10-0536 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(;e -4 4 4 Qa4z
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
10-00000536
Property Address:
79120 LADERA DR
APN:
604-271-014-83 -23913 -
Application description:
POOL - RESIDENTIAL -
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
6500
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.
LicenseCla�ss: C35 C53 License No.: 664483
Date: • t7�l1 /I J Contractor:
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, 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 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.).
(_ 1 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:
LQPERi121T
Owner:
BERNOT RESIDENCE
79120 LADERA
LA QUINTA, CA 92253
Contractor: _
WESTFALL PLASTER SRVC
r
74823 VELIE WAY
PALM DESERT, CA 92260
(760)779-0639
Lic. No.: 664483
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/18/10
t D ....
NT
JUN 21 2010
CITY of !.A QUINTA
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 workerscompensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 0009927-2009
_ 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 subject to the workers' compensation provisions of Section
/399700 of the Labor Code,1W.aw
Date: Applicant:ith comply with those provisions.
i/w �. e`
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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 constructi , and hereby authorize representatives
of this co/u/�AA�ty to e [er upon the above-mentionged propert i purposes.
Date: 6tI/O/7_///1y Signature (Applicant or Agar
IL
LQPERMIT
C
Application Number . . . . . 10-00000536
Permit . . . BLDG POOL PERMIT
' Additional desc
Permit Fee . . . . 90.00
Plan Check Fee
58.50
Issue Date . . . .
Valuation . . .
. 6500
Expiration Date 12/15/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
5.00 9.0000 THOU- BLDG 2,001-25,000
45.00
----------------------------------------------------------------------------
Special Notes and Comments
SWIMMING POOL REMODEL - REPLASTER ADD
— -- ---__ __ .-- --- --- - --- - _ RAISED BOND BEAM.... _ADD- BENCH -& SHELF-
APPROVED PER AJ
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
• Permit Fee Total 90.00
.00 .00
90.00
Plan Check Total 58.50
.00 .00
58.50
Other Fee Total 1.00
.00 .00
1.00
Grand Total 149.50
- r ,
.00 .00
149.50
IL
LQPERMIT
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77725 Enfield Lane, #130
Palm Desert, CA 92211
(760) 772-4411 FAX (760) 772-4409
drpfly@aol.com
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BY DATE v
REVISED
BERNDT
'I9-120 Ladero Drive
Lo Quints
KENT WE5TFALL PLASTER SERVICES
"74-823 Ve I le Way
Palm Desert, CA 92260
(160)-?9-Ob39
GUNITE: F is = 2500 PSI MIN.
STEEL: FY = 40 KSI, ASTM A615
RETROFIT RA15ED BOND BEAM
'P )
BOND BEAM
FH
EPDXY
'ECTION
E: II' = 1'-0"
&Le,' J t a"_ t ye*k BY DATE G l o BERNDT #10-1+(o
77725 Enfield Lane_, #130 REVISED -141-120 Lades Dive
PaIM Desert, CA 92211 PAGELo_
(760) 772-4411 FAX (760) 772-4409 ��NIntQ
OF
KENT WE5TFALL PLA5TER 5ERVIGE5
74-823 Ve l ie Way
Palm Desert, GA 92260
(760) 779-0639
PRE -CAST COPING
OR CANT. DECK
SLOPE TO DRAIN
WATER
-_SURFACE
1l
4" EMBED.
" CLR.
3" CLR.
DOWEL INTO EX. SPA \���------------
WALL 4" MIN. OR _
LAP EXPOSED STEEL
15" MIN. (TYP.)
STEEL: FY = 40 KSI ASTM A615
CONCRETE: F'C = 2500 PSI AT 28 DAYS
EXISTING SPA
#3 BARS VERT./HORIZ.
AT 12" 0. C. (TYP. )
ADD BENCH
SCALE: 1/2" = 1'-0"
I NSW BENCH AT EXISTING SPA 12
dl&fty6no, " 4tt) ew BY DATE AO BFRNDT
77725 Enfield Lane, �9D '111-120 Ladera Drive
Pain Desert, CA 922112211 La Q�/IntQ
(760) 772-4411 FAX (760) 772-4409
KENT WESTFALL PLASTER SERVICES
14-823 Ve I to Way
Palm Desert, GA 82260
(760)-mq-063q
#3 BARS VERT./HORIZ.
PRE -CAST COPING
OR CANT. DECK AT 12" O.C. (TYP.)
SLOPE TO DRAIN WATER.
�— SURFACE
EXISTING POOL /�\9 3" CLR.
DOWEL #3 BARS/\\ •'. �..
INTO EX. POOL WALLS\//\//,' ' a ' AD[
EMDED. = 4" MIN. '�// ,\ �. .: , ": : e . ••:
USE SIMPSON SET -XP EPO
/� �� <� •
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(ICC REPORT ESR -2508) \/T�/
SPECIAL INSPECTION REQ'D ''moi �/� %�/i.�/i.�/i.�/i.
Q
No. 33446
STEEL: FY = 40 KSI ASTM A615 * Exp. 6v0 --m
CONCRETE: F'c = 2500 PSI AT 28 DAYS "Is Zow
# ID-14fo
PAGE—
OF_
TANNING SHELF
ti" SCALE: 1/2" = 1'-0"
NEW TANNING SHELF AT EX 1 STING FOOL Is
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 #
V��j� .
D
Project Address: -1 _ Ia Q
Owner's Name: KR.Avo
A. P. Number:
Address: -)q-190 L. A aE f? n !pp��
J
Legal Description:
City, ST, Zip:
Contractor: �ES
Telephone:
'%`.>><
Address: -7q -e2-3 V t
Project Description:
r^-'% N
94 0001
City, ST, Zip: �>2
}-
Telephone:
v"\hi0i:•ti;w}}n;:t:>L;i:`vi:J:S:�i\ijiS:Yj.�:�`:i.
?ss".. } .::>;»>:.'?<:::;.}::,;.>:}::• :.
.....................
b Al EQ Dr -o ;7K,
State Lic. # : L9 9A3
City Lic. #;
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
'`>:<�..7 ><`«:<<2»#>?
ConstructionType: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person: Elk. NS
Telephone # of Contact Person: (o p _ 497 —
Estimated Value of Project: SOD n0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2•" 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:-
3" Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees