04-4415 (RPL)o f�GI rl�1Ctl
BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760).777-7012
9 78-495 CALLE TAMPICO
OFTt�' FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-71.53
BUILDING PERMIT
Application Number. `-"04-0.0.0-0441 Date 5/21/04.
Property Address 80595 VIA TALAVERA
APN: 7.72-250-999-13 303 -
Application description POOL - RESIDENJA
Property Zoning.. . LOW DENSITY RE ENTIAL
Application valuation 4 15000 . MAY 24ZO04
Owner Cont rac or CITY OF LA QuiNTA
----------------------------=---
M/M LINNES PICASSO POOLS, INC
8,0595 VIA TALAVERA 78078 COUNTRY CLUB DR, #206
LA QUINTA CA 92253 PALM.DESERT CA 92211
(760) 345-4600
WCC: STATE FUND
WC: 1709395 12/01/04
CSLB: 81011 11/20/04
CCC: C27 -C53 -B
Permit MECH POOL
Additional desc
Permit Fee 24.00 Plan Check Fee 6.00
Issue Date Valuation 0
Expiration Date 5/21/05
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA - MECH FURNACE<=100K 9.00
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.. 11.25
Issue Date Valuation 0
Expiration Date.. 5/21./05
Qty Unit .Charge Per Extension
1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
A.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my L n�us,in fu forc d effect.
License Clas / License No.
Date Contractor
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 insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is ued. ��jQworlSers' compensation insurance carrier !� Jt�y r to
Cartier /"y�t/J p Policy Number p/v ���_
_ 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 Califo "a, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
S!/ forth 'th comply with those pr ions.
Date / Applicant `
WARNI G: FA LURE TO SECURE WORKERS' COMPEN ION COVE E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR ($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
1 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 Ouinta, 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 dayi from date of issuance of suchit, or
cessation of work for 180 days will subject permit to cancellation. perm
I certify t t 1 ha a read this application and state that the a e information is correct. I agree to comply with all city and county ordinances and state laws relating to building
constructi n, an hereby authorize representatives of this co ty to a er upon the abov entioned property for inspection purposes.
Date �� Signature (Applicant or Agent):
a
,
Page 2
Application Number 04-00004415
Date 5/21/04
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 r - Valuation . .
. . 0
Expiration Date 5/21/05
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
----------------------------------------------------------------------------
Special Notes and Comments -
POOL & SPA. BBQ 4111081156. ALARMS
BARRIERS SHALL BE IN PLACE PRIOR TO
PREPLASTER INSPECTION. -
Fee summary Charged Paid Credited
Due
Permit Fee Total -264.'00 .00 .00
264.00
Plan Check Total 130.80 .00 00
130.80
Grand Total 394.80. .00 .00
394.80
5' SETBACK
POC
1
UTAH BLOND F
WOLF BBQ
TOP, AND TWO SIDES
UTAH BLONDFLAGSTONE
BACK TO BE STUCCOED AND PAINTED
sN # 111056
+18"
+12" PILASTERS
POTS WITS+
WATER SPOUTS
ST'CNE FACE
BENCH n" LONG
2" SPA WTTN
ACKED UTAH BLOND
.AGSTONE SPILLWAY
ISTALL 6 JETS (VARY HEIGHT)
6'X6
+18" PALNTER BED
a `
..
w
a
STEPS:
f
N
CITY OF LA C
BUILDING & SAFE
APPROV
FO C NSTR 1
DATE �� B _
pIcAssO POOLS
LIC #810111
POOL SPECS
SIZE: Lu 7N
AREA: 675 SFp o
PERIMETER: 138 F N Q
DEPTH:
SP SPECS
SIZE: Q °-
r�
AREA: o vuno.
DAMWALL: a
RAISED o'+74" Lu 3 N
SPILL TYPE: p 4-
# OF JET'S: rr
LIGHTS: 1 w
FACE FINISH: 0 3
DIG EL z w U
TYPE:
ACCESS: a >- N
ELEVATION: A < p
DEEP RAMP: o
BENCH/TAN-LEDGE: u�
CONC/SOD REMOVAL:
ff
TREE REMOVAL: 3
.IRRIGATION REPAIR: -4
RBB LENGHTS:
ROCK POCKETS: a
PLUMBING ►-
FILTER: ti
POOL PUMP: 3 -15 HP° -
BOOSTER PUMP: 1-7HPN
HEATER: wolom SalQ
TIME CLOCK: -
SUB PANEL: Q PL.U-
EXTRA
OUTLETS: z
SKIMMER: Lu ?�
AUTO -FILL: a N
GAS LINE:: D 1.0 j..l Z
U cdJ
STUBLu OUTS: � Z
CASCADES. p U_j 25
SPRAYHEADS: u S� ?-:�
POOL LIGHTS: 2- 400 WATT u c* z
SPA LIGHTS: N
PLUMBING SIZE: a
STUB SET EQ:o w
GUNI 0 "
DEEP END RAMP: o Q a
2nd STEP: z N <
BAR STOOL: 4 z -A N In
SPILLWAY TYPE: N o 3 i
CANTILEVER: w "
COPING: p Q Lu
RBB:SE STEEL 0
EN
TlLE a_
TILE TYPE: lu
WATERLINE: UrAH BLOND FLAG STONE z
TILE TRIM: NLu
RBB TILE: S0
w
DECKING
COLOR: m < cr
SQ FT u q)
N
FINISH: o z
EXTRA JOINTS: q)lu
ti p 3
CANTILEVER: Q <
DECK DRAINS:
DECCO DRAIN:
CURB CORE:
a
STEPS:
N
STEPS FACE:
z
SUB BASE:
`C
VISQUEEN:
o
BANDING:
w'II-
STAMPED:
RELEASE :
is
MOW STRIP:
ma
MASONRY
U)n
COPING TYPE:
Z<
RBB FACE:
w
SPILLWAY:
o
STEPS:
c
P/L EXT WALLS:~cl:
z "-
PLANTER WALLS:
Z�u- 0 w
RETNG WALLS:
EQ WALLS:
�e-
GATE TYPE:
R&R GATE:
z
BBQ
`
SIZE:
BBQ MODEL:
TOP FINISH: FLAG
GTONE. FACEO
w
SIDE BURNER:
� o 0
FACE FINISH:
`; <
PEN LIGHT:
a w
PLUG OUTLET
M
LIGHTS SWITCH:
PLA57ER
a
PLASTER COLOR:
z a)
PEBBLE COLOR:
ui
� W
POOL LIGHTS:
N
SPA LIGHTS:
o
ROLLED BOND BEAM:
U
EYEBALLS:
i
0THER0
w 7-
0
PLAN FOR
Q a
LIN
N Es
RESIDENCE
ADDRE55: Ao - 5g.5 V[A TALAVERA
owl
INTA STT#A RE -INSPECTION FEE F $30
I BE CHARGED IF THE A ROVED
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