15376 (SFD + 15824 (BLCK) + 15823 (BLCK) + BPOL2014-1071 (BPOL)54485 Avenida Alvarado
INIIIE IN 23 V 4 QV{/
Building 54-485 Avenida Alvarado
Address
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Owner
Sunrose Corporation
Mailing
Address 72-850 Somers Road
City
Palm Desert
Zip
92260
Tel.
346-2840
Contractor
c I AIWA R C .1n elITP
Address
No.15376
V -
BUILDING: TYPE CONST. i1 OCC. GRP. R
A.P. Number
774-235-023
Legal Description XRA
Project Description SPD
City
Zip
Tel.
State Lic.
& Classif. 533670
City
Lic.# 1137
Arch., Engr.,
Designer
Sq. Ft.
Size 1742
No.
Stories
No. Dw.
Units
New E Add ❑
Alter ❑
Repair ❑
Demolition 0
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
- I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division& of„the Butiriess and Professions Code, and y license is in full force and
/s' f *:— 9s
SIGNATU9 ." --`"` DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code. or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation o1 Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that sdch improvements are not intended or offered for sale. If, however, the building
or Improvement is sold within one year of completion, the owner -bolder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as ownenof the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) Licensed pursuant to the Contractor's Ucense Law.)
O I am exempt under Sec B & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o .Company
opy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed B the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date Owner
NOTICE TO APPLICANT: 11, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
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.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
_ 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 city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Estimated Valuation
$102,753.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
297.57
Const.
650.00
Mech.
62.00
Electrical
131.27
Plumbing
138.00
S.M.I.
10.28
Grading
20.00
Driveway Enc.
Infrastructure
2260.23
Precise Plan
25.00
Ares in Pubil
c Places
20.00
TOTAL
REMARKS
3864.35
3614.35
ZONE* BY.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear P/rop. Line
m C
Side Street Setback fron%. Line
Side Setback from Prop /l tN Line
FINAL DATE INSP
/
7//41,_
r
Date Permit.
Issued by:
Validated by:
Validation:
'83,//
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBINv FEES
1ST FL
SQ. FT.
SO. FT.
SO. FT.
SO. FT.
SO. FT.
SO. FT.
SO. FT.
VALUATION
®
$
STORAGE TANK
FORMS /9 9
UNITS
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.G//9 qfie
GAS (ROUGH)
METER LOOP
2ND FL.
OTHER APPJEQUIP.
REINF. STEEL A/ 9C7% /
[,a
GAS (FINAL)
TEMP. POLE /w//0 ,f/
GROUT /
WATER HEATER
YARD SPKLR SYSTEM
FINAL INSP.
POR
®
GRADING
cu yd
MOBILEHOME SVC.
LUMBER GR.
FINAL INSP. f/05---
BAR SINK
$ plus x$
FRAMING 1.57
GAR.
®
ROOFING
/
9
/ 1
0/e ro .e I _ 0033/
4 //%T
POWER OUTLET
VENTILATION ,
ROOF DRAINS
FIREPLACE
CAR P.
SPARK ARRESTOR
GAR. FIREWALL
LATHING S/OS****-- A
DRAINAGE PIPING
///
INSULATION/SOUND /l/ /9'.
//
WALL
®
FINAL INSPECTION 9/6
CERT. OCC.
FENCE FINAL
DRINKING FOUNTAIN
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
®
URINAL
ESTIMATED CONSTRUCTION
$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1+ c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/.c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
STRUCTURE
PLUMBING
ELECTRICAL
HEATING & AIR COND.
SOLAR
SETBACK :/6j
GROUND PLUMBf
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE /5
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /9 9
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.G//9 qfie
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL A/ 9C7% /
[,a
GAS (FINAL)
TEMP. POLE /w//0 ,f/
GROUT /
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu yd
_$
LUMBER GR.
FINAL INSP. f/05---
$ plus x$
FRAMING 1.57
FINAL INSP.
ROOFING
/
9
/ 1
0/e ro .e I _ 0033/
4 //%T
REMARKS:
VENTILATION ,
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING S/OS****-- A
MESH
///
INSULATION/SOUND /l/ /9'.
//
FINISH GRADING
FINAL INSPECTION 9/6
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
11111111011001
IE
24
COACHELLA VALLEY WATER DISTRICT
NZ". .? trIS eat
CASH RECEIPT DETAIL
Received From(( 67.-/7-6/2...ell":-..-1-e...-- Kiel'il. elie,,,..S• - i_ . - - (... d r
... i Date.
