07-1331 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00001331
80215 VIA TESORO
772-250-018-14 -31349
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
15200
Architect or
T4ht °f4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D
Enc %.MAY
�ZO7
fF1oppy.
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 Licen a No.: 810111
—o f
tractor:
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, 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 1, 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. , 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:
Lender's Address:
LQPERMIT
Owner:
GLENN JOHNSON
80215 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: 5/01/07
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.
�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 -
3700 of the Labor Co"all forthwith comply with those provisions.
Date: ��A ant:
WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 applic tion and state that the above information is correct. I agree to comply with all
city and unty ordinances and ate laws relating to building construction, and hereby authorize representatives
oft ' county to enter upon eabove-mentioned property
i/f'o^r,r_'nspection purposes.
Date:�� nature (Applicant or Agent):
Application Number . . . . . 07-00001331
Permit
. . .
BLDG POOL PERMIT
Additional
desc . .
Permit Fee
. . . .
171.00 Plan Check Fee
111.15
Issue Date
. . . .
Valuation . . .
. 15136
Expiration
Date
10/28/07
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
10/28/07
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
10/28/07
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
10/28/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
nn
F nnnn
F8 PTR FTXTTTRft,
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 . . . . . 07-00001331
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee .00
Issue Date Valuation . . . . 64
Expiration Date 10/28/07
Qty Unit Charge Per 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
6'X 7'6" SPA @ +18"
STACKED STONE SPILLWAY
TILE EXTERIOR,
CONCRETE CAP,
INSTALL 4 JETS
TANNING LEDGE
W/ UMBRELLA SLEEVE
CITY OF LA QUI
BUILDING & SAFETY
APPROVE
FOR CONSTRUCTI
DATE5' a ' 01 BY --L
PI
SIZE
AREA
PERIMETER
DEPTH:
LIGHTS:
LIC #810111
12'X29'
443 SF
115 LF
-3' TO -5'
2
SPA SPECS
SIZE: ' X 7'F"
RAISED (541w,
SPILL TYPEISTACKED STONE
# OF JETS
LIGHTS
FACE FINISH
EXTERIOR FINISH
DIG/STEEL
BENCH:
TANNING LEDGE
RAMP
STEPS'
PLUM NG
FILTER:
POOL PUMP
HEATER:
POOL CONTROL:
RETURN INLETS:
CASCADES:
SPRAY HEADS
STUB OUTS:
POOL:
BENCF
STEP
TANNING LEDGE
SPI
SPILLWAY TYP
BENCF
520 SF
2HP
400,000 BTU
ADDRE
LOT#
O w
� m
w O
uj Z) CL
O >- S2
z
C Q z J
c�00
(Do 0-
°cto
Q0-
z z -
cnUwCL
Ha -0
L0�U-
O
z
�o
-z
Ox _
ui
0wP�(�U)
U)zwo w
v�m��l=
n.0Ow>cr
w
aw0g0�
CO co WFDO Y
Wo z<co
oCL0Q�>-z
Q w O z Q
STEPS] I 2�xvau5S
'nL
Z
z w
�_ O
O_ P
~w�
Q U
w
WATERLINE:
0Za
W�
0
az
CL
ILL!
0 -
w
0
moo
2O
Q Q
oU' m
J
0
SQ FT:
0
=�
a. W
_j
0
o
,j w
Jcn
omZj
U-
FL
c�cn0
va
O
z
�o
-z
Ox _
ui
0wP�(�U)
U)zwo w
v�m��l=
n.0Ow>cr
w
aw0g0�
CO co WFDO Y
Wo z<co
oCL0Q�>-z
Q w O z Q
STEPS] I 2�xvau5S
'nL
TILE TYPE
w
WATERLINE:
Q
TILE TRIM:
a
D CIQN
w
E
o
SQ FT:
=�
a P:
COLOR:
cn
w w ~
FINISH:
ZO
H w =O
WALK WAY:
11
w Q �-
SQ FT:
W
- U)
COLOR:
of
2 0 O
FINISH:
W
2
CANTILEVE
:
U0, 0
0
POOL:
Q
SPA:
DRAINAGE TYPE
MASONRY
o
P/L EXT WALLS
m
PLANTER WALLS
U)
RETNG WALLS:
o
w
E
P/E WALLS:
¢
BB
0
COJ
cn
SIZE:
A BBQ MODEL
,T. TOP FINISH:
FACE FINISH
SIDE BURNER:
PEN LIGHT:
PLUG OUTLET:
a O
za
.� Z w
a0W
w
>0
000
W J Q
Q w U)
of2Q
PLASTER 50
PLASTER COLOR: O w
PEBBLE COLOR:
OTHER
PLAN FOR
JOHNSON RESIDENCE
ADDRESS: 80 - 215 VIA TESORO
LA QUI NTA CA 92253
LOT# 14
REVISIONS:
a
z
(D
U)
(1) DATE:
(2) DATE:
(3) DATE:
(4) DATE:
(5) DATE:
Date Printed
1:57 PM 4/25/07 1 /8"=1' Scale
lin#
`I
!Permit ;r
I
Pmj= Adam
P: P., N=nbcr:
Legal .Dt i om
`1 I Comracar:
Add=..�,'�
-b Cm'. ST. Twp
i
Tel ephonc ID
�Y Stat: Li` R
kddtr--
Teiphane:
Stars Lic. ;:
Name; of. C Offia.¢ ?=-Son:
•Tclepmne # of Contacts Person:
R I submiaai { R
'Pian Se
StruCal Cal=
Truss Calc
-T1b . 24 Cess
:Mood OWN plan
Zrading p�n
Subcantamr, list
kraut Ded
H:O_� AF�roval
Planning t�prm•al
I,Pub. Wks Appr
Schoad.F� I
I.
cj•Ly of L2 Quin.ta-
BLulcung.
I$ Safely- DNision
P. O. Box i 50-d, 7$ : 93. Calle Tampico .
L2 QE inra, CA 92253 - (760) T/7-700 1.2
BLdiding Permit ,Application and Tracking .�h-�•
Cin' Lie r tiS�� ,Q � Mr L2 1 't —n 0 0
Carsuvction T� pc Dcct .F
M.
•.. ...v9._,
Pr6j= rypc (circle one): Tier Add'n .�it_r Repar demo
S•q. Ft.: � Stori=
— 4 (p00 mated Value of Pro.i—
APPLICANT: DO NOT WRITE BELOW THIS LIME
Re
tscrq'd I Rc'd TT k0ONG °'EF?.IIT FEES
Plan Check submitted I Item I _Amount
Reviewed. r=2dc for corrections I Plan Check Dcpusi
Caiied Contact Person. Pian Check B-:ianct
IPlans picked up I Camstruetion
' Plan resubnitt_d ( Atemanicsl
'_' Review. readv for corrrctionsAssue Elertrieal
Called Contact Person I Plumbizm
Plans pici:rd up 1.
"Plans resubmitted I Gr. -ding
"Review. ready for correctionvissue De-cioper Impacn rcr
ICalled Contact Person I A-LP.P.
Date of permit issue
I a I
Tamil Permitil =