08-1570 (RPL)P.O. BOX 1504 ,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:08-00001) 0�—^�
Property Address: `81414—JACARANDA CT
APN: 764-280-999-151 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: _ 25000
Applicant:
r/
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ L -—---- — — — — — — — — — — _ — _ _ — _ _ _ — _ — _ _ _ _ _ _ — J— — — _ _ _ _ _ _ _ _ _ _ — — — — — _ _ _ _ _ _ _ _ _ _ _ — — — — _ — _ _ _ _ — — — — — — —
Tit!t 4 44urKrw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BISACCIA
81414 JACARANDA COURT
LA QUINTA, CA 92253
Contractor:
Architect or Engineer: 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: 9/16/08
i
LICENSED CO T CTOR'S DECLARATION
I hereby affirm under penalty of perjury t t I am license de prov' 'ons of Chapter 9 (commenciuy with
Section 7000) of Division 3 of the Business d Prof n d and License is in full force and effect.
license s:/ C27 C29 Li No. 56128
ate: ntractor:
NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business rofessions 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 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, 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:
LQPERMIT
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 y Number BB1080510
I certify that, in the perfo ante of the ork for which this permit is issued, I shall not employ any
person in any manner o as to beco j o the workers' compensation laws of California,
and agree that, if I sho Id become the �9yJP�e�rf' compensation provisions of Section
3"0 -of -the Labor Cod I sha o ono;; ifOGify(those provisions.
WARNING: FAILURE TO SECURE WORK Ofv1PEN9A1'f0N COVERAGE -IS -UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN P LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITI THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR 20DE, 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 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 above 'nformati is cor ct. I agree to comply with all
city and county ordinances and state laws relating to buildin tr , an eb authorize representatives
of thi cou o eFpplicant
'bove-mentioned property for in
ate: �or Agent):
LQFEK 11'F
Application Number
08-00001570
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . .
252.00 Plan Check Fee
163.80
Issue -Date . . . .
- Valuation . . .
. 24760
Expiration Date
3/15/09
Qty Unit Charge
Per
Extension
BASE FEE -
45.00
23.00 9.0000
THOU BLDG 2,001-25,000
207.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50 _
Issue Date . . . .
.Valuation . . .
. 0
Expiration Date
3/15/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
---------------------------------------------------------------------------J
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation . . . .
0
Expiration Date
3/15/09
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
3/15/09
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
LQFEK 11'F
t
;,
Application Number . . . . . 08-00001570
r
Permit . . . WALL/FENCE PERMIT
Additional desc
"
Permit Fee 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 240.
Expiration Date .3/15/09•
Qty Unit Charge Per
Extension
•BASE FEE
15.00
Special Notes and Comments
POOL/SPA, 15 L.F.4' EQUIPMENT ENCLOSURE,
CITY STANDARD,GAS & ELECTRIC STUB -OUTS
FOR FUTURE APPROVED & SEPARATELY
PERMITTED APPLIANECES. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION.
Fee summary Charged Paid Credited
Due
Permit Fee Total 371.00 .00
.00
371.00
Plan Check Total 189.80 .00
..00
189.80
Grand Total 560.80 .00
.00
560.80
LQPERMIT
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LOVEBFAT OECCOWM
CONCRETE REMOVAL LOAN Glim __
8W RE1O✓K LOAM "p -S �—
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G U N ITE GATE REVERSQ.
DEEP END RAMP ^ REMOVE B RFHNIG
EXTEMOZOSTEP
L.OVESFAT _
SPILLWAY TYPE
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OTHER
RSH-SEESTEH
I OWNER RESPONSIBILITIES
OMER TO
(1) WTEREITE THE APPROGmUTE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATIO!.
D THE MOTILE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT THE TIME OF ISSUANCE OF FEIGBT.
(D) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL S INSTALLED.
(Q AGREE THAT TESFIRAIS NOT RESPONSIBLE FOR WDERGIGUNDCOFDIT1ONS OR WILTS.
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, W OTHER MEWS N THE AD= AREA.
US) EEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL COMB FOR A POOL ENCOSNE
PRION TO PREPLASTFR INSPECTION.
IS) FILL POOL (MEDIATELY AFTER PASTER. (&%= NS- W NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THE DRAWING IS THE ESERN ANDTMTANYUSE WTTIDUT
WRITER PERMISSION O TESERM IS PROHIBITED BY UW.
OWNER APPROVES PLAN, POOL, AM EO IPAEM LOCATIONS AND LITS REM THE IE9RYSBIRES NO NOTM ABDV
SIGNATU EP GATE
SWIMMING POOL PLAN FpQR: ...
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REVISIONS
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SELECTIONS
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Bin #
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Permit # �/I O
. � 1
Project Address: 717
A. P. Number: -%M;
Contractor: e i
Address: b7 x i
I
City, ST, Zip: �
Telephone: — q22:
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Pian Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
EM
WER
WEN"
City of. La's Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
i4w Owner's Name:
�SI
Address:. ' /- L111-1 c74-0� �4
City, ST, Zip:'�'/
Project Description:
City Lic. #:
�Aj
Construction Type: Occupancy:
Ail
Project type (circle one) - (New ` Add'n Alter Repair Demo
-T
Sq. Ft.: # Stories: #Units:
Ci— CJZ2 $ Estimated Value of Project: 2-Q 2.s K
APPLICANT: DO NOT WRITE BELOW THIS LINE
'd RecdTRACKING PERMIT FEES
Plan Check submitted Item Amount
Reviewed, ready for corrections Plan Check Deposit
Called Contact Person Plan Check Balance
Plans picked up Construction
Plans resubmitted Mechanical
2"d Review, ready for corrections%issue Electrical
Called Contact Person Plumbing
' I Pub, Wks. Appr I , I Date of permit issue �—
ISchool Fees
Total Permit Fees
'5q15-000-
14
saoo.14 6o