08-0161 (RPL)4 4aQ"
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
08-00000161
80108 VIA TESORO
772-250-018-4 -31349
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
30000
Architect or
�G
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and ofessionals Code, and my License is in full force and effect.
License/`Class: C/88 C27 C29 License No.: 656128
Date: [/ /� O js 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 ($5001.:
(_ I 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.).
(_) 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 I I am exempt under Sec. , SAP.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:
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 200
SCOTTSDALE, AZ 85258
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
nata' 1/17/08
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 carrier and policy number are:
Carrier SEABRIGHT t Policy Number BB1080510
I certify that, in the performan of the work for which this permit is issued, I shall not employ any
person in any manner so as o become subject to the workers' compensation laws of California,
and agree that, if 1 sho d be become
subject to the workers' compensation provisions of Section
1r 2 3700 of the Labor C de, 1 h II forthwith comply with those provisions.
Date: II f 1O Applicant:
WARNING: FAILURE TO SECURE ERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL '
SUBJECT AN EMPLOYER TO CRIMINAL LT ES 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 tu, and shall defend, hider unify 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, r cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state th4buiin
ve info mation is correct. I agree to comply with all
city and county ordinances and state laws relating toonstru tion, and hereby authorize representatives
of this county to enter upon the above-mentioned pri sonpurposes.
Date: / Signature (Applicant or Agent):
Application Number . . . . . 08-00000161
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . • • .
284.50 Plan Check Fee
184.93
Issue Date . . . .
Valuation . . . .
GyyGU
Expiration Date
7/15/08
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 llate
7/15/08
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
7/15/08
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
7/15/08
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
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
hxpitdLiva Datc c .
Qty Unit Charge
. . . . 08-00000161
WALL/FENCE PERMIT
15.00 P1
V
Per
an Check Fee . . .00
aluation . . . . 80
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
48" X
5' L.F. WALL PER CITY STANDARD.
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
;m
SPECIFICATIONS
TYPE e!2 U i�i T SIZE 351cq
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SURFACE AREA OF POOL —
PERIMETER MLY DEPTHS MIN. 31-61 MAX 1- I
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SPA PECIFICATIDNS
SIZE X� r SQ. FT..
SPA DAM WALL WIDTH�r
12
NO.OF JETS
LIGHT
TI LE
TILE TYPE �'�'-S
WATERLINE Y
TILE TRIM -
QUARTER ROUND -
R.B.B. TILE
RAISED SPA AT s rL
SPILLWAY TYPE t�
SPECIAL NOTES v
DECKINGW
SQ. FT. s•ho�N 'O�1 eoOPI,I e P
FINISH
EXPANSION JOINTS AS AIEE �fl
CANTILEVER 7 S
DECK DRAINS _22'SIDE - t cGl�-
DECCO DRAIN -
CURB CORE -
STEPS 01 Pn
STEP FACE -
TILE BASE
SAND AND VISQCEEN -
RIBBONS "I
STRIP)
/ STEEL
TYPE 1'i .
ACCESS FROM T12EC�1
ELEVATION
DEEP END RAMP _
LOVE SEAT UR
CONCRETE REMOVAL LOADS
SOD REMOVAL LOADS
TREE REMOVAL BY
IRRIGATION REMOVAL BY -
IRRIGATION REPAIR
R.B.B.
12" R.B.B. 8' SPA FTMOW
24" R.B.S.—'.FT
30" R.B.B.
TM SHELF DEPTH _�.Z1 � „`!� r�
ROCK POCKETS
CENTERS N e c-
MASONRY
COPING TYPE 0 - E
R.B.B. FACING CT N G
SPILLWAY TYPE c SIZE 1
STEPS —
PROP. EXT. WALLS_
PLANTER WALL
RETAINING WALLS
EQUIP. WALLS
FIREPIT
PLUMB 1 N G
FILTER--�SIZE C00
POOL PUMP ��' SIZE . O Foo
BOOSTER PUMP - SIZE
BOOSTER __
ADDL PUMP SIZE
ADDL PUMP - SIZEy
HEATER SIZE 221-110
TIME CLOCK
SUB PANEL -
ADDL OUTLETS
SKIMMER TYPE
FILLLINE.
GAS LINE t tom` STUBS
FOUNTAINS 1 SPRAYHEADS
SHEER DESCENTS
LIGHTS IN POOL"X-5o""A 144 IN SPA
MSC. SET
VFaWEF�2�o�
PLUMBING SIZE ��-� S ir2-
PEBBLE / PLASTER
LIGHTS POOL Z'S- O �% t- 0
LIGHTS SPA 1 -1 ao uJ
ROLLED B�ND BEAM
BEHIND SPA
EYEBALLS O
a
a
a
FENCING
FENCE TYPE
HEIGHT
GATE -'
GATE REVERSAL
REMOVE &REH�AN
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GUN ITE
DEEP END RAMP
EXTEND 2nd STEP ..
LOVESEAT
SPILLWAYTYPE S l3
CANTILEVER ��
COPINGCwt' _
EST. START
EST. COMPLETION 3 -IR -7i 8
OTHER
R.. - SEE STEEL
A,JU`et f�QJit 2l< a YCfrti-
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R
OWN
OWNEL O R RESPONSIBILITIES
(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 THE 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
OPRIORTOPREPLASTERINSPECTION.
(6) FILL POOL IMMEDIATELY AFTER PLASTER. ( FOLLOW INSTRUCTIONS - DO NOT USE RUBBER HOSE)
(J) 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 •EQUIPMENTLOCATJONSAND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
_
SIGNATURE(S) -0ATE
SWIMMING POOL PLAN FOR:
NAME QDH LOT 373
STREET-. 80-\0V\A-CESO(LO
JOB ADDRESS_ m OU NT'&1\ f -A CITY I— Q'i 1 f_1 TA.
PHONE OFFICE RES
LOT_.. 3-� TRAGT PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE
GATE
DRAWN BY
J1
SOLDBYCHECKED
LJ
BY
------- -
JOB #
EREVISIONS DATE:
II
� L
CITY OF LA QUINTA
MIN
APPROVED
ION
---------------------
--�
v
DA BY
SELECTIONS
'
STONEIS5
CONSTRUCTION AUTH❑RIZATION
co
TILE
-res
SALES FIELD
j
BOULDERS •
'r .�
DIG
PRE -GUN ITE
UNDERGROUND
MASONRY
�--
Q
.�
DECK COLOR
- 3 s
JANDY
RS -(o 1-To�cN
PEBBIPLAS
`wL PIAu-j LJ E CuE��E� t fzos
SIGNATURE
DECK
PRE -PEBBLE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by others,
unless otherwise noted.
Bin #
City of La Quinta ,
Building 8L 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: go —In '
Owner's Name: Q04��-3
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:Ti ':
Telephone:
Address: Ct
Project Description:
City, ST, Zip: • L (A e t/–I
L 4-s
Telephoner–�_ l;
L4 5 1 ` S
01
State Lic. # : 5 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): Ne,v Adid'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 3
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Che:k Deposit
Truss Calcs.
Called Contact Person
Plan Che •k Balance
Energy Calcs.
Plans picked up
Construc`ion
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d 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:-
''d 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
1,