04-3412 (RPL)13 2004
BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760) 777-7012
78-495 CALLE TAMPICO FAX (760).777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS.(760) 77'1-7153
BUILDING PERMIT
Application Number . . . . . . 04-00003412 . - Date 4/12/04
Property Address .. . . . . . _'5 0 4-2-5---VERANO __ D R*
APN: 772-250-999-64 -30357
Application description . . . POOL - RESIDENTIAL
Property Zoning LOW.DENSITY RESIDENTIAL
Application valuation 15000.
Owner
TOLL .CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 200
SCOTTS�nALE- AZ 85258
Contractor
7
PI-CASSO POOLS, INC.
78078.COUNTRY:CLUB DR, #206
..PALM DESERT CA 92211
(760.) .145-4600
WCC: STATE',F
UND'
�12/01/04
L7,0�.3.9.5
CSLB: ..81011. .11/20/04
CCC:... C27 -053-.B.-
-- - - - - - - - - - - - - - - - - - - --- - - --- - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - -
Permit . . . . . . BLDG POOL PERMIT,
Additional desc
Plan Check Fee 105.30
Permit Fee 162.00.. P
Issue Date' Valuation .15000'
Qty Unit Charge Per Extension
BASE FEE 45.00
i3.. 00 9.0000 THOU BLDG..2,001-2.5,00-0 -117.00
------------------------- -------------------- *--.---
------------- ----------------
Permit.. MEC14 POOL
Additional desc
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation. 0.
Qty Unit Charge Per
Extension
BAS, E FEE 15.00'
1.00 9.0000 EA MECH FURNANCE <=100K 9.00
-------------------------------------------------------- 7 ---------- ---------
Permit . . . . . . ELEC POOL PERM . IT -RES
Additional desc
Permit Fee 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . .
0'.
Qty Unit Charge Per Extension
BASE FEE- 15.00
1.00. 30.0000 EA ELEC PRIVATE..'.SWIMMING POOL' .30.00
P.O. Box 1504 •
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS=(760) 7.77-7153
BUILDING & SAFETY DEPARTMENT
Application Number: d H - 34. (Z Date: ^ q O
Applicant: Architect gr Engineer:
S/)�G IiT t�oWlYV1r1Ta'L- N it -
Applicant's Mailing Address: Archit66t or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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 Lice in full and effect. !�
License Class (.� er1 License No—
Data I O I y
DateLS Contractor 91"
OWNER43UILDER DECLARATION
1 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, after, 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 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. If, howeyer, 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 1, 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 I am exempt under Sec. , BA 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 self4nsure 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. wp�lvers-' 4o ensation insurance carrier andSooligy nu ;erre:
Cartier 5 T j2ap t—U N Policy Number v
_ I certify that, inthe 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.
'
Date 041Is/ 0'C Applicant I,V�
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 3708 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.).
Lender's Name Nee \ e
Lenders Address t6m P
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 pertomued 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 Ouinta, 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.
1 certify that 1 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 county to enter upon the bove-mentioned property for Inspection purposes.
Date 0 Signature (Applicant or Agent):
Page 2
Application Number . . . . . 04-00003412
Date 4/12/04
----------------------------------------------------------------------------
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
1.00 3.0000 EA.•, 'PLB
GAS PIPE.1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
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
DRAIN
36" BBQ
STONE TO MATCH SPILL WAY
WOLF MODEL 36
STAINLESS STEEL
PEN LIGHT+ 2 OULETS
+24" RAISED SPA
.......... I ..r" Huth -1 a nrSryf'
FIV
l�
n cf-L
CITY OF LA Q -U
BUILDING
IPPR E
FOR CO
4 -13-0 BY �
DATE
PICASSO POOLS
LIC #810111
POOL sPEcs
SIZE::
11,6„ 6"
w z
AREA:
400 SF
PERIMETER:
100 F�Hp
PEC
-3 TO
u
5PA
wwm
SIZE:
6 X 9
Q
AREA:
o W
DAMWALL:
RAISED @:
SPILL TYPE::
nw�.
o +- oo
# OF JETS:
6
LIGHTS:Lu
N
FACE FINISH:
0
DIG EL
H,�l V
TYPE:
ACCESS:Q
Z N
ELEVATION:
H uj
DEEP RAMP:
<
I
BENCH/FAN-LEDGE:
o
CONC/SOD REMOVAL:�-
TREE REMOVAL:
o
IRRIGATION REPAIR:
4
RBB LENGHTS:
Q
ROCK POCKETS:
a
PLUMBING
FILTER:
300 SF
u
POOL PUMP:
2 HP
BOOSTER PUMP:
1.5 NP
HEATER:
400.000 B
Lu
o w
TIME CLOCK:
PANEL:
SUB
o u,
EXTRA OUTLETS:
z
z cc
SKIMMER:
w
AUTO -FILL:
:
D j_.i z
GAS LINE:
w
Luz °d'
sive ours:
CASCADES:
o
SPRAYHEADs:
o °�
Pool LiGHTS:
o ?
j
SPA LIGHTS:
PLUMBING SIZE:
STUB SET EQ:
o w
(.iU N 11 tN
DEEP END RAMP:
o p w<
2nd STEP:
N <
LOVE: SEAT
z -4 N
I
SPILLWAY TYPE:o
< uu
CANTILEVER:
w
L z
COPING:
Lu
0
RBB:SEE STEEL
m z
TILE TYPE:
O u
WATERLINE:
A
z
TILE TRIM:
w
RBB TILE:
0 w
�
DECKING
-
COLOR:
u-
m0
SQ FT.
N • >- o
c Q Z
FINISH:
EXTRA J INTS:
N u
CANTILEVER:
N o <
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
a
STEPs:
STEPS FACE:
°
z
1
SUB BASE:
<
�
VISQUEEN:
o
BANDING:
aja-
STAMPED:
j
RELEASE:
1�
MOW STRIP:
MA50NRY
COPING TYPE:
Z<
RBB FACE:CJw
4`
SPILLWAY:
Ww a
STEPS:
P/L EXT WALLS:
z o
PLANTER WALLS:
wa, o w
Zt-,
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
z
BBQ
r-
SIZE:
BBQ MODEL:
°
TOP FINISH:
z
Lu
SIDE BURNER:
Q
FACE FINiSH:
PEN LIGHT
PLUG OUTLET.
UJ w
z
LIGHTS SWITCH:
PLASTER
0
PLASTER COLOR:
�°0
z N
PEBBLE COLOR:
a a
w
POOL LIGHTS:
SPA LIGHTS:
o A
ROLLED BOND BEAM:
EYEBALLS:
� c
OTHER
Z Q
PLAN FOR
p < N
EPT. RESIDENCE
DDRESS: 50-475 VENO br
N UINTA
LOT# TRACT#
ONS:
(1)
DATE
(2)
DATE..
(3)
DATE:
'
Date Printed
�8_ Scale
1:18 PM 4/12/04
k,. 11 W v