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05-5550 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: �? Applicant: �4 I 5L6 54625 AVENIDA DIAZ 774-263-017-6 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 18600 Architect or P1 T"( t44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: C53 license No.: 836900 ate:tractor: 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 ($5001.: 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 fnr 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 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 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: A Lender's Address: • LQPERMIT Owner: BUFFIN WILLIAM P O BOX 134 LA QUINTA, CA THOMAS 92253 Contractor: PICAZO POOLS & SPAS.' 82365 HIGHWAY 111, SUITE #101 INDIO, CA 92201. (760)347-5855 Lic. No.: 836900 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . Date: 12/23/05 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. 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 1828357-2005 _ 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, 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 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 Cityof 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 for inspection purposes. 9ai� nature (Applicant or Agent): /- Application Number . . . 05-00005550 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 198.00 Plan Check Fee 128.70 Issue Date . . . . Valuation . . . . 18600 Expiration Date 6/21/06 Qty Unit Charge Per Extension BASE FEE 45.00. 17.00 .9.0000 THOU BLDG 2,001-25,000 153.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . 0 1 Expiration Date 6/21/06 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 6/21/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 =--------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . r Permit Fee . . . . .33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 6/21/06 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. ALARMS/BARRIERS SHALL BE IN LQPERM[T Application Number . . . . . 05-00005550 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 302.00 .00 .00 302.00 Plan Check Total 154.70 .00' .00 154.70 Grand Total 456.70 .00 .00 456.70 LQPERMIT 5rA/b6&4 K&t5ED 4-IZ Z4" TILE SP NOTE,5 1) ALL WALL; (WALLS 6Y4 2) &A -re, To le SELF LAT61 tTruEr5) I . . 1 " Rj4,G� of 6040 -09- w I N CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE /f-/24lOs BY Dc SWIMMING POOP, SPECIFICATIONS POOL SPECIFICATIONS Ispillwly ype: 1n2OAIITF— sizt: - X O urface area:_1&0 � perimeter. g epths: min. 3�- in max. '- O e SQA SPECIFICATIONS iZC:_S-X_& _Surlaccarea: erlmetCr: Q. am wall width:J�lengtlr 9`= -spa raised: type:TIl-*-12-4N .,ofjets: notes: EXCAVATION/STEEL type of dig: access: elevation: wall/fence removed y: wall/fence type conc.removal: AIIA, sod removal: tree/stump removal: 6'r.b.b. ZS 12"r.b.b.4_18"r.b.b. -- surcharge: — YES begqclifloveseatAIA tanning shelf water depth:_ GUNITE 6"r.b.b.?-V- 12"r.b.b­ejQ 18"r.h.b. — benchAoveseat: — extended 2°j step: ---- spa dam wall width: - spillway type: o'IL eL12'Q DECKING SQ.FT. B4 oW F -QS finish: color: cantilever: expansion joints: steps: type: deck drains: decco-drain: curb core: sand&visqueen: TILE & MASONRY coping type: C spillway type: 6"r. b. b.Z_ l 2"r. b. b. 4F 92 18"r. b. b. r.b.b. facing: L_ trim tile: tile type: T.lg. - equipment wall: X type: PLUMBING & ELECTRICAL plumbing size: ;V717fill line: A43 t:7 skimmer type: "Ae Flbap(� # gas line: clect.line: heater: MllJI-MA4%L size: filter. G,LE" s. GLEAM_size_ pool pump: t&5nlS1PFr- t#:L.p size: 1-5007 jet pump: size: sub -panel: time clock: GFIC. ? F 2I P- _extra GFIC. pool light: 406 in spa light: gas stubs: clect-stubs: -- plaster: color: pebble: color: NAME: P (J Job address: S 'iA7 b. City: LA' 0 1 scale: !d - Q date: �•� f t t c 9 Bin # Permit # 05- <!5' so '- City of La Quinta' Building & Safety Division P.O. Box 1504, 78-49S Calk Tampico La Quinn, G 92253 - (760) 777-7012 .Building Permit Application and Tracking Sheet Project Address: 54, 2S A J V) Z— Req'd OKrei s Nance: TRACKING A. P. Number. Plan Sets Address: .O. Plan Check submitted Legal Description: Item Amount Cin. ST- Zip= Structural Coles. Zzsa Contractor. Reviewed. ready for corrections FTclephone: �% Address: Z•• 5 �.• 1� Ston: Zo u i. _ LjrrA Ciq•. ST. Zip: L v Telephone: 34 1_,< /1/29 Construction Flood plain plan State Lic. x : 3 City Lic. g: Plans resubmitted Mechanical Arch.. Engr.. Designer. Grading plan 2" Review. read} for correctiooslissue Address: Subcontactor List City. ST. Zip: Plumbing Grant Dead Telephone: ' Plans picked up Consauction Type: (---,)!) lli1 C.Occupancy: SAl.l. - -timated Plans resubmitted State Lic M:- - ject type (circle one): New Add'n Aite r Repair Demo Namc of Contact Person: beunAo? c xo M Stories: Developer Impact Fe r • Units: Telephone A of Contact Person: - Ft.: Value of Proiect: mp 1 APPLICANT: DO NOT WRITE BELOW THIS UNE r Submittal Req'd Recd TRACKING PERMrr FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed. ready for corrections Plao Cheek Deposit Truss Cale. Called Contact Person Plan Check Balance Enemy Cuks. Plans picked up /1/29 Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review. read} for correctiooslissue Electrical Subcontactor List Colied Contact Person Plumbing Grant Dead Plans picked up SAl.l. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "e Review. ready for cut. CX C=ruuae Developer Impact Fe r Planning Approval Called Contact Person A.I.P.P. Pub. % kt Appr Date of permit issue School Fetes Total Permit Fees