11-0277 (RPL)P� O. BOX 1504
7&495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: -
Property Address:.
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
11-00000277
79973 RANCHO'LA QUINTA DR
649-740-010- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
32000
Tiht-4 40"
Architect or Engineer:
P I Pr
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONT CTOR'S DECLARATION
I hereby affirm under penalty of perjury hat I am license n "'a T'
provisions of Chapter 9 (commencing with
Sectiori 7000) of Division 3 of the 6 i ass and Profes ona Code, and my License is in full force and effect.
License Class: C53 i -a se No.: 838188
Date: �ZI—(I Contractor:
WNER-BUI R DECLARATION
I hereby affirm under penalty of perjury that I a exempt fro the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Pro ssions 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 1, 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, 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. , BAP.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: `l
`Lender's Address:. !+ P
LQPERAIIT
Owner:
DOUG & KAREN MCCOLEMAN
79973 RANCHO LA QUINTA DRIVE
LA QUINTA,' CA 92253
Contractor:
C & M POOLS INC
41530 BALACLAVA DRIVE
BERMUDA DUNES, CA 92203-1100
(760)360-6254
Lia. No.: 838188
VOICE (760) 777-7012
.FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/21/11.
.�D
a
MiA` 2'2 2011 Li
CIT? 05 !.-A aUiKA
cr,drt�z L 1aPT.
WORKER'S COMPENSATION DECLARATION -
[.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 EXEMPT Policy Number EXEMPT
certify that, in the performance of thew for which this permit is issued, I shall not employ any
person in any manner so as to be co su ject to the workers' compensation laws of California,
and agree "if
I s Id becomes je to the workers' compensation provisions of Section
3700 of the abor o e, I shall fo hwi comply with those provisions.
Dater^/ ( plicant:"�—
WARNING: FAILURE TO SECURE WORKERS' OMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT. AN EMPLOYER TO CRIMINAL PENH -TIES AND C IL 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 Quina, 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 isnot commenced
within 180 days from date of issuance of such permit, or cesd*co
work for 180 days will subject
permit to cancellation:
I certify that I have read this application and state that the above informatiect. I agree to comply with all
city and co ty ordinances and state laws relating to build' constructionetiy authorize representatives
of this my to enter upon the above-mentioned grope �r inspection p
te: 2 I I ( Si ure (Applicant or Agent):
Application Number .
. . . . 11-'00000277
Permit. . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
297.50 Plan Check
Fee
193.38
Issue Date
Valuation
32000
Expiration Date
9/17/11
Qty Unit Charge
Per
Extension .
BASE FEE
252.00
7.00' 6.5000-THOU
BLDG 25,001-50,000
45.50.
Permit
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check
.Fee
6.50 '
Issue Date
Valuation
0
Expiration Date
9/17/11
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
9/17/11
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
9/17/11
Qty Unit Charge
Extension
,Per
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
SPA, FIREPIT'. INCLUDES
2" POLY GAS LINE
LQPERMIT
Application Number 11-00000277
Special Notes and Comments
TO SPA HEATER AND 3/4" LINE TO FIREPIT.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2010 CODES.
---------- ------------------- ----------------- --"-----------------------------"
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid
Credited
----------
Due
-------------------------------------
Permit Fee Total 395.50 .00
----------
.00
395.50
Plan Check Total 217.88 .00
.00
217.88
Other Fee Total .2.00 .00
.00
2.00
Grand Total 615.38 .00.
.00
615.38
LQPERMIT
Mar 1011 04:58p RANCHO LA QUINTA HOA
7607778961 p • -I
ANT. U LA. QuiN'rA.
jr�nitect ral Control Committee
March 10, 2011 I� I
Mr. and Mrs. Doug Mc:C Zeman 'l
79973 Rancho La Quiltal.;Drlve
La Quinta, CA 9=3 Y.
