10-1238 (SOTB).f
P.O. BOX 1504
78-495 CALLE Yl MPICO
LA QUINTA, CALIFORNIA 92253
T-4bt
",
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
ApplicationNumber: 100:0:0:0:1238��
Property_ Address: 81154 SANTA ROSA CT
APN: 764-270-999-26 -300234-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application -valuation: 6000
Applicant: Architect or Engineer:
0(0111
'LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that am:licerised under provisions of'Chapter 9 (commencing with - -
. Section 7000) of Division 3 of_;he Business d Professionals Code, and mV1icense is in full force and effect.
Li se Class:.AJQ,2733 license No.: 656128 _
Date: Contractor: ^ '
1
'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 IS& 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 [he property, or my employees with wages as theii sole compensation, will do the work, and
the structure is not imended;or offered for sale'(Sec. 7044, Business and'Professions Code: The
Cohtractors'•State License Law does not apply to an owner of property'who builds or improves thereon,
and'who does the work himself or herself throughhis-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, as owner of the property, am exclusively contracting with licensedcontractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Lawdoesnot 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
Owner:
WELLS
817154 SANTA
LA QUINTA, G
ROSA COURT
92253
Contractor:
TESERRA'
P.O. BOX.1280
. COACHELLA, CA 922
(760')398-9222
Lic. No.: 656128,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/10/10
WORKER'S COMPENSATION DECLARATION
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 Coderfor 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 w_ hich this°permit is issued. My. workers' compensation
'insurance carrier and policy nymber are:
Carrier SEABRIGHT INS -Policy.Number BB1100510. •,
I certify that, in the performance 6f the work for which this permit is issued„ I shall not employ any
person in any mannerao as'to become subject t workers' compensation laws of California,
and. agree that, if, I should become subject to t orkers' compensation provisions of Section
3700 of the Labor Cod I. shall forthwith co with those provisions.
ate: II �0 pPlicanC q 1-41
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 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED -FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and.Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whos6 behalf this application is made, each person at whose request and for,
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the, applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its. officers, agents and employees for any actor omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within. 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above infor tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building nstr ion, and hereby authorize representatives
of this county en r upon the above-mentioned property for sp ion purposes.
ate: �/ %L /o ' nature (Applicant or Agent):
c
Application Number 10-00001238
Permit BUILDING PERMIT
Additional desc .
Permit Fee 81.00 Plan Check Fee
52.65
Issue Date Valuation . . . .
6000
Expiration Date 5/09/11
Qty Unit Charge Per
Extension
BASE FEE
45.00
.. 4.00 9.0000 THOU BLDG 2,001-25,000
36.00
Permit .. ELEC=MI$CEliLANEOUS
` Additional dese a
Permit. Fee. 15.75 Plan Check Fee*.
7.50
=Issue Date Valuation _. . . .
0.
Expiration Date 5/0,9/11 .
Qty' Unit Charge •• Per
Extension
BASE. FEE:
-15.00.
1.00 .7500:;PERELEC DEVICE/FIXTURE .IST 2.0
.
.75
00. 15.0000 SEP,:._ ELEC- SIGN 1ST. CIRCUIT
. 0o
Permit PLUMBING
Add .tionAl desc
Permit. Fee . . . 18.00 Plan:Check. Fee
5:.25
Issue•'Date Valuation
0
Expiration Date :5/09/'11
' Qty Unit Charge Per
Extension
BASE FEE-
15.00
.00 6.,0000 EA. PLB FIXTURE
.00:
1.0:0' 3 ..0000 EA. -PtB' .GAS PIPE• 1-4 OUTLETS
. 3-,, 00
' Special Notes -and Comments `
NEW BBQ,- ;INCLUDES -.13:1 .L.F.; 11/2" GAS.
LINE AND ELECTRICAL CONDUIT. 2007 CODES.
---------------------------------------------------------------
. Other Fees . . . . . . BLDG STDS ADMIN (SB1473).
-
1.00•
STRONG MOTION (SMI) --RES
..60
Fee "summary Charged Paid Credited.
