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11-0528 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ' 1 Application Number: e, 11-00 0 00528 Property Address: L" 53549 VIA BELLAGIO APN: 777-170-005- - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 TUV/ " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------------------------------------.-- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licen a Class: C8, 10, 27, 2 License No.: 656128 Date: �>� ntractor: 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).: (_ 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.). (_ 1 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.). I—) 1 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: I{� Lender's Address: L&ERMIT Owner: MIGLIORINO ROBERT/MARY 81 ELEVEN LEVELS ROAD RIDGEFIELD, CT 06877 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/23/11 ►D A —L-7 Contractor: TESERRA Ad 1 P.O. BOX 1280 r MAY 2 G 2011 COACHELLA, CA 92236. (760) 398-9222 . i 67Y0,FLACJU1N7R Lic. No.: 656128 — r1r1e?.,C 3. es+ 1 ------------------ 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. V� 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 EVEREST NATL IN Policy Number 7600006481111 _ 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 subject to the workers' compensation laws of California, and agree that, if I should become su ' theworkers' compensation provisions of Section 3700 of the Labor Code, I sha114eK ' h comply wi os isions. /D�t ¢/�] AW cant: W/ ARNI G: FAILU T URE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this co /pntyy toenterupon t above-mentioned prop! inspection purposes. uS' azure (Applicant or Agent): Application Number' . . . 11-00000528 Permit .. BLDG POOL PERMIT Additional desc Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 11/19/11 Qty 'Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ----------------------------------------------------------- THOU BLDG 25,001-50,000 ---------------- 65.00 Permit OOL MECH POOL,- Additional Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 11/19/11 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 11/19/11 Qty Unit Charge. Per Extension BASE FEE 15.00 1.00 30.0000 ------------------------------------------------7--------------------------- 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 11/19/11 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, INCLUDED 96 L.F. 1 1/2" GAS LQPERMIT Application Number 11-00000528 Special Notes and Comments LINE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due ----------------- ---------- --- - ------ ---------- ---------- Permit Fee Total 421.00 .00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 .'Other Fee Total 2.00 .00 .00 2.00 .Grand Total 655.05 .00 .00 655.05 LQPMI IT 0 EXISTING LANDSCAPE LIGHTING IN REAR YARD RAISED PLINTH AT 44' WITH LT.BROOM CONCRETE COPING. 0 EXISTING OVERHEAD UTILITY LINES IN REAR YARD ONE RANTER BOWL AND RANDOM STONE VENEER FACE • . POOL SPLIT MAIN DRAIN SUCTION MINIMUM Y APART. ANTI -COVERS i0"AWE IANSI APPROVED FIREI PIT AT O'�WITH LIGHT BROOM FINISH COLORED ICONCRETE I STEPPING PADS POOL I SPA LIGHT JUNCTION BOX POOL I SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER POOL EQUIPMENT 50 AMP SLIBPANEL WITH 30' CLEARANCE AT FRONT AND SIDE POOL EQUIPMENT: 400,000 BTU HEATER •ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED POOL EQUIPMENT: 400,000 BTU HEATER 'ALL EQUIPMENT SHALL. BE SEISMICALLY ANCHORED TAs -,1}'Po[yPRoPYLeHE cis 11• ELECTRIC CONDUIT DATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH )H 114 - MANDATORY REQUIREMENTS I ARMLS TO RE INSTALLEn ON ALL Dfk-M WITH DIRECT ACCESS TANNING SHELF AT 12'WATER DEPTH WITH ONE UMBRELLA SLEEVE RAISED PLINTH AT+24' MRH LT.M;k M CONCRETE COPING ONE PLANTER BOWL AND RANDOM STONE VENEER FACE RAISED BOND BEAM AT +16' WITH LT.BROOM FINISH COLORED CONCRETE CAP AND RANDOM