07-2903 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QtAINTA, CALIFORNIA 92253
Application Number: ' 07-00002903
Property Address: 80099 VIA TESORO
APN: 777-310-028- - -
Application description: POOL - RESIDENTIAL
Property, Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000
Td�v 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICE ED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an Professionals Code, and my License is in full force and effect.
License Cl s: C8 C27 C29 LicenseNo.: 656128
'ate :I&� -bntraaor.
0 NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that empt 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 ($500).:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ ) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.I.
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/06/07
Owner:
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 200
SCOTTSDALE, AZ,S.5288
i
1
Contractor:
TESERRA
P.O. BOX 1280, () % 19ft��
a•J} 07 1
COACHELLA, CA� 92 3.6..
(760) 398-9222 CiTY�?$�INT j€ !
Lic. No.: 656T2�-�FE1�A���p�`_E
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 policy number are:
Carrier SEABRIGHT Policy Number BB1070510
I certify that, in the performance oft rp work for which this permit is issued, I shall not employ any
person in any manner so as to be me subject to the workers' compensation laws of California,
and agree that, if I show becomesubject to the workers' compensation provisions of Section
3700 of the Labor C e, shall f hwith comply with those provisions.
Dateldplicant:
WARNING: FAILURE TO SECURE W ERS' MPENSATION 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 i rmation is correct. I agree to comply with all
city and county ordinances and ,§Sate IaWS relating S9 4ulld. 44n IfVGIl4n� and hereby authGflie recresentatiyes
of this co my to gnter upon the above-mentioned proper n purposes.
Dater 0 ignature (Applicant or Agent):
Application Number .. . . . 07-00002903
Permit . . .
BLDG POOL PERMIT
.
Additional desc . .
Permit Fee . . . .
284.50 Plan Check Fee
184.93
Issue Date . . . .
Valuation . . .
. 29680
Expiration.Date . .
5/04/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
32.50
- Permit . . ..
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
5/04/08
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 . .
5/04/08
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 . .
5/04/08
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
1.00 3.0000
----------------------------------------------------------------------------
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number
. . . . . 07-00002903
Permit . .
. WALL/FENCE PERMIT
Additional desc .
.
„
Permit Fee . . .
. 15.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 320
Expiration Date .
. 5/04/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
Fee summary
-----------------
Charged Paid
Credited
----------
Due
Permit Fee Total
--------------------
403.50
.00
----------
.00
403.50
Plan Check Total
210.93
.00
.00
210.93
Grand Total
614.43
.00
.00
614.43
LQPERMIT
SPECIFICATIONS
TYPE SIZE _ ._� �? X
SURFACE AREA OF POOL coPJ I `4,
t
PERIMETER DEPTHS MIN. MAX
SPA .r+ SPECIFICATIONS
SIZE' X (-,P' SQ. FT.
SPA DAM WALL. WIDTH -1 0
TILE
:r`a •,, �k
TILE TYPE
WATER UNE F rti
NO. OF JETS
TILE TRIM
LIGHTS
RAISED SPA AT ' '! ' I=F
QUARTER ROUND
R.B.B. TILE
SPILLWAY TYPE-`t
• SPECIAL NOTES-FJ C4 F r.3'.sc5.s t�ge�.;r
R
DECKING
EXCAVATION
TYPE sly .
ACCESS FROM-ST�=
ELEVATION L%?�G'
S Mn �` t A
FINISH`
EXPANSION JOINTS
CANTILEVER
DEEP '24D RAMP
LOVE SEAT 'otA'j
DECK DRAINS
DECCO DRAIN
CONCRETE,REMOVAL a - LOADS
CURB CORE -
SOD REMOVAL - `' LOADS
STEPS
TREE REMOVAL BY,
STEP FACE `-
IRRIGATION REMOVAL BY
TILE BASE '
IRRIGATION REPAIR
6" R.B.B. ft
SAND AND VISQUEEN y
RIBBONS
12"R.B.B. ft
18" R.B.B.✓3 ft.
MOW STRIP
24" R.B.B.
30" R.B.B._ ..� ft
TAN SHELF DEPTH�'f
�~
ROCK POG`ICETS
CENTERS
MASONRY
COPING TYPE 'Q i\ .,i<y
R.B.B. FACING
SPILLWAY TYPE/OC �� SIZE #r^ 1
STEPS -
PLUMBING
FILTER `J SIZE L " It
PROP. EXT, WALLS
POOL PUMP pl',)I:' SIZE Z R s 1 f
BOOSTER PUMP SIZE
ADD'L PUMP SIZE
ADD'L PUMP SIZE
HEATERh(r'F SIZEC
TIME CLOG
PLANTER WALL
RETAINING WALLS
EQUIP. WALLS`6'' f r
FIREPIT
SUB PANEL
ADD'L OUTLETS
SKIMMER TYPE
Flu- LINE �' (2
GAS UNE i STUBS
PEBBLE/PLASTER,
LIGHTS POOL Z - �?
LIGHTS SPA
FOUNTAINS/SPRAYHEADS r
ROLLED BOND BEAM`
SHEER DESCENTS
r
LIGHTS IN POOL �^ ` 1N SPA
STUB SET EQUIPMENT 1�`
MISC. \jr'tt f
PLUMBING SIZE '17-
BEHIND SPA '
EYEBALLS s ,
FENCING
FENCE TYPE
HEIGHT -'
GATE
GATE REVERR At ,
REMOVE ?c REHANG
G U N I TE
DEEP END RAMP
EXTENDED 2nd STEP
LOVESEAT T'l:d'xR
EST. START: {R• �.
SPILLWAY TYPE c.: $
CANTILEVER`- ;.:
COPING.
R.B.B. - SEE STEEL
EST. COMPLETION
OTHER ,. ..,'�
OWNERRESPONSIBILITIES
OWNER TD: (1) `DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT TESERRA IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE: ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL' IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF TESERRA AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF TESERRA IS PROHIBITED BY LAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURES) DATE
SWIMMING POOL PLAN FOR:
NAME QDH LOT 349 .p
STREET . a--"?
JOB ADDRESS i �t��)* "� ; ! ti\�.: �.� CITY1-.f�
PHONE OFFICE RES
L❑TL TRACT PAGE BOOK
MAP BOOK PAGE NO, ICITY
MAIL, ADDRESS
CONSTRUCTION OFFICE PHONE N-0.
SCALE.
DATE
DRN BY
S❑LD BY
CHECKED BY
SGfU
i =
X00#
REVISI❑SS DATE
-
2
3
c►-nr of Qui E
t
By PR vED
5
F013 qo--
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: (D —0
'Owner's Name: ,.
A. P. Number:
Address:
Legal Description:
Contractor:'
City, ST, Zip:
c . '
Telephone:.11w,
+ ^a,
F�
Address: .O ; 0
Project Description:
City, ST, Zip: IAL t j lk c!,
q
O
Telephone: 6y
N
(/�
n 0l
®�
State Lic. # : 6,S
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:`"'�- �j �s
^A `
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Sq. Ft.: # Stories: # Units:
Demo
Telephone # of Contact Person: }^-� T
Estimated Value of Project:'3r6?//)00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
I I
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy 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 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
�Zo_