06-3400 (SOTB)P.O: BOX 1504 ^�
78-4.95 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-000034DO
Property Address: 50944 VIA ANCANTARA
APN: 772-250-018-24 31349
Application description: STRUCTURES OTHER THAN BUILDINGS,
Property Zoning: LOW DENSITY RESIDENTIAL"
Application valuation: 2200
Applicant: Architect or Engineer:
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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 License is in full force and effect.
License Class: B C27 C53 icense No.; 810111
Date��" Contractor: -
} OWNER -BUILDER DECLARATION
I hereby affirm underpenalty 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.).
( . ) _ l,.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
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
Owner:
GARY SHAFFER
50-944 VIA ANCANTARA
LA QUINTA, CA 92253
(760)772-7712
Contractor:
PICASSO POOLS, INC
78078 COUNTRY CLUB
BERMUDA DUNES, CA
(760)345-4600
Lic. No.: 810111
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)777-7153
Date: 9/21/06
DR 206
22 --o SEP 27 2006
CITY OF LA QUINTA
FINANCE DEPT.
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-----------------------------------------------
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-forwhich 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. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1709395
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 should become subject to the workers' compensation provisions of Section
�3700 of the Labor. Code, orthw2th comply -with those provisions.
Date:/J 2Applicant: /J
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
DOLLARS1$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 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 propertyf ion purpos
Date�Signature (Applicant or Agent):is++.i
Application Number 06-00003400
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee .:. . . 17.25
Plan Check Fee
4.31
Issue Date. ..
Valuation . . .
. 0
Expiration Date 3/20/07
Qty Unit Charge. Per
Extension
..BASE
FEE
15.00
3.00 .7500'PER ELEC
----------------------------------------------------------------------------
DEVICE/FIXTURE 1ST 20
2-:25
Permit . . . BUILDING PERMIT
Additional desc .
Permit. Fee 54.00
Plan Check Fee
35.10
Issue Date . . . .
Valuation . . .
. 2200
Expiration Date 3/20/07
Qty Unit Charge 'Per
Extension
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
--------------------------
2,001-25,000
9.00
-------- i
Permit . . . PLUMBING
Additional desc
;Permit Fee 18.0.0
Plan Check Fee
4.50
- -' --Issue Date-
Valuation . . .
: 0 —
:. - - -=Expiration Date .-. 3/20/07
Qty Unit ChargePer
Extension t
BASE
FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------- ------------------------------------------
Special Notes and Comments
BBQ PER APPROVED PLAN ONLY.
Fee summary Charged
Paid Credited
Due
Permit Fee Total' 89.25
.00 .00
89.25
Plan Check Total 43.91
.00 .00
43.91
. Grand Total. 133.16.
.00 .00
133.16.
. LQPERD4IT
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Total Permit =
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TOP
FOOTING, STEEL AND
FIRST COURSE OF BLOCK
WATI
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)OR
# 4 REBAR
VERTICAL BEND
BOTH ENDS
FOOTING
PERIMETER
—3'X 7'BBQ ENCLOSURE
@ +36", STONE TOP,
FLEXLIGHT, POWER OUTLETS
STUCCO SIDES
BEND STEEL
TO REINFORCE
COUNTER
#4 REBAR
24" O.C.
CONCRETE DECK
WALL DETAIL
1 8.. 1
#4 REBAR
HORIZONTAL
8"X8"X 16"
BLOCKS
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#4 REBAR
HORIZONTAL
# 4 REBAR
TWO BARS
6" O.C.
BOULDER WATER FEATURE
C +36" SPILLS IN TO SPA
8'X7SPA+18"
STONE EXTERIOR FINISH
BOULDER SPILLWAY INTO BASIN
INSTALL 5 JETS
STONE WATER LINE OF
SPA AND BASIN
PICASSO POOLS
LIC #810111
SIZE:
AREA:
RAISED @:
SPILL TYPE:
# OF JETS:
LIGHTS:
FACE FINISH:
ACCESS:
ELEVATION:
DEEP RAMP:
BENCH/TAN-LEDGE:
CONC/SOD REMOVAL
TREE REMOVAL:
IRRIGATION REPAIR:
RBB LENGHTS:
ROCK POCKETS
FILTER:
SPA PUMP:
BOOSTER PUMP:
HEATER:
TIME CLOCK:
POOL CONTROL
RETURN INLETS:
SKIMMER:
AUTO -FILL:
GAS LINE:
STUB OUTS:
CASCADES:
SPRAYHEADS:
POOL LIGHTS:
SPA LIGHTS:
PLUMBING SIZE:
STUB SET EQ:
POOL BENCH:
2nd STEP:
LOVE SEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:SEE STEEL
11LE
TILE TYPE:
WATERLINE:
TILE TRIM:
RBB TILE:
DECWNG
COLOR:
SQ FT:
FINISH:
WALK WAY:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING:
STAMPED:
RELEASE:
MOW STRIP:
MARONRY
COPING TYPE:
RBB FACE:
SPILLWAY:
STEPS:
P/L EXT WALLS:
PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
aa -
SIZE:
BBQ MODEL:
TOP FINISH:
SIDE BURNER:
FACE FINISH:
PEN LIGHT:
PLUG OUTLET:
LIGHTS SWITCH:
-2HP
AQUA LOGIC CHLORINATOR
WALL MOUNTED CONTROL
PORTABLE SPA REMOTE
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SHAFFER RESIDENCE
ADDRESS: 50-944 VIA ANCANTARA
LOT# ?4
REVISIONS:
(1) DATE:
(2) DATE:
(3) DATE:
Date Printed 1 /8"_ l' Scale
8:10 AM 9/19/06
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