RPL (04-5555)50435 Los Verdes Way
04-5555
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number x.04-00005555----- Date 7/19/04
Property Address . . . . . . 50435 LOS VERDES WY
APN: 772-250-999-103 -30357 -
Application description . . . POOL - RESIDENTIAL
Property Zoning . . . . . . LOW DENSITY.RESIDENTIAL
Application valuation 15000
Owner Contractor
CLAYDON PICASSO POOLS, INC
50-435 LOS VERDES WAY 78078 COUNTRY CLUB DR, #206
LA QUINTA CA 92253 PALM DESERT CA 92211
(760) 345-4600
WCC: STATE FUND
WC: 1709395 12/01/04
CSLB: 81011 11/20/04
CCC: C27 -053-B
-----------------------------------------------------------------------------
Permit . ... . . . . BLDG' POOL PERMIT
Additional desc
Permit.Fee 162.00 Plan Check Fee 105.30
Issue Date . . . . Valuation . . . . 15000
Qty Unit Charge Per
BASE FEE
13.00 9.0000 THOU BLDG 2,001-25,000
-----------------------------------
Permit . . . . . MECH POOL
Additional desc
Permit Fee 24.00 ..Pl
Issue Date V,
.Qty Unit Charge Per
BASE FE
1.00 9.0'000 EA MECH FU
4
-------------------------------------------
Permit . . . . . ELEC POOL PERMIT -
Additional desc
Permit Fee . . . . 45.00
Issue Date . . . .
Qty Unit Charge Per
1.00 30.0000 EA
Extension
45.00
117.00
6.00
0
Extension
15.00
9.00
----------------------
PlaY Check Fee
Valuation . .
BASE FEE
ELEC PRIVATE SWIMMING.POOL
11.25
0
Extension
15.00
3.0.00
P.O. BOX 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: /i 7 - J 55S I Date: 1.27- o C/
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
/a
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 pense i uY.f rce and effect. / /
License Class _ ti <kens. No.
/Date //#
so
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 owher of property who builds or improves thereon, and who does the work
himself or herself or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' 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' compensatio insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
8yrd. My w ers' compensation i nce carrier go cyl bg a
amer / 2: olicv Number _l "U73 i
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 3700 of the Labor Code, 1 shall
rthwith comply with those provisions.
te L PpIi.nt
_/4,1L
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.
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.).
Lenders Name
Lenders Address
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, indemnity and hold harmless the City of La Ouinta, 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 ve 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
construction, nd hereby authorize representatives of this county Aenter upon the above-mentioned property for inspection purposes.
Signature (Applicant or Agent):
Page 2
Application Number . . . . . 04-00005555
Date 7/19/04
------------------------------------'----------------------------------------
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . . 33.00 Plan Check Fee..
8.25
Issue Date . . . . Valuation . .
0
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
Special Notes and Comments
POOL/SPA,,BBQ (#11108156)
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited
Due
-----------------------------------------------
Permit Fee Total 264.00 .00 .00
----------
264.00
Plan Check Total 130.8.0 .00 .00
130.80
Grand Total 394.80 .00 .00
394.80
f
11
w, — .J A --Jt 1-11 not .. P 1'
3-
+W 6X 7 SPA
GOLD QUARTZITE
EXTERIOR
:ED GOLD QUARTZITE
WAY
:CCO DRAIN
BQ
s QUARTZITE COUNTER TOP
JSE CONTROLLER
NOT INCLUDED IN POOL BID
cz
PIcRssO POOLS
LIc #810111
POOL SPECS
sizE;
AREA: 490 5F
PERIMETER: 97 F
SPA `PEC
SIZE: 6'X7
AREA: 33 SF
DAM WALL:
RAISED @: X
SPILL TYPE: STACKED GOLD QU
OF JETS: 6
LIGHTS: I
FACE FINISH:
DIG EL
TYPE.
ACCESS:
ELEVATION:
DEEP RAMP:
BENCH/FAN-LEDGE:
CONC/SOD REMOVAL:
TREE REMOVAL:
IRRIGATION REPAIR:
RBB LENGTHS:
ROCK POCKETS:
PLUMBING
FILTER:
POOL PUMP:
BOOSTER PUMP:
HEATER:
TIME: CLOCK: AQUA LOG C C
SUB PANEL:
RETURN INLETS:
SKIMMER: NIM
AUTO -FILL: YES
GAS LINE:
STUB OUTS:
CASCADES:
SPRAY HEADS:
POOL LIGHTS: _
SPA LIGHTS:
PLUMBING SIZE:: v
STUB SET EQ
GUNITE
DEEP END RAMP:
2nd STEP:
LOVE SEAT
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:sEE STEEL
TILE
TILE TYPE:
WATERLINE:GOLD QUARTZITE
TILE TRIM:
RBB TILE:
DECKING
COLOR: To MATCg TOLL
SQ FT
FINISH:
EXTRA JOINTS:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUBBASE:
VISQUEEN:
BANDING:
STAMPED:
RELEASE :
MOW STRIP:
MASDNRY
COPING TYPE:
RBB FACE: ---
SPILLWAY: STACKED COLD 0
STEPS:
P/L EXT WALLS:
PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
Ho
SIZE.
BBQ MODEL:
TOP FINISH:
SIDE BURNER:
FACE FINISH:
PEN LIGHT:
PLUG OUTLET
LIGHTS SWITCH:
PLASTER
__.PLASTER COLOR:
PEBBLE COLOR;
POOL LIGHTS: 2
SPA LIGHTS: I
ROLLED BOND BEAM:
EYEBALLS:
ER
z
0
U N
H A
wwm
LLz0
0
Lu
aa
0 0
a Q
FI w
z3
<
Q Z N
N<A
_ pop 0
u !L
3
0
L N
ti
N
;r. -6
oc z _p
of
ns
N
m<z
N
o:
0
o x
o:
z Kw
O U
uj Z Q
0
N
Co z
Dm.
Q p
z }-
D w
w
a o:
N >- 0
o <Z
N n3:
Niro <
N
z
a
UYL
Lu
Z
wu, < ,•
a2 ;5 .
LL
11 O 0
1w
CJS w <
CLAYDON RESIDENCE
ADDRESS: 50-43,5 LOS VERDES WAY
LA QUINTA
y LOT# 103 TRACT#
REVISIONS:
(o DATE:
(2) DATE:
(3) DATE:
Date Printed 8" _ ' Scale
10:49 AM 7/14/04
Drawing by: JUDY
N
z
0
1=
V
4
1
Z
ui A
m
( N
WW
z
z
<m
- N
O Z
O
LL n
Z aN
W
N
4 Q
a
<
N
Lu
Z
Qz N
CLAYDON RESIDENCE
ADDRESS: 50-43,5 LOS VERDES WAY
LA QUINTA
y LOT# 103 TRACT#
REVISIONS:
(o DATE:
(2) DATE:
(3) DATE:
Date Printed 8" _ ' Scale
10:49 AM 7/14/04
Drawing by: JUDY