Address. -- S'S. --"C.) ,.....—).(.7,) 7Z./.- -.I -eek. .e.'2 -t. 2( itifr;.e. i v; (1 -r - ) v a c)
I :... ,
Account No. eV(.16 /3 :-/4s- L 44///, t4, , e. Tract Z-5-. C., Az ,n.. i,/
(
Service Address £4'' k S— ,.. 7 (e-• . 4'4.446 1.
Meter(s) . i "' -Z-/Z, '1
Y
Service(s) / _ / / ,
O Backflow(s)
'0 House Lateral(s)
O Detector Check(s)
O Meter Surcharge
spSanitation Capacity Charge /4
O W.S.B.F.C.
O Temporary Construction Meter
O Turn on Charge
O Uncollected Account - Name
O Inspection Fee - Tract -
Fee -
O Plan Check Fees Water / Sewer -
Tract -
O Bond Payment - A.D. - Bond
Assmt
O Customer Deposit
O Other
Remarks:
0 Copy to:
Check
Money
Order
G.A. Code
TOTAL
$ S-6 • 00
E-S—d • 6 d
s-. o
$
/e?
• Water Service /. •-•-• .
Cashier
CVWD-438 (11/89)
CARLOS ELIAS
Civil Engineer
38825 Charleaworth Dr.
Cathedral City, CA 92234
(619) 328.7271
11111 1111 25
IE
Sp2OC7112i91, CeLCUL.T/ONS
t: 416 19c. 1,04V oN 114472 (AM -LL
W iNOy 9► S(') /0.9(,( 17.4' +
T145
eviwo
Truss g S
/Nsuc.
1/2 "60. P B t2 D.
5 10195
1,06/ 80
/ 0, (Af
Z,s
0,S"
Z. Z
,S-
Z,Z
1,0
l7,) ..f
14,3 41/. r.`.
J Fo-L..
(mss --
,(,5)(,38(18,5) +.8,s(z) / 322 CoNT2ot,�
SEISM tC : LAAV-
W= CZ(17,7)4* 4(14.3) +14.1+( 1341, 183
S1=tSM�C =
1112 C9,5),5+ 180(13.8,183 epo. u41.t. = /0 /14
'teoiI . 4'SH' , (N'L G6o0 w2 S'S -z.@ -).....21094:t *OKI ZZo$ > int
P ovtoc 4' SMR, pewit. vv//t-P Azz 1/01,aums 014 4x rebsr
4-r /2gP W 11&s11 i2. sc! r r .
toTrot CO3) ON oiN,/F60..t2t4.
Root= Z(2( Ill) it 33(1) 11.CVAN. + 2tCZ.113,s.w►i��
SE4SPitc = 6.B?o(483) /2.59'
S>fiR, P> 'c. lS.NGTN REo4 s 1259 - = Z, ZS
Pg0l/10g- •3 CCAIG70 S)112 1 'c. c peoNr cu4U w/
HP6No 2 z, ons 4 u Pos rs
/�/
JAMES O. WALLACE
Agricultural Commissioner
Director of Weights & Measures
DATE 6- b / s
M IIIIIIIIIIII�IIIVIIIIIII 2v
IE
OFFICE OF THE
'AGRICULTURAL COMMISSIONER
P.O. BOX 1089
RIVERSIDE CA 92502-1089
PHONE (909) 275-3000
FAX (909) 275.3012
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619)863-8291
CASE NO. V C- C C- CDG / s
CALVIN C. KAMINSKAS
Assistant Commissioner
DAN RILEY
Seater. Weights & Measures
(909) 275-3030
FAX (909) 276-4728
DEVELOPER'S NAME: ,5G,,7 /a, e_ CcYcD/it11:7 7,)
ADDRESS: 7;27 '5".", /71e/- J
L2 ,D6?(17,
r TELEPHONE: (/52D 3416 .z gd
1 -DA- 47 41 3} aG47'
Dear Developer: L. ur C \t\
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
- do occur and they differ from plant material listed, this office must be
notified immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free
environment.
Agricultural ommissioner's Office
cc: Indio and Riverside
RECORDING REQUESTED BY:
Investors Title Company - Escrow Division
AND WHEN RECORDED MAIL TO:
Sun Rose Properties
72-850 Somera Road I VIII IIIIIIIIIII III 27
Palm Desert, CA 92260 IE
RECORDING RCQUEsTED EJY
FIDCLfIY NATIONAL TITLE INSURANCE Co.
