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05-3856 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: i5-00003856 _ , Property Address: 54303 AVENIDA JUAREZ APN: 774-232-014-3 -.000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 17000 Applicant: C&t�l 4 4 Q*& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer lt/l ------------------ LICENSED CONTRACTOR'S DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/05 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: License No.: !i"W 4n_-� Contractor: L/ L V O A T It&& T OWNER -BUILDER DECLARATION 1 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 _ 1 1, 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 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.1. Lender's Name: _ Lender's Address: LQPERMIT 05/31/06 04/30/06 ------------------ 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 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 I should become subject to the workers' compensation provisions of Section / 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant-r[�/ .rI j Di 4 A A-' . 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 of this c my to enter upon the above-mentioned pr/opeeray for , s.pection purposes. Da� a • Signature (Applicant or AgentT /it' Owner: POWER FINANCE P O BOX 134 LA QUINTA, CA 92253 Contractor: /1 PICAZO POOLS & SPAS (� WCC:. EXEMPT WC: EXEMPT SEP O 6 ��oJ CSLB: • 836900 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: License No.: !i"W 4n_-� Contractor: L/ L V O A T It&& T OWNER -BUILDER DECLARATION 1 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 _ 1 1, 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 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.1. Lender's Name: _ Lender's Address: LQPERMIT 05/31/06 04/30/06 ------------------ 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 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 I should become subject to the workers' compensation provisions of Section / 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant-r[�/ .rI j Di 4 A A-' . 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 of this c my to enter upon the above-mentioned pr/opeeray for , s.pection purposes. Da� a • Signature (Applicant or AgentT /it' Application Number . . . . . 05-00003856 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date Valuation . . . . 17000- 7000Expiration ExpirationDate 2/27/06 Qty Unit Charge Per Extension .BASE FEE '45.00 . 15.00 9.0000 --------------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 ------------ Permit . . . MECH POOL Additional desc . . I Permit Fee . . 26.00 Plan Check Fee 6.50, Issue Date . . . . Valuation . . . 0 Expiration Date 2/27/06'. 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 2/27/06 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 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/27/06 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number . . . 05-00003856' ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due r----------------- ---------------------------------------- Permit Fee Total 284.00 .00 .00 284.00 Plan Check Total 143.00 .00 .00 143.00 Grand Total 427.00 .00. .00 427.00 LQPERMIT s333 1!at1a4 Ic1o1 :W10Jd;o anIEA P31cwt -5-595-LK:uossad "nuo:);o # auogda(2l X :nlun x :sa�Jolg M : t3 'bs 0 L 7 �0`Y��'•1 � :utxiad unuo);o cutely Y 2333 i00g3S - - _•, aass� I!uuad jo alta ��'I a1¢►$ 1ddV =i.M -qnd :auogdalaZ d d i r aouad 13=00:)pap§3 paoaddV 2aigutgd as j tacdmi ladolawaQ aassysaouaaJloa 10) ipw •aaaua-d ow -:3SgOH Ni 2uopcJ7 paluaagnsaJ sagd I§waJddY w O'H I lY S do pagaid suvld paaQ 13§1' y 2oig0tntd uosaad lapuo) pall§, $"I lotaclaoagnS 7ZI 4- W394 197ut3313 QaiitJsaotl]alloaloj ip93J'nauaa 6 :d�Z •yS •.Cs�) acid 3§ipc17 o Icasucyaaly paupugm"A sagd avid oicid poo13 S j X ,n:uonduasap mfoid aouaallsuo) do patiJsd sa§Id •� :Sswppv Lapp M3u3 :}::>t::: _ ��, . �, •Q L:auot{daiali 33a9I9H Tay, 0914 uosaad 13§1oo) paps] S(� 1ogv�tuo' t3je j ssns1• �SZZ :d2 -� -•ut> llsodaQ �laay) oct4 suouaaJ1o21oj iaJpc•parauuaa :uonduwsaa Ieaal sap] ivlauallg �' •O• = +PDY laaoeY wall 8 paulwgas yaaq) avid uNtunN AN S"S acid 2 S33-4JUN1l3d 7NP.1)Y�11 P. -U P.b-Ili IsuiwgnS a 3NI1 SIMI M0138 31itlM ION Oa :11uvZ)l-Iddv :W10Jd;o anIEA P31cwt -5-595-LK:uossad "nuo:);o # auogda(2l X :nlun x :sa�Jolg M : t3 'bs 0 L 7 �0`Y��'•1 � :utxiad unuo);o cutely Y Quad Jttda2l J311Y u.DPH analj :(duo alsua) ad.C1 WfoJd - - _•, ��'I a1¢►$ :.Cwednaap :2"JL uonutvuuo' :auogdalaZ Ar :APPY �atr�isaQ ••13tr3 .