08-1657 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001657
Property Address: 81400 -JACARANDA CT
APN: 764-280-999-152 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 18000
Applicant:
Architect or Engineer:
�JA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under prow' ions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d P essionals e, a my License is in full force and effect.
License Clas : C8 C27 29 icense : 656128
/ate: ontractor: ,
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 (Sec. 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).:
(_ 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
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, 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.).
(_ 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:
DE CARLO
8i400 JACARANDA COURT
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: 10/03/08
D OCT e3 200
���
A QUINTA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I 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 the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier SEABRIGHT Policy Number BB1080510
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 sect to the workers' compensation laws of California,
and agree that, Yl should become su to thew s' compensation provisions of Section
/ 3700 of the or Code, I s with com with those provisions.
ate: [
d 9 plicant: '
WARNINE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 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 6wner, 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 i r 'hids correct. I agree to comply with a
city an county ordinances and state laws relating to building co r tion, and hereby authorize re r wtrt[I as
oft Aj;
o enter upo he above-mentioned property ins coon o S.
ate: 27 S nature (Applicant or Agen
Application.Number . . . 08-00001657
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
189.00 Plan Check Fee.
122.85
Issue Date
Valuation . . .
. 18000
Expiration Date
4/01'/09
Qty '.Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0 .
Expiration Date
4/01/09
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 . .
4/01/09
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
4/01/09
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
--------------------------------------------------------------=-------------
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERAIIT
LQPERMIT '
Application Number . . . 08-00001657
---------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary Charged
Paid -
Credited
Due
------- ----------
Permit Fee Total 293.00
.00
---------- ----------
.00
293.00
Plan Check Total 148.85
.00
.00
148.85
Grand Total 441.85
.00
.00
441.85
LQPERMIT '
Li
4 DECK
PRE -PEBBLE 11
SPECIFICATIONS
TYPE_ I J l l l TE Slg 3rd—D' x 12—G
SURFACE AREA OF POOL LI -2I
PERIMETER- I I Cl DEPTHS MIN.d M
SPApP�FIFICAT ON9 TILE
812E YY �� •• Sa FT. TILE IYPE
SPA DPM WALL 4H I WATERLINE
Na OF JEIB ' TEE TRIM
LIGHT QUARTER Ra11
SPAAT REB. TILE
WAY TYPE S S
SPEUPLNOTES
DECKING
E CAVATI / TEEL
TYPE FNSS �R'
ACCESS FAON EPPASSION Ja
ELEVATION CANOIEYfl1
DEEP END RAMP� � DEIX ORPITS n
LOVESEAT — OECLOOPIp
CONCRETEREMOVAL LOAM CURBCORE
SWRFMOVAL — LOADS 9IEP9
TREE REMOVAL BY STEPFAGE
BRSATgNREAOVAL BY TIE BASE
IRRGAnON REPMR — DANOANDVISDUEETJ YO*
P RB. RIBBOPS
J -
r RBOA'
.EL �— NBTW
S R8B 5 0
PPR.a —
So-FIEa
TAN SKHF DEPTN
ROO(POOETS— MASONRY
CENTERS - Ca WG TYPE
R.B.B. FACING
SALLWAYTYPE SIM
PLUMBING STEPS
FLTOJ / Slff PROP. EJ(T. WALLS
POOL PIMP / PIANTERWALL
BOOSTpPLmP SIM RETNwNGWALIS
ADDL RMP SDE — EOUP. WA LS
fREPi
AOOL PIMP - �
SUE
MFA7Hi gIg O
nAEaoIX
mKe vME1
ASC.OUILET9 _
. TYPE
FLILLINE�"L ' PEBBLE /�LA97ER
GAS LINE .�G C_ BnA79 WITS POOLFOMUKTSO
US, SPA /
SWER OESENTS —WE"AW ROLLEDBONDBFW
SNEOI DESODIIS —' BOGAO BPA
lNiN18 NPOOL BP EYEB•115
STUB BEimuwlprt �/ S FENCING
NSG
PURGING SIZE FENCE TYPE
IEl01fT
6A E
GUNITE OAIEFEVERSAI _
DEEP END PAW — REMOVE ARO 1
EITOO24STB
LOVEBFAT
viiLWAY TYPE /i ,. -0
CAWMIVER
OTHER
RZA- ]
RB8.8EE BTffl
OWNER RESPONSIBILITIES
OWNER TD.
(1) OETERNNE TNEAPPROANATE ELEVATION OF POOL OR SPAAT LAYOUT ON DAYOF EXCAVAl10N.
f4 TAME NOTICE THAT POOL AND EdSPNOKT LOCAnONSARE SUDIECT MACCEPTANM OF
LOCAL BUILDING DEPARTMENT AT THE TIME OF MANCE OF PENNT.
(>) WET DOWN CONCRETE SHELLAT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SXELL S USTAIl®.
(Q AGREE THAT TE901AASNOT RE,
.SOROBJECB.
AND ANY OAAIAOE TO CUR&S.9IDEWALIm, ORIVEWAI'9, LAWN9,OROTGV TEMS N TNEACCFSSAREA
(S) SEE TOUT ML FENCWG. GATES AND GARAGE DOORS MEETLOCAL CODES FORA POOL ENCLOSURE
PRION TO PREPLASTER NSPECWN.
(E) FEL POOL IAIEDUTELYAFTER PIASTER ( FOLLOW INSTRUCTIONS - DO NOT USE RUBBER IIO6E)
M TAKE NOTICE THAT
THIS DRAWING S THE SOLE PROPERTY TE&EARA ANO TSETRZL 9E N711101R
WRTTEN PERMWK)N OF TFSERPA S PHOL®TED BY LAW.
NNER APPROVES PIAN. POOL. AM EOLIPIPNT LOCATIONS"HASRFADIIE RE�ON98ITIE9 MDNOTIOL9ABOYE
IGIUTIF� DALE
. SWIMMING POOL PLAN FOR:
WE DE CARLO RESIDEI�bC.E�
.SCALE DA DRAWN BY 3p LD gY CHECKE
°= 1' 0(01 Gs°QJ 6T. sl-IAhli�.
JOB REVISIONS
DATE:
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Bin #
: City of. La Quinta
Building & Safety Division
Permit # (P.O. Box 1504, 78-495 Calle Tampico
1 ri/ La Quinta, CA 92253 - (760) 777-7012
l� Building Permit Application and Tracking Sheet
Project Address: , / r�- Owner's Name: ��ff
1
A. P. Number: - el(1,5-7Z Address:
Legal Description: �- City, ST, Zip:
Contractor: SerraTelephone:
MEN=
Address: b --On iE�u Project Description:
City, ST, Zip:.C3 I CSa 4272
Telephone: F g21Z
State Lic. # : 2 City Lic. #:
Arch., Engr., Designer:
Address:
t
City, ST, Zip:
Tele hones
pp - I ans resubmitted
Grading ---....._.._.__.. _.. .
Pub. Wks. Appr Date of permit issue
School Fees
Total Permit Fees
p
Construction Type:
Occupancy:
State Lic. #:
Project type (circle on New Add'n
Alter Repair Demo
Name of Contact Person:
Sq. Ft.: #Stories:
#Units:
Telephone # of Contact Person: (7(op
v— UZ g 1
Estimated Value of Project:
/C
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Recd TRACKING I
PERMIT FEES .
Plan Sets
Plan Check submitted 110
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
.Grading plan'
2-d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
pp - I ans resubmitted
Grading ---....._.._.__.. _.. .
Pub. Wks. Appr Date of permit issue
School Fees
Total Permit Fees