ESCROW NO. 32-10357
RECEIVED FOR RECORD
AT 8:00 O'CLOCK
APR 141995
ftsoordaf In Official Nome,
d ftivaetda Cov sy. Cdl
orornk \6.)
Feet $
Tills SPACE FOR RECORDER'S USE ONLY:
INDIVIDUAL GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(
DOCUMENTARY TRANSFER TAX- $ 23.65
IXJ computed on full value of pro er-t-y�en-veytrd, or
I 1 computed on full value less value of liens or encumbrances remaining at time of sale.
I I Unincorporated area (X J City of La Quinta, AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Dale L. Butler arid Pearlirte Butler as Trustees, or any successor Trustees, under that certain Declaration
of Trust created by Dale L. Butler and Pearline Butler as Trustors, dated July 9, 1990
hereby GRANT(s) to:
SUN ROSE PROPERTIES, a California Corporation
the real property in the city of La Quinta, County of Riverside, State of California, described as:
Lot 11, in Block 264, of Santa Carmelite at Vale La Quinta, Unit No. 24, as shown by Map on file in
Book 19 Page 44 and 45 of Maps in the office of the County Recorder of Riverside County, California.
ALSO KNOWN AS: APN 774-235ij -- La Quinta, CA 92253
A.P.It 774-235-023
. tf)- v 2cD
TITLE ORDER NO. 253282
DATED March 13, 1995
STATE OF CALIFORNIA
COUNTY OF __Q/ �)
On J R /. 2
before me, CaCCL
a Notary Public in and for State, personally appeared
;Thie. L,13u1-fer
thti lir, 13
lr
personally- known.-to-rne (or proved to me ori the basis of
satisfactory evidence) to be the person(s� whose narnejj
Ware subscribed to the within instrument and acknowledged
to nie that RV/they executed the same in leigjhg{/their
authorized capacity(ips), and that by t /(yer/their signature)
on the instrument the person(, or the entity upon .behalf of
which the person(41 acted, executed the instrument.
WITNESS niy hand and official seal.
Signature / `- L% (L,)�.t.
Mail tax statements to: Sun Rose Properties 72-850 Somera
floa
Declaration of Trust created by Dale L. Butler and
Pe9rlineButler as,Trustor dated July 9, 1990
•
•
Dale L. Butler, TRUST =E
Pearline Butler,TRUSTEE
OFCIAL SEAL
CN1OLYN LEE ARCH BALD
NOTARY PUBLIC • CALIFORNIA fA
COMMISSION* 1047599 C
ORANGE COUNTY
My CommIsslon Exp. Dec. 18, 1998
(This area for official notarial seal)
Palm Desert CA 92260
r1lui\u1\ul 28
IE
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
Indio, CA 92201
619-775-3500
NOTICE:
Document Cannot Be Duplicated
Date [6/7/95
No.
13480
Owner Name Sunrose Corporation
APN #
Type of Development
Comments
Type of Permit
No. 54485 Street Avenida Alvarado
La Quinta
City La Quinta Zip 92253
Tract #
Lot #
Permit #
Study Area
Log #
110
Square Footage
No. of units
Single Family Residence
1702
1
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 1(702 or $ 2,927.44 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Sunrose Corporation
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson
Signature P&Ii)lA { P,` /1.t
Teleplio ie .)346=2840
- r
Payment Received' c `"
Check No. 6745
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept. /Applicant Copy - Applicant/Receipt Copy - Accounting
)11111$111 29
Building
Address
54-485 Ave Alvarado
0 1/ e eFi
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Owner
Sunrose Corporation
Mailing
Address 72-850 Somers Rd
City
Palm Desert
Zip
92260
Tel.
346-2840
Contracts -same as above
Address
No.15824
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 774-235-023
Legal DescriptionL%t 11, BIk 264
Project Description19 X 101 Lattice Patio
City
Zip
Tel.:
State Lic.ff
& Classif. 33 0
City
Lic. # 1137
Arch., Engr.,
Designer
Sq. Ft.
Size
No.
Stories
No. Dw.
Units
New 0 'Add 0
Alter 0 Repair 0
Demolition 0
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S. DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section .
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. .
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: , Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's Ucense Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code. or that. he 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 (S500).
