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04-4416 (RPL)T4hf 414 4914!m BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 I�I Pr ECT(J�N R QUESS� 760) 777-7153 BUILDING PERMIT` "�Y _2 204 Application Number . . . . . 04-00b04416 CITYOFLAQUINTA Dat 5/19/04 Pi�1AP3CE CEPT Property Address . . . . . 50625 VE APN: 772-250-999-74 -30357 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 15000 Owner 'Contractor, ------------------------ - :-------.---=--------`- - M/M LEMON PICASSO POOLS, INC 50-625 VERANO DR .78078 COUNTRY CLUB DR, #206 LA QUINTA CA 92253 PALM.DESERT CA 92211 (760) 345-4600 WCC: STATE FUND WC: 1709395 12/01/04 CSLB: 81011 11/20/04 CCC: C27. -053-B ------------------------7----------------------------------------------------- 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 <=100Kti.•�; 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,,000 117.00 ---------------------------------------------------------------------------- Permit . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per BASE FEE 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL Extension 15.00 30.00 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Applicant's Mailing Address: eh Z—& A� Architect or Engineer: Architect or Engineer'sss: Lic. No.: BUILUING 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, andmy Li nse is in full fore and effect. /O// License Clas 7 License No. 9 Date Contractor �t .SSD 0Z 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 s6le 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 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: 1 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 i wo ers' com atiorri ensn insurance came n oI' num er ar CarieJ_� p Policy Number _� y 3 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' mpen ation 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 orth ' comply with those prov ns. to Date Applicant t WARNI G: F (LURE TO SECURE WORKERS' COMPS ATION 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. 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 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 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 ha read this application and state that the above i ormation is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, an here authorize representatives of this coun t enter pon the above-mentioned property for inspection purposes. c Date Signature (Applicant or Agen . I Page 2 Application Number 04-00004416 Date 5/19/04 ---------------------------------------------------------------------------- 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. BBQ,#111081156. ALARMS .;' BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. ' Fee summary Charged Paid Credited ----------------- Due ---------- ---------- ---------- Permit Fee Total 264.00 .0.0 .00 ---------- 264.00 Plan Check Total 130.80 .00 .00 130.80 Grand Total 394.80 .00 .00 394.80 I PROPER`IM 36" WOLF I SN# IIID nrenVtfl ^-rnklfw whn I [.�A%, 1E PICASSO LIC #510111 POOL SPECS SIZE: AREA: 456 SF PERIMETER: 1 -HQ SPP DE -I, 4 _ N x uiLum SIZE: O n - AREA: o t DAMWALL: RAISED C: uii N SPILL TYPE: o Q # OF JETS: Aa. o $ LIGHTS: I N FACE FINiSH: 0 3 r- DIG EL ? w 15 TYPE: 3: ACCESS: a >_ u ELEVATION: Q z w DEEP RAMP: ) BENCH/TAN-LEDGE: Q CONI/SOD REMOVAL: TREE REMOVAL: 3 IRRIGATION REPAIR: RBB LENGHTS: ROCK POCKETS: PLUMBING FILTER: cn POOL PUMP: � nom. BOOSTER PUMP: HEATER: o TIME CLOCK: < SUB PANEL: o L, EXTRA OUTLETS: SKIMMER: Lu AUTO -FILL: � N GAS LINE: u o� o STUB OUTS: u, Z CASCADES: o �� SPRAYHEADS: POOL LIGHTS: u ? SPA LIGHTS: N PLUMBING SIZE: 5 STUB SET EQ: i 0 Lu G NI U) DEEP END RAMPA o A 6 2nd STEP: 5 < LOVE SEAT Q SPILLWAY TYPE: CANTILEVER: iu COPING: z w RBB:SEE STEEL a . m z Z C� a TILE TYPE: N WATERLINE, z TILE TRIM: q) � ui RBB TILE: o 0 Lou, -- DECKING DECKING " < COLOR: m Q a SQ FT: N >- o FINISH: o < z EXTRA JOINTS: u°'i ti Q 3 CANTILEVER: N o < DECK DRAINS: DECCO DRAIN: CURB CORE: STEPS: N STEPS FACE: A z SUB BASE: < VISQUEEN: BANDING: wa- STAMPED: RELEASE : �a MOW STRIP: Q MASONRY U , COPING TYPE: Zn- RBB FACE: Ow SPILLWAY: N o STEPS: ww P/L EXT WALLS: � z o PLANTER WALLS: wir o w RETNG WALLS: z EQ WALLS:�� Lu � � GATE TYPE: R&R GATE: N BB4 SIZE: BBQ MODEL: ° TOP FINISH: z Lu SIDE BURNER: o Q FACE FINISH: � < 00) PEN LIGHT p HI HI PLUG OUTLET LIGHTS SWITCH: A RE -INSPECTION FEE F $30 PLASTER 4 z WILL BE CHARGED IF THE A ROVLI-AsTER COLOR: Z N PLANS AND JOB CARD ARE OT O�FEBBLE COLOR: W THE SITE FOR A SCH ULEDPOOL LIGHTS: N INSPECTION. SPA LIGHTS: °a Iii ROLLED.$OND BEAM: � NO EXCEPTIONS! EYEBALLS: OTHER Z A 0 PLAN FOR o < LEMON RESIDFAWE DRESS: 50-625 VERANO DR. CITY OF LA QUI 11'' BUILDING & SAFETY Ea i . LQUINfA �,PPO� �: 1-C7# 74 TRACT#FC NS i RU i EVISIa N S: (I) DATE: DATE (2) DATE: _ (3) DATE: Date Printed 1/8 01 /8"=1' Scale 9:11 AM 5/19/04 Tlrrneiinn h.,• 11 li'1V