05-2456 (SOTB)0.6. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'yl
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-00002456
Property Address: 5.81385 LEGENDS WY
APN: 762-420-039--
Application
62-420-039 Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3500
Applicant: Architect or Eng
l.pN j LAC1-0 to,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I/ Section 7000) of Division 3 of the Business and Professionals Code, and m,cense is in full force and effect.
License Class: License No.: vj
u a e: Contractor.
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.).
I—) 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: _
Lender's Address:
LQPERn11T
Owner:
BUSH
81-385 LEGENDS WAY
LA QUINTA, CA 92253
Contractor:
PICASSO POOLS, INC
WCC: STATE FUND
WC: 1709395
CSLB: 810111
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
12/01/05-
07/31/06
Date: 6/20/05
WORKER'S COMPENSATION DECLARATION
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.
XI 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:
,er B C27 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
�0 of the Labor Code I shall forthwith comply with those r isiopns.I' ,
awf ���C J
Applic
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 buildin construction, and hereby authorize resentatives
of thi nt to enter upon the above-mentioned propert inspection purpo es.
te: Signature (Applicant or Agent) 41
Application Number .
. . . . 05-00002456
Permit . . . . . .
BUILDING PERMIT .
Additional desc .
Permit Fee . .
63.00 Plan Check Fee
40.95
Issue Date
Valuation
3500
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
45.00
2.00 9.0000
----------------------------------------------------------------------'-----=
THOU BLDG 2,001-25,000
18.00 .
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17..25 Plan Check Fee..
4.31
Issue Date
Valuation . . .
. 0
Expiration Date ...
.12/17 /0.5
Qty Unit Charge
Per
Extension
BASE FEE
15.00"
3.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Permit.
PLUMBING
Additional desc .
Permit Fee . . . .
21.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
6.00
--------------------------------------------------------------=--------------
Special Notes and Comments
BBQ #3020914
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
4.10
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total
101.25 .00 .00
101.25
Plan Check Total
50.51 .00 .00
50.51
Other Fee Total
4.10 .00 .00
4.10
Grand Total
155.86 .00 .00
155.86
3
LQPERDIIT
Bin i,
Permit 1#
Pmj= Addr=.
P. Numbs
LzqaL Description:
0 n �
• Address. I 8-orls
4 CJM,. St. 75
.4 Tel--pbonc�IL6
�f) 4 4F00
State Li, � :
Addr=
Cin. ST. Zip:
Oty of Ig Q t in to
. Buflcftig.&rSafeqyDivision
P.O. Box 1504, 78-4-95. Cafle Tampicr) .
L2 Quinn, CA '5= - (760) 777-7012
Boldin. Permit Application and Tracking Sheer.
,ko,mces
O
�Address:
tT-%-. ST. Zip
C telephone: �i()
lv,\�ir 12ni.l. Project Description:
Cin, Lic- t:
Telephone: Construction Typc: Ora Fates
St= LicP6j= r -pe (circlec one): N -%v Ad P11irDcmo
Name of 3Telephone FL: M
7.
of Comm P=on: nujn545-4tVDC) Esurnated Value oFPT7Ric4 S
APPLICANT: -DO NOT WRITE BELOW THIS LINE
$ub,minal I Rcq'd I
Rec'd
TRACKING
PE 11T FEES
Pian Sets I I
Plan Check submitted
ltr_M
Antaunt
Structural C21= I I
Reviewed. rr-2dv for corrections I
Plan Check Del -as:-1
Truro C21=
Called Contact Person.
Plan Check Bahner
"Tale _4 Cates.
Plans picked up
Construction
'Rbod plain plan I
Plans resubmiricd
lech2nicul
-Gridin, Pl2n
2" Rr%i civ. readv for cor-rrctionsfitic
Electrical P:
0 filf
$ 3 -,ewvas
Subcniz,mctor'Last
I
Called Contact Person
Plumbing 1-Se-.JP4
-Grata-GrataDeed
Plans picked up
CAS
'FLO—L-Approv2I
Plaits rtsubmined
Grading
1N HOUSE.-
I
`Review. ready for correttionvissue
Developer Impan Fee
'Planning Approl-21
Called Contact Person
I
Alp.p.
-P : ub. .'koz OF LIA OU INT*cr it issue
DVG&q
SAFETY DEPT.
Eno -GNG ^K1
FRUG IT %-Oil*
Total Permit fees
DATE- BY
TOP MEW
STEEL, FOOTING AND FIRST COURSE
OF MASONRY BLOCKS.
#* REBAR
VERt1CAL
BEND BOTff ENDS
BBQ
ANSI # Z2.1
BTU., 75900C
FLEX
LIGhT u
SWI
WATER
G.F.I.
ACCESS DC
E&
# * KFWA K
HORIZONTAL
OVERLAP MIN 9 S t
FOOTING
PERIMETER
KvrKtL/(G J/vf`(G --VM(FR
FRONT
V GAS LINE
2.99 FEET
2.tt LINE
AT(ACHa TC
SEWER
ELECTRIC
UNE TO METER
3/4" WATER UNE
TO SINK
WALL DETAIL
gt+
BEND STEEL
TO REINFORCE--- - -
COWTER
-------- #4 REBAR
ffORIZONTAL
#* REBAR-------
BLOCKS
2.4:tt O.C. 1`
M
CONCRETE DECK -�
`0 AND PAINT
aTcff ffoUSE
- #* REBAR
ffOR/ ZONTAL
FOOTING --.-
4 REBAR
TWO BARS
-� —►- 611 O.C.
3/4ttt = It SCALE
WALL DETAIL BAR SECTION
BEND STEEP -
TO REINFORCE
COUNTER
#4 WAR
1*11 O.C.
CONCRETE DECK ----
M
— #4 REBAR
ffORIZONTAL
-- 8'tXBt"�C46tt
BLOCKS
- - -- # REBAR
ffORIZONTAL
_ o
FOOTING— ,
/ --- - - # REBAR
TWO BARS
-
611 O.C.
3/411 = 91 SCALE
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