05-0394 (RPL)�- BUILDING & SAFETY DEPARTMENT
R
4� O x 1504 - (760).777-7012
.- ?p®5 78 CALLE TAMPICO FAX (760) 177-7011
Fjb F� UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 77.7-7153
BUILDING PERMIT
Application Number . . . 050.0.0:0-0-3-94 Date 2/03/05
Property Address 51461 VIA SORRENTO
APN: 772-250-997-86 '-31349 - -
Application description POOL --RESIDENTIAL
Property Zoning . . . . LOW DENSITY RESIDENTIAL
Application Valuation.. . . . 15000
Owner Contractor
NICK BRADLEY PICASSO POOLS, INC
50-325 VERANO 78078 COUNTRY CLUB DR, #206
LA QUINTA CA 92253 PALM DESERT CA'92211
(760).'345-4600- !
WCC STATE FUND
WC: 1709395 12/01/05
s CSLB. 810111, 07/31/06
.'CCC: B -C27-053
Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . . 162.00 Plan Check Fee 105.30
Issue Date . . . . Valuation 15000
Qty Unit Charge Per Extension
BASE ,FEE 45.00
13.00 9.0000 THOU BLDG.2,001-25,000 117.00
Permit . . . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00• Plan Check Fee 3.75
Issue Date Valuation . . . 0
Qty Unit Charge Per A 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
Qty Unit ,Charge Per Extension
BASE FEE 15.00
2.001 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
Permit . . . . . . MECH POOL
P.O. BOX 1504 •
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: Date: %- o S
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
(__ 0/\/re-;Tc- To /(
Architect or Engineer's Address:
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Cggde, and my Lice is in fyyll rce and effec
sL`cense Class n— C i_ License No.
ateZContrac'tor-21 _ �I CC - 5
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 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 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 for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insuranc - as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is$ued. My workers' compensation insurance carr' and policy nu�?er are:
Carrier 5lT r )YL G Policy Numbe 1 ! ) "l
_ 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 Labor Code, I shall
forthwith comply with those provisions.
ate v Applicant(,)
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.
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 Cuinta, 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
coZate
struction, (and hereby authorize representatives of this county to enter the above-mentioned property for inspection purposes.
\ DC Signature (Applicant or Agent):
T�
Page 2
Application Number . . . . 05-00000394
Date 2/03/05
Additional desc
Permit Fee . . .. 24.00 Plan Check
Fee 6.00
Issue.Date Valuation
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH FURNACE <=100K
9.00
Special Notes and Comments
POOL & SPA: BBQ #3020914.
ALARMS/BARRIERS MUST BE IN PLACE PRIOR
TO PRE -PLASTER INSPECTION. -EQUIPMENT -
ENCLOSURE NOT INCLUDED.
Fee ,summary" Charged Paid Credited Due
Permit Fee Total 264.00 .00 -
.00 264.00
Plan Check Total 123.30 .ORO
.00 123.30
Grand Total 387.30 .00.
.00 387.30'
TANNING SHELF WITH UMBRELLA SLEEVES
3'X 6 BBQ BNCLOUSUf
@ 36", PEN LIGHT & 2 OUTLE
# 3020!
T BACK
BACK
+18" SPA
6 JETS, STUCCO AND PAINT EXTERIOR
STACKED STONE SPILL WAY
DRAINS
LIC #810111
POOL SPECS
SIZE: r'AA,
AREA: 543 SF
PERIMETER: 1o5
PA EIS'
SIZE: ur carr'
AREA: 4n sF
DAMWALL:
RAISED @: + "
SPILL TYPE: STACKED STONE
# OF JETS; 6
LIGHTS:
FACE FINISH:
DI / TEEL
TYPE;
ACCESS:
ELEVATION;
DEEP RAMP;
BENCHlTAN-LEDGE;
CONC/SOD REMOVAL:
TREE REMOVAL:
IRRIGATION REPAIR;
RBB LENGHTS:
ROCK POCKETS:
PLUMBING
FILTER: 520 SF
POOL PUMP; 3-2HP
BOOSTER PUMP;
HEATER: 400000 BTU
TIME CLOCK:
SUB PANEL:
RETURN INLETS; 3
SKIMMER:
AUTO -FILL:
GAS LINE:
STUB OUTS,
CASCADES;
SPRAYHEADS:
POOL LIGHTS;
SPA LIGHTS;
PLUMBING SIZE:
STUB SET EQ;
NITE
DEEP END RAMP;
2nd STEP;
LOVE SEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:SEE STEEL
TILE
TILE TYPE:
WATERLINE:
TILE TRIM;
RBB TILE;
PECKING
COLOR; OMAHA TAN _
SQ FT: 1016 SF
FINISH: BROOM
EXTRA JOINTS:
CANTILEVER;
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING;
STAMPED;
RELEASE:
MOW STRIP;
MASONRY
COPING TYPE;
RBB FACE:
SPILLWAY:
STEPS;
P/L EXT WALLS;
PLANTER WALLS:
RETNG WALLS:
EQ WALLS;
GATE TYPE;
R&R GATE:
BB
SIZE:
BBQ MODEL:
COUNTERTOP FINISH:TILE TO MATCH POOL
SIDE BURNER
FACE FINISH;
PEN LIGHT:
PLUG OUTLET:
LIGHTS SWITCH;
PLASTER
'LASTER COLOR;
PEBBLE COLOR;
POOL LIGHTS;
SPA LIGHTS:
LED BOND BEAM;
EYEBALLS;
OTHER
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= DATE:
(2) DATE:
(3) _ DATE:
Date Printed 1 /8"= l ' S Ca l
04:24 PM 02/02/2005
Drawing by; JUDY
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LIC #810111
POOL SPECS
SIZE: r'AA,
AREA: 543 SF
PERIMETER: 1o5
PA EIS'
SIZE: ur carr'
AREA: 4n sF
DAMWALL:
RAISED @: + "
SPILL TYPE: STACKED STONE
# OF JETS; 6
LIGHTS:
FACE FINISH:
DI / TEEL
TYPE;
ACCESS:
ELEVATION;
DEEP RAMP;
BENCHlTAN-LEDGE;
CONC/SOD REMOVAL:
TREE REMOVAL:
IRRIGATION REPAIR;
RBB LENGHTS:
ROCK POCKETS:
PLUMBING
FILTER: 520 SF
POOL PUMP; 3-2HP
BOOSTER PUMP;
HEATER: 400000 BTU
TIME CLOCK:
SUB PANEL:
RETURN INLETS; 3
SKIMMER:
AUTO -FILL:
GAS LINE:
STUB OUTS,
CASCADES;
SPRAYHEADS:
POOL LIGHTS;
SPA LIGHTS;
PLUMBING SIZE:
STUB SET EQ;
NITE
DEEP END RAMP;
2nd STEP;
LOVE SEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:SEE STEEL
TILE
TILE TYPE:
WATERLINE:
TILE TRIM;
RBB TILE;
PECKING
COLOR; OMAHA TAN _
SQ FT: 1016 SF
FINISH: BROOM
EXTRA JOINTS:
CANTILEVER;
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING;
STAMPED;
RELEASE:
MOW STRIP;
MASONRY
COPING TYPE;
RBB FACE:
SPILLWAY:
STEPS;
P/L EXT WALLS;
PLANTER WALLS:
RETNG WALLS:
EQ WALLS;
GATE TYPE;
R&R GATE:
BB
SIZE:
BBQ MODEL:
COUNTERTOP FINISH:TILE TO MATCH POOL
SIDE BURNER
FACE FINISH;
PEN LIGHT:
PLUG OUTLET:
LIGHTS SWITCH;
PLASTER
'LASTER COLOR;
PEBBLE COLOR;
POOL LIGHTS;
SPA LIGHTS:
LED BOND BEAM;
EYEBALLS;
OTHER
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LOT# B6
REVISIONS;
= DATE:
(2) DATE:
(3) _ DATE:
Date Printed 1 /8"= l ' S Ca l
04:24 PM 02/02/2005
Drawing by; JUDY
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LIC #810111
POOL SPECS
SIZE: r'AA,
AREA: 543 SF
PERIMETER: 1o5
PA EIS'
SIZE: ur carr'
AREA: 4n sF
DAMWALL:
RAISED @: + "
SPILL TYPE: STACKED STONE
# OF JETS; 6
LIGHTS:
FACE FINISH:
DI / TEEL
TYPE;
ACCESS:
ELEVATION;
DEEP RAMP;
BENCHlTAN-LEDGE;
CONC/SOD REMOVAL:
TREE REMOVAL:
IRRIGATION REPAIR;
RBB LENGHTS:
ROCK POCKETS:
PLUMBING
FILTER: 520 SF
POOL PUMP; 3-2HP
BOOSTER PUMP;
HEATER: 400000 BTU
TIME CLOCK:
SUB PANEL:
RETURN INLETS; 3
SKIMMER:
AUTO -FILL:
GAS LINE:
STUB OUTS,
CASCADES;
SPRAYHEADS:
POOL LIGHTS;
SPA LIGHTS;
PLUMBING SIZE:
STUB SET EQ;
NITE
DEEP END RAMP;
2nd STEP;
LOVE SEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:SEE STEEL
TILE
TILE TYPE:
WATERLINE:
TILE TRIM;
RBB TILE;
PECKING
COLOR; OMAHA TAN _
SQ FT: 1016 SF
FINISH: BROOM
EXTRA JOINTS:
CANTILEVER;
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING;
STAMPED;
RELEASE:
MOW STRIP;
MASONRY
COPING TYPE;
RBB FACE:
SPILLWAY:
STEPS;
P/L EXT WALLS;
PLANTER WALLS:
RETNG WALLS:
EQ WALLS;
GATE TYPE;
R&R GATE:
BB
SIZE:
BBQ MODEL:
COUNTERTOP FINISH:TILE TO MATCH POOL
SIDE BURNER
FACE FINISH;
PEN LIGHT:
PLUG OUTLET:
LIGHTS SWITCH;
PLASTER
'LASTER COLOR;
PEBBLE COLOR;
POOL LIGHTS;
SPA LIGHTS:
LED BOND BEAM;
EYEBALLS;
OTHER
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ADDRESS: so (Ck✓t�-o
LA QUI NTA
LOT# B6
REVISIONS;
= DATE:
(2) DATE:
(3) _ DATE:
Date Printed 1 /8"= l ' S Ca l
04:24 PM 02/02/2005
Drawing by; JUDY