07-0498 (RPL)P.O. BOX 1504 �^' ' VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
'LA QUINTA, CALIFORNIA 92253' BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
�_ ..... ''BUILDING PERMIT ,
�- _--y
• � Date: 2/15/07
-Application Number: '07=00000498 Owner: -
Property Address: '• 61571 TOPAZ DR J SATTER '
• APN: 764-280-999-19" -30023.7 _ 61571 TOPAZ DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES I D
Application valuation: 24000 q(- ry-
Contractor: FEB 5 2��
Applicant: Architect or Engineer: TESERRA
Ld
•'� P.O. BOX 1280 4 I — 49
COACHELLA, CA 9223
Pr (760)398-9222
Lic..No.: 656128
-- - - - - - -- --------------------'-------------------------------------------------—
LI ENSED CONTRACTOR'S DECLARATION WORKER'S.COMPENSATION DECLARATION
-1 hereby affirm under penalty of perjury that am 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
License Cl a s: 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
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor .
Code, for the performan. of the work for which this permit is issued. My workers' compensation
II1 OWNER -BUILDER DECLARATION insurance carrier and polidy number are:
I hereby affirm under penalty of perjury thattl am exempt from the Contractor's State License Law for the Carrier SEABRIGHT !! Policy Number 131310 -70516
.following reason (Sec. 7031.5. Business an Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repai any structure, prior to its issuance, also requires the applicant for the person in any manner s as t become subject to the workers' compensation laws of California, -
permit to file a signed statement that he -or a is licensed pursuant to.the provisions of the Contractor's State_ - and agree that, if I sh Id beco a subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and. Professions Code) or - 3A�otabor e-1 { halt rthwith 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)-: Date: t:
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 WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL .
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES 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 ADDITIO TOTHECOST 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 CO , 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.). - :APPLICANT ACKNOWLEDGEMENT
1 _ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the
' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. „r -
- property who builds or improves thereon, and who contracts for the projects with a contractor(s):licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(=
),I am exempt under Seca , B.&P.C. for this reason .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.
i4
Date: Owner: - • 2. Any permit issued as a result of this application ecomes null and void if work is not commenced.
within 180 days- from data of issuance of such ermit, or cessation of work for 180 days will subject '
CONSTRUCTION LENDING AGENCY permit to cancellation. ,
- I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state tItin rmation is correct. I agree to comply with all -
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating tstru tion, and hereby authorize representatives
of thi county to enter upon the above-mentioned pion purposes.Lender's Name: te:ure (APPlicant o(Agent)'
Lender's Address: � - -
LQPERMIT
Application -Number
. . 07.-00000498
Permit' . . .
BLDG POOL PERMIT
Additional desc_
-
-
Permit. Fee '.
24'3.00- Plan Check -Fee .•
157-.95
Issue.Date
Valuation_
23760
Expiration Date
8/14/07
Qty Unit Charge-
Per.
Extension.
BASE FEE
45.00 .
22.-00 9.0000
-----------------------------------------------------------------------------
THOU BLDG 2,001-25,00.0
198.00
Permit . .
MECH POOL
Additional desc .
Permit Fee
26.00-- Plan Check Fee
6.50
Issue'Date-
Valuation
0
Expiration Date
8/14/07
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
Per Fee
'45.00 Plan Check `Fee
11.25
Issue Date . . . .
..
Valuation:
0
Expiration Date
8/14/07
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
8/14%07
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
3.0.0
1.00 33:0000
EA PLB GAS PIPE .1-4 OUTLETS
3.00
Permit . . . WALL/FENCE PERMIT
LQPERMIT -
-
Application Number 07 -00000498 -
Permit' WALL/FENCE PERMIT
a Additional desc .
Permit F66',_ `, ._ .15..001. Plan. Check Fee
". 00
Issue. Date Valuat-ion
240
Expiration Date 8/14/07
Qty . Unit. Charge Per
Extension
BASE FEE
15.00
--------------
-- -------------------------------------------_--------------------
pecial 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 362:00 .00 .00
--- - - ----
362.00'
Plan Check' Total 183..95,: 00 00183.95
Grand Total 545.95.., 00 00
°545.95"
' LQPERMIT.
-ain #
a City Of. La Quinta
Building & Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
` Building Permit Application and Tracking Sheet
School Fees
Total Permit Fees
Project Address: �_`
Owner's Name: �..
A. P. Number:
Address: _
Legal Description:
Ci ST
City, ' Zip:
Contractor:
Telephone:
Address:
L2
Project Description:
City, ST, Zip:e4o P:_G E Ll/>- CJS
Telephone:
u
State Lie. #: �p j (� ,� City Lic. #:
'L ? C %.TV "rte
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
�
Sq. Ft.: #Stories: # Units:
Telephone # of Contact Person: r� 5Q _
Z �'
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd
TRACKING , PERMIT FEES
Plan Sets
Plan.Check submitted
D
Item
Amount
Structural Cale s.
Reviewed; ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cale;.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan'
2nd 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:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A4. P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees