ELEC (05-4509)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
<O5=0-0004
81340 NATIONAL DR
767-570-004 -
ELECTRICAL
LOW DENSITY RESIDENTIAL
200
Architect or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: License No.:
Date /ti Con tor:
NER-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 Codel 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).:
(_ 1 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 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 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
NORMAN ESTATES II
C/O MEDALLIST GOLF
501 NORTH AlA-
JUPITER, FL 33477
Contractor:
PICASSO.POOLS, INC
WCC: STATE FUND
WC: 1709395
CSLB: 810111
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
DEVELOPMENT
12/01/05
07/31/06
Date: 10/07/05
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.
//��"
A 1 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 L�Code, I 1 forthwith ply with those provisions.
Dat / _ 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 aresult of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify 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 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 IN ty to enter upon the above-mentioned property for inspection purposes.
Date: ignature (Applicant or Agent):
Application Number .
. . . . 05-00004509
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date
Valuation
. . .
. 0
Expiration Date
4/04/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
-------------------------------------
EA ELEC MISC
--------------------------------------
11.00
Permit.. . .
PLUMBING
Additional desc .
Permit Fee . . .
18.00 Plan Check
Fee
4.50
Issue Date
Valuation
0
Expiration Date.. ..
4/04/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Fee summary. Charged
Paid Credited
Due
Permit Fee Total
44.00 .00
.00
44.00
Plan Check Total
11.00 .00
.00
11.00
Grand Total
55.00 .00
.00
55.00
LQPERMIT
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P.O. Box 1.50,45, 78—'.F:5. Cane Tamocr).
12 QLdrlta, -CA F=3 - (760) 7-77-70 12
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APPUCANT: -DO NOT WRIT= BEI -OW THM LINE
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RAISED BOND BEAM @ +6"
2 WIDE, STUCCO AND PAINT EXTERIOR
n —�— IIS ^ ^1 u I ��k 1� -rr
nn n 11s ni n^s ter%^l n
6 PROPERTY LINE
NOTE: CONCRETE IS NOT INCLUDED IN
THE PICASSO POOLS ESTIMATE. ALL
_ CONCRET_E_WORK-WILL-BE BID BY -DESERT CONCEPTS.
BUYER IS TO CONTACT ORLANDO CASTRO @(760)' 200-9007
NOTE RE: DRAINS, Pool companywill stub drainsforthe landscaper.
Landscaper is to run the drain line to the street through a curb core.
NOTES RE: GRADE
The grade of the lot is level to the golf course at the rear property line.'
6 X 6 SPA @ +19' About 1' behind the property line the golf course slopes donor apx. 3'to the cart path.
4 JETS, All boulder heights will be measured from the grade of the golf coarse at the near property line.
STACKED STONE SPILLWAY,
TILE EXTERIOR
LIC #810111
POOL SPECS
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:
13'X 32'
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AREA:
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATES � ABY S -
l ®FF(c c�
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SQ FT:
FINISH:
WALK WAY:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
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STAMPED:
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RETNG WALLS:
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R&R GATE:
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATES � ABY S -
l ®FF(c c�
ZL
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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COPING TYPE:'
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PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
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PLASTER - —
PLASTER COLOR:
PEBBLE COLOR
POOL LIGHTS
SPA LIGHTS:
ROLLED BOND BEAM
EYEBALLS:
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PLAN FOR
CHITWOOD RESIDENCE
ADDRESS: 81-340 NATIONAL DR.
LOT# 40
REVISIONS:
(1) DATE:
(2) DATE:
(3) DATE:
Date Printed 1 /8"= l' S ca l e
2:55 PM 10/4/05