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04-7335 (RPL)Lao �n „,uj I .0. Box 1504 BUILDING & SAFETY DEPARTMENT u��a �(760).777-7012 0�`��UF�Tt�ti 7�8-495 CALLS TAMPICO. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7.15--- BUILDING 77-715:BUILDING PERMIT Application Number . . . . . 04-00.0-07-335 Date 11/18/C4 -Property Address. . . . . 80430 TORREON WY APN: 772 -250 -997 -110 -31349 - Application description POOL - RESIDENTIAL Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation 15000 Owner Contractor- -----------------------------------,- ROBERT BYRD PICASSO POOLS, INC 80430 TORREON WY 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: 810111 11/20/04 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 Extens-on 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 Valuation15000 Qty, Unit Charge Per Extens_on BASE FEE 45 00 13.00 9.0000 THOU BLDG 2,001725,000 117 00 ------------------------------------------- ------------------------ . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0' Qty Unit Charge Per Extens-_on 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 P.O. BOX 1504• w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 TooINSPECTIONS (760) 777-7153 BUILDING cit: SAFETY DEPARTMENT Application Number: 3 Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer' A�Iess: Lic. No.: BUILDING 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 L�je m full force and effect. �D" / License Class C. —C,Sr3 License No. Date `L "A�S Contractor(ve�)C� S 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 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 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 ued. work rs' compensation insurance cam nd policy nu �@�are: Carrier J n�_Policy Number _7 716 e Z _ I certify th t, in the performance of the work for which thig permit i1fissued, 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 (!/ `a23-16(—( ApplicantT�J s) l/,—A F ajco cia 7 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. 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 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 county to enter upon the above-mentioned operty for inspe ion purposes. Date—/' — gX �—(J� Signature (Applicant or Agent): Page 2 Application Number . . . 04-00007335 Date 11/18/C4 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 #3020914. 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 56" HO 71Y% F0 I_IGkT * 2 OUTUT5 X3020914 6 , qXq STEPPING PAJ TO COURTYAl COURTYARD WATER REP W HEiGHT5TACKED STONE 5P11 STONE EXTERIOR AND TWO �] 11 f .' MN 11 ntnn 'r,) of rr-rTPI rf)Klr0rl-r 10TAMETER SPA +18", oTACKED STONE SPILLWAY STONE EXTERIOR FIINI5k REA DRAINS plcAssO POOLS LIC tt-810111 POOL SPECS SIZE -t AREA; 484 5F PFR,!/\AET'ER: L7' LF tDEP-FF4- S�A srEcs U 5IZF-:: 7' DIAMETER AREA: igsr IDAMWAI-1-t: RAISED PI-QMBING SIZE- TYPE t 6TACKED5TO GF IT E_ TS. 8 GUN II E FACE FINISR mG/sTER. ra 7YPM 20 STEP': ACCESS- ELEVATION; (UD MEP RAMP- SPTIA-VVAY 7Yr,_ BF=NCH/T/\N=l_EIDGE; QONC/50-D REMC)YAL: 0 < TREE REMOVAL: COPING;7- IRRIGATION REPAIR; RBB ll__E NQG7145; ROCK POCKET5-1E= TILE TYPE-!, PLUMPING FILTER q POOL PUMP: L 2 RP HEATF-R.: goo ow Mi TIME Cl _OCK: JANDY R5-6 RETURN INI-ET6: 3 IM - NAER; SKIMMER; yEs AUTO -FILL; YES . ........... STUB OUT5; CASCApEs< SPRAY HEADS: U POOL LIGHTS; SPA I-IGHTs!ui PI-QMBING SIZE- < STUB 5ET EQ; c Lu GUN II E > r DEEP END RAMP: ra 20 STEP': LOVE SEAT.. (UD SPTIA-VVAY 7Yr,_ CAN71LEi-VERU)i 0 < COPING;7- W Ree;SEE 5 7E- E L TILE TYPE-!, U4 WATERLINE; 5TOU 0 E COLOR TRD Z TILE TRIM: RBB 7SE DECKING 'u OMAHA I TAN co jj SQ F7.- ic 6p Z M 7- q) o� < FINISH; , A LT V\]A[_K WAY., W� z Z CANTILEVER; N< PECK t)RAIN5; DECCO DRAIN; CURB QOK: < STEPS; STEPS FACE; ­ SUB BASE; yisQUEEN: BANDING; 6TA A APED; , Ed MOW STRIP; MASONRY CQP,iNG TYPE: RRB FACE -.- SPIN! WfY Lul_u STEPS: P/L EXT WALLS: LUX wPLANTERVVAI�,�_!5- RETNQ EQ WAj_'j_S GATE TYPE. Lu < �R SATE; CITY OF LA UINTA BBQ BUILDING & S I ETY DEPT. APPRR ED BB Q MODEL_; M r%0 To To 10 , E BURNER; On F. Cl- FINISH: DATE— r-li , tj--GHT; 'Pe�!E-R )UTl-rzT5-. V(ZHTS 5WrFQH: PLA KA5T-ER COI-C)V?; PEBBLE COLOR. POOL I-IGHT5- FEE 0 SPA LIGHTS; $ 30 L. i33 fHA ACED !F THE APP JE0-D BONE) REAM! S Ar,D JOB CARD ARE N TON EYE-RAI-1-5: (b Ti�iE SITE FOR A SCHED 2LVER LIED p,L/�N FQR < IN'jPECTION. BYRD RESIDENCE NO EXCEPTIONS! ADDRE55:_ Ao43o IQRgEON WAY _'LA OUINU or w T -Bl fr 269 REVT�fONS: Q) (2)DATE: 0— Date Printed _DATE: Scale 1:17 PM 8/18/2004 . ...........