08-1771 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T44t 4 XP Q"
Application Number: 08-00001771
Property Address: 80156 VIA TESORO
APN: 772-250-018-7 -31349 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 15200
Applicant: Architect or Engineer:
p lA
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.
Licens/e/Class: B C27 C53 License No.: 810111
ontractor: l'
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 70001 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 (5500).:
1 _ I 1, 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.).
(_) 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 1 I am exempt under Sec. , BAP.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: ►1
Lender's Address: 1"
LQPERMfT
Owner:
MIKE GAGNON
80156 VIA TESORO
LA QUINTA, CA 92253
Contractor:
PICASSO POOLS INC
78078 COUNTRY CLUB DR, #206
BERMUDA DUNES, CA 92203
(760)345-4600
Lic. No.: 810111
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/28/08
`SOY 04
2008
YL�.
fit: �'�• :1�r�iih�e
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
�1 issued.
Y't 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 290-0001'790
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
J370vTtn L ode,I shall forthwith comply with those provisions.
�-+
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 1$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 relatmg&bVilding construction, and hereby authorize representatives
of this county to enter upon the above-mentioned -pert for inspection purposes.
te:oSi ature (Applicant or Agent):
Application Number . . . . . 08-00001771
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
171.00 Plan Check
Fee
111.15
Issue Date . . . .
Valuation
. . .
. 15136
Expiration Date . .
4/26/09
Qty Unit Charge
Per
Extension
BASE FEE
4-5_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 . .
4/26/09
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 . .
4/26/09
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 Plan Check
Fee
8.25
Issue Date . . . .
Valuation
. . . .
0
Expiration Date . .
4/26/09
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 . . . . . 08-00001771
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee .
Issue Date . . . . Valuation . . .
Expiration Date . . 4/26/09
00
64
Qty Unit Charge Per Extension
BASE FEE 15.00
--------------7-------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 4 L.F. 4' EQUIPMENT WALL, CITY
STANDARD & GAS/ELEC. STUBS FOR FUTURE
APPROVED APPLIANCES (172 L.F. 2" GAS
LINE & 100 L.F. ELECTRIC LINE).
ALARMS/BARRIERS SHALL BE IN PLACE AT
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
SPA:
LIC #810111
SIZE:
32'x 14'
T DIAMETER
445 SF
PERIMETER:
90 LF
WATER FEATURE:
T TO 5'6"
@+18"
2 - 500 WATT
SPA SPECS
@ +12"
T DIAMETER
FLAT STONE SPILLWAY
38 SF
RAISED @
+18,,
STACKED STONE SPILL
FLAT STONE SLAB
6 JETS
6
LIGHTS
W/ 2 - LOW VOLT. UP -FACING LIGHTS
FACE FINISH
TILE
EXTERIOR FINISHI
TILE
PLUMBING
FILTER:
580 SF
POOL PUMP:
_
JANDY 2 -SPEED
HEATER:
JANDY 400,000 BTU
POOL CONTROL:
JANDY ONE -TOUCH
RETURN INLETS:
3
�
o
AUTO FILL:
RESIDENCE: GAGNON
POOL:
LA QUINTA, CA 92253
ao
MTV 370
REVISIONS:
32'x 14'
DATE:
in 18
DATE:
(3)
DATE:
18" COPING
-
DATE:
3'- 5'6" WATER DEPTH
DATE
Date Printed
11:41 am 13/10/08
1 /8"=1' Scale
MOONLIGHT GRAY PEBBLE
W/D tv
13 -8 32 -0
WD
14 -0 ll
TANNING SHELF
WITH UMBRELLA
A -4'w/
SLEEVE PER PLAN
WID
o
STUB GAS FOR
FUTURE FIREPIT
BENCH 23^ BENCH
-13"
w/d
STUB FOR GAS
Ht
& ELECTRIC FOR
---------------
FUTURE BBQ
'
ITY OF LA QUINTA
UILDING & SAFETY DEPT.
