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05-3858 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: t05'=00003858 Property Address: 52355 AVENIDA�DIAZ APN: 773-251-016-5 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 17000 Applicant: Architect or Eng T4t!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: POWER FINANCE P.O. BOX 134 LA QUINTA, CA 92253 Contractor: 0 PICAZO POOLS & SPAS WCC: EXEMPT WC: EXEMPT SEP 0 6 1005 CSLB: 836900 CITY OF LA QUINTA • r` rinmt cucrj. -------------------------------------------------- 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: - License No.: Date: "� Z • Contractor: IkCALS (.Y p, m PA Ir , '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).: (_ 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.). (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason j 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: 8/31/05 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 y ' 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 this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C53 Policy Number - - - - - - - - - - - - - - - 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 CCo�deI shall forthwith comply with those provisions. D6te:42 Z -f Applicant: U f` (, J4I 0 P IC AZ. 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 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 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 property ins e or ctionpurposes. Date'.2 - Signature (Applicant or Agent): Application Number . . . . . 05-00003858 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 17000 Expiration Date 2/27/06 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 2/27/06 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 2/27/06 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 .2/27/06 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 Application Number . . . . . 05-00003858 ---------------------------------------------------------------------------- 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 284.00 .00 .00 284.00 Plan Check Total 143.00 .00 .00 143.00 Grand Total 427.00 .00 .00 427.00 LQPERMIT X x A A A x Permit K OS -385 e City of La Quinta' Building at Safety Division P.O. Box 1504, 78-495 Calk Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 52.3-5-5- A. P. Number Legal Description: JD---Z4AId Req'd -ter'sName: •. ST. Zip:WMA- k Q SRA -t- SS Z Telephone. .s ,:_. ? - Structural Cales. State Lic. M : 3 Citv Lic. a: Plan Check Deposit Truss Calcs. Arch.. Engr., Designer. Called Contact Person Plan Check Balance Energy Cala. Address: Plans picked up Construction City. ST. Zip: Plans resubmitted hlechanical Telephone:-�: Grading plan _ .- _' Construction Type: Occupancy: State Lic. N: Project type Icircle one): New Add'n Alter Repair Demo Name of Contact Person: be-ur o? G �.� Subcontactor List FL: To Stories: x Units: Telephone n of Contact Person: ! • imated Vaitte of Proiect: - APPLICANT: DO NOT WRITE BELOW THIS LINE a ( Submittal Req'd Recd TRACKING I PERMIT FEES Plan Sets Plan Check submitted O Item Amount Structural Cales. Reviewe& ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cala. Plans picked up Construction Flood plain Pisa Plans resubmitted hlechanical Grading plan V Review. ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plass picked up SAI.l. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- a' Review. ready for eorrectioasfissue Developer impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. WILL Appr Date of permit issue School Fees a Total Permit Fees 011 SO 0" CITY OF.LA OUINTA SUR -CONTRACTOR LIST JOB ADDRESS 52•355%�/�•�rA� PERMIT NUMBER OWNER�o�JiE��Q�l�E1�S BUILDER 60�`tT��.���� This form shall be posted 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. F^ ailya to com ly 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 acceptabler se ponse: Trade / Classification Contractor State Contractor's License^filV�orkers Compensation Insurance -- City Business License Company Name Classification • (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xxlxx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) . Ac. AscCjQtiloM.?Gz>i,S O^ ®---> •3F� S'3t w CONCRETE (C-8) FRAMING (C-5) STRUCT. STEEL (C-51) tG�► CiO� �. .� • 0 go MASONRY (C-29) PLUMBING (C-36) r 1 LATH. PLASTER (C-35) cs'!S �.t_„t� • .3t; 1-30•GbS. �`fS FN DRYWALL (C-9) HVAC (C-20) - 1 LECTRICAL (C-10) d.�Gc' trS J O O® •BC~ �L t ROOFING (C-39) . SHEET METAL (C-43) FLOORING (C-15) GLAZING (C-17). INSULATION (C-2) ' SEWAGE DISJ6. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13), LANDSCAPING (C-27) POOL (C-53) .4 4e1. X`d l LS 5&o1?S ^-rI; (-e AID 537-•®® L 6•11•®I5 , i �i J6 r." IZ.ISE.12— raw-�-- , •....�. a..� -- SFPAJ MF K ATMA R�•I E.� i- AZ'a - 4-(011 tel Se ib CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE ` t OS BY [M SWUMMING, POOL. SPECIFICATIONS POOL SPECIFICATIONS � type: _& T� size: lj_- /S— surface area: Jl�O d7 perimeter. depths: min. SPP. SPECIFICAlnONS size: &V area 5b d7 'meter. dam wall width: f2" length: _spa ' ed: s. spillway type: 'r I G # of jets: notes: EXCAVA I ION ISI ;9L type of dig: tDaccess:QFkAj elevation: T — walUfence removed by- wall/fence type conc.removal;: sod removal. h-Wstump removal: — 6"r.b.b. 12"r.b.b. — 18"rb.b.= surcharge. >ES benchftoveseat: tanning shelf water depth: I, GUNITE ' 6"rb.b._9=!�-12"rb.b.�_18"rb.b. --- benchtloveseat extended 2° step: spa dam wall Width: �r spillway type: T V SQ.Fr. B finish: color. cantilever expansion joints: - steps: type: deck drains: decco-drain: curb core: sand&visqueen: MME !4 Wk4 SONRV coping type: C V _ spillway e: l L Fr b.b. ty 12"r.b.b_18"r.b.b. r.b.b. facing:—I— L trim tile: tile type: equipment wall: -X—type: PLUMBING �c l;fl.IEC Il ItICAI. plumbing size: line: XJ shimmer type: !OAS llr_ # gas line: 11--,i—elect-line: Cc heater sue: filter. el L _size: pool Pump: SPEL- FSO size: N jet pump: - Size: sub -panel: time clock: GFIC. QT EG>J 1 . extra GFIC. pool light gnen- spa light gas salt: electstubs: plaster color. .lob address: -D )� ,., —• City: � d f�t�l Ni'f A scale* %it� d date• --50'1c