06-3695 (RPL)P.O. FOX 1504
78-495 CALLE TAMPICO
LA. QUINTA,-, CALIFORNIA 92253
s
Application Number:
06-00003695 _ ,
Property Address:
61270 RUBY CT
APN:
764-270-999-59 -300234-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
16U.UU
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DALE TYERMAN
61270 RUBY COURT
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or.Engineer: ALPINE POOL'S &
41995 BOARDWALK
PALM DESERT, CA
(760)346,-2350
Lic. No.: 786324
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: C53 Lice a No.: 786324
Date Z��G tractor:
R
OW -BUILDER DECLARATION
I hereby affirm under penalty of p r' ry that I am e e pt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, B ness and Profes ions Code: Any city or county that requires a permit to
construct, alter, improve, demolis , 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 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 or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( 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:
I.QPERMIT
SPA'
ST,
92211
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D & D�.
OCT 2 3 r.3
INC CITY OF LA fd�
FINANCE DEP'
Date: 10/20/06
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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
14 issued.
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 STATE FUND Policy Number 000232362006
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 LL or Code, I shall forthwith comply with t rovisions.
:0000
D�atf�%p 23 `� plicant:
WARNING: FAILURE TO SECUR WORKERS' COM SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO C INAL PENALTIE D CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADD N TO THE CO F COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR ODE, INTEREST, D 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby autho ze representatives
of thh ounty to enter upon above-mentioned property for inspection pur ores.
atb e: Q/ 23 nature (Applicant or Agent):
LQPERMIT - '
Application Number .
. . . . 06-00003695
Permit .•
BLDG POOL PERMIT
Additional desc .
Permit Fee . . .
171.00 Plan Check
Fee,
111.15
Issue Date . . . .
Valuation
. . .
. 15744
Expiration Date
4/16/07.
Qty Unit Charge
Per
Extension
BASE FEE
45.00
14.00 9.0000
THOU BLDG 2,001-25,000
126.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
4/16/07
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
4/16/07
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
. . .
. 01
Expiration Date
4/16/07
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
Permit. . . . .
WALL/FENCE PERMIT
LQPERMIT - '
Application Number . . . . . .06-00003695
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 15.00 Plan Check
Fee
,. .00
Issue Date . . . . Valuation
. . .
. 256
Expiration Date 4/18/07
Qty Unit Charge Per
Extension.
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
FOOL/3FA, 16 L.F 4' EQUIPMENT WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 290.00 .00
.00
290.00
Plan Check Total 137.15 .00
.00
137.15
Grand Total 427.15 .00
.00
427.15
,.
.,
. t.
1
_..
Bin #
Cityof La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet .
Pefmit N
Project Address: A1270 70/e(/�'j v
Owner's Name: T
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: LO//vE OOLS z�✓C ;
Telephone:
�i . -.
Address: 95 _67 7C E
Project Description:
City, ST, Zip: — ,rP—Trh . 22
Telephone: p. 316.-2,350 .
State Lie. # : City Lie. #:
Arch., Engr., Designer:
F•
Address:
City, ST, Zip:
Telephone:
State Lia #:
Construction Type: kjfA/ Occupancy:
Project type (circle one): eco Add:m Alter 'Repair Demo
Name of Contact Person: jQN�Ls✓ Z
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: e6
3,YG 1.50
Estimated Value of Project: ox,
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
SubmittalReq'd
. :
Recd
TRACKING,
PERMIT FEES
Plan Sets
Plan Check submitted
y
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
I1lechanicsl
Grading.plaa
ready for correctionsfissue
Electrical
Subcontactor List
r2"Review,
Contact Person
Plumbing
Grant Deed
picked up
'S.M.I.
Li.O.A. Approval
Plans resubmitted .
Grading
IN HOUSE:-
'''Review, ready for.correctionsrssue
DeveloperImpact Fee, ;
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date ofpermit issue
School Fees
.+ . .
Total Perini( Fees ,.:...,.
7-0 !wC(OCI �x s.
Oct -20-06 12:45 Biex,Inc 925 556 0800 P_01
Trilogy at La Quinta Maintenance Association
October 18, 2006 .,
Dale & Karen Tyerman
800 Redwood Drive
Danville, CA 94506
Property Address: 61270 Ruby Court
Dear Mr. & Mrs. Tyerman:
CONDITIONALLY APPROVED
'We are pleased to inform you that your plans for the installation of a rear yard and pool, received on
10/12/2006, have been conditionally approved by the Design Review Committee per the attached
Conditions of Approval form and the following notes.
1. Delineation is needed between the Golf Course and your rear ward, for example.
headerboard.
This approval does not constitute consent by the Association for the applicant to encroach, trespass;
or build on any property other than that of the applicant. This approval is -related solely to the items'
reserved for approval. by the CC&R's in accordance with the Design Guidelines: The approval does
not extend to the quality of work done by your architect, or contractor, or to any structural engineering,
soils engineering, or site grading and drainage design. You are urged to obtain the: services of a state
licensed professional for consultation as needed.
The Design Review Committee is composed of volunteers. As such, it does not review applications to
ensure compliance with building codes, or other local or state laws. Please be advised that this,
approval does not relieve you from obtaining any necessary building permits from the governmental
agencies involved to ensure compliance with these codes. Any violations of these ardinanees will be
your responsibility to correct. Thank you for your patience in this matter and for complying with the
Association's policies and standards.
Sincerely,
For the Design Review Committee
Melinda Gutierrez, CCAM
Association Business Manager
Enclosures
cc: Board of Directors
Design Review Committee
Professionally Managed by Action Property Management, Inc.
60-750 Trilogy Parkway, Lu,Quinta,.CA 92253-7717
760-777-6059 800-400-22&4 •760.777-6097 fax
www actionlife, com'