08-1960 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ��� 08-00001960
Property Address: 61372 SAPPHIRE LN
APN: 764-280-999-87 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000
Applicant:
Tityl 4 4 Q"
Architect or Engineer:
PIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LEEPER
61372 SAPPHIRE LANE
LA QUINTA, CA 92253
Contractor: D
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: 12/16/08
7EC
:22 008
CITY OF LA QUINTA
CILIA.— — -
u SED ONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am i ed pr sons of Chapter.9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Prof i de, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
LicensegI ss: C8 C 7 C29 ice o.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
//,�//vvl77aa % `' issued.
Date�L�` ntractov V-1 have andwill maintain worker ' ompensation insurance, as required by Section 3700 of the Labor
Code, for the performance o the ork for which this permit is issued. My workers' compensation
,EONER-BUILDER DECLARATION _ insurance carrier. and policy n ber re:
I hereby affirm under penalty of perjury th exempt from the Contractor's State License Law for the
following reason ISec. 7031.5, Business 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.).
(_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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 ISec. 3097, Civ. C.).
Lender's Name: .
Lender's Address:
LQPERMIT
SEA13RIGHT Number BB1080510
Icertify that, in the performance of the for which this permit is issued, 1 shall not employ any
person in any manner so as to beco a sub) worker ' compensation laws of California,
and agree that, if I should become su je th r compensation provisions of Section
�^ 3700 of th§ Labor Code, I s p se provisions.
WARNING: FAILURE TO SECURE WORKERS' C9M PENSATION COVERAGE IS UNLAWFDb,,AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE IES AND CIVIL FINES UP TO ONE HUNDRED Tpiqu.SAN
DOLLARS ($100,000). IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FO
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 defend, indemnify and hold harmless the City
of La Ouinta, its officers, agents and employees fo ny _ 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 and void if work is not commenced
within 180 days from date of issuance of such permit, or c tion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above as
i ream agree to comply with all
city and co ty ordinances and state laws relating to building construc ' nd authorize representatives
of this uA�toyOtsr ypylf he above-mentioned property for insp p se
/2s It v
ate: . nature (Applicant or Agent):
Application Number .
. . . 08-00001960
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. 19760
Expiration Date
6/14/09
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
6/14/09
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
6/14/09
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
6/14/09
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 . . . . 08-00001960
Permit . . . WALL/FENCE PERMIT
Additional desc
"
Permit Fee ". 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 240
Expiration Date 6/14/09
Qty Unit Charge. Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 15 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 326.00 .00
.00
326.00
Plan Check Total 160.55 .00
.00
160.55
Grand Total 486.55 .00
.00
486.55
LQPERMIT
in
w SPECIFICATIONS Nm
} NM:pA" Fob1LWSTRhZ10r1 �� ulL TYPE SIZE $I O" X wm
N : PSV 6� PTii S I 'SURFACE AREA OF POOL Q PRT m
..PERIMETER ��' DEPTHS MIN. 3."Co MAI,
`"Yo AAT t14�' VLIT1� ���� GZi�lL• TISE �->a SAM dT +I�'/tom/ala" BPA 9PFI CATION6 TILE �tUD
CA'PS'TO Ae, VE^If�R -fO 3" w-wW 14T1{ GDWREd� 6a4c. 44-44 S -f0 !E Yf'4e�aR SP , SQ FT
•$AAOAMWALLNmTH . wAET� E ' C RNA,. \(. z %
0.
LIGHT
I'JfikGKED Y(OFJ� �iFIN�yJf4yq 10 S"ELoI4 W11 SEc @irEVh'n`S J ROOF rum
1"L+r '"Y�^T� Tl'�f- Irl��7 RASED®AAT I'1\e OUMTEfl a0.I0 Dow
0•• 0.08 TOP Dow
IVK+. P! SPILLWAY TYPE -� <wZ
V_ I— SPERM NOTES_ 1 m D' L7
DECKING S�1 'Lj P:j
O +B' RIB• t ♦IB"
FINISH
SQ `Y °o<mQ EXCAVATC/ TTYPE �EXPANSIONJOINTS
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PS
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FFI EL �TI21G41 Li1fLJ� TAN SHELF DEPTH ' IT'I
DISI A`1M> rYf • ?%A.91 /.01 -DP '� FATW� 4 • -=_� - i BAe- s V -f- oV7. CENTERS _ROCK POCKETS DOPGO�
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fiPILLWAY TYPEp0.
