11-1289 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO `
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: x_11-00001289
Property Address: 81:943 ---PRISM DR
APN: 764-270-999-48 -300232-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 4100
Applicant: Architect or Engineer:
a
----------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I 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: C27-053 Li c No.: 964474
ate: / / tractor:
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).:
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.).
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 contractors) 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:
JOE RAITI
81943 PRISM DRIVE
LA QUINTA, CA 92253
Contractor:
DESERT OUTDOORS INC
79405 HIGHWAY 111, PMB 427
LA QUINTA, CA 92253
(760)399-9600
LiC. No.: 964474
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
Date: 11/30/11
DEI 01 2011
CITY OF LA QUINTA
FWANCiE DEPT.
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 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 NORGUARD INS Policy Number DEWC229889
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
II shall fortth—with/cote// whose provisions. '
te: / Applicant:
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 1 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 thi county to enter upon the above-mentioned prope inspection p s.
ate: '5, nature (Applicant or Agent): ��
Application Number . . . . . 11-00001289
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
72.00 Plan Check Fee
46.80
Issue Date . . . .
Valuation . . .
. 4100
Expiration Date
5/28/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
3.00 9.0000
--------------------------------------------
THOU BLDG 2,001-25,000
--------------------------------
27.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
45.00• Plan Check Fee
11.25
Issue Date . . . .
Valuation
0
Expiration Date
5/28/12
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.
30.00 Plan Check Fee
7.50
Issue Date-
Valuation . . .
. 0
Expiration Date
5/28/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000.EA
PLB FIXTURE
12.00
1.00 3.0000
-EA PLB GAS PIPE .1-4 OUTLETS
3.00
-----------------------------------------------------------------------------
Special Notes and Comments
ADD NEW FIRE PIT, FOUNTAIN WITH PUMP &
FILTER. 2010 CODES.
--------------------------------------------------------
Other Fees . . . . .
--------------------
. . . . BLDG STDS ADMIN (SB1473)
1.00
s
Fee summary' Charged Paid Credited
Due
Permit Fee Total
147.00 .00 .00
147.00
Plan Check Total
65.55 .00 .00
65.55
Other Fee Total
1.00 .00 .00
1.00
Grand Total
213.55 .00 .00
213.55
LQPERMIT
Bin. #
city..'�f � Qi1(n a
Bu1kring a 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:
TFISM
Owner's Name:. J Q ' tT.'
A. P. Number.
Address: .�
Legal Description:
City, ST, Zip: Lk QuAm l •
u' S%
Contractor. Desert Outdoors
Telephone:
Address: 78-065 Main St. Ste. 205
Project Description:
City, $T, Zip: : La Quinta, Ca. 92253
-r
Telephone: 760-399-9600
,.
state Lic. # : .'c-53 964474 city Lie'. #;
Arch-, FzW•, Designer. Flying Buttress
Address: ' 77725•Enfield Ln. Ste. 130
City,ST,Zip: Palm Desert, CA. 92211
Telephone: 760-772-4411
State Lic. #: 33446
Name of Contact Person: J
ria
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo "
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
9; • "
fistimated Value of Project'co
APPLICANT: DO NOT WRITE BELOW THIS UNE
9
Submittal
Req'd
Recd
TRACKNG
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
Title 24 Calcs.
Plans picked up
Construction
�ann� P
Flood plain planPlans
resubmitted
Mechanical
Grading plan
2f6 Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
GA5
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsfissue
Devdoper Impact Fee
Planning Approval.
Called Contact Person
A.LP.P. "
Pub. Wks. Appr, -
Date of permit issue
School Fees
Total Permit Fees
s
WRH
1-8FT
WRH
1-8FT
FIREPIT AT +24" HT.
CAP BY OTHERS 4' DIA.
GLASS FILL AT INTERIOR
WA-ERFEATURE T.B.D.
WITH- PU MP-,-BLTER —AN C
AUTOFILL'--COBBLE DRY
STREAM- ACCEI�.
CIT
1-15GAL
CIT
1-15GAL
CIT
1-15GAL
EXl
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CH
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TRIM AND FERTILIZE
REMAINING PLANTS
EXISTINCG
RESIDENCE
N1-2480X
BC
h_uunY
CH 1 3 CERAMIC 'BASALT' TYPE SPILL
24BOX ROCK WATERFEATURES WITH
PUMP, FILTER, AND AUTOFILL.
COBBLE DRY STREAM ACCENT.
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EXIST
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Col
NEO NEO NEO
TIMECLOCK ON
OUTSIDE WALL
1402 S.F.
NEW PAVERS -
WILOR (1606
MEAT)
EXI5TIN&
GONGRETE TO Be
Removw =03
S.Fj
c
67A5
METER
ELEC
FFANEL
IRRIGATE POTS FOR HERBS.
POTS TO BE SUPPLIED BY
OWNER
REPLACE ALL REAR YARD CONCRETE
WITH NEW SONORASTONE PAVERS
FROM TRI-STATE. (COLOR IS 1606
WHEAT).
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
PLAN 2
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DEEP ROOT
BUBBLER SYSTEM
1 FINISH GRADE
2 BUBBLER HEAD
3 12" PVC SCHEDULE 80 RISER
4 PVC SCHEDULE 40 STREET ELL
5 PVC SCHEDULE 40 TEE AND ELL
6 CLASS 200 PVC LATERAL
7 4" ADS PERFORATED PIPE
42" LONG W/ ONE BUBBLER
8. 3/4" PEA GRAVEL
9 DRAIN GRATE
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