08-1743 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: t 08-00001743
Property Address: 61720 SAPPHIRE -LN
APN: 764-280-999-69 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000
Applicant:
er
I hereby affirm under penalty of periNkthat I
Section 7000) of Division 3 of the Busi
License Class: C8 C27 C29
ate:� nuactoc
Til4t 4 4 Q"
Architect or Engineer:
�Ja
--------------
ED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
lic er provisions of Chapte7-
WNER
mencing with
of o Is ode, and my License force and effect.
nse No.: 656128
-BUILDER D RATION
Ihereby affirm under penalty of perjury t I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Busin7f and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, dr 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.l.
(_ 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.).
(_) 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:
LQPERN1IT
Owner:
ARNOTT
61720 SAPPHIRE.LANE
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: 10/21/08
D w u
OCT 21200a
CITY OF LA QUINTA
------------------
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
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for thqfTerTo—Fritakce of the work for which this permit is issued. My workers' compensation
insurance ca ser and pol number are:
Carrier SEABRIGHT Policy Number BB1080510
I certify that, in the rformanc of the wo which this permit is issued, I shall not employ any
person in any manne as t be e s ct to orkers' compensation laws of California,
and agree that, if I should a su ' t o ers' compensation provisions of Section
23700 of the.Labor Code, a I f ith those provisions.
Date:
Xppl,cant:
WARNING: FAILURE TO SECUR WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDIT 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 issu mit.
2. Any permit issued as a result of tl i application be es null and void if work is not co enced
within 180 days from date of issuan of such perms or cessation of work or days will subject
permit to cancellation.
I certify that I have read this application and state Aion the i I agree to comply with all
city and county ordinances and state laws relatingh y authorize representatives
of this u� to ryer upon eabove-mentioned o s. {/' �(/ nature (Applicant or Agent
Application Number
08-00001743
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
207.00 Plan Check Fee
.134.55
Issue•Date
Valuation . . .
. 19680.
Expiration Date
4/19/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
-------------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan,Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date
4/19/09
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
4/19/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
---------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
:
30.00
. . .
PLUMBING
Additional desc .
Permit Fee . . . .
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
4/19/09
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 . . . . . 08-00001743
Permit . . . WALL/FENCE PERMIT•:
Additional desc .
Permit Fee . . 15.00
Plan Check'Fee
.0.0.`
Issue Date
Valuation
320
Expiration Date,._ 4/19/09
Qty Unit Per
Extension
'Charge'
BASE FEE
15.00
--- -----------------------------------------------------
Special Notes and Comments
POOL/SPA, 20 L.F. 4' EQUIPMENT
ENCLOSURE, CITY STANDARD.
.ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION.
Fee summary Charged Paid
Credited
Due
-----
Permit Fee Total 326.00
---------- ----------
.00 .00
326.00
Plan Check Total 160.55
.00 .00
160.55
Grand Total 486.55
.00 .00
486.55`
LQPERMIT
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PH B 780CA9L 1 -9222 FAX:176)
CENSE No. 636112998.9258
Brdlders a/' Exceptional
Outdoor Living
Bin #
City of La nuinta
Building 81 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:
Owner's Name:N�
A. P. Number: ��
Legal Description: V
Address: V 1-720
City, ST, Zip: / -1�/
Contractor:
Address: 6 — U d
Project Description: s
City, ST, Zip:
Telephone:
State Lic. #: -3�
City Lic. #:
Arch., Engr., Designer:
Address:
Construction Type: 0 Occupancy:
P Y
City, ST, Zip:
Telephone:
State Lic. #: - .
Y
Name of Contact Person:e
Project type (circle one . Ne Add'n Alter Repair Demo
Sq. Ft.: �6$
#Stories:
# Units:
Telephone # of Contact Person:(
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 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
2nd Review, ready for corrections/issue
Electrical
Plumbing
Subcontactor List
Called Contact Person
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
d'd 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
020000
3w
/TT 3