11-0737 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-vf 4 4 Q"
Application Number: 11-00000737
Property Address: 81195 CASPIAN CT
APN: 764-280-004-30 -35996 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY .RESIDENTIAL
Application valuation: 10000
Applicant: Architect or Engineer:'
PIP
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------------- I -------------- ----
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed undo provisions, of Chapter 9 (commencing with
Section 7000) of. Divisio 3 of the -Bus ess and Professional ode, and my License is 1n full force and effect.
Li Class: e 25v,'2 cense;No.: 656128
ate T ontractor:.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor.'sState License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county, that requires s,permit to
construct, alter, Improve, demolish, or repair any structure, prior to )ts.issuence, 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 g (commencing with Section 70,001 of Division 3 of the Business and Professions Code) or
that he or she Is exempt therefrom and the basis forthe alleged exemption. Any violation of Section 7031.5 by
any applicant for a'permit subjects the applicant tore civil penalty of'not morethamfive hundred dollars (8500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure -isnot intended or offered -1 or sale (Sec. 7044;, Business and Professions, Code: The
Contractors' State License Law does not apply to an owner of property who builds orimproves thereon,
and who does the work himself or herselfthrough his or her own employees, provided that the
Improvements+ere 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, as-ownerofthe 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 contractorls) 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
1 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:1.
Lender's Name:
Lender's Address: P I PC
LQP6RMIT
Owner:
RUSSO
81195 CASPIAN COURT
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/07/11
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA CA 92236 G1ryTC� ;
(760)398-9222
Lic. No,.: 656128
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 the1abor
Code, for the performance of the work for which this permit Is Issued. My workers' compensation
insurance carrier and policy number are:
Carrier EVEREST NATL IN Policy Number 7600006481111
1 certify that, in the performance of the work for which this permit Is issued, ) shall not employ any
person In any manner so as to become subject to the workers' compensation laws of California,
and agree that, if l sh beco bject to the workers' compensation provisions of Section
WtheLabs CIhwlth corinplY with those provisions.icant:
10-1
WARNING: FA11_1.16E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND. CIVIL FINES UP TO.ONE HUNDRED THOUSAND
DOLLARS (9100,000). 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, eachperson 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 Le Quints, 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 permh 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 for180 days will subject
permit to cancellation.
1 certify that I have read this applicatiori and state that:the above Int or tion is correct. I agree to comply with all
city a county o Ina es and. a laws relating to building) onstru on, and hereby;authorize representatives
Of s county on upon t above mentioned property foj nspec m purposes,
Date: �� SI re (Applicant or Agent):
I
LQPF.RMIT
Application Number . . . . . 11-00000737
Permit. . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
117.00 Plan Check Fee
76.05
Issue Date . . .
Valuation . . . .
10000
Expiration Date
1/03/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
8.00 9.0000
THOU BLDG 2,001-25,.000
72.00
Permit. . . . MECH POOL
Additional desc . .
Permit. Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . .
Valuation . . .
. 0
Expiration.Date
1/03/12
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
45.0.0 Plan Check_ Fee
11.25
Issue Date . . .
Valuation
0
Expiration.Date . .
1/03/12
Qty Unit Charge
Per
Extension
.BASE FEE
15.00
1.00 30.0000
EA ELEC PRIVATE SWIMMING POOL
-------------------------
30.0"0
Permit.. . . . PLUMBING
Additional desc .
Permit.Fee . . . .
27.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation
0
Expiration Date . .
1/03/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00 .
1.00 6.0.000
EA PLB FIXTURE
6.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 .3.6000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
- - -------------------------------------------
Special Notes and Comments
SPA. ALARMS/BARRIERS SHALL BE IN PLACE
Application Number . . . . . 11-00000737
------------------------------------------------------------------------
Special Notes and
Comments
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2010 CODES.
-----------------.-.------------------
Other Fees
----------------------------------
. . . . .BLDG STDS ADMIN (SB1473)
-
1.00
Fee summary
-----------------
Charged. Paid
Credited
Due
Permit Fee Total
--------------------
215.00 .00
--------------------
.00
215.:00
Plan Check Total
100.55 .00
.00
100.55
Other Fee Total
1..00 .00
.00
1.00
Grand Total
316..55 .60
.00
316.55
LQPERMIT
Bi"
City of La Quinta
Binding 8r Safety DhWon
P.O. Box [504,.78-495. Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
t '
Project Address: fj {%
Owner's Name:� S S O
A P. Number:
Address: q S A, J W-
Legal Description:
C4- ST, Zip: Lk Qow-r4Z S R
Contractor. C -
Telephone:
Address:E36 /00
Project Description:
City, ST, Zip: A t_th Z 6 r
Telephone: p 3 98 2 Z Z'
State Lid. # : (. S fo 1 2 8 City Lic #;-
Arch., EM., Designer.
