05-4045 (SOTB)P.O. BOX -1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T44t.4 4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 055_0:OA04045'7
Property Address: 80540 VIA TALAVERA
APN: 772-250-999-126 -30357
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
r Application valuation: ' . "3000
FFD
Applicant:
Architect or Engineer: II
VOICE (760) 777-7012
.FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 9/14/05
Owner:
CLAPPER
80-540 VIA TALAVERA
n LA QUINTA, CA 92253.
Contractor:
SEP 1 62205 ICASSO POOLS, INC
CC:. STATE FUND.
C: 1709395 12/01/05'
CITY OF LAQwNTA SLB: 810111 07/31/06
FINANCE SEPT.
_. LICENSED CONTRACTOR'S DECLARATION
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: ense No.:
Cate, 3� `!fli Contra or:
" 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 cityor 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 _ 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. Jf, 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.).
("_ 1 ,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
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.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor `
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 - - - - - - - - - - - - - --
certifythat, in the performance of the work for which this permit is issued, I shall not employ any
.person in any manner sous 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. -
` 6atw �d 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and -Safety for a permit subject to the
conditionsand 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 underor 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
of this my to enter upon the above-mentioned' party, for ' action purposes.
Date: �� Signature (Applicant or Agent):
v
. Application Number
05-00004045
�a
Permit - . . .
BUILDING PERMIT
Additional desc .
Permit Fee
54.00 Plan Check
Fee
35.10
Issue Date
Valuation
3000
Expiration Date
3/13/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00-
1.00 9.0000
-----------------------------------------------------------------
THOU BLDG 2,001-25,000
9.00
- Permit
ELEC=MISCELLANEOUS
Additional desc .
Permit'Fee . . .
15.45 Plan Check
Fee3.86
Issue Date
Valuation
.
. 0
- Expiration Date
3/13/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00: 4500
EA ' ELEC DEVICE/FIXTURE;>20.
.45
Permit•
PLUMBING'
Additional desc .."..
Permit Fee . . . .
21.00 Plan Check
Fee
.., 5.25.
Issue Date
Valuation
0
Expir.ation.Date
3/13/06
Qty` Unit Charge.
Per
Extension
BASE, FEE
1
15.00
_ 1.00 .6.000.0
EA PLB FIXTURE
6.00
-------------------------------------------------.---------------------
Special Notes and Comments .
WATERFEATURE ONLY.
Other Fees
. . . ENERGY REVIEW FEE.
.3.51.
Fee summary Charged Paid Credited
Due.
Permit Fee Total
90.45 .00
.00
90.45
Plan Check Total
44.21 .00
.00.
44.21
Other'Fee Total
3.51 ..00
.00
3.51 .
Grand Total
138.17 .00
.00
138.17
LQPERMIT
36" HIGH INDIAN GOLD BOULDER WATER FEATURE
ON REAR BOND BEAM OF EXISTING POOL
UPPER BASIN IS TO SPILL INTO..A LOWER BASIN
THAT HAS A SPLIT SPILLWAY
5 -
- Y
CYU
CLAPPER RESIDENCE -
80 -540 VIA TALAVERA
LA QUINTA
DATE: 09/01/05
PICASSO,
POOLS
LIC #810111
PHONE# 345 4600
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--
P.O. Box 1504, 78-495 S. Calle Tampico
is *iuinm,- CA'F=3 - (760) 777-7012
BuRdina Permit Application and Tracking Shjn�.
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--,I Proj=Descriptict /I 12t jlztz��
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Conmucrion Type: 0CCq:=-:
Pmjp-i type (circle one): N ---%v Add'n :leer P--4=.. Dano
Sq. FL: Stories: I L.ks:
545-4tooc) mated Value oFProic---: OX.
APPLICANT: DO NOT WMT -t: BELOW THIS LINE
Submitral I
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7R-kCKjNG
P--ZfflT FEES
Yin Sets
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Plan Check submitted
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Item .unt
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Reviewed- r=&- for. corrections I
Plan Check Dcr.c=-
Truss Calc I
C21ied Contact Person.
Plan Check B--12nct
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Plans picked up
Construction
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Flood: plaice plan
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Plans s rcsubrnimd I
Mechaniczl
Grading pan
2- Rni tn%-. reads for correction F slissuc
Electrical 1*
Subcout2mar List
Called Contact Person I
Plumbing
-Giant Desi
Plans picked up
0.AFProval
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Plans rtsubmined
I
Grading
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'Review, read} for c . orrecTioHVIssue
Developer Imp!apaceFcr
Pianming proval
Called Con * tact Person
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.Pub.'Wk& Appr
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