08-1176 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td4t 4 4a Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00001176 - ) Owner:
Property Address: 79740 NORTHWOOD TED MARTENS
APN: 762-022-024- - - 79740 NORTHWOOD
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: - 3000
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/10/08
Contractor:
LFYNA Applicant: Architect or Engineer: PICASSO POOLS INC
78078 COUNTRY CLUB DR, #206BERMUDA DUNES, CA .92203 2000
(760)345-4600
LiC. No.: 810111 LA QUINT, DEPT.
-------------------------------------------------------------------------------------------------
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 ss: B C27 C53 License No.: 810111
ate:or: f�
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 (5500).:
(_) 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.).
(_) 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 contractorls) 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.). '
Lender's Name:
Lender's Address:
LQPERMrT
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
1 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.
Pde
WARNING: FAIIJ011f 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 cou ordinances and state laws relating to building construction, and hereby authorize representatives
of thismy to enter upon thea ve-mentioned property for inspection purposes.
te: Si ure (Applicant or Agent):
Application Number 08-00001176
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check Fee
35.10
Issue Date . . . . Valuation . . .
. 3000
Expiration Date 1/06/09
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 . . . . 15.75 Plan Check Fee
3.94
Issue Date . . . . Valuation .
. 0
,Expiration Date 1/06/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
.75
----------------------------------------------------------------------------
Special Notes and Comments
BBQ (#3020914), CITY STANDARD WALL (18"
HIGH X 77 L.F. - COURTESY INSPECTION
ONLY FOR WALL FOOTINGS.
----------------------------------------------------------------------------
Other Fees . . . . . . . ENERGY REVIEW FEE
3.51
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total 69.75 .00 .00
69.75
Plan Check Total 39.04 .00 .00
39.04
Other Fee Total 4.01 .00 .00
4.01
Grand Total 112.80 .00 .00
112.80
0
LQPERMIT
BBQ # 3020914
SIDE VIEW
C D
FRONT VIEW
ACCESS DOOR
WATERPROOF
G.F.I.OUTLET
(TWO PLACES)
WALL DETAIL BAR SECTION ;
,; ... ` .. BEND STEEL r
u , TO REINFORCE
COUNTER" VWX 16" -
BLOCKS
#4 REBAR
• HORIZONTAL
8"X8"X16"
f
BLOCKS
#4 REBAR
24" O.C. ,
M
CONCRETE DECK
C' I i OF LA
QUI VT~
BUILDING & SAFETY DEP FOOTINTG
APPROVED
FOR CONSTRU TIO =.
08 BY
DA I
94 REBAR
HORIZONTAL
# 4 REBAR '
Two BARS
6" O.C.
Fs
I
PICAS
LIC #810111
;'-
'CITY STANDARD WALL:
-
r 18"hx6"wx77' LF'
CONCRETE CAP:.
'
3"hx2'6"x2'6"
2
24*6'
,.. a .. �. " ... ...._ --�- ..
-�;�..a.''%�w�?.,.wK-� ..:a .„ _ - ti,�„ w. r-....� �-... _.. _. _
-
•.� � -
13'6"
r
13'6°
i
1/4" =1' Scale
t,
WALL FINISH
-
!
WITH STUCCO
J
AND PAINTED TO
PILASTER:
MATCH HOUSE
2' X 2' x 2'
�
' . •
- STONE+.,FACE AND
SIDES..
1
"
CITY OF LA QUINTA
`
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRU TION
UOS BY
DA
# -0ty of b Quin.ta' .
BuildinD. r Sarery Division
• P.O. Boz 1504, 78 :9:5 Calle Tampico.
Petatit rr La Qtunra, CA 92253 - (760) 777-7012
BO, dine Permit Appfic2don and Tracking Shej e;^
?»j= AddMISS: r o, - 9 4D
P�'P. Tinmbcr. 1101-140 I I nt'U.f \1 i�Alfl ll
Leal D^stziption:
Cin•. ST. Zip:
Cotnracmr- ass
O C,
l cicphonc: I Q o
Annrss
Cm . ST. Zips-
'Lz
Project Desmiptioti: .
•�JO
Ca�i
Tei_hon^
� '� lob
3=Y
�1v00 �:°.,. - - _-
Stat_ Lim t : g OI
.4ra>_�Fst�_ lcsi�tter:
/-gyp'
1 I CiTy Lir- r: I IJVO
"
Addr=
Ln/
Ctny. ST. Zip:
Telephone
$tate Lir-
Name'of-Conmm-P=sor.:
-= '; - ---
Copsiruct'on R O:
�c ctzasi
p
Prtij--- type (cirtie one): Nett 4dd'n Ait_r P_ -pair-
$q. FL: I r Stories R L'rits
Dcmo
"Tdcphone of Contac Peron: — 4 6O®
maied Value of Protea
AF1PUCA.NT: DO NOT WR=E BB -OW THIS LINE
R" I Sttbmittal I
Req'd
I Recd
TRACKING '
PER!,HT FEES
Plan. Sets I
Paan Check submitted
I
hem I
Am„unt
StruCural Calcs I
I
Reviex•ed. ready for corrections
I _ -,
Plan Check Dcros3
Truss Cala' (
Called Contact Person.
Pian Check Bslanct
I" Tifle _'3 Cain.
Plans picked up
I
Construction
Tlbod plain plan
I
Plans resubmint-d
I
Mechanical
.Gradin-, plan i ,-I.
2- Rn-im. ready for rorreetionsitssuc
L.•_ " r -..t
Electrical
Subeontaetor List
I
Called Contact Person
:.
'I•
Plumbing
I'G'rarct Decd
Plans picked up
H 0 Approval
I
I
Platte resubmitted
:
I
Grading
I. TN HOUSE:-"
I
I
N"'Review. r=dv for eorreetiottsimue:-' . '.
� '• -..
. Developer ltnpan Ftr
I'Planning Apprm•21 '.
I
Called Contact Person
A_I_P.P.
-Pub. Wks. Appr
I
I
Ntc or permit issue
Scitool'.F'zcs
i
.
Total Ptrtilit-Fea