08-1039 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: _ 08-00001039
Property Address: 81478 GOLDEN -POPPY WY
APN: 764-280-999-101 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000
Applicant: Architect or Engineer:
------------
I hereby affirm under penalty of perjury that I
Section 7000) of Division 3 of the Business a
Licen lass: C8 C27 C29
ate: �� Co tor:
�C
P Iira-
rRACTOR'S DECLARATION
Vunderoviions of Chapter 9 (commencing with
e, d my License is in full force and effect.
: 656128
I hereby affirm under penalty mat I am exempt from the Contractors S=e�ense Law for the
following reason ISec. 7031.5, Business and Professions Code: Any city or county thart'ne4uuires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires Inaapplicant 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 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 _ 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.).
(_) 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
LQPERMIT
Owner:
KERN
81478 GOLDEN POPPY
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: 6/17/08
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 Carrie and po' y number are:
Carrier SEABRIGHT Policy Number BB1080510
I certify that, in the erformand� of the work for which this permit is issued,.l shall not employ any
person in any ma r so
as to bec subject to the orkers' compensation laws of California,
and agree that,'if I s Id bec a sw jec the !kers' compensation provisions of Section
3700 of the Labor Code, II co _ those provisions.
atm e: plicant:
WARNING: FAIL RE TO SECU WO RS'CONIPENSATION`, GE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI AL PENALTIES AND CIVIL FINES UP-- NE HUNDRED THOUSAND
DOLLARS ($100,000). IN AD ION 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 his permit.
2. Any permit issued as a result of this applic ti eco
null and void if work is not commenced
within 180 days from date of issuance of such p it, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the bove i 'o orrect gree to comply with all
city and co ty ordinances and state laws relating to buildi g str c ' i/ uthorize representatives
of tt 2Wt to enter upon the above-mentioned property r, on.
(Applicant or Agent):
Application Number . . . . . 08-00001039
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check
Fee
134.55
.^ Issue Date
Valuation
. . .
. 20000
Expiration Date
12/14/08 .
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
\ r
12/14/08
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
12/14%08
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
12/14/08
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
1.0.0 3.0000
----------------------------------------------------------
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
------------------
POOL/'SPA & FIREPIT (496
AGAL, 100' RUN
LQPERMIT
.1
Application Number . . . . . 08-00001039
-------------------------------------------------------
Special Notes and Comments
L--------------------
WITH 1 1/2" PIPE). ALARMS/BARRIERS
SHALL
BE IN PLACE AT PRE -PLASTER INSPECCTION.
t EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged
---------------------------
Paid
Credited
Due .
----------
Permit Fee Total 311.00
.00
--------------------
.00-
311.00
Plan Check Total 160.55
.00
00
160.55
Grand Total 471.55
.00
.00
471.55
LQPERMIT
i
#4 TIE
STEEL AT
TOP COURSE -
GAS. FIRE RING:
I.C.B.O. #
ANSI # WqU Kb hL
BTU
U.L: APPROVED.
.36" DIAM.
VSIDE DIMENSION
LENGTH OF' GAS PIPE _ II ••
DIAM..OF. GAS PIPE �b-
7 OUTDOOR FIRE RING
12-0
E
LINES SHALL BE INSTALLED
CPC FOR DEPTH,
RAGE, AND PLACEMENT.
12" L 8" - 36" DIAM. L 8" L 12"
GAS SHUTOFF
VALVE
LOCATED
WITHIN 36"
OF UNIT
(TYP. )
METAL GAS
RISER
2" 0 DRAIN OR PROVIDE 12" DIAM
OPENING IN, FOOTING
WATERPROOF-
MEMBRANE.
INTERIOR
SURFACES)
- #4 BAR
VERT AT
32". O.C.
(TYP. )
7A
6x8x8 OR
8x8x8 CMU
SOLID GROUT
3RAVEL SUMP
3 CU. FT.
CRUSHED ROCK
OUTDOOR FIRE RING - BOULDERS
713 U 1/2"=1'-O"
Bin # .
City of. La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 7-,RI L01r 61-Lt7
Owner's Name:
A. P. Number:
Address: 31-47F) C-70LJ Oey w
Legal Description:
City, ST, Zip: LA amr-10,CA J
Contractor:
Telephone: ( a •
Address:
40
Project Description: od L S 't" //?Ej j
City, ST, Zip:
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
r'
. ,.�.: sS
Construction Type: Occupancy:
State Lic. #: S(o�
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: - C� ni/i reieJ66
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:(&
Estimated Value of Project: 2V -
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
TrussCalcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Floodplain 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 ROUSE:-
Ir' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees