RPL (04-5554)50445 Los Verdes Way
04-5554
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number
. . . .'` 04=00005554 Date
7/19/04
Property Address . .
. . . . 50445 LOS VERDES WY ,
APN:
772-250-999-104-30357 -
Application description . . . POOL - RESIDENTIAL
Property Zoning . . .
. . . . LOW DENSITY RESIDENTIAL ;
Application valuation
. . . . 15,000
Owner
Contractor
ROBERTS
PICASSO POOLS, INC
50-445 LOS VERDES WAY
78078 COUNTRY CLUB DR,
#206
LA QUINTA
22 PALM DESERT CA 92211
4 (760) 345-4600
WCC: STATE FUND
1,2/01/04
C SLB: 810195
1
11/20/04
q®,o 1Q0 - CCC: C27 -053-B
----------------------------
Permit. . . . . . .
BLD T
Additional desc
Permit Fee
162.0 Plan Check Fee
105.30
Issue Date
Valuation
15000
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
THOU BLDG 2,001-25,000
Permit . . . .
MECH POOL
Additional desc
Permit Fee
24.00 .Plan.Check Fee
6.00
Issue Date
,Valuation . . . .
0
Qty Unit'Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
---------------------------------------------
Permit . . . . . .
7 -------------------------------
ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation . . . .
0
Qty Unit Charge Per
1.00 30.0000 EA
Extension
BASE FEE 15.00
ELEC PRIVATE SWIMMING POOL 30.00
P.O. BOX 1504 -V
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 9q- 555e-1
Applicant:.
Applicant's Mailing Address:
Date:
Architect or Engineer:
Architect or Engineer's Address:
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 ss Lice?" . in IYt ce and effect. 10—cense
--iicense C7lass No.
OWNER -BUILDER DECLARATION
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicI 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
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70antr the permit to file a signed
ant for
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 fora 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 owner 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' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ss l d M o ers' compensation lasurance carrier ay
j4cy gu r
arier 7/1-I 7— policy Number
_ 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, I shall
(forthwith comply with those provisions.
.;I—
WARNING: FAILURE TO SECURE WORKERS' CO"SATION COVErRAGE 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.).
Lender's Name
Lender's 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 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 haread 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, a ' here1by authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date 4 Signature or Agent):
Page 2
Application Number . . . . . 04-00005554
bate 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. 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 130.80 .00 .00
130.80
Grand Total 394.80 .00 .00
394.80
T ±D FACE`,sTUCCO Al
EXTERIOR TILED sPIL
TANNING L
@ +6" WITH ONE UMBRELLA St
DECCO DRAIN
+I8" BOND BERM 24 LONG
5' set back
PIcRSSO POOLS
cy"r it
LIC #810111
AUTO -FILL:
GAS LINE:
STUB OUTS:
CASCADES:
sPRAYHEADs:
POOL LIGHTS: 7
SPA LIGHTS:
PLUMBING SIZE:
STUB SET EQ:
G N
DEEP END RAMP:
2nd STEP:
LOVE sEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RB9:5EE STEEL
ITLE
TILE TYPE:
WATERLINE:
TILE TRIM:
RBB TILE:
DECKING
COLOR:
SQ FT
FINISH:
EXTRA JOINTS:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING:
STAMPED:
RELEASE :
MOW STRIP:
MASONR
COPING TYPE:
RBB FACE:
SPILLWAY:
STEPS:
P/L EXT WALLS:
PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
6B4
SIZE:
BBQ MODEL:
TDP FINISH:
SIDE BURNER:
FACE FINISH:
PEN LIGHT
PLUG OUTLET
LIGHTS SWITCH:
PLAMR
PLASTER COLOR:
PEBBLE COLOR:
POOL LIGHTS: ,
SPA LIGHTS:
ROLLED BOND BEAM:
EYEBALLS:
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POOL SPECS
SIZE:
C
AREA:► SE
PERIMETER: 96 E
-1 7O
SPA PECC5 :
SIZE: 6X7
vE
AR A:
DAMWALL:
RAISED @: +
SPILL TYPE: TILE
# OF JETS: 6
LIGHTS: 1
FACE FINISH:
DIG EL
TYPE:
ACCESS:
ELEVATION:
DEEP RAMP:
BENCH/iAN-LEDGE:
CONC/SOD REMOVAL:
TREE REMOVAL:
IRRIGATION REPAIR:
RBB LENGHTS:
ROCK POCKETS:
PLUMBING
FILTER: goo sF
POOL PUMP: 2 H'
BOOSTER PUMP: 1
HEATER: NO 000 M
TIME CLOCK:
SUB PANEL:
RETURN INLETS: s
AUTO -FILL:
GAS LINE:
STUB OUTS:
CASCADES:
sPRAYHEADs:
POOL LIGHTS: 7
SPA LIGHTS:
PLUMBING SIZE:
STUB SET EQ:
G N
DEEP END RAMP:
2nd STEP:
LOVE sEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RB9:5EE STEEL
ITLE
TILE TYPE:
WATERLINE:
TILE TRIM:
RBB TILE:
DECKING
COLOR:
SQ FT
FINISH:
EXTRA JOINTS:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING:
STAMPED:
RELEASE :
MOW STRIP:
MASONR
COPING TYPE:
RBB FACE:
SPILLWAY:
STEPS:
P/L EXT WALLS:
PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
6B4
SIZE:
BBQ MODEL:
TDP FINISH:
SIDE BURNER:
FACE FINISH:
PEN LIGHT
PLUG OUTLET
LIGHTS SWITCH:
PLAMR
PLASTER COLOR:
PEBBLE COLOR:
POOL LIGHTS: ,
SPA LIGHTS:
ROLLED BOND BEAM:
EYEBALLS:
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'3IDENCE
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LO'T# 104 TRAC V
REVISIONS:
(1) DATE:
(2) DATE:
(3) DATE:
Date Printed I/8 "=IP Scale
4:13 PM 7/15/04
hrnu.rinn &I. V My