12-0723 (SOTB)j
P.O. BOX 15041
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number:
12-,00000723
Property Address:
554-6-5—TURNSERRY WY
APN:
767-550-007- - -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2100
BUILDING & SAFETY DEPARTMENT "
BUILDING PERMIT
Owner:
DAN O'CONNOR
55465 TURNBERRY WAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D
9R1 2 2nd �t
6/28/12
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:
of La Qwnta, 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 1 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, ereby� onze representatives
oft is co ty t enntter:upon the above-mentioned propert r inspectio urp s
ate I ?'S-.,,.ture (Applicant or Agentl:
LQPERMIT 4JI
Contractor:
Applicant- Architect or Engineer:
DESERT OUTDOORS INC
79405 HIGHWAY 111, PMB 427
LA QUINTA, CA 92253
(760)399-9600
Lic. No.: 964474
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
-----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7 00) of Division 3 of the Business and 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
LicerlseseeClss: C27-053 icens o.:.964474
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
. I `1 -
6j ontractor:
issued.
Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
//,"{ate.
7s 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:
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier NORGUARD INS Policy Number DEWC229889
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 the work for which this permit is issued, I shall not employ any
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 become subject 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 workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
forth' c mp Hf th those provisions.
700 of the Labor I shall w%
C�
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
///// / a .0
�iapplicant:
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)-:
ate:
(_) 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: FAIL E TO SECURE WORKERS' 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 CRIMINAL 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 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.).
APPLICANT ACKNOWLEDGEMENT
(_) 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 for a 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.
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 Sec. , 8.&P.C- for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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:
of La Qwnta, 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 1 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, ereby� onze representatives
oft is co ty t enntter:upon the above-mentioned propert r inspectio urp s
ate I ?'S-.,,.ture (Applicant or Agentl:
LQPERMIT 4JI
Application Number . . . . . 12-00000723
Permit . . .
BUILDING PERMIT
Additional desc .
.Permit Fee . . . .
54.00 Plan Check Fee•35.10
_
Issue Date
Valuation . .
2100
Expiration Date
12/25/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
1.00 9.0000
--------------------------
THOU BLDG 2,001-25,000
-----•-------------------------------
9.00
--------------
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
15.75 Plan -Check Fee
3.94
Issue Date . . . .
Valuation .
. 0
Expiration Date
12/25/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .7500
-------------------------=--------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
.75
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date
Valuation
0
Expiration Date
12/25/12
Qty Unit Charge
Per"
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00.
----------------------------------------------------------------------------
Special Notes and Comments
15 L.F. 6' GARDEN WALL CITY STANDARD,
PLUMBING & ELECTRICAL
FOR COURTYARD
FOUNTAIN. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
3.51
Fee summary, Charged
Paid Credited
--- - - - - ------ ---- ----
Due
-- - - - - - -
- ------- - - - - - - - ----
Permit Fee Total
-- - - - - ---
87.75 .00- .00
.87.75
Plan Check Total
43.54 .00 .00
43.54
Other Fee Total
4.51 .00 :00
4.51
Grand Total
135.80 .00 .00
135.80
LQPERA11T -
' J
EXISTING RAISED BOND BEAM _
WITH COLUMNS AND POTS. ADD
IRRIGATION AND ANNUAL
COLOR.
NEW CONCRETE SUB -BASE FOR
TRAVERTINE PATIO EXTENSION.
(SUB -BASE BY DESERT
OUTDOORS, TILE SUPPLIED AND
SET BY OTHERS)
NEW GARDEN AT +18" WITH TRAVERTINE CAP
AND SPLIT FACE TRAVERTINE VENEER TO
MATCH EXISTING STONE. EXACT
DIMENSIONS/DETAILS TO BE DETERMINED
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RESI DENGE A
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POTS TO BE SELECTED AND
SUPPLIED BY OTHERS, SET BY
DESERT OUTDOORS. NO W
DRAINAGE. (DESERT OUTDOORS J
TO PROVIDE DRIP IRRIGATION. �_ . _ _ _ _a -- -
ia 0 0 W
CITY OF LA C. UINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
SITE PLAN
9) SCALE: V = V-0"
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`DESERT OUTDOORS.
CITY OF LA C. UINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
SITE PLAN
9) SCALE: V = V-0"
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POOL DIMS:
SO. FT:
PER.
DEPTH MIN.
DEPTH MAX.
SPA DIMS:
SQ. F.
PER.
COPING MATT:
PER.
DECK MAIL
DECK S.F.
DEMO S.F.
EQUIPMENT LIST:
HEATER:
FILTER:
PUMP:
PUMP:
CONTROLS:
MISC.
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to
DATE:
6/14/12
DRAWN BY:
JOHN /JOE
SCALE:
JOB NUMBER:
SHEET NUMBER:
OF 1
Bin ff
Permit #
1'
J(LNumber:
s: .
a
Occupancy:
P nc Y•
on:
Ne%v Add'n Alter Repair Demo
Contractor:
Address: U
Sq. Ft.:
City, ST, Zip:V
# Units:
Telephone:7aq 3`?? i
Estimated Value of Project:
State Lic. #
APPLICANT: DO NOT WRITE BELOW THIS LINE
Arch., Engr., Designer:
Address:
TRACKING
City, ST, Zip:
Telephone:
Plan Check submitted
State Lic. #:
Item
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Cales.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building 81' Safety Division
P.O. Box 1504, 78-495'Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
wvner'sName: ,
Address: j5��v`����
City, ST, Zip:
(-5 elephone:i%5? 46 2
rProject Description:
City Lic. #:
K/D
Total Permit Fees
Construction TY e:
P
a
Occupancy:
P nc Y•
Project ec
t type (circle fe one):
Ne%v Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
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"' Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.1.
Plans resubmitted
Grading
1rd Review, ready for corrections/issue
Developer Impact Fee
A
Called Contact Person
A 1 P P
Date of permit issue
.
Total Permit Fees