07-1497 (RPL)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00001497 Owner:
Property Address: 54245 CANANERO CIR MCCOMIC GRIFFIN LLC
APN: 767-320-999-281 -32879 - 7979 IVANHOE AVE #550
Application description: POOL - RESIDENTIAL LA JOLLA, CA 92037
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2500b
Contractor:
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280
CO60)398- 22 92236
(760) 39.: 656
Lic . No.: 656128
LICEN ED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and P fessionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 onicense No.: 656128
Date: L 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 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 _ 1 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
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
certify that, in the performance oft a work for which this permit is issued, I shall not employ any
person in any manner so as to be me subject to the workers' compensation laws of California,
and agree that, if I should becom ubject to the workers' compensation provisions of Section
$700 of the Labor II ort with comply with those provisions.
Date: ��Applicant:
WARNING: FAILURE TO SECURE WO 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 I have read this application and state that the above i ormation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin con ruction, and hereby authorize representatives
ofthis county`to enter upon the above-mentioned proper:f insp ction purposes.
Date: u �� 7Signature (Applicant or Agent):
Application Number . . . . . 01-00001497
Permit . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00_
Plan Check
Fee
163.80
Issue Date
Valuation
25000
Expiration Date
11/17/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
23.00 9.0000
---------------------------------------------------------------------------=
THOU BLDG
2,001-25,000
207.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan.Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
11/17/07
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
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 . . . .
33.00
Plan Check
Fee
8.25
Issue Date-
Valuation
. . .
. 0
Expiration Date
11/17/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00 6.0000
EA PLB
FIXTURE
12.00
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, SPA, ALARMS/BARRIERS
SHALL
BE IN
LQPERMIT
Application Number . . . . 07-OOObl497
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.'
EQUIPMENT ENCLOSURE NOT -INCLUDED.
Fee.summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 356.00 .00 .00 356.00
Plan Check Total 189.80 .00 .00 189.80
Grand Total 545.80 .00 .00 545.80
LQPERMIT
Bin #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quiilta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:' 457 S
Owner's Name:, L
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: U..(p "
Project Description:
City, ST, Zip: 6 OA-041;V-4 C- - 7 7, Z-3
0
Telephone:
State Lic. # : j/L City Lic. #: r
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: fL^ Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: , NA.tJL)G— Z
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: D --O .
Estimated Value of Project: ZS 6 O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'rd Review, ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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sq. vr.
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ACCESS FRON
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7
EXPAtMON JOINTS
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PROP. EK, WALLS
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Est_ COINI"LE11014
R-SCSI" - SEE STEEL
OWNER RES 4 5 BILL 15
f �1t1�CIi35C1
OWER TCc (1) O IUMNE IM APPROXiNATE IrLVATION
(2) TAKE NOTICE THAT ROM AND EWUIPkHff
CF POOL OR SPA AT LAYWT ON DAY OF 94.AVATI13N
LOCATIONS ARE SUBJECT TD ACCEPTANCE OF
I
is
j�
CONSTRUCTION AUTHORIZATION
O
BALES FIELD
PIKE-G1 N11 E
UNDERGROUND
MASONRY
DECK
PRE -PEBBLE
LCK JAL RHU01149 DFPARTkIEriT AT TW OF ISSUANCE Df Pakffr
(3) NET DDWW OONUFETE SHELL AT LEAST ME DAILY FOR SEVEN CAYS ArT R SHLU IS HSTAUEE
(#) AGREE THAT TESEMM IS NOT RESP014SIKE FOR UWDERRGRDtiPD CONDITIONS OR 99,EC15,
W ANY PAMAOE TO CURBS, SIDEWALKS, DRI EWAYSr 1AWNS. OR V FP MEMS IN THE ACCESS A$iEA
(5j SEE THAT ALL Fla GATCS, ANO OA149E NOR$ MEET LGGp C pWIZSS FOR A PQ01. F.iv%WLAqV
PRIOR 10 PREP ASMF 14SPEC710MR
(B) FILL POOL IFM,IEOFATELY 4FTER KASTF.R. [F'OLww IWMC110N5 — UG NOT 05E RJE6ER HOSE)
(7) TAME ROTICE THAT THIS DRANIN3G Ira THE 5OU PROPERTY 9F TEEERRA AND TNAT ANY
USE WATHCUT WFUTTEN PERWISSICN nF lESERRA IS PROHIBITED 6Y LAtiW.
OWNER APPROVES PLAN, PCB AND EQUIPMENT LOCATIONS AU HAS READ THE RESPONSINUTFS AHO HOTIcM A&M,
SIRIATLIRgS)
VAR
S'+hlIUMING POOL PLAN FOR:
NAMI MADEIRA Cd GRIFFIN R.LOT 2 1
STREET S ` `we_
JOB ADDRESS
APjc, CITY
PHONE: OFFICE
RES
LET ! TRACT
PAGF BOOK
MAC' BOOK PAGE NQ,
CITY
- —
MAIL ADDRESS
CEINSTRUCTION OFFICE PHONE N❑.
SCALE
DATE
�l
V-IIT�
DRA1VN BY
Ll
SOLD BY CHECK
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-- PEBB./PLAS zz
SIGNATURE
DRAINAGE NOTE: Drainage and Irrigation for planters cnd pats, by
others, unless otherwise dated.
ED
LLJ
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