•trlty atnS y 7ZI 4- W394 c7z11 6 :d�Z •yS •.Cs�) 7f o S j X ,n:uonduasap mfoid '-9 s . •� :Sswppv 7( :}::>t::: _ ��, . �, •Q L:auot{daiali 0 S(� 1ogv�tuo' � �SZZ :d2 -� -•ut> :uonduwsaa Ieaal �' •O• = +PDY uNtunN AN :ssuPPY uafoid X hays Bu'VeJl pue uopoilddy 11twad guippq Z t OL -LLL (09L) • ESZZ6 YJ 'nu!+t) el widwel 3F3 SO -8L `SOS I xOG 'O'd uq"(I ka;eS a 3u!PI!n8 .mutnb el jo Ai!:) 'SO . N uumad �x tng , CITY O .LA QUINTA SUS—CONTRACTOR LIST JOB ADDRESS S9'3o3 AJC `iia(-E"Z PERMIT NUMBER DS-• 3�5 fo OWNER �00►,1�2�P� S BUILDER a�6e���j®s�,� This form shall be hosted on the Job with the Building Inspection Card at all times in a consaicuous place. Only persons appearing on this list or their employees are authorized to work on this lob. Any.changes to this list must be approved by the Building Division prior to commencement of work. Failure to Com ly will result in a stoppage of work and/or the voidance of building permit.. For each applicable trade. all information raniiactorf halnte, rnii�+ k- ----I-+ '_J �.. ___�:___. ^�� '�_„ Trade ! Classification ,,,�,JL WU t.,V,,,V,CLCV Contractor State Contractor's License Company Name Classification . License Number Exp. Date (e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) „y app„ca„L. . vn me is notan acceptable response: r Yorkers Compensation Insurance Carrier Name Policy Number Exp. Date (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) rir., Business Licons,. License Number Exp. Date (xxxx) (xx/xx/xx) EARTHWORK (C-12) CONCRETE (C-8) �lC.a�►20 ��1 S'�®ad.��C.J L' ' S3 O�'J .B� r —7 IG74 S'�t FRAMING (C-5) STRUCT. STEEL (C-51) (G SOS �* • 3 O� MASONRY (C-29) PLUMBING (C-36) f ILfto �it� "� ®d, C.•S LATH, PLASTER (C-35) c.e� !:S F4•t_.t DRYWALL (C-9) �� cjQ© `� •��?• — [ •3® •�$ i;.A$_PbY Er_5 4A"aP• F0 '7 i •' • I how -gap O . HVAC (C -20) - ELECTRICAL (C-10) ®.'Z.o(�t� � LS J O!`� •B®.. � ( 4 ROOFING (C-39) SHEET METAL (C-43) FLOORING (C-15) GLAZING (C-17). , INSULATION (C-2) SEWAGE DIS,p. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) �e FENCING (C-13). LANDSCAPING (C-27) POOL (C-53) .i 4►L_ �.� t t.S ® 12e1 ��'� � r -OA h S?s�•®® t tt•I•®S 'T r t • 1 JiA/DW� AAMA SWIIMINQ POOL. SPECIFICATIONS POOH. SPECIFICA'T'IONS � type: r'r F size J I a XX 5— surface are _1(30 d perimeter. depths: min. 3'- O max. - SPA SPECIFICA'T'IONS size:Ls, X_&,g surface area: 5- d7 verimeter dam wall width: IZ" length:_&f—_spa rai ed:.& spillway type: 'r r r G # of jets: notes: EXCAVATION / S'T'EEL type of dig: b ate: elevation: , r walyfence removed by: — wall/fence type conc.removal, �- sod removal. tree/stump reemoval: — j 6"r.b.b. 12"r.b.b. — 18"rb.b. surcharge:�� bench/loveseat: tanning shelf water depth: I GUN9'I'E 6-r.b.b. �� 127r.b.b.�l8"r.b.b. --=- bench/loveseat extended tad step: spa dam wall width: �r spillway type: T t.✓ / IDECIMG i SQ.FT. Y �7r F;r_-finish: i� color. cantilever expansion joints: steps: type: deck drains: decco-drain: curb core: sand&visqueen: TILE & MASONRY coping type: CQ^?TlL.tE�1, spillwayty e: 1. 6"r.b.ti. _12"rb.b.1S"rb.b. r.b.b. facing T'L true tile: tile type: equipment wall: X type= PLUMBING & EI.EC'T'RICAI, plumbing size: _T fill line: skimmer type: rn gas line: Y rc S C_ # elect.line: k heater t , size: filter w pool Pump: 5PE[=- size: size: . ql' jet pump: sub -panel: size: time clock: GFIC. QT F LQ 1 t? • extra GFIC. -CITY OF LA QUI NTA pool light �,Y,. BUILDING $ SAFETY DEPT. :� stubs. plaster. eleetsdrbs�t color. APPROVED Pebble: color. FOR CONSTRUCTION DATE a It [ 0 $ S NAME BY - Job address • s O 2' City: 1 / 0 wale: date: 15 5 '��