09-0613 (RPL)I
P.O. BOX 1504 T4ht 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 09-00000613 Owner:
Property Address: 80124 VIA TESORO DAVE SULLIVAN
APN: 772-250-018-5 -31349 - 80124 VIA TESORO
Application description: POOL - RESIDENTIAL LA QUINTA, CA 9
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 17400
Contractor:
Applicant: Architect or Engineer: PICASSO POOLS INC
41800 WASHINGTON
BERMUDA DUNES, CA
1. (760)345-4600
LiC. No.: 810111
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: B C27 C53 License No.: 810111
Date: ��Litractor: )
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).:
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. 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.l.
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/10/09
ST Air 6� OJ D
92203
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.
a 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 STATE FUND Policy Number 290-0001790
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
p3700 oVhe Labor Code, I shall forthwith comply with those provisions.
'Date:l0 ) O Applicant: ��C, a -
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 Uuector of Building and Safety for a permd sublect t6 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
of this/t ounty to enter upo the above-mentioned pro for insp tion pur es.
ate: V ignature (Applicant or Agent
l:
Application Number . . . . . 09-00000613
Permit . . .
BLDG POOL PERMIT
Per
Additional desc . .
Permit Fee . . . .
189.00
Plan Check Fee
122.85
Issue Date
PLB FIXTURE
Valuation . . .
. 17400
Expiration Date
12/07/09
PLB WATER INST/ALT/REP
3.00
Qty Unit Charge
Per
EA
Extension
3.00
BASE FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . . 12/07/09
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 12/07/09
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
Issue Date
Expiration Date . . 12/07/09
Plan Check Fee . . 8.25
Valuation . . . . 0
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 . . . . . 09-00000613
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 64
Expiration Date . . 12/07/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA BBQ (#3020914), 4 L.F. 4'
EQUIPMENT ENCLOSURE, CITY STANDARD.
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. 2007
CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 308.00
.00 .00
308.00
Plan Check Total 148.85
.00 00
148.85
Other Fee Total 1.00
.00 .00
1.00
Grand Total 457.85
.00 .00
457.85
LQPERMIT
PICA$ PO
LIC #810111
POOL: 27'x 12'
-6" W/D TANNING SHELF
SPA: 6' DIA @ +18" 3'- 5' WATER DEPTH
STACKED STONE SPILL REAR BOND BEAM @ 49"
TILE OUTSIDE 2 - WALL LIGHTS
TILE WATERLINE NO UP -FACING LIGHTS
CONCRETE COPING CONCRETE COPING CITY OF LA QUINTA
1 -WALL LIGHT TILE WATERLINE BUILDING & DEPT.
r.._-..._. .-____- .- .-_.---- SAFETY
APPROVED
FOR CONSTRUCTION
`D , /
+9„ DATE k6--1 _,_4e
17'-6"
,
_rj' •
15'-0"
20'-0" W/D
_3- INSTALL 1,108 SF
W/D STANDARD PAVERS
,
15'-5" 27'-0" ,
o �^
WiD 1
E4
u
a
LOT 372 MTV; 5
SULLIVAN T
VER. 3a
06/10/09 POOL SPA CONCRETE w
AREA: 280 SF 28 SF 167 SF a
PERIMETER: 82 LF 18 LF 1/8"=1' SCALE
PAVERS: 1,108 SF
WALKWAY: 163 SF
TOTAL CONCRETE: 330 SF
80-124 VIA TESORO
LA QUINTA, CA
31-0"
3'-6"
UMBRELLA SLEEVES
BBQ: 10'x 3' @ +36"
/-90/
WITH 4' DIA TABLE @ +42"
40" x 31" BBQ W/ CABINET (BY OTHERS)
2 -PLATE SIDE BURNER (BY OTHERS)
2 -FLEX LIGHTS
2 - UMBRELLA SLEEVES
INSTALL 163 SF
CONCRETE WALKWAY
TO MATCH FRONT
15 - PATHWAY LIGHTS
IN FRONT & REAR
POOL EQUIPMENT TO BE
INSTALLED AT LEAST 4' FROM
ANY OPENING WINDOW.