'
APPROVED
rni
p
FOR CONSTRUCTION
D
e- "Dg BY Ak
LOCATION
FOR POOL
CONTROL
LOT 7 MTV
GAGNON
�
CITY STANDARD WALL
4 HIGH, 6" WIDE, 4 LONG
EQUIPMENT BLOCK WALL
10/24/08 POOL SPgLF ONCRETE
1445 13805
STUCCO AND PAINT
AREA: SF SF
'"
TO MATCH HOME
PERIMETER: 90 LF 21 "=1' SCALE
PAVERS: 722 SF
PATIO CONCRETE (TOLL): 223 SF
PICA$
LIC #810111
SIZE:
32'x 14'
AREA:
445 SF
PERIMETER:
90 LF
DEPTH:
T TO 5'6"
LIGHTS:
2 - 500 WATT
SPA SPECS
SIZE:
T DIAMETER
AREA:
38 SF
RAISED @
+18,,
SPILL TYPE
FLAT STONE SLAB
# OF JETS
6
LIGHTS
1 - 100 WATT
FACE FINISH
TILE
EXTERIOR FINISHI
TILE
PLUMBING
FILTER:
580 SF
POOL PUMP:
_
JANDY 2 -SPEED
HEATER:
JANDY 400,000 BTU
POOL CONTROL:
JANDY ONE -TOUCH
RETURN INLETS:
3
SKIMMER
AUTO FILL:
RESIDENCE: GAGNON
ADDRESS: 80156 VIA TESORO
LA QUINTA, CA 92253
LOT# 7 TBI#
MTV 370
REVISIONS:
(1)
DATE:
(2)
DATE:
(3)
DATE:
(4)
DATE:
(5)
DATE
Date Printed
11:41 am 13/10/08
1 /8"=1' Scale
Petmir m 1
Pmj= Addr . 8 0-1510
Cl-ty of lg QuIn.ta
Buiung. z Sarery Divisi=
P.O. Boz 1304, 78-1-Y - Calle Tarripicrn .
is Quinra, CA 92253 - (760) 777-7012
Builaina Permit Application anG Tracking Sheer.
LOL niers Lame: ,
A, P. Numb= b=
Addrrnzs: d -
Legal Description:
Cir v. ST. Zip: `A • vri5 3
Cotitraanr.1
ciephone: �
7Address
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Projc:.•r Description: �G�� S (�-��
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Cm,. ST. 7p
Tel_ hone 10� ?J1-} - 100 l
State Lic r : 8 01 t
Arca- End- I;csignrr t
I Cin' Lir- r. 05C)
Q/ -,e,& .
Adorers
C&. ST. Zip:
A10" kI L- CG • W
Tel_ hone:'
'P
State Lic r:
Natnciof Contac Person: '�
%`s -- -- - - ConstructionT}'pc:
_ _ _
-, - °.�= Projc` type (circle one', N--%v Add'n .�it_r Rzp-eir.- Demo
�aj� Sq. i t: r Stories: R L'rirS
Telephone of Contac Person:
5— 4 600 r mated Value of Pro; 15 a 00
APPLICANT: DO NOT WRITE SLOW THIS LIKE
m I
Submittal I
Rcq'd I
Recd
TRACKING y
P6E-F.'f.ITT FEES
Plan Scts I
Plan Check submitted
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Amsunt
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Subeontaetor List
'G'ratu De-ed
H 0�3..Approval I
v HOUSEZ.-
Plantain-, Approval 'I.
IPitb Wks. Appr
SccitoofFess
Reviewed reach• forcorrections I
Called Contact Person.
Plans picked up I
Plans resabmitt=d I
'_"'' Review. rcadv for corrcctionsnssuc I
Called Contact Person
) Plans picked up
"Pkaw; resubmitted
, `—Review. readv for corrcctiotts/issue
! CaIled Contact Person
Date of permit issue
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Plaa Check Dc{:os-i
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Plan Cheek Bslanct
Construction I
Aieenanieal
Electrical
Plumbina
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Grading
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