05-2503 (RPL)rn
`f
yZ
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
.ce-it4t'4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: i 05-00002503
Property Address: 77780 CALLE-_SINALOA
APN: 773-141-011-11 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: . COVE RESIDENTIAL
Application valuation: 16900
Applicant: Architect or Engineer
7XI- 11-0
------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with '
Li on 70001 of Division 3 of the Business and Professionals Code, a�my,�Ic'ense is i full force and effect.
License
ate�_� f� Contractor: cl +� alY L,f' �� �0 s
JUN 232005
OF
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 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 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.).
Lender's Name:
Lender's Address:
LQPERMIT -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/21/05
Owner:
POWER FINANCE
P.O. BOX 134
LA QUINTA, CA 92247
Contractor:
PICAZO POOLS & SPAS'
WCC: EXEMPT
WC: EXEMPT
CSLB: 836900
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.
1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which t permit is issued. My workers' compensation
insurance carrier and policy number are:
Hier -053 Policy Numb r --------------- .
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 sho Id become subject to the workers' compensation provisions of Section
�iy�y3's7^�00 of the Labor de, I shall forthwith comply with those provisions.
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 orpursuantto 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
aFxcounty ordinances and state laws relating to bud iKig construction, and hereby authorize representatives
oountyto enter upon the above-mentioned prop y for inspection purposes.
a! i "ignature (Applicant or Agent):
Application Number .
. . . 05-00002503
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . ". .
180.00 Plan.Check Fee
117.00
Issue Date
Valuation . . .
. 16900
Expiration Date
12/18/05
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 .
Permit Fee
26'.00 Plan Check Fee
-6.50
Issue Date . . . .
Valuation . . .
0
Expiration Date ",
12/18/05
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
12/18/05
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 P1an.Check Fee
7.50
Issue Date . . . .
Valuation
0
Expiration Date ..
12/18/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.000O..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 ,
` J
LQPERAUT -
,.
CITY OF.LA QUINTA SUS -CONTRACTOR LIST
JOB ADDRESS II-"1SoC&ILLSI&6,.-Q,.,& PERMIT NUMBER OS• -2503 OWNER oc-:�CZ1�1ALAA E BUILDERRCA420
This form shall be1?osted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Fail to comply will result in a stoppage of work and/or the voidance
r.f h..;lrlinn ncrmi+ Gnr annh nnnlit-ahlci trarin all infnrmatinn rant iactarl hnlmA/ mi ict ha r•mmnlPtPd by nnnlir-ant :." nn FiIP" is not an accentable resnonse: ti
v. vu..v...y p.....
Trade /Classification
..r.r. .., ....�.. •r•-
Contractor State Contractor's License
--rr• -- — - - -- - - - - - - - ---- - - - -
-+lllorkerv� s C pensation Insurance _4
City Business License
Company Name
Classification.
(e.g. A, B, C-8)
LicenseNumber
(zxzxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp.' Date
(xx/xz/xx)
License Number
(xxxz)
Exp. Date
(xx/xx/xx)
EARTHWORK (C-12)
Pic., Azo 61J L -,-r0 u.'?Ct>L.3
C. "53
85;!>4690a
-30
CONCRETE (C-8)
FRAMING (C-5)
.
STRUCT. STEEL (C-51)
1G �eUS �%
�.
O
MASONRY (C-29)
PLUMBING (C-36)
1��� Gt1 . r ®�
C'S
s ®�
'"�•�f�•
—
401
�.
-3
LATH, PLASTER (C5?
ISS A &UL.-
•3®�c
6� P�i S � �
��. '''
• (•
O
DRYWALL (C-9)
HVAC (C-20)
ELECTRICAL (C-10)
��(�� c.S
.'j
QQ
•3�,
l
4
ROOFING (C-39)
SHEET METAL (C-43)
FLOORING (C-15)
GLAZING (C-17)
INSULATION (C-2)
'
SEWAGE DIS.. (C-42)
PAINTING (C-33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13).
LANDSCAPING (C-27)
POOL (C-53)
L e®..iC c,S
®® C50131
a-1-06
-7q4
sm-0c
^'o, !1Z W A. I I
Ifed
A RE -INSPECTION_ FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON
THE SITE FOR A 'SCHEDULED
INSPECTION.
NO EXCEPTIONS!
Jq-
EXIST GUK�i
-7—
SWIMMING POOL SPECIFICATIONS
POOL SPECIFICATIONS
ry1r;
surface area:
depths: min. 5r o max.
SPA SPECIFICATIONS
size:("r xbtA surface area:meter.
dam wall width: & Length: _4!=j0 spa raised:+ Z,
spillway type: -n L_V. # of jets: 4
notes:
ExCAVATION I STEEL
type of dig: bpaC A, -r. access: flEAJ
elevation: 'r.R.D-
wall/fence removed by:
wall/fence
conc.removal: sod removal:
tree/stump removal:
6"r.b.b. 12"r.b.b 18-r.b.b.
surcharge: benchnoveseat:
tanning shelf water depth-
GUNrrE
6"r.b.b. l2"r.b.b..,;r_-0 .18-r.b.b
bench/loveseat. — extended 2' step:
spa darn wall widi;-_J�
spillway type:
DECIONG
SQ.Fr.1EWMj9rr__<,,, finish:
color.
cantilever- expansionjoints:
steps. -type: .
deck drains: decco-drain:
curb core: sand&visqu een:
TILE & MASONRY
coping type: tA AJM t- "le z pEc K_
e: -n LF_
spillway type
6"r.b.b. 12"rAb.4'-f5 187r.b.b.
r.b.b. facinwTi I Z trim tile: —
tiletype:
equipment wall: X type.
PLUMBING &XIACOLCA—L
plumbing size: 7n fill line: A,L)TO
ak
skimmer t)w:l?=C -Alft --I #
gas line clectline: I
heater JA I I- MAv- size:
filter Ll, size:
i
pool pump: S FLO size.
jet pump: --size:
sub -panel: time clock-'
GFIC. extra GFIC. —
pool light: SM L&)..;. spa. light:
gas stubs: eI=Lstubs: —
plaster. q9lor.—,
pebble: color.
NAME: OL4D 910 V_
"Job address:
City: LA
scale date: (9-1
Mill
J