04-3810 (RPL)o�
�T BUILDING & SAFETY DEPARTMENT
c w P.O. Box 1504 (760).777=7012
OF fY�9 78-495 CALLE TAMPICo FAX (760)777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS: (760) 777-7153
BUILDING PERMIT
Application Number . . . . 04-0000381.0 Date y`-'4/30/04
Property Address . . . 80100 VIA VALEROSA
APN: 772-250-999-10 -3035
Application description POOL - RESIDENTIAL
Property Zoning LOW DENSITY RESIDEN 1E L Al"R3
Application valuation 15000 2004
CITY 01: LA QUI;ITA
Owner Contractor F6�!AE�CE DE6�T
TOLL CA V 'PICASSO POOLS', INC.
C/O KEVIN D DUERMIT 78078 -.COUNTRY CLUB DR, #206
8901 E MOUNTAIN VIEW 200 PALM'-DESERT.,CA ,92211
SCOTTSDALE AZ 85258 (760) 345-4600
WCC: STATE FUND
WC: 170.9395 12/01/04
CSLB: 81011 11/20/04
CCC: C27• -053-B
Permit . . MECH FOOL
Additional desc
Permit Fee =„3.00 Plan Check Fee 8.2.5
Issue Date -Valuation 0
Qty Unit Charge Per Extension
.: BASE FEE” 15.00
2.00 9.0000 EA MECH`FURNACE <=100K 18.00
Permit . . . BLDG POOL PERMIT
Additional desc _
Permit Fee 162.00 Plan CheckFee "_-105.30
Issue Date, Valuation 1500.0
Qty Unit Charge Per Extension
BASE FEE 45.00
13.00 9.0000 THOU BLDG 2,001-25,00,0 117.00
----------------------------------------
Permit . . . ELEC POOL PERMIT -RES
Additional desc
Permit. Fee 45.00 Plan Check Fee 11.25.
Issue Date Valuation 0
Qty Unit Charge -Per Extension
BASE FEE 15.00
t '
4
P.O. Box 1504 00uyl
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: - I Date:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Ad � es :
Lic. No.
BUILDING PERMIT DECLARATIONS
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 forced eff I.
License Classy - (' _ !Z % - Ci- 5 n License No. P/ a
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 issuances also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' 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 fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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.
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
My vkers' compensation insurance carrier and p c r mbe ar �
Cartier _�7p}-fiS h�,t/� Policy Number -/ /{
I certify that, in the performance of then�' work for which this pertissued, 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
orthwith comply with those pr visions.
Date Applicant
WARNIN : FAILURE TO SECURE WORKERS'COMPEaATION 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.
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
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 inf ation is corect. I agree to comply with all city and county ordinances and state laws relating to building
construction, nd hereby authorize representatives of this county to a ter upo he above-mentioned property for inspection purposes.
Date Signature (Applicant or Agent):
•
,
Cry i ,, .1 :�
Page 2
Application Number . . . . . 04-00003810
Date 4/30/04
Qty Unit°Charge Per
Extension
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
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 3.0.000 EA PLB-GAS. PIPE 1-4- OUTLETS
3.00'
Special Notes and Comments.
POOL; SPA, BBQ 11108156. ALARMS BARRIERS
SHALL -BE IN PLACE PRIOR TO PREPLASTER
INSPECTION.
Fee summary Charged Paid Credited
- --------- = - - - ------ - - -
Due
- - -------=----,•---=------
" Permit Fee Total 273.00 .00 .00
---"-------
273..00
Plan Check Total. 133.05 .00 .00
133.05
Grand Total 406.05 .0.0 .00,
406.05
GOLD QUARTZ:
STACK,E SPILL V
BAR OVER
36" WOLF BBQ
5N�11103156
PLANTER
ABRELLA SLEEVE
i
. i
PICASSO POOLS
iSNO 1d30X3 0
'N01103dSNI
a31na3HOS V d03 31lS 3H1
NO ION hV V0 80( ONd SNVld I_IC #5101
OIAOddd'd 3H
0£$ 30 333 N01103dS - 6 E: 43'X2 _ Lu
AREA. 721 SF H
PERIMETER: 132 F H }qu
DEPTH: -3' To -6 w w
PEC
SIZE: W6
6 p °-
Q
AREA: 57 5F ij
DAMWALL: H
Lua
RAISED c: A" Lu3: �
SPILL TYPE: STACKED STONE
# OF JETS: 6 n D 0
LIGHTS: H w
FACE FINISH:I Ch
y, DIGS " Lu
TYPE: � a
ACCESS:
p ELEVATION: Q z p
Q, DEEP RAMP:_ a
BENCH/TAN-LEDGE:
CONC/SOD REMOVAL: '"' "
TREE REMOVAL.
IRRIGATION REPAIR:
RBB LENGHTs:ti
ROCK POCKETS:'
PLUMBING
FILTER: 190 sp
POOL PUMP: 2 HP
BOOSTER PUMP: 1.5 N
CIRCULATION PUMP <
HEATER: 400000 BUTc
TIME CLOCK:.TANDY O o
SUB PANEL: -�
OUTLETS: z
-- �g 31da SKIMMER:
UTO -FILL.: z
M
' k0� GAS LINE. z
TUB OUTS:
ASCADES: Z�.. D
'ld3G )d� w SNIo-lingP AYHEAbs: a U � �
i G L LIGHTS: u� H
LIGHTS:
PLUMBING SIZE: <
STUB SE i
TEQ: o
DEEP END RAMP: Q p a
2nd STEP: 7 d<
LOVE SEAT p � w
SPILLWAY TYPE: U < �
CANTILEVER: q Q
COPING:In Lu
RBB:SEE STEEL a��
co z
-9LE V "
TILE TYPE: w
WATERLINE: GOLD QUARTZITEz
TILE TRIM: ui
RBB TILE: aLu
DECKING
COLOR: p a
SQ FT z�z
FINISH: < z
UJ
EXTRA JOINTS: z
CANTILEVER: Lu
N a a C .5
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS: N
STEPS FACE: p
z
SUB BASE: <
VISQUEEN:
BANDING: Lu -
STAMPED:"
RELEASE:
MOW STRIP:
WsONR
COPING TYPE: Zq-
RBB FACE:w
SPILLWAY: U
STEPS: LULU
P/L EXT WALLS:D z u
PLANTER WALLS: ujo~ 0 w
RETNG WALLS:
EQ WALLS:
GATE TYPE: w <
R&R GATE: z
BBQ �
I~
SIZE: U
BBQ MODEL:
TOP FINISH: w
SIDE BURNER: q a
FACE FINISH: N
PEN LIGHT w w
PLUG CUTLETco
Q
LIGHTS SWITCH:
PLUS R
Cc) Q
PLASTER COLOR: z N
PEBBLE COLOR:Lu
a
POOL LIGHTS:
SPA LIGHTS: Q w
ROLLED BOND BEAM: a
EYEBALLS: w z
2ER z n 0
PL/\N FOR a < 0
RESIDENCE
ADDRESS: 80100 VIA VALEROSA
LA QUINTA
LOT# 10 VACT#
REVISIONS:
(1) DATE: _
(2) DATE:
(9) DATE:
Date Printed I /8" = I Scale
11:32 AM 4/29/04 1 1 1 11-1
Drawing hv- .111DY