09-0768 (RPL).
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000768
Property Address: 57660 ROSEWOOD CT
APN: 762-240-011-25 -32279 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 17400
Architect or Engineer:
01A
4'
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: B C27 C53 License No.: 810111
ate: 2' -(7 ontractor:
0 _Olt
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 fora 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 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 aconstruction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: a'
Lender's Address: 1`+
LQPERA1IT -
Owner:
DON KRUFAL ,
57660 ROSEWOOD COURT
LA QUINTA, CA 92253
(
Contractor:
PICASSO POOLS INC .
41800 WASHINGTON ST B105-433
BERMUDA DUNES, CA 92203
(760)345-4600
Lic. No.: 810111
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/15/09
------------------------------"---------_���
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.
V� 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 become subject to the workers' compensation provisions of Section
3700 oft Labor Code, hall forth 'th com ly with those provisions.
/e:°i� •_0 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 (5100,000). 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
of t is county to enter upon the above-mentioned prop f /'irl tion purp s.
Date? ' d\ gnature (Applicant or Agent): �, ,
Application Number
09-00000768
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee189.00
Plan Check
Fee ..
122.85
Issue Date . . . .
Valuation
17400
Expiration Date
1/11/10
Qty Unit Charge
Per
Extension
BASE .FEE
45.00
16.00' 9.0000
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc..
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
.1/71/10
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
1/11'/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
Valuation
. . . .
0
Expiration Date
1/11/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00- 6.0000
EA PLB FIXTURE
12,.00
`1.UU 3.0000
EA PLB WATER INET/ALT/REP
3.00'
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . . . .
WALL/FENCE PERMIT
. LQPERn4IT
.
Application Number 09-00000768
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee •15.00
Plan Check
Fee
00
Issue Date• . .
Valuation
. . .
. 368
Expiration Date 1/11/10
Qty Unit Charge Per•,
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA,BBQ (# 302.0914) TOTAL OF 23
L.F. 41 EQUIPMENT ENCLOSURE, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
_...._. PLACE AT PRE -PLASTER INSPECTION. 2007
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
Credited-
Due
Permit Fee Total 308.00
.00
.00
308.00
Plan Check Total 148.85
.00
.00
148.85
Other Fee Total 1.00
.00
.00
1.00
Grand Total 457.85
.00
.00
457.85
t e
Din e r e
City or L2
- Bcrr7tim; � Sarery Dn�ision - -
p n, Q� P.O. Box 150 78 :'9-5. Cabe Tampi= .
\lp" 1-2 Quinn, CA 9Z253 - (7050) 7/7-701
0 Btr ldin; Permit ,Aplicadon and Tmckin Shzx, -
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State I.ic 8 CA l
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Addr
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1�ame of Contac Persor:. ( ',r y Sq• r L: Stories
L'rit_
Tclnoae of Cnntaa ?so l:
5q5-4600 J SL / 7' (s�/
�itRaiG7 Value OrProjca:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submit�l { Rcq'd I Rs'd ( - - il'.�CTLiNG 1
PERMTr FEES
Pan Sets Pan Cheek submined 17
f ltcm I :4tncunt I
5trneural Cal= I Reviewed, ready for- correctionsI ,
P.an Ckcck Dcs:usg
Truss Cala I' CaIicd Contac Pcson
Plan Check E:s:ancc
Ttae': Caia. I I Plans picked up
Const-uctinn
'F1'ood plain plan I Plans rc=bmirted
1 I I ?� i ccis a n ica I
t
-Gradin; plan 7" Reyic-t•• readv for currcetiote_sitssue I E1-trieal
5ubcanaetor Tst I Called Contact Pe -son
Plumbing
'Giant Dc--dPians pickrd up !
•
'FL ...Approval I Irsvbmincd Platt;
Gradi.ag
: AMUSE ' I '" Review. ream• for cor, ectionsitssae
Dcvcieper lmpac rer
'Plantuug Apprvt-al Called Contact Person
I --------------
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perntit isuc
School .=_
Total rermit z,
-06/2.4/09
POOL
= SPA-',,
CONCRETE
AREA:
546 SF
'64- '+
234 SF r� "
PERIMETER:
115 LF
32
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-06/2.4/09
POOL
= SPA-',,
CONCRETE
AREA:
546 SF
'64- '+
234 SF r� "
PERIMETER:
115 LF
32
1/9'=1' SCALE-
�;F,',*� PAVERS: ,1,597 SF =
�_y a •.t .. DON & MARILYN KRUFAL
57660 ROSEWOOD CT '
LA Q U I NTA,' CA ' 92253
BBQ #- 3020914coo
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