08-1441 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T, I UY 4
i
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
Application Number: 08-00001441
Property Address: 81449 JOSHUA TREE CT
APN: 764-280-999-141 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 25000
Applicant: Architect or Engineer:
I hereby affirm under penalty of perj ry that
Section 7000) of Division 3 of the Balmess
LicensECPJ9s: C8,1227 C29
'S DECLARATION
MA of Chapter 9 (commencing with
an y License is in full force and effect.
I hereby affirm under penalty of plerjury th amain exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business nd Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or pair 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 sale 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 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: Pf
LQPERMIT
Owner:
WRIGHT
81449 JOSHUA TREE 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: 8/20/08
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 p ' number are:
Carrier SEABRIGHT Policy Number BB1080510
I certify that, in the perfor nc of tOich [his permit is issued, I shall not employ any
person in any manner so a becthe wor rs' compensation laws of California,
and agree that, if I should be awo ' compensation provisions of Section
3700 of the Labor Code, 1 II a provisions.
/ .le -
WARNING: FAILURE TO SECUFIE WORKE COMPENSATION COVLRAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC IMINAVEN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIO HE 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, agentsployees for any act or omission related to the work being
performed under or following issu ce this permit. ,
2. Any permit issued as a result of thi ppl cation becomes null and void if work is not commenced
within 180 days from date of issuan o 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 a infor is co t. I agree to comply with all
city and county ordinances and tate laws relating to b ns ti , a eby authorize representatives
of th' c to enter upon a above-mentioned pr rt o e o
af� _� ;?� gnature (Applicant or Age
".� .
Application Number 08-00001441
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00 Plan Check Fee
163.80
Issue Date . . . .
Valuation . . .
. 24760
Expiration Date
2/16/09
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
2/16/09
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
2/16/09
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
2/16/09'
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
i
LQPERMIT
Application Number . . . . . 08-00001441
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 240
Expiration Date 2/16/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 15 L.F. 4' EQUIPMENT WALL,
CITY STANDARD, 150 L.F.OF 11/2" GAS LINE
FOR FUTURE APPROVED APPLIANCE.
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
\
`
Bin #
City of. La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
0 Quinta, CA 92253 - (760) 777-7012
I Building Permit Application and Tracking Sheet
Permit #
A
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Project Address: Lzz—�
—Owner's Name:
A. P. Number:�&& T�
Address:
Address: sb-I(X� Ave- gu
Arch., Engr., Designer:
Project Description: Aoz S,,0,4, Qa .
Construction Type&/��
Telephone:
State Lic.
Name of Contact Person:
Project type (circle.one)GW Add'n Alter Repair Demo
Telephone# of Contact Person: Moo) 2SQ-07-91
Estimated Value of Project: 15 <
APPLICANT: DO NOT WRITE BELOW THIS LINE
PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural CaIcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Cales.
Called'Contact Person Plan Check Balance
Energy CaIcs.
Plans oicked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready for correctionstissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grading
ev
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Pub. Wks. Appr
Dat e'of permit issue
School Fees
Total Permit Fees
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