O 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, Buisness and
Professions Code: The Contractor's Ucense Law does not apply to an owner of property who
builds or Improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's Ucense Law
does not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's Ucense Law.)
O I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No .Company
0 Copy is filed with the city, 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE •
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
• or less.)
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.
Date ' Owner
NOTICE TO APPUCANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of tire' Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
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 (5100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when' properly filled out, signed andvalidated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 city to enter the above-.
mentioned property for Inspection purposes.
Signature of applicant • Date
Mailing Address -
City, State, Zip
Estimated Valuation
2,527.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
35.10
Const.
54.00
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE- BY.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: • • Date —Permit—
Validated by: f I
Validation:
r
By
HOU
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING; FEES
1ST FL
SQ. FT.
SQ. FT.
SO. FT.
SO. FT.
SQ. FT.
SO. FT.
SO. FT.
VALUATION
@
$
ROUGH PLUMB.
BONDING
UNITS
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
2ND FL.
ROCK STORAGE
FOUND. REINF. ���
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
YARD SPKLR SYSTEM
REINF. STEEL
POR
®
MOBILEHOME SVC.
WATER HEATER
SERVICE
BAR SINK
GAR.
®
WATER SYSTEM
GRADING
cu yd
POWER OUTLET
LUMBER GR.
ROOF DRAINS
$ plus
FRAMING y/ //1.--
CAR P. _
®
ROOFING //
REMARKS:
DRAINAGE PIPING
WALL
®
FIRE ZONE ROOFING
FIREPLACE
DRINKING FOUNTAIN
@
SPARK ARRESTOR
GAR. FIREWALL
URINAL
LATHING
ESTIMATED CONSTRUCTION
$
MESH
INSULATION/SOUND
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
5
r
MECHANICAL FEES
CERT. OCC.
FENCE FINAL
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL H000
GARDEN WALL FINAL
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1'/ c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
STRUCTURE
PLUMBING
ELECTRICAL
HEATING & AIR COND.
SOLAR
SETBACK /i/��
`/
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. ���
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu yd
x$ _$
LUMBER GR.
FINAL INSP.
$ plus
FRAMING y/ //1.--
FINAL INSP.
ROOFING //
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING`�9
FINAL INSPECTION
5
r
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Rafter )la• 1 'racist
: foot ►tt.h
via
Cornflower lodger
easier to__
6111
�
Sof ter fres t� ---
10,9*_ 14
•
/.IAS
•
Sas feefi.l rot• f•lw
fpc1ty foolial 1 &heathlike or Clue Lott lc.
*
•
T LH &ogle imps
S ai-al-s1A- aiti
4-16 6 Mile se belt
Pert spacta$__
RUR. sior
P�.
�t• 1YJir:�
2000"'o.. t. et — r_J
3/1"14)- lag serves late •tris at 1&- •.c.
CND i.WWI Lodger
&.1.t Seeger .r 6.114 Il.cita&
Mall Raster t. uetkirt&
enroll let$tl►
p..t.
Provide 1'
learanc
ost To
Concret
4 • 1' 6 .111..K belt
Wed Raveere r sr esee.„
1
t
1
1..-eer►..1t s.
Plat.
I rii7l SPAN Irk=
eraditq Pula:
P3 20-:0 .
(rest t L..haa)
2s4
---
16' o.c.
24' -'
11-2
9-6
-
10-1
1-1
7-11
i -S
0-3
H
6-4
5-2
X
l
12' o.c.
17-10
17-S
33-0
13-7
10.0
16' •
16-)
1S-1
11-3
1.1-9
H
-
24' •
13-3
124
1-2
9-7
7-1
•--- -
32? -11::
"10-10._
9-11
7-0
7.O
5-.
be
16• o.c.
31-5
19-10
14-10
13-4
114
24' '
17-6
16-)
12-1
124
9-4
32' '
14-5
13-0
10-0
10-2
7-6
a- .'ati.kas 4A2 pit (3/12 sin. pitch 1.:a 301
. ' ',(elt;:is+be kayl Class A
b. fid, at>rflsltiar. a':><]ts 4f12 Null 13/12
;etch oath 1St felt trek lay) . Class A
c. 1. It tap rolled rmf slce
d. Rant rto' 3/12 snx.:.zr+ put.