Address:
City, ST, Zip:
Telephone: Constriction Type:. IU w Occupancy:
State,Lic: #: Project type (circle one) New Add'n Alter Repair Demo
Name.of Conw Person: U Sq. FL: # Stories: # Units:
Telephone #,of Contact Person: 0, 25 a 2"3 /
Estimated Value•of Project /'-0.'000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req -d
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check.submitted
f
Item
Amount
Stractnral Cake:
Reviewed„ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
We 24 Cates.
Plane picked up
Construction
Food plain plan
Plans resubmitted
Mechanical
Grading plan
2oil Review, ready for correctioaslissue
Electrical
Subcoutaetor Lief
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
ILO.A. Approval
Plana resubmitted
Grading
IN HOUSE:-
1r° Review, readyfor eorreetionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A:LP.P.
Pub. Wks. Appr
Date of permit issue
School Fac
Total
SPAAT-0. WITH FOUR JETS AT RANDOM HEIGHTS
CREATE +18' MOUNDING WITH
SOIL FROM SPA DIG
POOL I SPA LIGHT JUNCTION BOX
POOL I SPALIG14T ON GROUND FAULT CIRCUIT INTERRUPTER
POOL EQUIPMENT DIGITAL TIME CLOCK WITH
2 SPEED RELAY, 30' CLEARANCE AT FRONT AND SIDE
POOL EQUIPMENT:/OILDOD M HEATER —�
ALL EQUIPMENT SHALL BE SEISMICALY ANCHORED
EXISTINGAICUNR
ONIOFFSPAUGHTSWITCH
MIATION OF POOL SYSTEMS AND EQUIPMENT WILLCOMILYWIIH
1ON 11/-MANDATORYREWIREMENTS
'ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECTACCESS
HE POOL
L HEATERS I PU JP EOUIPMFM %IALLBE INSGLLED PERWM FACn$Mn
)MMENDATIONS AND IN ACCORDANCE WITH LOCAL REGIAATIONS
&1
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yl
A
1
CASPIAN COURT
RETAINING WALLAT MB'
— RAISED SONDBEAM AT08'WITHNATURALGRAY
CONCRETE CAP, RANDOM STONE VENEERFACEAND
BACK SIDE WITH ONE 18' WIDE SHEERDESCENT
— NATURAL GRAY LT. BROOM FINISHCONCRETEDECIONG
WITH 1S' WIDE CALIFORNMEDGE AROUND SPA
3-DECKDRAIN STUBBED OUTAT BOTH ENDS
TO BE POURED BY SHEA HOMES DURING PRODUCTION „-- ,, -sk _
CITY OF IA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE7— 7 -11 eY `fit
�.1}'ELECTa1cCONouIT
Fi
�— NATURAL GRAY LT. BROOM FINISH CONCRETE DECKING
MAN HOUSE 20CAMP ELECTRICAL PANEL
ELECTRICAL'
awe xuEwaLus��acr�m.mm uvnromreurevaT�
201 O CALIFORNIA BUILDING CODE 19L�0011'�ML)
2010 CALIFORNIA MECHANICAL CODE I.O =—1
2CI0 CALIFORNIA PLUMBING CODE (6U WWUK)n Xwm
201 0 CALIFORNIA ELECTRICAL CODE (m M—WW)
STEEL
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SELECTION5
CONSTRUCTION
AUTHORIZATION
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S'x S' VAL SAN PEA -MASTERTILE
SALES
FIELD
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NATURAL GRAY -BROOM SMOOTH
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TO THE Illm
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BUILDING & SAFETY DEFT,
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SELECTIONS
CONSTRUCTION
A U T F-I ❑ R 1 ZATI a N
8T�
OHOI WlrE CMiRC4JLL R49XV
TtE
rx r VALSM PEA-NASTERTLE
SALES
FIELD
BOULDERS
WAL
I�}
DECISCOLOR
NATLRAI{TRAY-BROW NTH
E-G
WLUY
HEATER PLW, €kTER WI74 TIRE COCK
�I MNUNITE
NpERGROUH
PENUMAS
WHIMPLASM
WSONRY
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