: : .
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Stat
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: :> 'Workers Co a Batton nsurance:° ;':: :...;>
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City Biist}e5s UCense:'. .
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
{xx/xx/xx)
Carrier Name
(e.g:.Statg Fund, CalComp)
Policy Number
(F(ormat Varies)
Exp. Date
(xx/xx/xx)
License Number[Exp. Date
(xxxx) xx/xx/xx)
EARTHWORK 1C-12) :.:..
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CONCRETE (C-81
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-141
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,q)OLI 11.430
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FRAMING •4C-5)
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MASONRY (C -29i
U in ) _
PLUMBING (C-36)'
PLASTER
-y
DRYWALL (C-9) ,.g. .:
(C-20):.::'':'': :.
_;,ELECTRICAL.
(C=10)' ;' '
(�I` 1- 6-r fZ� G
G
"1
�t.
.METAL
GLAZING (C -17}:f
INSULATION'(C-2) : :.
SEWAOE DISP (6-421
PAINTING
ERAMIC TILE (C-54)
`I C , Ivb G-S
CABINETS (C-6)
FENCING (C713) '
LANDSCAPING (C=27.) .?
O.OL (C-53) r NJ0 6 U&S 5 10 q at� 1