RPL (05-3717)1'
P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05' 000 371-7
Property Address: 81420 NATIONAL DR
APN: 767 -570 -008 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 15000
Applicant: Architect or Engineer:
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.
LicenseClass: License No.: -
,/15ate: + _�U_-5 Contractor: �w�--� ✓
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).:
(_ 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—) 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMrT
Owner:
NORMAN ESTATES II
C/O MEDALLIST GOLF
501 NORTH AlA
JUPITER, FL 33477
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/22/05
DEVELOPMENT! n 0
./AUG 2 5 2005
Contractor:
PICASSO POOLS, INC
WCC: STATE FUND
WC: 1709395 12/01/05
CSLB: 810111 .07/31/06
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
T 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 1 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
te:� 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 (5100,0001. 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 'c niy ordinances and state laws relating to building construction, and hereby authorize representatives
of this unty to enter upon the above-mentioned prope y for inspection pur oses.
Date: Signature (Applicant or Agent):
Application Number .
. . . . 05-00003717
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
162.00 Plan Check Fee
105.30
Issue Date . .
Valuation
14936
Expiration Date
2/18/06
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 . . . .
26.00 Plan Check Fee..
6.50
Issue Date
Valuation . . .
0
Expiration Date
2/18/06
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
2/18/06
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
7.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/18/06
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
-------------
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number
. . . . . 05 -0000,3717 -
Permit . . .
WALL/FENCE PERMIT
Additional desc .
Permit Fee . .
15.00
Plan Check
Fee
:00
Issue Date
Valuation
64
Expiration Date
2/18/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
--------------------------------------------------------------
Special Notes and Comments
----------------
POOL & SPA ONLY. 4
L.F. 4' EQUIPMENT
WALL,CITY STANDARD.
ALARMS/BARRIERS
SHALL BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary
Charged Paid
Credited
Due
Permit Fee Total
281.00
.00
00
.00-
Plan Check Total
Plan
130.55
.00
.00
130.55
Grand Total
411.55
.00
.00
411.55
LQPERMIT
TX 8'SPA @18"
BOULDER SPILL WAY
INSTALL 5 JETSZ
POOL SWEEP CONNECTION
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BOULDER WATER FEATURE WITH 42" REAR HEIGHT,
4 POOLS IN SPILLING WATER'
6 BOULDERS ON BOND BEAM PER PLAN
CITY STANDARD WALL
5' 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 company will stub drains for the landscaper,
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DEEP RAMP: - � 0
NOTES RE: GRADEt= LU rY
BENC H/TAN -LEDGE: 1�0 0 EL I
The grade Of the lot is level to the golf Course at the rear property line. CONC/SOD REMOVAL
All boulder height will be measured from the grade of the golf course at the rear property+ line. TREE REMOVAL:
SIZE"
AREA:
PERIMETER:
DEPTH:
17'X 40'
456 SF
109 LF
1 -3'TO -6
SPA SPECS
SIZE: 7'X 8'
AREA: 46 SF
RAISED (g: +18"
SPILL TYPE: g0[II_pFg
# OF JETS:
LIGHTS:
FACE FINISH:
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PLAN FOR
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QU' T
SAFETY DEPT.
CITY OF LA QUINTA HERRERA RESIDENCE
LBEUILDING A, SAFETY DEPT. ADDRESS: R -1 -42L -NATION LDR.
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LOT# 38
DATSFZ�OS BY &I+ REVISIONS:
(1) DATE:
(2) DATE
(3Z _ DATE:
Date Printed 1/8"1"Scale
2:36 PM 8/19/05 ZI
Drawing by:
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PLAN FOR
......................... N A]
QU' T
SAFETY DEPT.
CITY OF LA QUINTA HERRERA RESIDENCE
LBEUILDING A, SAFETY DEPT. ADDRESS: R -1 -42L -NATION LDR.
/_777 -
LOT# 38
DATSFZ�OS BY &I+ REVISIONS:
(1) DATE:
(2) DATE
(3Z _ DATE:
Date Printed 1/8"1"Scale
2:36 PM 8/19/05 ZI
Drawing by: