07-1496 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Qu&&
Application Number: 07-00001496
Property Address: 54210 CANANERO CIR
APN: 767-320-999-294 -32879 -
Application description: POOL - RESIDENTIAL
Property Zoning. LOW DENSITY RESIDENTIAL
Application valuation: 17000
Applicant: Architect or Engineer:
nth
J1
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I amr0'censed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin and Pr fessionals Code, and my License is in full force and effect.
License Cl s: C8 C27 C29 LicenseNo.: 656128
Date Contractor:
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 _ 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 _ 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.).
1 _ I 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:,
BLENNER RESIDENCE
54-210 CANANERO CIR
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/21/07
-----------------------------------------------
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 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 SEABRIGHT Policy Number BB1070510
I certify that, in the *RKERS*
e work for which this permit is issued, I shall not employ any
person in any mame subject to the workers' compensation laws of California,
and agree that, iubject to the workers' compensation provisions of Section
$700 of the Labith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURPENSATION 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 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 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 inf rmation is correct. I agree to comply with all
city and county ordinances and state laws relating to building const ction, and hereby authorize representatives
of this cou �y ttoo nntter upon the above-mentioned propert tion purposas-
Da
s.
Date:�ignature (Applicant or Agent):
Application Number . . .'. . 07-00001496
Permit . . . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 180.00 Plan Check Fee
117.00
Issue Date . . . . Valuation . . .
. 17000
Expiration Date 11/17/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
15.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
135.00
Permit . . . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee
11.25
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/17/07
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 11/17/07
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
-----------------------------------------------------------------------------
Special Notes and Comments
POOL, ALARMS/BARRIERS SHALL BE IN PLACE
AT PRE -PLASTER INSPECTION. -EQUIPMENT
ENCLOSURE NOT INCLUDED.
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Due
----------
1 Permit Fee Total 252.00 .00 .00
252.00
Plan Check Total 135.00 .00 .00
135.00
Grand Total 387.00 .00 .00
387.00
LQPERM[T
Bin #
City of La Quinta
Building & 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: S t ,,
Owner's Name: o
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address:- 0-- O 4
Project Description:
City, ST, Zip: OA -C ^ L- 6* .17 71 Z3 (P
u L.t
Telephone:
State Lic. # : (/J, City Lic. #: r
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 3-65S4;7- N,4t,)pCZ
Sq. Ft.:
# Stories: -T
# Units:
Telephone # of Contact Person:(7-%O —d .
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
``
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
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 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
SPEOIFIC46l1aNS
1 2_"
I
TYPE
r. r� • ti r"k . i r t _ i t. r-x. IY — -
SURFACE ,AREA OF PO6j,P.
(0
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bL_ I aLiC UIP F CLL
r
Y
i
ONSTRUCPON AUTHORIZATION
SALES
CMG
PRE - UNITE
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE
PERIkIETER i 4!J DCPTHs kiln.
SPA SPECIFICATIONS TILE
S ZE St M FT- TILE TYPE
SPA DAM WRL MTH WI4TFR LINE 4,
NQ OF IET3 _ mTc TRIM
LII T QUARTER ROUND
R.&EL III P 1i Er �-
RA150 SPA AT
SPaLW"T C7F
SPECIAL 1T
DECKING
,4
EXCAVATION / T'i= EL
TYPE
sc 4
FINISH �
ekPAddSt-0FJ JdIHTS r
CANl1LEVER
ACCESS FROM
1rl.EVNTION
oEEP I!ku RAMP
OECIf DRAINS
F
LOVE SEAT
rj
OECOO DRAW
CQNCI�ITIZ RExMOv.+,L
� �— ..
— LOADS
CURB COTiE
SDO REMOVAL
0
LOAV,
STEPS
TREE REMOVAL BY
STEP FACE w
IRMSATICN REMOVAL RY_
KE AAS�
IRFIGATLDN REPAIR
C CALEL
ft
RIBWNS
127 F-E.9.
ft
_
NOW STRIF
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N' R.U.S.
