RPL (05-3118)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
-05 00003'118�'\
81255 NATIONAL DR
767-500-012- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
aA/ TR,o.c rod
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D q �•
JUS 2 91005
LA
CITY pF
Iver Qll1WTA
--------------------------------------------------
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 License is in full force and effect.
License Class: icense No.:
�n G,
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 ($500).:
(_) 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 ProfessionsCode: 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.).
( 1 1, 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ )' 1 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.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
ROE
81-255 NATIONAL DRIVE
LA QUINTA, CA 92253
ontraclor:
P SSO POOLS, INC
STATE FUND
1709395
810111
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
12/01/05
07/31/06
Date: 7/22/05
--------------------------------------------
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 B C27 C53 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.
a1D te!-Q_9115 Applicant:
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.
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 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 have 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, and hereby authorize representatives
of s county to enter upon the above-mentioned properfor inspection pur oses.
"�--'
,Dat ..f Signature (Applicant or Agent): "
i
r
Application Number
05-00003118.
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit.Fee . . . .
207:00 Plan Check Fee
134.55
Issue Date
Valuation . . .
. 20000
Expiration Date
1/18/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00 '
18.00 9.0000
-------------------------------------------------•---------------------------
THOU BLDG 2,001-25;'000
162.00
Permit . . .
MECH•POOL
Additional desc . .
Permit Fee . . .
26.00 Plan Check Fee .'
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
1/18/06
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
'1/18/06
-
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
1/18/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.010 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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
Application Number . . . . . 05-00003118
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 311.00 .00 .00 311.00
Plan Check Total 160.55 .00 .00 160.55
Grand Total 471.55 .00 .00 471.55
s
LQPERMIT
Bin #
City of La Quinto
Penni[ #
0S- N19
Project Address: t
A. P. Number:
Legal. Description:.
Contractor,.
PlaLsso Res=
Ad": 3a07D
city. St. Zip:
17 , -
.4 Telephone: -34S-4600 - I
� State Lic. 19 M
Arch.'EnP_-.. Desiener'
Address:
City. ST. Zip:
Telephone:
State Li c.
Nameiof Contact -Person:
BuMng it Safery Division
P.O. Box. 1504, 78-4 95 Calle Tampico
La Quinra, CA 92253 - (760) -777-7012
Building Permit Application and Tracking Sheer
%-n e s N1 am
A -, 6C al
Address:.3 )J_5 MA
. ST. Zip: LCAQLnOA AJ I'MAS 1, ad �2&17
Cin
��relephone.:
V) -4 r-) Project Description:. OAI)-t
Cir%, Lic.
...... Construction Type Occupanc-,
..........
Project rye (circle one): Nev Add'n Alter Repair Demo
p
Sq. FL: Stories: R Units:
'# -Telephone � of Contact Person: L4 1,no IrEstimated Value of Prqiect:. U��
V
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal I
Req'd I
Rec'd
TRACKING
PERNITT FEES
'Plan Sets
Plan Check submitted
Item
Amount
Structural C21CS.
Reviewed. ready for corrections
Plan Check Deposit
Truss C21CS.
Called Contact Person
Plan Check Balance
Title 24 Caics..
Plans picked up
Construction
7
'Flood plain plan
I
Plans resubmitted
Mechanical
.Grading plan
2' Review. read, for corrections/issue
Electrical
Subcont2ctor List
Called Contact Person
Plumbing
'Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
' IN HOUSE:-
"Review. ready for corrections/issue
—D Fee
-Planning Approval
Called Contact Person
A-I.P.P.
Pub. Wks. Appr
Date or permit issue
':School'Fee5
Total Permit Fees
V PzRf4 71- 2- —.Cop � -To
TANNING SHELF W/
UMBRELLA SLEEVE
LARGER ENTRY STEPS
PLUMB FOR FUTURE
POOL SWEEP CONNECTION
S SET BACK
NOTE: CONCRETE IS NOT INCLUDED IN
THE PICASSO POOLS ESTIMATE. ALL
CONCRETE WORK WILL BE BID, BY DESERT CONCEPTS
NOTE RE: DRAINS, Pool oompany will stub drains for the landscaper.
Landscaper is to run the drain line to the street
NOTES RE: GRADE
The grade of the lot is Wel, to the golf course at the rear propertyline..
Al boulder heights will be measured from the grade of the golf course at the rear property line.
III
•rM21 I
x�®I
LIC #810111
PnOL RPECS H
:
14'x27'
AREA:
344 SF
PERIMETER:
=wl_�=
DEPTH:
-3' TO -5'
AREA:
RAISED @:
SPILL TYPE:
# OF JETS:
LIGHTS:
FACE FINISH:
ACCESS:
8F
cn w A m_
ELEVATION:
1 HP FOR DECK JET5
=wl_�=
DEEP RAMP:
1--0)-00
BENCH/TAN-LEDGE:
SPILLWAY:
LO �� U- a
CONC/SOD REMOVAL:
CL
TS:
ES:
TREE. REMOVAL:
F -
IRRIGATION REPAIR:
w
RBB LENGHTS:
PLANTER WALLS:
m
ROCK POCKETS:
`c ¢
RETNG WALLS::
PLUMBING
z w z
FILT
POOL PU
BOOSTER PU
H EAT
TIME CLO
POOL CO
RETURN INLE
SKIMM
AUTO -F1
GAS LI
STUB OU
CASCAD
SPRAYHEA
POOL LIGH
SPA LIGH
PLUMBING SI
STUB SET
ER:420
MP:
MP:
ER:
C K:
NTROL
TS:
ER:
LL:
8F
COPING TYPE:
1 - 2HP _•
1 HP FOR DECK JET5
200,000 BTL!
INDOOR POOL CONTROL,
0
SPILLWAY:
NE:
CL
TS:
ES:
17)w
DS:
TS:
PLANTER WALLS:
TS:
`c ¢
RETNG WALLS::
ZE:
EQ:
GUNI I E
POOL Bim:'
2nd STEP:
LOVE SEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:SEE STEEL
0 w 1- O
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O W
H o Qz
LU z w�
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C� m O Qu.
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co
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11LEw
TILE TY5-r- w zwv0 w
WATERLINE: TBDX w M E
_ TILE TRIM: °we w
RBB TILE: Q w0<
DEC19NG m Z o (; o
COLO
SQ FT:
FINISH:
WALK WAY:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING:
STAMPED:
RELEASE :
MOW STRIP:
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