STONE VENEER FACE RAISED PLINTH AT +24* WITH LTAROOM FINISH CONCRETE CAP, ONE PLANTER BOWL AND RANDOM STONE VENEER FACE TILE DECIONG BY OTHERS mSIX Fr. LKHTDRoOYWICFMCAN trnsQ ne1113rgIlBYanam M M FT. SIB CPRS am m MAIN HOUSE'ZOO A1� HEC1Ti1CAC PMEL,` SAFETY FEATURES: 'NLAND6RP/PIBROOL91 MTNUTAN IH7MOl1AEBlf BfNdllq OF7IEAIBICAN Bot>En:a TBINI Alm M790YD J>R TIE A16pM OOOkIY R JLi7I01GTl ETaa®9 µ9Q ELECTRICAL' EOIAOIBRWBONM RMMIDA RHOLE NTA W TO EJAMATEVRTAM QgKMM N RE POR AFA AB 19(CEC MT. IAA 201 O CALIFORNIA BUILDING CODE (SAMON3m6C) 201 O CALIFORNIA MECHANICAL CODE (&MWoNMXUC) 20113 CALIFORNIA PLUMBING CODE 160MOIIMUO)MUF 201O CALIFORNIA ELECTRICAL CODE (9A1OOMEMNEC) 201 O CALIFORNIA ENERGY EFFICIENCY STANDARI SPECIFICATIONS TYPE Df►erc Sim SDe. x SLWACE MEA OF POOL ONLY M SQ FT. PSMETER 122LAFT D®MB YN. Sd POOL 8 WKIY EDGE COIBFm SQFi. / tIt lAF'T. . SPA SPECIFICATIONS TILE MASONRY WPBATYFE RLL R M _ GFLMYrME— ILE ME TAD. BTif 17A04 TAR lR Fl. 1115 --mg. �� ePAOA9IEYLININ — RETI91 9JATI9 WJND 140.0F" I I191T 1-1mM RaR ILE ROAMSMAT — .3m 1.1, fwL., WLLMYTM EYE9EU STEEL TTIHRBIOMLBfffrEPR R AroaNFETAIKef ID mmTmmm •Rea FTImeolE IT FrIqA� E_A RE91R 60AARO trRea — DrRAe — Ir RBa N7 TM SBF HEPTA P=FOMZM NO ND MASONRY WPBATYFE RLL R M _ GFLMYrME— PLUMBING q„O ANN E SSOSQFI. PODLFUW JIIDY am 2P2SPBDQC BDDBIBiPIBi UIdY 6QE 2A W AOOI ROF LYIOY qE 2A IP _ MaPUIV am MUM AVE � ffru . So A A� MIDP. OO. TBIIe_ RAMwu— JETI99 INSUB FFa ii�lT IJb►AA6 Amoy AxAounETe — n9Be11 n ouALPaar RLLAE MIMSBL�¢ OABL/E 1 ur $I= .3m 1.1, fwL., FOWTAB 111PIUYIFADA — m" "mm — UWMMMM 0-01W NWA 1-Iww BTIBOETolwam YES WC. — - EYE9EU FENCING FLUMMXM 2tft611CTANa2Vr IETIRI R310E1Y1E— xmrt GATE OU N ITE aVERNAiFA JRIYMYTYIE fv cAoxm YES OpOA RECASTBYa1166 OTHER RB8-SE M OWNER RESPONSIBILITIES Dw761T0 MTAIE MU ME�LOOCA7MMEMS&M TOTO�MICEOF IPl LOCA BUIDRA D B VJ"WD AT TIE TOE OF SP W CE OF FO W. q TET 00"CO MM 98LMLEAffT TOLE DALY FOR WANDAY11AF1019ELL SEVAIM AUMTMTTBBEWAM DNIIOEE MOA IIDBEOIA ONV> T%LA A0"ImmillmR pf A[Lmme M QLnT0 a16�5,M 9YM9c DD991MLWAWOGFQIAPOOL9 OMM MFKLMMMM4VAMYAFMRFAMM(FOJMB IRJ=W-DOWTIAERIAii10E) (>) lffTTTMP80W=0 �p*PRMW= OF IE>HitANOnwTAlf/l/>E1MDAlR IffUK 0MMMf R01FARAL FOR AM EaNUM LownsAo 1MIFm TRE fwwa;eiIEO®A010RHATOLE F— MICLIORINO RESIDENCE l� 1 . I (I BATE 2011 I DESIGNED BY I PROJECT MGR JT. PAM I C EC1ED BY I 'mF I REVISIONS BY THE OCRAUMNA F RMDTBA• TIE OCA MTOR 91ALL09NFATENITN AREPIWF W ORBI affARE M401IM TE ME M BEEIRAYATED CONSTRUCTION AUTHORIZATION STONE SALES FIELD nLE n1r, BOULDERS SELECTIONS L.IJ U z W 'Q V I W nE O Z Qf O J U Bin # City of La 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 Permit # 11- Project Address: S� S Owner's Name: I 1 O(zW/t0, A. P. Number: Address: 5 3 Sy 9 i//A Legal Description: Contractor:ES - City, ST, Zip: LA Q11AIT-,1, Z S� w.4:; •:.i v :<,>.c •v.':,+F:;-: y Telephone: .� -.>���-•,r,,:.�:av�.s; -.,s.,t. Description: AJ -!- S 4, Address: C� 6 /O O • -- sProject City, ST, Zip: ^CA �x 6 TelephonZ Z ;:<z:<>;.:;.; O :t:.,�..•,�f,'y,\424::::: %i.:iV;'fSccY+'.tF2yrf .4: State Lic. # :Al S C / 2 19 City Lic. #; Arch., Engr., Designer: L- v Address: City, ST, Zip: Telephone: :%. yrsh<•> �: •. •.. ..:::c�^:^~.�vi:::v; .:�;>.-ice:-..Project AM:•'Ftii.: Construction Type: YP Occupancy: type (circle one): ew Add'n Alter Repair Demo State Lic. #:a Name of Contact Person: o Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: ZSO /A Estimated Value of Project: 3 $ _O vn APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted S Item ­ Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Title 24 Coles. Plans picked up Construction Flood plain plan . Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionstissue 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 correctionstIue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr . Date of permit issue School Fees Total Permit Fees