SOTB (06-0130)P.O. BOX 1504
`78-495 CALLE TAMPICO
LA Q.UINTA, CALIFORNIA 92253.
'Application Number:
Property Address:
APN:
.Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000.130
81480 NATIONAL DR
767-570-012- -
TA -4t - 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
2200
Architect or Engineer
------------------
LICENSED CONTRACTOR'S DECLARATION
VOICE (760) 777-7012__
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
NORMAN ESTATES II
C/O MEDALLIST GOLF DEVELOPMENT
501 NORTH AlA
JUPITER, FL 33477
n
Contractor:
PICASSO POOLS, INC
JAN 1"7 2006 76078 COUNTRY CLUB -DR, #206
PALM DESERT, CA 92211•
(760)345-4600
.CITY pp LA QUI L i C . No .: 810111
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: B C27 C53 LicenseNo.: 810111
,Bate:/ 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 700011 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 theapplicantto 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 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.).
1 _ 1 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 (Sec. 3097, Civ. C.).
Lender's Name: —
Lender's Address:
LQPERMIT
Date: 1/11/06
-------------=---------------------------------
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
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1709395
_ 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 comp) with those provisions.
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 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
his
of t"unty to enter upon the above-mentioned property ai ' epectica purposes.
77-,-,>✓ Signature (Applicant or Agent):
Application Number .
. . 06-00000130
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee,
54.00 Plan Check_ Fee
35.10
Issue Date . . . .
Valuation . . .
. 2200
Expiration Date
7/10/06
Qty • Unit Charge
Per
Extension
BASE FEE
45.00
1.00 - -9.0000
THOU BLDG 2,001-25,000
9.00
Permit . . .
ELEC-MISCELLANEOUS.
Additional desc .
Permit Fee . . . .
17.25 Plan Check'Fee•.
4.31
Issue Date . . . .
Valuation
0
Expiration Date
7/10/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0.
Expiration Date
7/10/06
Qty Unit'Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
--------------------------------------------------------------
Special Notes and Comments
--------------
BARBEQUE #3020914 PER
APPROVED PLAN.
----------------------------------------------------------------------------
Other Fees .
. . . . ENERGY REVIEW FEE
3.51
-- Fee summary Charged Paid Credited
Due
Permit Fee Total
89.25 .00 .00
89.25
Plan Check Total
43.91 .00 .00
43.91
Other Fee Total
3.51 .00 .00
3.51
Grand Total
136.67 .00 .00
136.67
LQPERMIT
Bin #
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#4 REBAR
VERTICAL
BEND BOTH`ENDS
TOP VIEW
STEEL, FOOTING AND FIRST COURSE
OF MASONRY BLOCKS.
=OOTING
'ERIMETER
# 4 REBAR
HORIZONTAL
OVERLAP MIN 18"
81-0°
GAS LINE
46 LF
ELECTRIC LINE
44 LF
4'x8`x36" HI BBQ
FLEX LIGHT,
2 OUTLETS,
TILE TOP,
30 VINTAGE BBQ,
STAINLESS STEEL DOORS.
. „ I WALL DETAIL
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G.F.I OUTLET
ACCESS DOOR
STUCCO AND PAINT
TO MATCH HOUSE
BEND STEEL
TO REINFORCE
COUNTER
#4 REBAR
24" O.C.
CONCRETE DECK —
FOOTI
#4 REBAR
HORIZONTAL
18'708" X 16"
BLOCKS
#4 REBAR
o HORIZONTAL
i�
1 TWO #4 REAR
IN FOOTING
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT /I' ilio BY S T
LIC #810111
AREA:
PERIMETER:
DEPTH:
SPA SPECS
SIZE:
AREA:
RAISED @:
SPILL TYPE:
# OF JETS:
LIGHTS:
FACE FINISH:
T DIAMETER
38 SF
+18"
TACKED GOLD QUARTZIT
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ROCK POCKETS:
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FILTER:
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POOL PUMP:
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BOOSTER PUMP:
DATE•
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HEATER: :
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TIME CLOCK:ww
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SKIMMER:
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GAS LINE:
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CASCADES:
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STEPS:
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STEPS FACE:
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SUB BASE:
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VISQUEEN:
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STAMPED:
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RELEASE:
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MASONRY
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COPING TYP
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STEPS:
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PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
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PLASTER COLOR:
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SIZE:
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TOP FINISH`
SIDE BURNER:
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PEN LIGHT:
PLUG OUTLET:
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PLASTER COLOR:
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SPA LIGHTS: 1
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EYEBALLS:
PLAN FOR
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RESIDENCE
ADDRESS:81 - 480 NATIONAL DR
LOT# 33 TRACT#
REVISIONS:
(1)
DATE•
(2)
DATE:
(3)
DATE:
Date Printed
1/811= 1 Scale
11:01 AM 1/10/06
1 !1 1 1 1 T