ZYPIGL
PLAN CHECYSUB
iel I • is,1•0 me,...,,rre,Iccervm•••••.*"
REVIEWED, KiilL.CP.' •
CALLED CwNiTs
PLA
PLAW„4 ; .•
REVIEWED, PI.;
CALLED
DATE ISSUE
.f)ATE FINALED
CITY OF LA:. ()UINTA
BUILDING & SAFETY • •
c;oNDiii(MAL;,,:v
ACCEPTED VEM ,nt41"MiCTION
SUBJECT TO V.c. • .AS PER
DATE
iALLAP6Z;Zil CODES
BY ‘.
A r
11111111IIIIIIIIIIIIII11130
IE
Building
Address 54-485 Ave Alvarado
4 4 4414
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Owner
S unroae Corp.
Mailing
Address 72--850 Somers: Rd.
. City •
Palm Desert
Zip
92260
Tel.
346-284.0
Contractor Same as above
Address
No. 15823
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 774-235-023
Lot 11 Blk 264
Legal Description
Project Description
3866 Block wall Propane enol
City
Zip
Tel.:
State Lic.
& Classif. '53.36,7t)
City
Lic. # /A2..
Arch., Engr.,
• Designer
Sq. Ft.
Size •
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter 0 Repair 0
Demolition 0
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of. the Business and Professions Code, or that. he 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).
❑ 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, Buisness and
Professions Code: The Contractor's license Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. ll, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or knprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec B. & P.C. for this reason
Date
Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
0 Copy is filed with the city, 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Thls section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in anymanner so as to become subject to the Workers' Compensation
Laws of California •
Date Owner
NOTICE TO APPLICANT: f, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. ,
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.
Thin is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days. •
I certify that 1 have read this application and state that the above information is correct:
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives softhis city to enter • the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
t
Estimated Valuation $375.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
330.00
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
*30.00
REMARKS
ZONE• BY*
Minimum Setback Distances: •
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback.from Center Line
Side Setback from Property Line
FINAL DATE
Issued by: -
Validated by:
Validation:
INSPECTOR
Date Permit
ANN
11
11
LJ NUb
i995
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL
SO. FT.
SO. FT.
SO FT
SO FT
SO. FT.
SQ. FT.
SO. FT.
VALUATION
®
$
ROUGH PLUMB.
BONDING
UNITS
STORAGE TANK •
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
2ND FL.
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
YARD SPKLR SYSTEM
REINF. STEEL
POR
@
MOBILEHOME SVC.
WATER' HEATER
SERVICE
BAR SINK
GAR.
@
WATER SYSTEM
GRADING
cu yd
POWER OUTLET
LUMBER GR.
ROOF DRAINS
$ plus
FRAMING
CARP.
®
ROOFING/1
/� " -- Y/6-1/,5-
REMARKS:
DRAINAGE PIPING
WALL
®
FIRE ZONE ROOFING
FIREPLACE
DRINKING FOUNTAIN
®
SPARK ARRESTOR
GAR. FIREWALL
URINAL
LATHING
ESTIMATED CONSTRUCTION
$
MESH
INSULATION/SOUND
WATER PIPING
NOTE: Not to be used as property tax valuation
—
FLOOR DRAIN
MECHANICAL FEES
CERT. OCC.
FENCE FINAL
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
GARDEN WALL FINAL
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM ^
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR 0 3Ac
HOUSE SEWER
GAS PIPING
RERMIT FEE
PERMIT FEE
.
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
STRUCTURE
PLUMBING
ELECTRICAL
HEATING & AIR COND.
SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK •
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP. '
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER' HEATER
SERVICE
FINAL INSP.
BOND BEAM A/��
,.
�
WATER SYSTEM
GRADING
cu yd
x$ =$
LUMBER GR.
FINAL INSP.
$ plus
FRAMING
FINAL INSP.
ROOFING/1
/� " -- Y/6-1/,5-
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
—
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
IIIIIIIIIIIIIIIIIIIIIIIII 31
IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`6,4 eleP 0(441
COMMUNITY DEVELOPMENT DEPARTMENT
BWLDING PERMIT
Application Number: BPOL2014-1071
Property Address: 54485 AVENIDA ALVARADO
APN: 774235023
Application Description: POOL ONLY
Property Zoning:
Application Valuation: $15,000.00
Applicant:
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA RAMIREZ
LA QUINTA, CA 92253
LICENSED CONTRA' R'S ' CLARATION
I hereby affirm under penalty of perjury t - licensed under provisions of Chapter
9 {commencing with Section 7000} of Divis ••f the Business and Professions Code,
and my Li ense is in full force and effect
License . s: •3 License No.:: a\\►1
m
Date: 1 .J 111 •a' actor: LI\ LVj\
OWNER -BUILDER LARATION
I hereby affir under penalty of perjury that I am xempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, usiness and Professions Code: Any
city or county that requires a permit to construct, a -r, 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).:
( ) 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.).
( ) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
BOB & DEE KARLEN
54485 AVENIDA ALVERADO
LA QUINTA, CA 92253
Contractor:
'FAMILY POOLS CONSTRUCTION
53-300 AVENIDA RAMIREZ
LA QUINTA, CA 92253
(760)564-3655
Llc. No.: 658996
Date: 9/30/2014
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 wo for which this permit
is issued. My workers' compensation insurance carrier an olicy number are:
Carrier: _ Policy Number:
I certify that in the performanc- •f the . •rk for which this permit is issued, I
shall not employ any person in any mann o become subject to the workers'
compensation laws of California, and agr - t, if I should become subject to the
workers' compens. ion provisions of Se 700 of the Labor Code, I shall forthwith
)mpl it those ro '.ions: 4,
ate: e : •'cantein,
WARNIN : FAI RE TO SECURE WORKERS' Cs PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00• IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR I SECTION 3706 OF THE LABORCODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT:Application is hereby made to the Building Official 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 1 have read this application and state that t
I agree to comply with all.city and county ordinances an
construction, and he eby authorize representatives of
mentio -d p •perty •r i ,spection purposes:
re (Applicant o
ormation is correct.
e laws relating to building
to enter upon the above-
Permit Details
City of La Quinta
Description: POOL ONLY
Type: POOL Subtype: Status: APPROVED
Applied: 9/29/2014 SKH
Approved: 9/30/2014 KHE
Issued:
Finaled:
Expired: 3/28/2015 SKH
Parcel No: 774235023 Site Address: 54485 AVENIDA ALVARADOLA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 264 Lot: 11
UNIT 24
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Valuation: $15,000.00 Occupancy Type: Construction Type:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL. (DENISE POELTLER ENGINEERING) THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
I Applied to Approved
ADDITIONAL SITES
CI Rf1Nf11 nf;Y
CONDITIONS
NAME TYPE
NAME
ADDRESS1
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT'
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA
RAMIREZ
LA QUINTA
CA
92253
(760)360-9644
CONTRACTOR
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA
RAMIREZ
LA QUINTA
CA
92253
(760)360-9644
OWNER
JANE BVADY
54485 AVENIDA
ALVERADO
LA QUINTA
CA
92253
(760)360-9644
FINANCIAL INFORMATION
Printed: Tuesday, September 30, 2014 11:48:12 AM
1 of 2
CRSYSTEMS
Permit Details
City of La Quinta
PERMIT NUMBER
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
PC
101-0000-42600
0
$98.62
$0.00
Total Paid forPOOL / SPA: $279.91 $0.00
TOTALS: $280.91 $0.00
SEQID
INSPECTION TYPE
INSPECTOR
INSPECTIONS
SCHEDULED COMPLETED
DATE DATE
RESULT
REMARKS
NOTES
FINAL**
PARENT PROJECTS
REVIEW TYPE
REVIEWER SENT DATE DUE DATE RETURNED
DATE
REVIEWS
STATUS
REMARKS
NOTES
NON-STRUCTURAL
KIRK
KIRKLAND
9/29/2014
9/30/2014
9/30/2014
APPROVED
READY TO ISSUE
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, September 30, 2014 11:48:12 AM
2of2
eIPSYSTEMS
,,,e4: hv=F A w{ at"'c'c ..., $ ¢`\
DESCRIPTION =a
,,,,,...t.v,,,,,,r'.?.:-�P.ri.. 'd" <;V5
FINANCIAL INFORMATION
fib �d✓'. �:a: '� :.•i9 s., .E: ..Y:.;
:_ :'r .F ..r.Cr£.. t.f y f ay..,Y, l''._ 'r
: F}' ACCOUNT�� 3 v, 5
`ice '' - f E a l - ,+ v = °. #
• QTY W t AMOUNT
�F un .54 Sk wF.4 ,,,, if. Y-v�
.: 5:.: J _ e
KxPAID
<i,+
PAID'DATE:
BSAS SB1473 FEE
•101-0000-20306 •
0
, $1.00 ,
$0.00
xs»' u,. .. y$P h a .' -�C
,y . y' @- _ ., z
}syr >yPAID: BYry s�
'!S
4 E r r^ ,� - 5 :mss
{ l _ 4 Rx
�MET,HOD,
ia''' e '<..,... '. .. z.t_ :.:'...