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ADDL PSP SIff FPEPT
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PEBBLE/ PLASTER - oe
®
---------- I - "SIX STUBS LONTB —
i I FOUMAHS IBNNYIEIDS ROLLEDSOND BEAT
� .SHEER
TYPE
FE GBEIND W
A
1108 SPA- EYES
WPOOL-%Ok--C
SNB SET
n iPMFENCING G
lgAft
HEIGHT
O
_____ ___ __ •--�: H , GUNITE J� GATE REVE(SA
` IS OEEPERDRAMP_REMOVE11
O
o LDVESFAT_—
7 SPILLWAY TYPE
CANTILEVER
COPING OTHERPA^PWA S*g Lism
Tw , OWNER RESPONSIBILITIES
Y �A (� v TJ'7 OWNER j71 TAKE NOTICE THAT POOL AND EGUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
`J, ) (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION. O
.;y r' LOCM BUILDING DEPARTMENT AT THE TOE OF ISSUANCE OF POTFAIT.
(- ) I (7) WET DOWN CONCRETE SHELL AT LEAST TWICE DALLY FOR SEVEN DAYS AFTER SHELL IS INSTALLED.
P)ANDA THAT TANY GE11MENOT RESPONSIBFORLE WYS.LA LAWNLIND S,
THERITEMS
T OR MSW THE ACCESS
/WF`� �✓ _________ _ I (5) SEE THAT ALL FENDWGroGMTE& AND GAPAGED00RS MEETLOCN CODES FORA POOL
w FNRASRE AREA.
� PaaarorREnAsm+wsEcnRL
(B) FILL POOL IMMEDIATELY
AFTERPABTER(FOL OWINSITWCTNIN9-DONOT U5E aUSBERHOSE)
O® (7)TAKE ITTEN PCE ISSIONO RUWWBSTMESOrr PROPERTYOF TESFJRRAANDiNATANYUSEWRHRI7
WRITTEN ICE TSA T OF DRAWING
IS PflWB1TEDBYUW.
�� , INNER APPROVES PAN. POOL, AND EOWPMENT LOCATIONS A DHASRDDTHE RFCM�IY Rr[S AND NOTICES ABOVE
SIGMTURE� GATE
I SWIMMING POOL PLAN FOR:
AME LEEPER RESIDENCE
STREET- -.'•.•-".= :,,I. IL -0b
JOB ADDRESSt0lI AQ 1^ CITY J WTMfl•
PHONE
*ez
• InT lk -f TRAR PAGE BOOK
mel)
S -or LOW-(oa
SCALE DATE DRAWN BY I SOLD BY CHEC
A T n-la-oa "a JEFF tan
J08"REVISIONS
DATE:
CONSTRUCTION AUTHORIZATION
� O SALES FIELD
DIG
sPA 4, R.B.g �l-EcVAT10N t GUNITE
'ALL DECKING EXPANSION JOINTS FOR UNDERGROUND
REPRESENTATION ONLY, FIELD LAYOUT MASONRY
WILL VARY. DECK
PRE -PEBBLE
5
w
I��
uj
cr
W
aPRE
LL:
6
SELECTIONS
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gc`AL ClA 6''Vo cs„e,ls a
rDECKCOLOR
a11E o IBJfF
QS -G POA �p�.�
PEBBIPLAS F►- 0.1d,�.
Tc�t */36\� \ems G
SIGNATURE
DRAINAGE NOTE Dr hqa and Hga0R' for plaugm and pols' by DDIma,
Unless odHNWiSB noted.
Bin #
City of. La Quinta
Building & Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
000
Project Address: / Z /)2-U &V/U
Owner's Name: L E-E--DLS 2
A. P. Nurnber: t (�
Address:
Legal Description: of.
City, ST, Zip:
Contractor: e
Telephone: --
Address: b- &U
Project Description:Cjo L
I I �
City, ST, Zip: 6 Ca •7
`7 -236
Telephone: q2�Z
State Lic. N: 5 Z City Lic. #:
/5L>t=1- Lewe, LOSe,#-4/ // -f (/
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: i
State Lic. #:
Name of Contact Person:Fcosni,�Sq.
Construction Type: "10 Occupancy:
Project type (circle one)• Ne Add'n Alter Repair Demo
Ft.: g7 gjq#
Stories:
#Units:
Telephone # of Contact Person: (
Estimated Value of Project: — K
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
Z"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.Q.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
aDc9go