Due,
Permit Fee Total 114.75 .00 .00
114..75
Plan Check Total 65.40 .00 .00
65.40
Other Fee Total 1.60 .00 .00,
1.60
Grand •Total• 181.75 .00 .00
181.75
LQPERMIT - -'
W SO. FT. 'AHTWECOME BRICK I
SS SO. FT. PAVER CRCLE
ORCO ANTIQUE COBI
COLOR TO BE TUSCA
INSTALL THREE HONEY QUARTZITI
fSTQrr COUNTERTGP AT+30' I+42' WIT
(-PRO.VIDEO BY -HOMEOWNER-) SEAR -Z(
FLELIGHT; THREE GFI OUTLETS, 12"CA
AND!STUCCO BASE TO MATCH HOUSE
ALUMAWOOD PATIO COVEF
SCOPE OF WORK
WD INSTALL GAS + ELECTRICAL FROM
) BBO ISLAND AND FUTURE MISTING PUMP
AND INSTALL THICK CUT STONE RIBBON
IEA PER PLAN
4D TO HAVE OUTLETS SEE DETAIL
1R.WELLS EXISTING GRILL TOP IN NEW BBQ ISLAND
;IDE BURNER,S EAR ZONE, ALFRESCO 30' BBQ
*ORB AND FLEXLIGHT
4D RUN WATER LINE FOR HOSE BIB PER PLAN
4D RESEED TRENCH LINE IN FRONTYARD
VER BY LIFETIME PATIO
DEMO AND REPLACE WITH STONE RIBBON
SPECIFICATIONS
TYPE MANSONRY SIZE x _
SURFACE AREA OF POOL -MY
PERIMETER DEPTHS MIN. MAX
POOL 8 SPA COMS)NED
BOE 9G R. INR._ Tum-
WATB6IE
SPA DAM WALL IIOTH TUTU-
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NO OF JETS DIIARIEN R
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LOAD;
CURB CORE -
BODREMNAL
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TTEE ROOVAL OY
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PLAWERVIALL
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CONSTRUCTION AUTHORIZATION
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TIME CDG(
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RSB.. SEE BIS
OWNER RESPONSIBILITIES,'
OWNERM.
(0 DEMMIRE TT¢ APPROfUTATE fUEVATOI OF POOL OR SFAATIAYOUr ON DAY OF EIPAVATOI.
. M TATE NOTICE TMTPOM IND MWWff LOCA70W IRE BIIBEU MAOC®TMCE OF
LOCAL BUILDNG D®AR111 AT THE TIME OF ISSUANCE OF PERMIT.
(0) WET DOW[ CO OREM Sal. AT LEAST TWNE DAILY FOR SEVEN DAYS AFIS SIMI S DWALIAD.
(1) AGREE TNATTESERAS NOT RESPO ME FOR UWCAOLMOOIOInOMSOROBECTS.
AND ANY DAMAGE TO CUBS. SOMALM ORIVEVYAYBLA0IM!L OnCROBISNTIEACOBSAREA
(S) IEETIOTALF01CM GA7ES.A43ONtMMWORSMBTLUCA0 MFORAPOCLOMOSUE
P ORTOPFERASMIMI ECIIOR
I,FILL POOL 11 EDIATELYAFTEANANER.(FoUm DatmE OIs- DOWT USE INBSFAmm)
M monCE
TTMORAWM�I OF IESEMMODYTMYUSE WOIDUF
YPERYBB I6®L
MIMMMROVFBNNL POO. NO EWPIENTLOA MBANDMSIFADTIEWWOOKMNVWrEBABOVE
ISONARwm DATE
SWIMMING POOL PLAN FOR:
WELLS RESIDENCE
•,c rIWIIc rwA. .
SCALE DATE DESIGNEDSY PROJECTMGR BY
A.=11 10-21-10 NB DANIEL
222261 REVISIONS DATE:
1 saECTION SHEET AND PATIO POST LOCATION 11,1410
2007 CALIFORNIA BUILDING CODE (SASEDOINOBBC)
2007 CALIFORNIA MECHANICAL CODE (BAS®O MMUMC)
2010 CALIFORNIA PLUMBING CODE (BAS®ONOOIUPC)TmeaIARIM
2007 CALIFORNIA ELECTRICAL CODE (BISEDOFOOOINEC)
2008 CALIFORNIA ENERGY EFFICIENCYSTANDARDS
GOVB7NIB/TCOOE SECTN1N A21S2 (e)(q BO®T M M EME GDCY. MY P8 SOF fUNMNO roaraer
ANYETL.VATON SNNl COMACf THE APPRORNiE I�OONILNQTFG/IONC£NTBi.AT UEASTTND
WGIBNO DAYS. BUT NOT MORE THM 14 CNSDM DAYS, PRIOR TOCOIW8CING TINT E=VATIOK F THE
UDAVATON ML BE CONDUCTED N AN AREA TWAT OINI
B IOI.OR RFA90NASY So" BE now
SELECTIONS
M
COM SUSSLWACE NSTALLATONS On" TNN[ THE LMDER ROIIO FACT TESOW®OtOBNTED
BY TWE OUVATOR AMD. FFRICTIMTHE E(CAVATOR SMALL OfiNEATEWBTH WHITEPART OROTIER
SATASE WUWOS TIE AM TO D
BE EXCAVA
CONSTRUCTION AUTHORIZATION
STONE
CHOCOLATE CHIARCOAI . TRISTATE
SALES FIELD
TILE
DIG
BOULDERS
PRE-GUNITE
DECKCOLOR
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SIGNATURE
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