RPL (04-4553)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 `0044-00004553. } Date 5/24/04
12
Property Address. . . . . . . 815 MUIRFIELD VILLAGE
APN: 762-410-009-9 -28838 -
Application description POOL - RESIDENTIAL
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 15000
Owner Contractor
-------------------------
MOSS PICASSO POOLS, INC
81215 MUIRFIELD VILLAGE 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 Extension
BASE FEE .45.00
13.00 9.0000 THOU BLDG 2,001-25,000 117.00.
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 . . . . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation .,ir a 0
Qty Unit Charge Per (�®®� E ension
BASE FEE ifp n�j 15.00
1.00 30.0000 EA ELEC PRIVATE SW MA G�P aL �'O �P 30.00
P.O. Box ) 504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
BUILDING & SAFETY DEPARTMENT
oy- L{553
Hppllcanrs Mailing Address:
Architect or Engineer:
r
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .f •.2zl— 0 Y
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 (commenting with Section 7000) of Division 3 of the Business and Professionals
Code, and my Le�sg�s rn full e an erg
cense CII ss�'(��r' / /> ; 'LicenM No. /
OWNER -BUILDER DECLARATION
I herebf 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 (commenting 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 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.).
(--) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pro
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects wessions Code: The Contractors'
Professions
ff contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
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
V. of the work for which this permit is issued.
have and will maintain workers' compensatio ' surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
s wor�grs' compensa ' � urance caner Qac are:
�rtieri(i/SCJ Policy Number%
_ I certify th t, in the performance of the work for which this permit is issued, 1 shall not employ an
y person in any anner so as to become subject to the workers'
lcompensation 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
forth* comply with those provi io s.
WARNING: FAILURE TO SECURE WORMERS' COMPE44TION COVERAG IS S 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:
I herebyaffirm under y perjury CONSTRUCTION LENDING AGENCY
penalty of a 'u 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
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 dayd from date of issuance of such permit, or
cessation of xvrk for 180 days will subject permit to cancellation.
I certify that I h ve re d this application and state that the above inf
construction, ormation is rect. I agree to comply with all city and county ordinances and state laws relating to building
d by authorize re resentatives of this county t er upo abol ned pro rfy for inspection purposes.
/date Signature (Applicant or Agent):
Page 2
Application Number . . . . . 04-00004553 Date 5/24/04
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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
----------------- ----------
Permit Fee Total 264.00
Plan Check Total 130.80
Grand Total 394.80
Paid, Credited Due
---------- ---------- ----------
.00 .00 264.00
.00 .00 130.80
.00 .00 394.80
LIGI{TS TO BE PUT ON 4 DIFFERENTCIRCUTfs AS FOLLOWS}
cIRcUIT I- LIGHTS #1, 2 5, 6, 9 AND to .
CIRCUTF2- LIGMS #3,17 AND 8
CIRCU73- LIGHTS 012 AND #13
CIRCUTf 4- LIGHTS #14 AND #15
�mm
OMARA TAN
CONCRETE
36" SUBZERO WOLF BBQ
PICASSO POOLS
LIc #810111
POOL SPECS
SIZE. "N
W
AREA: 648 SF "
PERIMETER: Re FTp Lu
p
SPA SPECS - N a
m
SIZE: W O
AREA: C)
DAMWALL:
RAISED @: +2t" Lu
SPILL TYPE: o
# OF JETS:
LIGHTS:
FACE FINISH:
DIG EL z
" w U
TYPE: 3: .j a
ACCESS: a >-
ELEVATION: < A
DEEP RAMP: o 0
BENCH/TAN-LEDGE:
CONC/SOD REMOVAL: �$
TREE REMOVAL: 3
IRRIGATION REPAIR:
RBB LENGHT5
ROCK POCKETS:
PLUMBING t -u
FILTER: ti N
Pool PUMP: co
BOOSTER PUMP: N
HEATER:
TIME CLOCK: < b:P ;
i SUB PANEL: o
EXTRA OUTLETS: z (he
SKIMMER: uj z�
AUTO -FILL:
GAS LINE: D Lu -,- o
STUB DVTs: Lu z
CASCADES: -- f ��-
SPRAYHEADS: 10al u
Pool LIGHTS: 0 c�*
SPA LIGHTS:
PLUMBING SIZE:
STUB SET" EQ:GUNITE
o w
DEEP END P: oz Q w
2nd STEP: E vi ¢
LOVE SEAT Q
SPILLWAY TYPE: < u
CANTILEVER: w v
COPING: z L
f RBB:sEE STEEL 0 N
N
-
ULE W "
TILE: TYPE: Q
WATERLINE:
z }u
TILE TRIM: N w G
RBB TILE. o 0 Lu
ULL
DECKING
COLOR.- Q o
m o:
SQ FT NrQ
FINISH: p �N
z
EXTRA JOINTS: N 3 O 3
CANTILEVER: W o <
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS: N
STEPS FACE:
z
SUB BASE:
VISQUEEN:o
BANDING: wn-
STAMPED:
RELEASE: �a
MOW STRIP: mQ
MA ONE c�na
COPING TYPE: Zn-
RBB FACE:
w
SPILLWAY: o
STEPS: Ww <
P/L EXT WALLS:�� z o
" PLANTER WALLS: W o
RETNG WALLS--
EQ
ALLS: EQ WALLS:
GATE TYPE: Q^w
R&R GATE: z
BB4 �
SIZE: 36"
BBQ MODEL: °
TOP FINISH: QLDz v
SN#: o A
FACE FINISH: <
PEN LIGHT: o LU
PLUG OUTLET"
z ,=,
LIGHTS SWITCH:
PLAS R o
PLASTER COLOR: z 0
PEBBLE COLOR: V
UJ
POOL LIGHTS:
SPA LIGHTS: o a
ROLLED BOND BEAM: 2:x
cEYEBALLS: N
�y
XIV
OTHER z Q
�j PLAN FOR o <
M�5 _RESIDE N CE
IFI EFs7"`7 MUWELD DRNE '""'�
LOT# 9 TRACT# 28838-3
REVISIONS:
(1) DATE:
(2) DATE:
(3) DATE:
Date Printed ��5=�' Scale
12:14 PM 5/21/04
Drawing by: JUDY