05-5552 (RPL)T-4bt 4
P.O. BOX 1504 �VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/23/05
Application Number: 05-00005552 Owner:
Property Address: L 52280 AVENIDA HERRERA BUFFIN WILLIAM THOMAS
APN: 1 773-264-002-21 -000000- D P O BOX 134
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL DEC 3 O 1005
Application valuation: 18600 •J
CITY OF LA QUINTA Contractor:
Applicant: Architect or Engineerl FINANCE DEPT. PICAZO POOLS & SPAS
82365 HIGHWAY 111, SUITE #101
INDIO, CA 92201
1 . (760)'347-5855
l Lic. No.: 836900
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C53 License No.: 836900
-PVI-Coytr3ctor: �• • - . • Or. t
.• J 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
ti 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 he"r 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.).
I—) 1 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
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
�370O the Lab r Code, I shall forthwith comply with those provisions.
plicant:
—s
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 ($100,0001. 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
ofthiscounty to enter upon the above-mentioned property for inspection purposes.
Date: ature (Applicant or Agent):
44,
K
LQPERMIT
Application Number . . . . . 05-00005552
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
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,.
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
Application Number . . . . . 05-00005552
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
LQPE_RMIT .
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(13Y OTIJE�S)
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE `2((� kBy__PG
n
SWIMMING POOL SPECIFICATIONS
POOL SPECIFICATIONS
type: ISO yIT1F siX:_(2.9_X 1
surface area: 1&0 cb perimeter. 64 e
depths: min. 3'- 0 max. <1-0
SPASPECIFICATIONS
size:_4�-_X&esuriacc ar(,-a: •rimeter:2-'�-
dam wall width: 12r length: 9)S pa rai ed: 2
Spillway type. Z A« T I LF— ;; of jets:
notes:
EXCAVATION/STEEL
type of dig: by AC.AT access:
elevation:
.
wall/fence removed by:
wall/fence, type
conc.removal: — sod removal:
tree/stump removal
6"r.b.b. Z 12"r.b.b. @ 18"r.b.b. --
surcharge: yES bench/loveseat:—
tanning shelf water depth:
GUNITE
6"r.b.b._ZjP 12"r.b.b.9�g 18"r.b.b.
bench/loveseat: extended 2"d step:
spa dam wall width r
spillway type: —I 1 L
DECKING
SQ.FT.� p j 1}irOS finish:
color:
cantilever: expansion joints..
steps: type:
deck drains: decco-drain:
curb core: sand&visqueen:
TILE & MASONRY
coping type:
spillway type: L.
6"r.b.b._2-11A 12"r.b.b.9) 12_18"r.b.b. —•
r.b.b. facing: trim tile: .�
the type:
equipment wall: X type:
PLUMBING & ELECTRICAL
plumbing size: 2" (ill line:
skimmer type: I2We bf
gas line: Vr5, elect.line:
heater: 1ti I - M Aye size: k
filtcrr_1_%:;&AletC,L,eAtL size:
pool pump:0PAf>P4Ee. tl Zsize:
jet pump: size:—
sub-panel: time clock:
GFIC. A-r_1,=QL) 1 C> extra GF(C.
pool light: 40otil spa light:
gas stubs: -- clect.stubs:
plaster: color:
pebble: color:
NAME:
Job address: 52.1-A 0 AJ D AFE.RQJF2A
City: L
M
scale: L _ date -24-C>
4
X
Bin #
Permit #
555
City of La Quinta
BuU&v s Safety Division
P.O. Box 1504, 78-49S GIe Tampico
La Quinta, G 92253 . (760) 777.7012
Building Permit Application and Tracking Sheet
Project Address: 52-ZJFC) AVD
PA
Req'd
oM�ter'sName:
TRACKING PERMIT FEES
A. P. Number.
Addras: •Q•
Item
Ant~
Legal Description:
Structural Cales.
Cin. ST. Zip:
Reviewed. heady for corrections
ZZ-aS3
Contractor. cJ
Truss Cala.
Mlepltone:
C Hed Contact Person
Address: lit
Desatption. JR,
City. ST. Zip:
t"-
Construction
Flood plain pian
Telephone: - 5P667•=t=l
- _
Plans resubmitted
ZJ
State Lic.
City Lie.
Y' Review. ready for eorrectionsietsne
Electrical
Amh..Fngr..Designer
Subeontaaor List
Called Contact Person
Plumbing
Address:
Grant Deed
Plans picked up
City. ST. Zip:
H.O.A. Approval
Telephone:
'-�Y+== _..-
t '^
-
ConstnictiottType:
Occupancy:
i'' Review. readv for eorraeteomfissuc.
Developer impact Fee
State Lir. ll:
177
Planning Approval
Project type (eiet le One):
New Add'a Atter
Repair Deers
A.I.P.P.
Pub.'%'ks. Appr
Name of Contact Person: bsL- A10
P G
Sq- FL:
g Stones:
Tr uniw-
Telephone p of Cant= Person: •� ��tllisli
ate•d Value of Proiect:
APPLICANT: DO NOT WRITE BELOW THIS UNE
IV
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Platt Cheek submitted
Item
Ant~
Structural Cales.
Reviewed. heady for corrections
Piero Check Deposit
Truss Cala.
C Hed Contact Person
Plan Check Balance
Energy Cake.
FUns'ieked up
Construction
Flood plain pian
Plans resubmitted
Rlcchanical
Grading plan
Y' Review. ready for eorrectionsietsne
Electrical
Subeontaaor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plaits resubmitted
Grading
1N HOUSE:-
i'' Review. readv for eorraeteomfissuc.
Developer impact Fee
Planning Approval
Calked Coataet Person
A.I.P.P.
Pub.'%'ks. Appr
Date of permit issue
School Fen
Total Permit Fees