08-0609 (RPL)no
P.O. BOX 1504,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: I _
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
X08-00000609
61300 SAPPHIRE LN
764-280-999-91 -300236-
POOL - RESIDENTIAL
MEDIUM HIGH DENSITY RES
30000
Architect or Engineer:
4 i
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HUDSON
61300 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: 4/14/08
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LICENSED CONTRACTOR'S DECLARATION
-
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION _
I hereby affirm under penalty of perjury that Ilam licensed under provisions 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 Professionals -Code, 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
td
License Ca C8 C27 C29 License No.: 656128
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
c
/t/
issued.
te: li ontract
�L I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
T Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier SEABRIGHT Policy Number BB1080510
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of t e work for which this permit is issued, I shall not employ any
lm!
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to besubject to the workers' compensation laws of'California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 Icommencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code I hall fo hwith comply with those provisions.
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).:e:
S. icant:
( I 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
ENSATION COVERAGE IS UNLAWFUL, AND SHALL
WARNING: FAILURE TO SECURE W KFEALTIES
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 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 contractorls) 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:
LQPERAIIT
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 inform4tion is correct. I agree to comply with alt
city and county ordinances and state laws relating to building constructi n, and hereby authorize representatives
offt�this count
to enter upon the above-mentioned property urposes.
0-at.:G nature (Applicant or Agent): __-
I.QPERA1IT
Application Number
08-00000609
Permit . . . .
BLDG POOL PERMIT .
Additional desc .
Permit Fee
284.50 .. Plan Check Fee
184.93
Issue Date . . . .
Valuation
29600
Expiration Date
10/11/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
THOU BLDG 25,001-50,000—
32.50.
Permit
MECH POOL
Additional desc-. .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . .
Valuation.
0
Expiration Date
10/11/08
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
10/11/08
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
10/11/08
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
Application Number . . . . . 08-00000609
Permit . . . WALL/FENCE PERMIT
Additional desc .
' Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date .... Valuation
400
Expiration Date 10/11/08 -
Qty Unit Charge Per
Extension
BASE FEE
15.00
-Special Notes -and Comments
POOL/SPA,.25 L.F. 4' EQUIPMENT WALL,
CITY STANDARD. ADD GAS & ELECTRIC STUB
FOR FUTURE APPROVED.AND SEPARATELY
PERMITTED.APPLIANCES. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER.
INSPECTION.
Fee summary Charged Paid Credited
Due
Permit Fee Total 403.50 .00
.00
403.50
Plan Check Total 210.93 .00.
.00
210.93
Grand -Total 614.43 .00
.00
614.43
tl.-�--- --- - -- - _ ..-- � _ _ - - - - - I. - ---
Bin #
City of 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
Permit #
Project Address: 6/- 300 b 1. /
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor: ��,! = ai4
City, ST, Zip:
Telephone:
Project Description:
Address: L-120 V•; s-6
City, ST, Zip: �,� = t_ C!`I- ZZ.3 6:1
L
Telephone: :�;elS=`1ZZZ
r .'
City Lic. #:
a5 �Fgift,
State Lic. # :
S
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:J LSSL
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: '
Estimated Value of Project: So"00 p
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 Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.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