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04-6017 (RPL)'r n BUILDING & SAFETY DEPARTMENT .0. Box 1504 (760).777-7012 ?�fE9� 78-495 CALLE TAMPICO FAX (760) 777-7011 i C9T�orLAQU A L QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 FINANCE . BUILDING PERMIT , Qty Unit Charge_ Per Extension BASE FEE 15.00 Application Number 04-00006017 Date 8/24/04 Property Address . . . .. . . 81883 PRISM DR APN: 764-270-999-43 -300232- Application description. POOL - RESIDENTIAL Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 15000 Owner Contractor ------------------------ M/M FLORES =----------------------- PICASSO POOLS, INC 78078 COUNTRY CLUB DR, #206 81883 PRI.SM PALM DESERT CA 92211 LA QUINTA CA 92253 (760) 345-4600 WCC: STATE FUND WC: 1709395 12/01/04 CSLB: 81011 11/2.0/04 CCC: C27 -053-B ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc>. Permit Fee . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Qty -Unit Charge. Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ------------------------- ------------------------------------------------ Permit .. . . . . BLDG POOL PERMIT " Additional desc Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date Valuation 15000 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,0'00 117.00 -------------------------- -------------------------------- Permit . . . ELEC ------------------- POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee li..25 Issue Date . . . . Valuation 0 Qty Unit Charge_ Per Extension BASE FEE 15.00 P.O. BO 1504 • 1G�l�� 78-495 CALLE TAMPICO VOICE (760) 777-7012FAX (760) 777-701 I Ln QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O Applicant: Applicant's Mailing Address: Date: $-a S -O�( Architect or Engineer: All Architect r I e is Address: Lic. No.: 13UILDING PERMIT DECLARATIONS 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 Licgnse is in full force and effect. p License Class f?a,- 3� License No. ) 0,��/ Date *61Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U 1 am exempt under Sec., B.& P.C. for this reason Date Owner WORKERS' 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 pglii number af�i Cartier �7A-7'� iaa I�.e Policy Number / %40 `f59S _ 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 comply with those pr visions. Date Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS ZWFUL. 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. 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.). Lenders Name Lenders Address 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 employeesfor 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 1 have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-menfioned property for'nspection purposes. Date Signature (Applicant or Agent): s Page 2 Application Number 04-00006017 Date 8/24/04 Qty • Unit Charge Per Extension 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 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 1.010 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------- ------------------------------------------------------------------ Special Notes and Comments POOL & SPA ONLY. ALARMS'BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged -- - - - - --- - Paid Credited - Due - - - - - ---- .Permit Fee Total -- - - - - --- 264.00 --- - - - - ------ - - - -- .00 .00 ---- - - -- -- 264.00 Plan Check.Total 130.80 .00 .00 130.80 Grand Total 394.80 .00 .00 394.80 PIcRssO POOLS I -IC #810111 POOL SPECS SIZE N Lu z AREA 236 5F H PERIMET2LL ER 66 a (D14 p PEj SIZE LL AREA µ, 12" PLANTER BED DAMWALL H N QUARRTft PACE RAISED @ +18" w N CONCRETE CAP sPIt-I- TYPE STACKED GOLD QUARTZITE Q #OFJETs gepi LIGHTS 1 H cn FACE FINISH 0 � DIG EL � ? a TYPE SPA 7' IN DIAMETER X-11ACCESS Q z uj _ STACKED QUARTzfIE spiLLWAY - - ELEVATIo N U) < p STONE FACE OF SPA DEEP RAMP BENCH +12 MBENCH/TAN-LEDGE ADE OF BLOCK cONC/SOD REMOVAL �° u - QUARTZITE RACE TREE REMOVAL BENCH +12 CONCRETE CAP IRRIGATION REPAIR MADE OF BLOCK � RBB !-ENGHTS QUARTZTTE FACEt ) `../ RocK POCKETS CONCRETE CAP 7 6 PLUMBING 21-6r FILTER ti Pool PUMP Z a 23.h BOOSTER PUMP Is HP PLANTER BED \I2 HEATER 400 000 M) 0 DEMO EXISTING CONCRETE ME C!_OCK O O O r c 2� 3 AND REPOUR TO MATCH WK < 6' SUB PANEL. Q w EXTRA OUTLETS SKIMMER AUTO -FILL. n UJ � 0 10 GAS LINE ef Ac 127 5F STUB OUTS PSB CASCADES 0 POOL E SPRAYHEADS Lu P L EQUITPM Nr - Pool LIGHTS 0z (5Ef SPECS) POOL SPA 07/111/04CONCRETE SPA LIGHTS AREA 207 SF 38 SF 631 SF PLUMBING SIZE < P/E PERIMETER 66 SF 22 F 1/8"=1' SCAL-E STUBGUNISETEQ uQi u 9-0 DEEP END RAMP 3 0Q a L('� r'� 2nd STEP E (6 < T q3 TRI Lv "" !-aVE SEAT z w SPIT -I-WAY 'TYPE FLORES RESIDENCCANTILEVER p Q Lu COPING z m RBB SEF STEEL N 1ILE. 7P i w U TILE TYPE z < WATERLINEr'01 t) 01 16mra w `TILE TRIM G RBB TILE p 0 w DECKING COLOR TBD Q rr SQ FT 759 5F za'z 00 � � FINISH �, � z EXTRA ,JOINTS w owtin Q � CANTILEVER N rr r� < DECK DRAINS STUB 0UT , DECCO DRAIN CURB CORE < sT'EPs q) ��tSF STEPS FACE p z SUB BASE < VISQUEEN o BANDING Lu"A- STAMPED� RELEASE a MOW STRIP rn� MASONRY Urn COPING TYPE Z< ' RBB FACE D -w SPILLWAY 0- sTEPs �z ' P/L EXT WALLS iA z p PL -ANTER WALLS Lux w RETNG WALLS 50 A' ::� EQ WALLS Lu L GATE TYPE R&R GATE z seQ � SIZE BBQ MODEL p TOP FINISH Iz- SIDE BURNER Q FACE FINISH < PEN LIGHTlu PLUG OUTI-ET Q LIGHTS SWITCH POSTER R z A RE -INSPECTION F E OFPL�A167MR COI -OR �w VViLLBECHARGED IFTH APPR��g�LE COLOR TBD w P OL LIGHTS 2 PLANS AND JOB CARD RE NOT A LIGHTS 1 LRS R w � THE SITE FORA ND BEAM � a INSPECTION. EYEBALLS w z ND EXCEPTI IS, C ER PLANFOR p a FLORES RESIDENCE ADDRESS 81883 PRISM --- -LA. QUINTA m i U, LOT# °H3 TAY TRAcin REVI'SIPNS ; (1) DATE FOR CCIN S -r -i U (2) DATE 3 DATE D!'TB� 1 BY i -t3ate Printed �8_ Scale 3:15 PM 8/10/2004 1 11:1 Drawing by JUDY