11-1142 (RPL)4'.. _
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
11-00001142
81171 CASPIAN CT
764-280-004-28 -35996 -
POOL RESIDENTIAL
LOW DENSITY RESIDENTIAL
32500
Td!t440O&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
, 1A
-------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury tits ' ed r provisions of Chapter 9 (commencing with
Section 7000) of Divisien 3 of the Busine and f i Is ode, and my License is in full force and effect.
Licgnse ass: - C27- .53 _ ansa No.:' 964474
Date: ntractor-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of jury that i m exempt from the Contractor's State,Lioense Law for the
following reason (Sec. 7031.5, siness:and rofeaslona Code: Any citymr county that requires a;permit to
construcL;alter, Improve, demolis or repair ny structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement th e, or a is licensed pursuant to the provisions of the Contractor's, State
License Law (Chapter 9 (commencing Section 7060) of Division 3 of the Business and Professions Code) or
that he or she Is exemputherefrom and the;basis forthe.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, 0500).:
(_) 1, as owner of the property, or my employees with wagewas 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 novintended-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 1, 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 orimproves 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
owner:
BOB TARLETON
81171 CASPIAN C
LA QUINTA, CA 9
Contractor: L
DESERT OUTDOORS INC
79405 HIGHWAY 111,
LA QUINTA, CA 92253
(760)3.99-9600
Lic. No.: 964474
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
OCT 25 2011
PMB 427
10/17/11
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-insurertor 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 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 NORGIUARD INS Poilcy.Number DEWC229889
I certity that, In the perfor a work'for'.which this permit is issued; I shall not employ any
person in any manner as to me subject to the workers' compensation laws of California,
and agree:that, if s uld me to the workers' compensation provisions of Section
e D3700.of the Labor C % l II b th comply with those; provisions.
WARNING: FAILURE TO ECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYE TO CRIMINAL ENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). I, ADDITION T4 THE COST OF COMPENSATION, DAMAGES AS'PROVIDED FOR IN
SECTION 3706 OF THE LQR CODE, I ITEREST, 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 restricdons:set forth on this application.
1. .Each person upon whose behalf this application is made„each person at whose request.and for
whosebenefitworkis 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, Indemnity and hold harmless the:City
of La 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 permit issued as a result of this application becomes null and void If work is not commenced
within 190 days from date of Issuance of.such it, ton of work4or 180 days will subject
permit -to cancellation.
I certify that I have read this application and state thatthebove.i ion is correct. I agree to comply with all
city and county ordinances and state laws relating to bulld 'con uct n, and hereby authorize representatives
of thl; co my _enter upon the above-mentioned property In purposes.
plate% S' ature (Applicant or A
Application Number . . 11-00001142
Permit. . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
304.00
Plan Check Fee
197.60
Issue Date . . .
Valuation . . .
. 32500
Expiration Date
4/14/12
Qty Unit Charge
Per.
Extension
BASE
FEE
252.00
8.00 6.5000
-----------------------------------------------------------------------------------
THOU BLDG
25,001-50,000
52.00
Permit.. . . MECH POOL
Addtionaldesc . .
Permit Fee . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation. . . .
. .0
Expiration.Date . .
4/14/12
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
-------------------------------------------------------------------------------
EA MECH
FURNACE >100K
11.00
PermitEL_EC POOL PERMIT
-RES
Additional desc .
Permit Fee . . . .
45.0.0
Plan Check Fee
11.25
Issue Date
Valuation . . .
. 0
Expiration Date
4/14/12
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
4/14/12
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
Permit . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date
Expiration Date .
. . . . 11-00001142
WALL/FENCE PERMIT
15.00 Plan Check Fee .0.0•
Valuation . . . . 325
4/14/12
Qty Unit Charge Per Extension
BASE FEE 15.00
-
-------------------------- -------------- -
Special Notes and Comments
POOL,BBQ, 15 L.F. 4169 EQUIPMENT
.ENCLOSURE, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. 2010.CODES.