CITY STANDARD WALL
4' -L, 6'-W, 4' -H
BLOCK WALL STUCCO
AND PAINT TO MATCH
HOUSE
I
Q "
q
t3`
J
.y
-Z
UMBRELLA SLEEVES
BBQ: 10'x 3' @ +36"
/-90/
WITH 4' DIA TABLE @ +42"
40" x 31" BBQ W/ CABINET (BY OTHERS)
2 -PLATE SIDE BURNER (BY OTHERS)
2 -FLEX LIGHTS
2 - UMBRELLA SLEEVES
INSTALL 163 SF
CONCRETE WALKWAY
TO MATCH FRONT
15 - PATHWAY LIGHTS
IN FRONT & REAR
POOL EQUIPMENT TO BE
INSTALLED AT LEAST 4' FROM
ANY OPENING WINDOW.
CITY STANDARD WALL
4' -L, 6'-W, 4' -H
BLOCK WALL STUCCO
AND PAINT TO MATCH
HOUSE
I
FOOTING
PERIMETER
# 4 REBAR
VERTICAL BEND
BOTH ENDS
#4 REBAR HORIZONTAL
OVERLAP MIN 18"
3'
BBQ # 3020914 PIC
80-124 VIA TESORO
LA QUINTA, CA
MTV 372
FOOTING, STEEL AND
FIRST COURSE OF BLOCK
LIC #8
-
10'
TOP
G.F.I.OUTLET
(TWO PLACES)
v
Bin a
. 0ty Of. La Quir.ta
Building_ & Sarery- Division
`� P.O. Box 1.504, 78-41-H). Cane i arrlpicD .
P' !a Quinn, CA 922.53 - (7 5-0) 777-70 12
B.uiidina Permit Application and-rackin SfieF-^.
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Leez1Descivtion. Cir.. S. up:
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Stat. Lir— 'I:- Q, t I Ciry Lic
A-ciL=mor_ Desi--=
Addr—• -
Cm',
ST. Zip: 1
APPLICANT: DO NOT WR(Tc BELOW THIS LIMB
TP none
r. t ra � . _.> :c ::
cop- on Type
3C:Zra'15
' TRACKING }
PEF247 FEES
Plan Sen I
I
P12n Chcck submitted I
Start Lic 4:
zg ':: ^ -
Proje^ n c (ci; le one): Tien
Addn Ait_r Repan• Demo
5truaaral Cales I
N12.=�of-conmap-crson.
r) 6Lr'e, W
Sq. P•t_: I r Stories
(: L'rits
Plan Check Dc{mss
•Tel=boAe r of Contac Person: -- 4 taCC
stitrated Value orProi =.-
Truss C21ts. I
APPLICANT: DO NOT WR(Tc BELOW THIS LIMB
i
Submirml {
Req'd I
Rs'd (
' TRACKING }
PEF247 FEES
Plan Sen I
I
P12n Chcck submitted I
Item I
Am;,unt
5truaaral Cales I
I
Reviewed- resdc for. corrections (
�
Plan Check Dc{mss
Truss C21ts. I
Called Contact Person. I
Plan Check E .Iance
Titft'9 Ctia
I
Plans picked up I
Construction
rfbod, plain plan
I
Pians resubmir[_d I
A:eci:anical
.Gradin-, plan
I
I
7" Rniesr. rcadv for eorrtetionsi-ensue I
El=srieal
Subcmntaetor Lim
'
(
Called Contact Person I
Plumbing
'Grace Deed
I
I
Plans picked up
1LO.A &pprov21
I
I
•Plans rtsubmined
I
Grading
'^N F1JU5E -
I
'" Review. read} for eosmtiotrsnssue
Developer lmpam F
'Planning Ampros•21 ".
I
Called Contact Person
I
;._I.P.P.
I
,Pub. Wks. Appr
I
Date or permit isuc
Scboo(.F=�
I
I
I
Total Permit Fecs