06-1849 (RPL)r
P.O. BOX 1504
78-495 CALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00001849 Owner:
Property Address: 79032 TOM FAZIO .LN S SHAW
:APN: 766-042-007- - - 79-032 TOM FAZIO LANE SOUTH
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 28000
Contractor:
Applicant: Architect or Engineer: OUTDOOR SOLUTIONS INC
78034 CALLE BARCELONA STE C
,.. LA QUINTA, CA 92253
(760) 777 - 1199
Lic. No.: 853887
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 Busine s d Pro s nals ode,k8y5L3
icense is in.full force and effect.
License Class: C53 Li se 887
ContracRar:
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 ($500).:
(_) 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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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.).
(_ 1 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: 5/08/06
LTJ
WORKER'S COMPENSATION D CLA ATION'�� 1-2006
1 hereby affirm under penalty of perjury one of the following declaratio
_ I have and will maintain a certificate of consent to self -ins re for for- _ `Aaiio s rovide
for by Section 3700 of the Labor Code, for the perfor ance of th vlg�rj�(ii P"t is
issued. ��I+{
_ I have and will maintain workers' compensation insurance, as required by Section 7 ...0-
ION
.0 - felabor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: _
Carrier EXEMPT Policy Number EXEMPT
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 or s' compensation laws of California,
and agree that, if I should become ubject to the w er compe ation provisions of Section
3 00 of the Labor Code, I sh fo hwit p ith ose pr is ns.
D� I Applicant:
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 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 bVgree to comply with all
city and county ordinances and state laws relating to building oorize representatives
of this co y t enter upon the above-mentioned prope�for i
Dat S It O r Signature (Applicant or Agent):
Application Number . . . . . 06-00001849
Permit . . .
BLDG POOL PERMIT
Additional desc .
`Permit Fee
271.50
Plan Check Fee
176.48
Issue Date . . . .
Valuation . . .
. 28000
Expiration Date
11/04/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
19.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/04/06
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
11/04/06 --
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
Plan Check Fee
8.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/04/06
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 ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
n
LQPERMIT
Application Number . . . . . 06-00001849
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due.
Permit Fee Total 375.50 .00 .00 375.50
Plan Check Total 202.48 .00. .00 202.48
Grand Total 577.98 .00 .00 577.98
/ A4 I
Bin #
Permit. ,q
d
V
City 47f La LU nta
Building & Safery Division
P.O- Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and `racking Sheet
Project Address: J 03 2— TAM I�M) _ F.�o LOwner's
Name: 7TojArllSNA W
A. P. Number:
XAddress: $ • 03 %ttl*-, gkcf•"14 ':WA
Legal Description: T44-c—f"I 77.2
8 Lai 3
City. ST:..Z p: ('y�V \.,,; .. 1 221513 i
Contractor: vr_ ��`v�o..i
FTele hone: (62]Lj
'�='
Address:
-. b �4u ; .::
e� :�
Project DeScriptian;
rn': sT, ZiP:. �Qery C 922-S
Gv-+�.13� . ate.:. �..5`C�A .•
Telephone: ,1 p
-_
State Lic. 9:
Cin Lic. {t: 107
. j� +� 9 h
A .69
2 -68- ' (.= J
Arch.. Ener.. Designer:-564140s-r`Z
Address:
City. ST. Zip:
Telephone:
Construction Tvpe: Occupancy:
Project h'pe (circle one): New Add•n Alter Repair Demo
Slate Lic. N:
Name of Contact Person: 5—r1C—A16,
JCVJk0
Sq. Ft.: 550
to Stories:
t"Units: _
Telephone # of Contact Person: (ori)�� �— (09 Q cell Estimated Value of Project: 2 � (�
APPLICANT: DO NOT WRITE BELOW THIS LINE
M Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Atnonnt
Structural Cates.
Reviewed. ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
_ _ —
Fnergy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, reads for corrections/issue
Electrical
Subcontacior List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.Al.l. -_
II.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
4.LP.P.
Pub. Wks. ApPr
Dat o txn it isiu�LA 01-11Nu
•- �� � Mk
`. 1
School Fees
t ILDING & SAFE►�r U'c
- -- t�
°
— ----
AP P K- `V =L--'
I -
---
_. �..
FOR CUI,4,D I.R�� •
- -
Total Permit fees
- -
lJ I
LDATE--
(� CIT' OF LA QUIN "A.. SUB -CONTRACTOR LISA' /
,SOB ADDRESS � 1' .�od1�1 PERMIT NUMBER � G-`8�t��_ OWNER BUILDER v1��90✓`—����rto�J�
This form shall be posted on the j_ob 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. Failure .to complj will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is -not an acceptable response.
.. ....;.:.:.......:
Fff...... ...:: ... ..: ... .:: Cit V. i3usiness License:;::...
_ .. ,:..:........... _ �._._. �_..._.,_..._ .. � .,.s.,�o .. .... ... werkersGemuensationansurance::::: Y
Trade / Classification Contractor.
Company Flame Classification
License dumber
Exp, Date Carrier Flame Policy Plumber
Exp. Date License Number
Exp. Date
(e.g. A, f3, C-8)
(xxxxxtt)
(xxlxx/xx) (e.g. State Fund, CalComp) (Format Varies)
(xx/xx/xx) (xxxx)
(xx/xx/xx)
EARTHWORK ('q-112) AaCN0 L6"- 6CCA,l, 4� , Ar- h I C_&O
2) o 7
=3flel St*� t5:0-io Oo I 051e- 06 .
1 r 07
CONCRETE. (Q 8V
FRAMIF99 it.
.S7RUC71 STEEL Ci 5.19
5 3�6 ?
2c/o%
�P�i61Y (t-29') t,_ 2.'
0t{�— 6�7—??DS
F of
L99Pv"iBINGiC-3s) CL6-4-eA-Tt'`�!��t_ ��a-Ifre_�50Oa8
llr���mG SY�►v u.�D i'� Oq fe1�O-�3
82
ATH; ;�N AST Iti-35) �i.r`��i S
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0 7 5�� 22-
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Z IECTRICAL iC- 0
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SKEET -METAL {52-43) I
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ter_ .4
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W
30 -- TILE OUTDOOR SOLUTIONS
= COUNTER POOL AND SPA SPECINCAMONS
V
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Address: d
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^ Poot Specificationsr01 C4
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TYPO GurJ t� t'►"� I� . size: 3 3 x R
r
t ® 0(, 50 5 Penmeter.++• C
� PRE -HUNG SuriaceAreaotPool.� P----oS.S. DOORS ._ De the 3•% to Sto o�bP c
, Soa Saectficattons (Sr x -7 sq Et)
f" Size:' ------
1 i of Jets: 10 Spa Dam wall Mdth
C
------ y�S
LENGTH S7iaac� 5'ra 6 size _
i I N Type YP -tv cPcc,
•
+361, Ext. Spa: S
r
Spa Raised To. -
3 Notes.
,
., - �T ELEVATION
:
FREE-STANDING OUTDOOR KITCHEN FRONT
� F
OL C Ou arm
i.. /
U Tile
tx�
Excavation �. •,
('M X G
f �t 1 v G
Q .. C�1'� of Tile:
tze: YP
Tractors
r LIGHT
�- t 4 -Tg
`i G�`v , AccessProm: �ov'rin � Color.
i
`t"S Waterline
a Elevation At: cc�) GRILL �
I I lam+
� � �•• Deo t -�1 L> Trim Tile: N 4
. _ .._.. "�,Ram .
{ ' \ - NO
t :. �.�A RBB.
J , : tt
� I Tan Shelf/Beach.
..:. ..,.,.,,»...-••-.- ; , D}!�j D�c.K_.>P�. Quarter Round. �
} t; C
;.
Notes:
� .... � _ N �- PLAN
i Concrete/Sod: �-"! f
FREE STANDING OUTDOOR KITCHE
Notes: � \Nr i� N£•-C� i�f<`l �/ /
f \ r A1C
pecks or Pavers
{/
SteelSquare Footage
.....:.::. .
Q
61, �B 12" RBB: Color.
1 } 3 v eofFinish:
;
5-- : ,•,.... � 18 RBB. 24 RBB. Type
}._. Yom:
! .. _. v t Bench: --�"Cantilever.
� ..:.. �. Lo eSea /
.... Sand Vis ween
Tan Shelf Depth. / q
-
!
••-� \ � Special En$tneering.
• Subbase:
\ Y P� n�
Rack Pockets: i Steps.
_ ISA ✓1G--2—
`\ ace
.oil0 �!�'S ,Ste F
j
! ? i ti Centers. P
c NC
:.r i. SPa a YDS
f - C t4Gu- to- _ DeckDrains:
:,1" T U�F
/DG
Notes
I } �� aP E ,' ti �`•Expansion Jotnts� NIA
- R
c G Plumb -in
Notes.
NG ,� Pe
CK FR
Heater. __.___Size.
e C O T,_ R 1-1 Filter. a a'D Size: (o Mason
- - W f'� - -
- - - - - -_ ,I
T❑
,ra w,A+J�Y Z Type
Size'
<, � •`\,
Pool Pump. YP
. �.Q `�7Size:Z RBB Face:
>'
BoosterPump. .
....
Size:
Pump:—Size. Spillway: _
Waterline: n
Pump. V
L6 r
. �.�-N�'I ��� �' Ste s: `f�S Stepfaee. �.•
_ � a. PimeClock. P
DEEP \ D •, , , -,�Li. 6.m-o,J all: �
nd . RS Equipment W 5
6 Ta y O
,. r. .. •° i •`',•. Add'IOuttets: �
^�• :,...�• � `.. BBCsZ Planter Wall•
u
�'•'�1,
. , d `Brass from h ht to j -box `�� - RetainingWalls,
til _ $ � o w
: � ;• � � ,, Q �, c�,P �D IVOTA 7 FLl - W✓ _ @ BBQ. o.
• _ _ --- - - \ , :, � � -1 Auto fill -line from
70 1 l IG12 �'SrA r r'�
o f E Q vti P
r� ✓ r t
� rom meter to
Gas line f �
r
V
t i
- N
t a
t
e 1.
3 i Ftr
a ✓
:
tr 11 P
?
e
.. _ Vac hne
LA -cD �
r'O
w
t ,
..
WaterFeatures:
a �
F
i H�
3
Y
? . Y�
� r
.. r.,
K� d T� Boulders
tt•. tL S�
,. n
Lights in Pool:
:? $
,
r tonework Y
EP 3 _ Lights a. S
. DE S P
\
_ ✓ Y 3�
6 +6 � a t stem
uM I� Or ,
,�os��•- h P � Notes.
Notes: i� j
S _
-- - _
til _
...__ s / -------
'Fencing _.
.. .----$ - _
\
r V
Tan Shelf. Type of Fencing.
1 r 5°
18
�+ �Height: Gate(s):
2 •...., Bench. $
w PA
t-• „ i, HOUSE
t w- ': ;•> 5 +1- it S 1 RiZM 8N +6
1
INE \ '� Type of Spillway: 5 t`�j-•GILH� � D^�C Notes:
L TO WATER t-
.
ck
n \ Type of Coping
0D
�(£'S Pebble
} : .:� a Ca ntifevei:
8 A t.
? - Color.
•{ 1 -(A .t f Raised Arca.
....•- C
_ 1
t ..... f �' P � � S�-3�@ ��- Ext.S a Walt.
5 urs d� P
Notes.
r 0
x•t•...-':-.t".� ;. �, � _.----"_' Li his to Pool:
} ��
t� u5 D^v$ this ins a:
? ell 0 fl Z Additional Notes. L B P
;.... wwQ
s
} �• o , x Q Recessed Eyeball
}
} 0 C o •
i ` 8 Notes.
6
FOOT
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... st OUTDO
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.., ..,.. ,. .,. ; .: 2At .� S�S�"' � ,C►Pt � A SPECIFICATIONS
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