'.,s f A , •Kg, f Y �
as h
e k RECEIPT #
_ . .
CHECK # r
CCTD BY
.., ..
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 • •
`DESCRIRTION e
c,. ,J1..O..x.<„„ _ � '.-z`a ._3�
,.. t ACCOUNT.y 1QTYAMOUNT
�'•1"d' ... _ {'._<. .a .1 ."..._a:YFh-., ..3:.'. ....auS
_ ...
,Pi41D3�,
YT_ :..5' iv.G K:'P'""` ":..�`�
PAID;DATE>
SWIMMING POOL/SPA
101-0000-42404
0
4181.29
$0.00
'r
PAID BY�:.n.
wr« x
METHOD�r
„.s4 w <r < s "x Er:`,'
,RECEIPT#
r 'ter ,:.; :
< <, H ECK
P. f:>�,Y.
e . r..,;.+_._ - 3.E d 'ra x= r
�DESCRIRTI.ON'r '�
r�
,��„�nd �r �. _ .. s..�. � rs��
i F "t ;. 3 R: ,aa; " - n x 1
ACCOUNTx, c
�fi-`s ..x.:.,. �, , �r,. ,,-1.(4.:i4:,?' �,.: � E�^. a'�, ..
'ii �#.(1•;
TY .
Q w
.. ���
s .a ;'., is '' V ,....• '�
AMO'UINT�
:,
z'�_°,"_ ��7� ,�g,:nz�r� � '�
a " .. c •�. �.
PAID
g 3 y
PAID DATE;
'_
SWIMMING POOL/SPA PC •
101-0000-42600
0
$98.62
$0.00
.., -� b.,J E d'�
'le BY` .s.,�
y<.� ,� `t ET.. ::� �" a; iz "„ r� ?
_ '' g N'�*2'�i'.r
E.. METHOD..,RECEIPT#
z° ? . «.:Kmo ' ,,,,b,'c�
•?E :3irz�
4 yCHECK
#E�CLTD
BY
•
Total Paid for POOL/ SPA:- • $279.91 $0.00
TOTALS , $280:91':.:"' a $0.00 'i
3/4 hp pump
320 cfm filter
250,000 btu propane heater
P/L
Rear Yard
P/L
—5'--
+6" rear beam
P/L
Existing Covered Patio
BOB AND DEE KARLEN
54485 AVENIDA ALVARADO
LA QUINTA
760-360-9644
Electric
Propane
Driveway
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE % /4( svia
Pool w/white plaster
interior
1/8"=1' 9/25/14
FAMILY POOLS
CONSTRUCTION
LIC.#658996
(760)564-3655
Avenida Alvarado
Bin #
City of La Qulnta
Building & Safety Division •
P.O. Box 1504, 78-495 Calle Tampico
La Quanta, CA 92253 - (760) 777-7012
b7 I Building Permit Application and Tracking Sheet
Permit #
' L
Project Address4l4 U5 !4 I )J. f1
Owner's Name: /3/ o) q j4,i
A. P. Number. .
Address:5L1� f +)
9)QIJ
Legal Description:
City, ST, Zip: l
/�J U v
' ,•
i .• b 6 >".l:f`tr':''.:�
(-
/f�
Contractor: :� ) �1�
Telephone:
Address: P 0. I♦I c2f33
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. Project Description:
City, ST, Zip: / 'I f:1 i3i-
2-- 7
.
Telephone: L/) 4-56;S
State Lic. #: (.,
City Lic. #;
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone
ep
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Construction Type: Occupancy:
State Lic. #
'T
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
J
Sq. Ft:
# S ries:
# Units:
%
Telephone # of Contact Person: S
Estimated Value of ProjeC /M) • , 2f)
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Pian Cheek submitted
✓�
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs
Called Contact Person
Plan Cheek Balance
Titre 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading pian
2"' Review, ready for corrections/issue
11eetriea1
Subcontactor List
Called Contact Person
-Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
''" Review, ready for correcti � � s/issae
�`' f Y
Develo p e
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
. .
SEP
9 2014
QTY O
umim
_._ . _—.
Total $c LAITY
EVELOPMEN1