07-2578 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00002578
Property Address:
80188 VIA TESORO
APN:
772-250-018-9 -31349 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
15200
Tay
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
LicenseClass: 13 C27 C53 License No.: 810111
ate Cl/'� 0/ C facto r
100�0_�WNER-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, 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.).
(_ 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.).
(_) 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:
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 200
SCOTTSDALE, AZ 85258
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/20/07
Contractor: V20
PICASSO POOLS INCr78078 COUNTRY CLU
061�BERMUDA DUNES, CA(760)345-4600LiC. No.: 810111_ _
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 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
a 3700 of the Labor Code II fort hw' comply with tho provisions. .
te, 2�E—�RETO
ant:
WARNING: FAILECURE 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
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
offtth/i9 county to enter upon the above-mentioned propert r -inspection purposes.
f?atey Si ture (Applicant or Agent):
Application Number . . . . . 07-00002578
Permit. . . . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
171.00
Plan Check
Fee
111.15
Issue Date . . . .
Valuation
. . .
. 15200
Expiration Date
3/18/08
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 . .
3/18/08
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 . .
3/18/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
-------------7--------------------------------------------------------------
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 . .
3/18/08
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
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date .1.
Qty Unit Charge
. . . . 07-00002578
WALL'/FENCE PERMIT
15.00 P1
V
3/18/08
Per
an Check Fee .
aluation . . .
00
64
Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 4 L.F. 4' EQUIPMENT WALL,
CITY STANDARD. 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
Bina .0 -ty of- La Quin
Builcrm . iE Safety Division
P.O. Box 1304, 78 -4 -9:5 -Calle TanpicD .
°ermi> 1a Quinra, CA 92_253 - (750) 777-701 Z
�-�-BLdiding Permit Application and Tracking Sheer.
Pro)ec1 Addt= .gb 88 meas Namc:
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C onstruction Typ=Oca:
Proj= n•pc (circle one): N --x • Add'n .Ait_r Repair. Demo
$q. FL: I .r stories: , : Units
Tci=none 1,of Contac Person:
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APPLICANT: DO NOT WRITE BELOW THIS LINE
n I Submitral I
Req'd I
R='d
TR4C JNG
PERMITT FEES
Plan. Sets I
)
Plan Check submitted
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Item I
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Reviewe& read- for corrections
Pl_n Check Depes:i -
Trim Gales
Called Contact Person.
Plsp Check R;.lanct
Ttle_4 Cates.
Plans picked up
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Ccustruction
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-7100dplain plan
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Subenntaetor List '
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Plans picked up
RO-A_Approval
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•'Plans rtsubmineti
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' 'Review. ready for cotrterionvissue
Dn-6oper;lmf-acn Fee .-
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'Planning, Approval -I:
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Called Contact Person
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A-1-P.P;
Pub. R'ks .4ppr
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Date of permit issue
Scitool.F'ces
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Total Permit=Fccs
TX 8' SPA@+18"
STACKED STONE SPILLWAY
CITY STANDARD WALL
4' HIGH, 6" WIDE, 4' LONG
EQUIPMENT BLOCK WALL
STUCCO AND PAINT
TO MATCH HOME
CITY OF LA QUINA
BUILDING & SAFETY D T.
APPROVED
FOR CONSTRUCTIO
DAT - 021 BY Gl _
SIZE:
AREA:
PERIMETER:
DEPTH:
LIGHTS:
6 t ' 4 iKll
SIZE:
AREA
RAISED @
SPILL TYPE
# OF JETS
LIGHTS
FACE FINISH
EXTERIOR FINISH
DIG/STEEL
BENCH:
TANNING LEDGE
RAMP
STEPS:
PLUMBING
FILTER:
POOL PUMP
HEATER:
POOL CONTROL:
GUNS
POOL:
BENCF
STEP
TANNING LEDGE
SPS
SPILLWAY TYP
BENCF
15'6" X 35'6"
509 SF
108 LF
-3' TO -5'
2
56 SF
+1811
STACKED STONE
0 BTU
AQUALOGIC INDOOR POO
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SIZE:
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OTHER
PLAN FOR
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ADDRESS: 80-188 VIA TESORO
LA QUINTA
LOT# 9 TRACT#
REVISIONS:
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(1) DATE:
(2) DATE:
(3) DATE:
(4) DATE:
(5) DATE:
Date Printed
2:50 PM 9/19/07 1/8 = 1' Scale