05-2706 (RPL)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760),777-7011
LA QUINTA, CALIFORNIA 92253. _ a BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 `.
BUILDING PERMIT
Date: 7/01/05
Application Number: 05-00002706- -> --� Owner:
Property Address: 51317_#•VIA SORRENTO`' BANZON JOSE
.. _ ;1
APN: 772 250.-99,7-92 -31349 _` 51-317 VIA SORRENTO y
Application description: POOL - RESIDENTIAL 8901 E MOUNTAIN VIEW 200
-Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA. 92253
Application valuation. 15000 Q " • .
ntractor: '
` ..Applicant: Architect or Engineer: CASSO POOLS,..INC
y a.
JUL 1 1 2005 ICC : STATE FUND. ;
7-C: 1709395 12/01/05
CITY' FLS QLi1p1TA ISLB: 810111 07/31/06
F�IC9 dePi
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION .. ,
'I hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury'one of the following declarations: - r
Section 7000) of Division 3 oftheBusiness and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: i Licens No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
issued.
Date: Contrac t 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
OWNE - ILDER DECLARATION insurance carrier and policy number are: _
't 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier B C27 C53 Policy Number - - - - - - - - - - - - - - - +.
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - _ I certify that, in the performance of the work for'which this permit is issued, I shall not employ any `•
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
_ permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensation provisions of Section
[� License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C I shall forthwith comply with those provisions. . .
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by�w�
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:Applicant: �yylsPc/" -
( • • •) I, as owner of the property, ormy 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL.
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES'AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,odo). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within- SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will havetheburden of proving that he or she did not build or
. improve for the purpose of sale.). - r _ APPLICANT ACKNOWLEDGEMENT
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on_ this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for -
' pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, _
(_ 1 I am exempt under Sec. _ , B.&P.C. for this reason 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. '
r _ • • _ - Date:. Owner: - _ 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-
• CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all ,
work for which this permit is issued (Sec. 3097; Civ. C.). -- city and county ordinances and state laws relating to building,construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propertyfor in ction purposes.
Lender's Name: ••� - .
- - -• te: / -!� �f. Signature (Applicant or Ag
enty l� .
Lender's Address:
' LQPERMIT r -
` Application Number- 05"-00002706
- Permit ,-".. " BLDG POOL PERMIT _. .
- Additional desc '
Permit Fee' 162.00Plan Check Fee
_ 105.30
' Issue-Date . . . : . Valuation . .
. 15000
_ Expiration Date : 12/28/05:
Qty Unit _Charge 'Per r . - -
Extension
BASE FEE
45.00
' 13.00 9.0000 THOU BLDG 2,001-25,000,
--------------------------------------
117.00 _-
Permit MECH POOL r
..
Additional desc ..
> Permit Fee' 26.00 " Plan Check, Fee
6.50
Issue•Date Valuation
"0
Expiration Date.. 12/28/05 '
,`. 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- Fee45.'00 - Plan Check Fee
11.25 r
Issue Date . .M . . Valuation
0
Expiration Date 12/28/05
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 12/28/0^5
r
Qty Unit Charge Per
Extension
#� BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
;1.00 3.0000; EA PL$ WATER INST/ALT/REP '
3.00
1.00 .3.0 000 EA PLB GAS PIPE 1-4;OUTLETS"
3.00,
'
Special Note's.and•Comments
-•
' - r POOL & SPA ONLY. ALARMS/BARRIERS SHALL r
Application
Number 05-00002706
----------------------------------------------------------
Special Notes and Comments_
BE IN PLACE,
PRIOR. TO PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED IN
PERMIT.
Fee.summary
Charged Paid
Credited
Due .
Permit Fee
Total 266.00 .00
00
266'.00
Plan Check
Total 131.30 .00
00
131.30
Grand.Total
397.30 .00.
00
397.30.
-0-ty of - I2 Quin 'ta
Bdding. & Safery Division
P.O. Boz 1504, 784055- Cabe i ampia) .
La .�iuinca, CA '= - (760) 7-77-7012
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Ju I .-11 2005 9 25AM P I CASSO POOLS No 0013 P , 3 .
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TANNIG SHELF W/ UMBRELL)
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3 X 9 B130 ENCLOSURE,
TILE OR STONE TOP,
FLDC LIGHT,
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33E
ER SPA
JARTZITE SPILLWAY
PAINT EXTERIOR
'AND AJET PUMP
4,3 - 4' BOULDERS
TO BE SET IN CONCRETE
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LIC #810111
!POOL SPECS
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AREA: 420 SF rwn m
PERIMETER: w --
DEPTH: -.1, - '
SPA SPECS O 1. -
SIZE:
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RAISED @: +18"
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RBB LENGHTS:
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FILTE
POOL PUM
BOOSTER PUM
H EATE
TIME CLOC
POOL CONTR
RETURN INLET
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ADDRESS: 51317 VIA SORRENTO
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FACE FINISH:
DECK DRAINS: z
DECCO DRAIN:
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PLUG OUTLET:
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STEPS FACE: W �.
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SUB BASE:
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BAIVZON
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ADDRESS: 51317 VIA SORRENTO
PLANTER WALLS: 3:--�
RETNG WALLS: O ...w
EQ WALLS:
REVISIONS:
GATE TYPE:
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R&R GATE:
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SIZE:
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BBQ MODEL: —
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TOP FINISH:
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SIDE BURNER:
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FACE FINISH:
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PEN LIGHT:
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PLUG OUTLET:
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EYEBALLS:
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- _PLAN FOR
BAIVZON
RESIDENCE
ADDRESS: 51317 VIA SORRENTO
LOT# 92
REVISIONS:
(1)
DATE
(2)
DATE;
(3)
TE:
Date Printed
1 /8"= l' SCale
9:38 ANI 7/1/05
i