09-0353 (RPL)t
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
,zar09-000003-5:
50175—EL—DORADO DR
772-250-999-155 -30357
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
7000
Tiht 4 4 Q"
Architect or Engineer:
P I P
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 Clasps: 13 C27 C53 License No.: 810111
�6atentractor.
/ 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 1, 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 I am exempt under Sec. , BAP.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: w�
Lender's Address: 1_
LQPERMIT
Owner:
JOEL & BOBBI MICHEL
50175 EL DORADO DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
p o
Contractor:
PICASSO POOLS INC APR 2 3 2009
NGTON ST B105-4
ES, CA 92203 CITY OF LA QUINTA
00 FINANCE DEPT
10111
------------------------------
WORKER'S COMPENSATION DECLARATION
Date: 4/22/09
41800 WASHI
BERMUDA DUN
(760)345-46
Lic. No.: 8
hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
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 290-0001790
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 Lode, I shall forthwith comply with those provisions.
0,15'ate: scant: T�
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 entt---esssrlgppon the above-mentioned o y for inspection purposes.
ate: / "SCiC.311P ature (Applicant or Agent):
Application Number . . . . . 09-00000353
Permit . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 15.75 Plan Check Fee 3.94
Issue Date . . . . Valuation 0
Expiration Date 10/19/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 .75
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Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 90.00 Plan Check Fee 58.50
Issue Date . . . . Valuation . . . . 7000
Expiration Date 10/19/09
Qty Unit Charge Per Extension
BASE FEE 45.00
5.00 9.0000 THOU BLDG 2,001-25,000 45.00
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 18.00
Issue Date . . . .
Expiration Date . . 10/19/09
Plan Check Fee . . 4.50
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4.OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL REMODEL. DEMO DECK, RE -SHAPE POOL,
NEW LIGHT, PEBBLE, GUNITE RELOCATE 2
SUCTION LINES, ADD 1 RETURN LINE, TIE
NEW REBAR INTO EXISTING REBAR.
.ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
--------------------
Credited
--------------------
Due
-----------------
Permit Fee Total 123.75 .00
.00
123.75
Plan Check Total 66.94 .00
.00
66.94
Other Fee Total 1.00 .00
.00
1.00
LQPERMIT
T .+
Application Number . . . . . 09-00000353
Grand Total 191.69 .00 .00 191.69
LQPERMTT
Pica`sso P00.1s
78078 Country Club Dr, Ste 206. Bermuda Dunes, Ca 92201
Office: (.760) 345-4600 F.ax: (760) 200-0779
Conll% Li.e. #8 1011. 1. C-27.. C-53
Estimate 4/9/09 (revised)
Joel*& Bobbi Michel
5.0-175 El Dorado Drive
la Quinta, Ca 92253
1. Demo apx. 305sf concrete decking
2. Demo apk. 331f of pool wall on north side
3. Excavate dirt by hand for new shape (apx 24 yards)
4. Tie new rebar into existing rebar
5. Install 1 new light niche
6. Relocate 2 suction lines, add I return line (if acessible)
7. Chip pebble from existing pool
9.. Apply new gunite over exposed steel
9. Clean & re -seal existing stone in pool & spa
10. Stone exterior of BBQ, remove existing stucco & splash first
11. Pour new concrete coping and decking (apx 216sf)
12. Install stone.on new section of pool's waterline
13. Install new mini pebble in pool, acid wash spa, start up service
14. Repair front landscaping
i�
19'-8"
DEMO POOL WALL
AND REBUILD
I
EXISTING POOL
L J CD
N
N
gEMO AND R PLACE DECKING
- � w
i
i
155 MTV REMODEL
I
04/20/09 POOL SPA - CONCRETE
AREA: 561 SF SF SF
PERIMETER: 103 LF QF 1/8"=1'SCALE
1
50-175 ELDORADO DR
LA QUINTA, CA
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OLD SF: 420 SF
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APPLICANT: DO NOT WRiT.E S20W THIS L NE
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