-----------------------------------------------------------------------
Other Fees _. . . . . . BLDG STDS ADMIN (SB1473) 2.00
Fee summary Charged Paid Credited Due
----------------- ----------- ----
Permit Fee Total -. 417.00 .00 .00 417.00
P, __ - . _._ _, _ . ,. .,....
C
G
W
z
J
a
FOUNTAIN
DETAIL
STUCCO RETAINING WALL
FACE
M PATIO COVER 1
PAno / DECIDING SPECS
258 SP. NEW SUB -BASE FOR.11LE
115 "SP. NEW CONCRETE WALKWAY AT SIDE
SW SP. NEW STAMPED CONCRETE
81' STONE COPING AND BANDING
IIB SP. NEW FAUX GRASS AREA
C�ADO DOOR ALARM5 TO ALL
REAR ACCE55 DOORSOORSPRIOR )
TO ENCAPSULATION
CITY OF LA OUINTA
BUILDING &
AFETY DEPT.
1.1.1.1■■
_ ■MONO■■
OVE®
I FOR
M■■t■■.
.'CONSTRUCTION
DAT `o
BY -AM
-
MIMMIMEEM
...r INEMMEM ■■
PAno / DECIDING SPECS
258 SP. NEW SUB -BASE FOR.11LE
115 "SP. NEW CONCRETE WALKWAY AT SIDE
SW SP. NEW STAMPED CONCRETE
81' STONE COPING AND BANDING
IIB SP. NEW FAUX GRASS AREA
C�ADO DOOR ALARM5 TO ALL
REAR ACCE55 DOORSOORSPRIOR )
TO ENCAPSULATION
CITY OF LA OUINTA
BUILDING &
AFETY DEPT.
APS
OVE®
I FOR
.'CONSTRUCTION
DAT `o
BY -AM
EXISTING DRIVEWAY
TO REMAIN
r
sM #
City Of • La QuIntd
Bu Aft a[ Safety Mlon
P.O Box 1504, 78-495 Calle Tampico
Ia.QMW4 CA 92253 • (760} 777-7012
Building Permit Application and Tracking Sheet
Pbtmit #
\� �
\�
Prgcct Address: C.>1 • f
Ownees Nsmw : �
A. P. Number:
/�
Address: 1 . ICA sArQ &I&A
Legal Descxiption:City,
ST, Zip: y� 9ZZ
comer. Desert Outdoors
Teaepi►one
PtojeaDes tdon:
Adarm: 78-065 Main St. Ste. 205
city, $L tip: La Quanta, Ca. 92253
Telephone: 760-399-9600: Amd 494%j%v� w
State LIQ # : --e-53 964474-
64474
Arch,
Arch., Ew., nen«: Flying Buttress 15LI-r10 I&H S
Addm= - 77725 Enfield Ln. Ste. 130
city,ST.Zip: Palm Desert, CA. 92211
Telepboae` 760-772-4411 C nwuction Type:. Oaupanw.
state Lia. #: 33446 Project type (oirde ono): New Add'n Alter Repair Demo
Name of Conttbct Persom: 0.1'(!r Sq. Ft.: # Stories: #Univ
Telephone # of Catrtact Person:11 SR F,stitnatod Vawe of Project 3�
APPLICANT: DO NOT WRffE BELOW THIS UNE
p
subiaw d ..
Req+d
" Reed
TRA(XIG
PSRW FEES-
Pisa Scts
Plan Check sabmitted
A 11
u. Amount
Structural Coles.
Reviewed, ready for corrsctioes
Pian Chock Deposit- .
Trow cales.
- Called Contact Person
Plan Chew Balance.
Title 24 Coles.
Pian picked np
CAffitraetion
Flood plain ploa
Plans resubmitted '
Mabinkd
Ginding plan
22! Review, ready for carrecdoaslusae
I
Electrical
Subeontaetor List
Caped Conbct Person
Plumbing
Grant Deed
Plans picked up
MLL
ILOA. Approval
Plum resabmitted
Grading
IN SOIJSEr
'"' Review, ready for correetiondissae
Developer D"aet Fee
Plaodng Approval-
Called Comet Pam
A.LP.P.
Patti Wim Appr
Date of permit issue
School Fees
Total Permit Fees