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—
"A'J $IMELF DEPTH
MASONRY
I Y
Roa1 PXM
COPING 11'PE
CEfLIERZI
3 F 17
P1.UN413€NG
FILTER � ti � SIZE 4
PCrflL P1JiMP SIZE
e00STER PLINP ' SIJZ
ADD'L F�AMP SI7,E _
.;DR'L PUMP _ 517£
HEATER k 512E
aINE O flCIC
! UkM PANIEL 4
ADD 'L OUTLETS
FILL, LINE y'
GAS LINE �i- �- - STIJ9S
NU N TA I W S /SPIT Q FLE,i D S
SHEI"3T DESCENTS „^
u611T$ IN POOLf'w5_'0 N SPA
STU9 SET EQJFMEIT cJ
?AIM rr}}
PLUNMO Sh7E T r� I of �-
GUNITt=
7'M EMS RAMP
F][TI NRO 2n3 STEP
LOVESEAT
SPILLWAY
SPLLWEY£R r }}55
DOPING
Ries• - SEE STEEL
R.L3 *GINS
`7FFLLLWAY TYPE
PROP. EXT• WALLS —
PLJLHTFII WALL r
RETAINING YL41S
MUIP- WALLS —�
FREPIT —
LIGHTS Pom
LIGHTS SPA
ROLLED BCWD E3EM _
SPA
DUA
ElE4+Lt c
FENCING
FENCE TYPE
HaWT
GATE
'RATE REVERSAL
REMOVE & G
LUT. 8TAR1'
EST. COMPLE-01ON
MAX ."
CMKR TO- (1) DIETOMM THE APPROXIWATF ETZVATIOE# OF POOL- OR SPA AT LAYULIT 0" DAY OF E1(AVA71014
(8) TAKE Noma THAT POOL AND EQUIPMENT LOCATIONS ARE SA9XI71' H} ADCFPTANCE OF
WCAL IRUILDING UBPI1ATMMT AT _n%:OF ISBLJANCE OF PmCT
(3) HET DM CLVd[ M SHELL AT LE St -I'MU - DAILY FOR SEVEN PAYS AFTE7i SHELL. IS MTALLED
(4) AGREE T}LA7 TESERRA IS HOT RESPONSIBLE FOR UNOERORDUND CONDITIONS OR :OEiJECT$
ANE1 ANY DAMAGE TO CORK SMLVAIXI , DRINEWAYS, L.AWR$. OR OTITER ITEMS 114 THE ACCESS ARF'A
(5) SEE THAT ALL FED GATES, AM GARAGE DOJ7RS' &ET LOCAL COOS" FOR A PDGtL aqu-0WRE
PRIOR TO PREPLASTER INSPECM1%
(6) FILL POOL. 1MR- 1A7r.r AFTER K STmM (FOL.I.QW INSTRvrTC0S — UO WY USE RUOBER HD5E)
(7) TAKE NOTICE THAT THS M&WrNG IS THE SOLE PROPERTY 3F TE�URA AND THAT ANY
LIK 441THOLIT wRiTTE 3 fFAMI5sm OF TESERRA IS PROHIBLTEti By LAw.
d1'Nh'.-7r bM'IROVES PLAN, POM AND FAUIPM:N7 LOCATIONS AND HAS READ THE MPONSIRILJTWS Aft NOTLCES ABOVE
"ATURE(S) PAT' ?�i�` -' -
lf�#fu�ING POUT_. PLAN FOR: _
"A'11E -- ELE II ER RESIDENCE -�
STREET 5 - C�aa Ad r Q _
.SOB ADDIRESS C-,P,I�-_ F t r--A CITY L 4
PI-f13NE OFFICE RES
LOT 2-f;�k Li TRACT PAGE BOOK
MAP73011K PAGE NO, CITY
MAIL ADDRESS
CONSTIRUCTIiON OFFICE PHONE „I D,
SCALE DATE DRAWN BY j SOLD BY CHECKED BY
11113# am I PF-VISIONS DATE
CITY OF LA QUINTA
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PEBB,IPLAS-
SIGNATURE
ZRAINAGE N❑TE- Drainage and irrigation for plan =ers and p0s, by
_ others. Unless otherwise noted, —
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