Re: 79-973 Rancho La Qu6a Drive
AgpiroYal of Submission
The Architectural Corsn'nfrltee reviewed your submission for rear.yard and courtyard landscape
remodel, including pav 7tte submis `ion as presented is o
• � PDroved upon;candKion of
i
the Committee requires a following:
• All work is to be a in accord nce with all applicable requirements of governmentalentitles, includln the City of La into and in accordance with all Homeowners
Association arch' ctural guidellnes and governing documents.
• If applicable, a City/ of La Quiirtal6uilding permit be.obtained and copy furnished to the
Association prior to commencement of work
• Itis no that; the waterfall will not exceed the height of the existing wail.
• No entry from Go)f'Course: i`
Office. The Association's Orchitectural consultant will perform a final Inspection after receipt•of
such notice; when veration of the a� roved plan modifications have been concluded, your
Security ific
y Deposirwill be•prjpcessed for ce`fund.
Thanking you in advance and if any quesltions please do n6t hesitate to call meat the on-site
office 777.8807.
Sincerely, 1!
• ��� 1.
( GE[/Gt7l frGlAAe i
Association General Ma na el'`
760-777-8807 fax 760 -77T -a9,61 ! l ' --,
meralkena-drminiemet.com: I F i F1� _
{ ! !J
cc: Architectural Comm. I ;. I f.�
Ili MAR ! 8 O;I
P.O_ BOX 6419 • LA QUINTA, CA 92248-6419 - 760-777-88o7 • 15AX 760-T77-8961
CITY OF LA QUINTA SUB -CONTRACTOR. LIST .
JOB ADDRESS PERMIT NUMBER OWNER ,..: _ _ , _ . BUILDER
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only peisons 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_.
Trade / Nasst6eaUon
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State.Con actor.s:lacense:::.;
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F:....... Crfy:Businsslicense
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Company Name
Classification
License Number
Exp. Date
Carrier Name
Policy Number
Exp. Date
License Number
Exp. Date
(e.g. A, B, C-8)
(xxxxxx)
(xz/xx/xx)
(e.g. State Fund, CalComp)
- (Format Varies)
(xx/xx/xx)
(xxxx)
(xx/xx/xx)
EAR. TMWORK::
CONCRETE (C 81
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Customer Name: McColeman
Address: 79-973 Rancho La Quinty
City: La Quinta
State/Zip: Ca, 92253
Phone:
Cell:
Email:
Alternate Contact:
Job #:
Length: 9'
Width: 7'
Depth: 3.5'
Perimeter: 28'
Square Footage: 49 sq•ft.
Material: Pebble Plaster
Water Features: +42" Recreated
rock water feature
N
1/8 " = 1 FT
CITY OF LA QUINTA
BUILDING $ SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE j'2I -- BY
!G E
-0- ELEVATION SPA WITH
+42" RE-CREATED ROCK
WATERFALL 7
WATERFALL IS 2' OFF
SIDE WALL
A
PUTTING
GREEN I
IV
PLANTING AREA
FIRE PIT -0-
ELEVATION
-12" LOWER PATIO
INTERLOCKING PAVERS -0- ELEVATION
4
COVE DPA TIO
EQUIPMENT
LOCATION
11
MAR I
8 2�ii
RESIDENCE
G ARI
BOULDERS TO
MATCH
BQ ISLAND
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico -
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
/1 q
d�
Project Address: _�-1
Owner's Name:7)..,,
76 C,
Q-" to
A. P. Number:
Address: _5 _1 1 -
Legal Description:
City, ST, Zip: CA q I ZS
Contractor:
;;•;:;.;::;�:;:;>:<;<:;:>.:< ::::>s:<; >::s<»»#r::>
Telephone:
Address:
Project Description:
City, ST, Zip:
Cw L 41 b,44 ACS c W
Telephone:
I�
1 w
-1 e
�r .
State Lic. # : 3$ O City Lic. #:
Arch., Engr., Designer:%
IIle
C
o l ��n 1re- t t-
Address:
City, ST, Zip:
Telephone:
:•: f
::<.:.;:r:.;:•;::.;:,.;.y::;;a::::::::::::;:::..:
��::>::»>;:::«:::»::»�:;f;:::s::::>:!<Ys•
'•`•'? '
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: a Cp p
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issueElectrical
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