10-0202 (RPL)P.O. BOX 1504
78-495 CALLE TAMP ICO
LA QUINTA, CALIFORNIA 92253
Application Number: _10-00000202
Property Address: 81.517 RUSTIC CANYON DR
APN: 764-280-999-51 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 34000.
Applicant:
Architect or Engineer:
a1P
• ���IIII N
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 rofessionals Code, and my License is in full force and effect.
License lass: B C27 C53 'cense No.: 810111
te: ��_Qlntractor:
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.). -
(_ 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.): "
(_ 1 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
Owner:
JEFFREY KELVIN
81517 RUSTIC CANYON DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D
Contractor:
PICASSO POOLS INC
41800 WASHINGTON ST B105 -4331r
BERMUDA DUNES, CA 92203 uU
(760)345-4600
Lic. No.: 810111
Date: 3/15/10
(� F
arf n F ra cze.;4*p
- 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
Yissued.
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 290-0001790,
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 bec workers' compensation provisions of Section
3700 of the L bor Code, I a forthwith comply ith those provisions.
ate:2JI1 1) plicant:
le
WARNING: FAILURE TO SECURE WORKE S' 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 co ty ordinances and state laws relating to building construction, and hereby authorize representatives
of this my7 l� t enter upon the above-mentioned propert r in;p ion pu es.
e: ' ) Sign re (Applicant or Age /
Application Number .
. . . . 10700000202
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee
310.50 Plan Check Fee
201.83
Issue Date
Valuation,
34000
Expiration Date
9/11/10
Qty Unit Charge
Per
Extension
BASE FEE
252.00
9.00 6.5000
THOU BLDG.25,001-50,000
58.50
Permit . . . MECH POOL
Additional desc .
Permit -Fee
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date
9/111/10
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 .
9/11/10
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 Y ..
Valuation . . .
. 0
Expiration Date
9/11/10
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 . . . . . 10-00000202
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit. Fee . . . . 15.00
Plan Check
Fee..
.00
Issue Date
Valuation
. . .
. 77
Expiration Date 9/11/10 .
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
POOL/SPA, 10 L.F. 5' WROUGHT IRON
FENCING. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED. 2007
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid
Credited
Due
Permit Fee Total 429.50
.00
.00
429.50
Plan Check Total 227.83
.00
.00"
227.83
Other Fee Total 2.00
.00
.00
2.00
Grand Total 659.33
.00
.00
659.33
LQPERMIT
Rx Date/Time MAR-12-2010(FRI) 17:29 ' P.002
Trilogy
Trilogy at La Quinta Maintenance Association
March 12, 2010
Jeffrey B. Kelvin
Randy S. Kelvin
6606 NW 127th Terrace
Parkland, FL 33076
Property Address: 81517 Rustic Canyon Drive
CONDITOMAL APPROVAL
Dear Mr. Kelvin:
We are pleased to inform you that your plans for installation of a pool, spa, rear yard, rear yard landscape,
irrigation, drainage ' and exterior low voltage lights, received on 03/09/2010, have beer: approved by the
Design Review Committee per your submittal with the following condition(s): 8, 9, 11, 12, 13, 14, 15,16,17,
18,19, 20, 23 and 24 (see attached copy).
Please note_ Any damages caused by contractor due to construction shall need to be repaired, all
irrigation and landscape shall be restored to original condition.
This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build
on any property other than that of the applicant. This aMoval is related solely to the hems reserved for
approval by the CC&R's in accordance with the Architectural Guidelines. The approval doe` not extend to the
quality of work done by your architect, or contractor, or to any structural engineering, soils e;*gineerin& or site
grading and drainage design. You are urged to obtain the services of a state licensed professional, for
consultation as needed,
The Design Review Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please be advised that this zpproval does not
relieve you from obtaining any nexssary building permits from the govenmmental agencies involved to ensure
compliance with these codes. Any violations of these ordinances will be your responsibility -o correct. Thank
you for your patience in this mutter and for complying with the Association's policies and stancards.
Sincerely,
iew Committee
Barry Sterk CCAM, CMCA
Association Business Manager
Enclosures
Board of Directors
Design Review Committee
PrOnlionally Managed byAction PrOPeM Management, Inc.
60- 750 Trilogy Parkway; La &into, CA 92253-7717
760-777-6059 800-400-2284 760-777-6097 fur
www.acdonlife.com
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DO NOT WRITEE BELOW THIS L N= -
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Req'd
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PEF ITT FEES
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PICAS t
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LIC #810111:
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'POOL:. -
t'
25' x 12'
SP r 3,6„ _ 5' W/D
-
6'6" x 6'6" @ +18" TAHOE BLUE PEBBLE FINISH -
STACKED STONE SPILI. TILE W/L
TILE W/L BENCH
•
STUCCO/PAINT OUTSIDE TANNING LEDGE
@ -6" W/D
- ,..
6 - JETS
P/L
P/L
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0
5'-3" ,n
61-6"Ln
M ..
1
\ 34'-0"
14'-0"
z
25'-0"
•3'6"
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v P/B 12'-5
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CITY STANDARD BLOCK WALL
--
1' 1
4'. H x 4'L x 6" W
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AIC;
STUCCO & PAINT TO
6'-8" ;'
MATCH HOUSE
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- a :}DEMO 340 SF
EXISTING CONCRETE
PAVERS: 938 SF
POOL EQUIPMENT:
n
111
HEATER TO BE 4'
AWAY FROM OPENING
:WINDOW -. �
je re
We vin.
1'1
oil
.
u;
s LOCATION
03/01/10 POOL
SPA CONCRETE
s-a 11
"
;
OF HEATER �.
, .1. .•�` .= ,,
AREA: 306 SF
41 SF 218 SF
1'1
PERIMETER: 79 LF
25 SF 1/8"=1' SCALE
1 1
r1.,81-517
Rustic Can. on
q
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WROUGHT IRON FENCE
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@ +5' WITH 3' GATE ,. •
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BUILDING & SAFETf DEPT.
FOR CONSTRUCTION,.
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