05-4306 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: -
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00004306
80575 VIA TERRACINA
772-250-999-85 -30357
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIK
15200
Architect or
c&ty/ 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 force and effect.
License Class: Lice a No.:
�Orate%pt:?�;� 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).:
(_) 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
oneyear 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.).
(_) 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:
LQPERMIT
Owner:
WEAVER, DALE
80-575 VIA TERRACINA
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: 9/26/05
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.
X 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
insurance carrier and policy number are:
Carrier 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
�y 3700 of the Labor ode, I shall forthwithomply with those provisions.
D Ap. nd8 t:
WARNING: FAILURE TO SECURE WORKE 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 building construction, and hereby authorize representatives
at�of this 6`t to enter upon the above-mentioned pro rty ection purpo es.
�� Signature (Applicant or Age t�
L
Application Number . . . . . 05-00004306
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
171.00 Plan Check
Fee
111.15
Issue Date . . . .
Valuation
. . .
. 15136
Expiration Date . .
3/25/06
Qty Unit Charge
'Per
Extension
BASE FEE
45.00
14.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
126.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
3/25/06
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 . .
3/25/06
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
3/25/06
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
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 05-00004306
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
64
Expiration Date 3/25/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. 4 L.F. 4' EQUIPMENT
BLOCK WALL, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE PRIOR
TO PRE -PLASTER INSPECTION.
Fee summary Charged Paid
----------
Credited
--------------------
Due
---------------------------
Permit Fee Total 290.00
.00
.00
290.00
Plan Check Total 137.15
.00
.00
137.15
Grand Total 427.15
.00
.00
427.15
LQPERMIT
ei
+30" T DIAMETER
STACKED SILVER QUARTZITE SPILL WAY
INSTALL 4 JETS
STUCCO AND PAINT EXTERIOR
TANNING SHELF WITH UMBRELLA SLE
12" BAND OF SILVER QUP
AROUND EXISTIN(
x r%l 11 r%r-M %A/A-rrnrr A -r
R HEIGHT
SND DEVERTER TO POOL
NOTE:
BARS STOOLS HAVE PEBBLE SEATS'
WATERLINE TO BE SILVER QUARTZITE'
EXTERIOR OF RAISED BOND BEAM
AND SPA TO BE STUCCO AND PAINT.
WETER
)ER PLANTER
CITY STANDARD WALL
, 4' HIGH, 6” WIDE, 4' LONG
EQUIPMENT BLOCK WALL
STUCCO AND PAINT
TO MATCH HOME
I
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATES 1_1 OS OY 'rM
PICASSO POOLS
LIC #810111
POOL SPECS
16'X 33'
AREA: 472 SF
PERIMETER:
DEPTH: -3' TO -5'
SPA SPECS
SIZE:
AREA:
RAISED @:
SPILL TYPE:
# OF JETS:
LIGHTS:
FACE FINISH:
ACCESS:
ELEVATION:
DEEP RAMP:
BENCH/TAN-LEDGE:
CONC/SOD REMOVAL
TREE REMOVAL:
IRRIGATION REPAIR:
RBB LENGHTS:
ROCK POCKETS:
PLUMBNNG
FILTER:
7' DIAMETER
38 SF„
+30
STACKED SILVER QUARTZITE
0
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POOL PUMP:
BOOSTER PUMP:
HEATER:
TIME CLOCK:
POOL CONTR(
RETURN INLETS:
SKIMMER:
AUTO -FILL:
GAS LIN
STUB OUTS:
CASCADE
SPRAYHEADS:
POOL LIGHTS:
SPA LIGHTS:
PLUMBING SIZE:
STUB SET EQ:
GUNn r -
POOL
2nd STEP:
LOVE SEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:SEE STEEL I
T1LE
TILE T .
WATERLINE; SILVER OUAgTZIT
TILE TRIM:
RBB TILE:
DECWNG
COLOR: OMAHA TAN
SQ FT:
FINISH:
WALK WAY:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING:
STAMPED:
RELEASE:
MOW STRIP:
MASONRY
CO .
RBB FACE:
SPILLWAY:
STEPS:
P/L EXT WALLS:
PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
BBQ
SIZE:
BBQ MODEL:
TOP FINISH:
SIDE BURNER:
FACE FINISH:
PEN LIGHT:
PLUG OUTLET:
LIGHTS SWITCH:
PLASTER
PLASTER COLOR:
PEBBLE COLOR
POOL LIGHTS
SPA LIGHTS:
ROLLED BOND BEAM
EYEBALLS:
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ADDRESS: 80-575 VIA TERRACINA
LA QUINTA
LOT# 85
REVISIONS:
(1) DATE:
(2) DATE:
(3) DATE:
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Date Printed 1 81111= 1' Scale
9:55 AM 9/23/05
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HEATER:
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RETURN INLETS:
SKIMMER:
AUTO -FILL:
GAS LIN
STUB OUTS:
CASCADE
SPRAYHEADS:
POOL LIGHTS:
SPA LIGHTS:
PLUMBING SIZE:
STUB SET EQ:
GUNn r -
POOL
2nd STEP:
LOVE SEAT:
SPILLWAY TYPE:
CANTILEVER:
COPING:
RBB:SEE STEEL I
T1LE
TILE T .
WATERLINE; SILVER OUAgTZIT
TILE TRIM:
RBB TILE:
DECWNG
COLOR: OMAHA TAN
SQ FT:
FINISH:
WALK WAY:
CANTILEVER:
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
STEPS:
STEPS FACE:
SUB BASE:
VISQUEEN:
BANDING:
STAMPED:
RELEASE:
MOW STRIP:
MASONRY
CO .
RBB FACE:
SPILLWAY:
STEPS:
P/L EXT WALLS:
PLANTER WALLS:
RETNG WALLS:
EQ WALLS:
GATE TYPE:
R&R GATE:
BBQ
SIZE:
BBQ MODEL:
TOP FINISH:
SIDE BURNER:
FACE FINISH:
PEN LIGHT:
PLUG OUTLET:
LIGHTS SWITCH:
PLASTER
PLASTER COLOR:
PEBBLE COLOR
POOL LIGHTS
SPA LIGHTS:
ROLLED BOND BEAM
EYEBALLS:
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ADDRESS: 80-575 VIA TERRACINA
LA QUINTA
LOT# 85
REVISIONS:
(1) DATE:
(2) DATE:
(3) DATE:
Q
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cD
m
Date Printed 1 81111= 1' Scale
9:55 AM 9/23/05
■