05-4867 (RPL)54570 Avenida Alvarado
11111111 )111111 III 14
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05700604867
54570 AVENIDA ALVARADO
774-273-004-21 -000000-
POOL - RESIDENTIAL
COVE RESIDENTIAL
27430
Tait 4 eePaginfai
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
a f
Contractor
L1 GrTN_A
WG.C '.44';'7
Zc.,7 #m
OESL'B:
Owner:
BONANFANT ROBERT J
54-570 AVENIDA ALVARADO
LA QUINTA, CA 92253
FALLS CUSTOM POOL/SPA
CALIF. INS
46001785-0101
818149
VOICE (760) 777-7012 a
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
06/01/06
03/31/07
Date: 11/01/05
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 P.,lofessionals Code, and my License is in full force and effect.
License Class: 1
/Date: 1/• /—01-Contr or:
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).:
( .I 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.).
( 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.).
( 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:
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.
4I 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 C53 Policy Number
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 be.•me subject to the workers' compensation laws of California,
and agree that, if I should become
3700 of the Labor Code, I
„fiate: r 3' Applicant
subject to the workers' compensation provisions of Section
/ =
shall' rthw g•T. , y,,. - .visions.
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 11100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPUCANT 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 info mation is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr)4tion, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspe
Date: /7 "3 " Signature (Applicant or Agent).;/
Application Number . 05-00004867
Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . 271.50 Plan Check Fee . . 176.48
Issue Date . . Valuation . . . . 27430
Expiration Date 4/30/06
Qty Unit Charge Per Extension
BASE FEE 252.00
•3.00 6.5000 THOU BLDG 25,001-50,000 19.50
Permit
Additional desc
Permit Fee . .
Issue Date . .
Expiration Date
MECH POOL
26.00
4/30/06
Plan Check Fee . . 6.50
Valuation . . . .
0
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
Issue Date . . Valuation
Expiration Date 4/30/06
Qty Unit Charge Per
i.00
BASE FEE
30.0000 EA ELEC PRIVATE SWIMMING POOL
11.25
0
Extension
15.00
30.00'
Permit PLUMBING
Additional desc
Permit Fee. . 33.00 Plan Check Fee . . 8.25
Issue Date . Valuation . . . . 0
Expiration Date 4/30/06
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
Special Notes and Comments
POOL& SPA ONLY. ALARMS/BARRIERS SHALL
Application Number 05-00004867
Special Notes and Comments •
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited
Permit Fee Total
Plan Check Total
Grand Total
LQPERMIT
375.50
202.48
577.98
.00 .00
.00 .00
.00 .00
Due
375.50
202.48
577.98
.ti
Bin #
City of La Quinta
Building a Safety Division
Permit #
QST
I �%
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 •
Building Permit Application and Tracking Sheet
Project Address: 5Y- 570 Aveni4
� Alvar�U
/Owner's Name:
,� 2obeel 6onart.p.a,f-
A. P. Number:
)(Address: 5q.' Sao 4vrnida Alvarado 1
Legal Description:
City. ST, Zip: La nu
l _ /►� X12 ? 1
T� (1+ �1 4
Q 5
Contractor:
Laguna
Claim.,n �
IIS L1A$_'t 1Vl �Qt�IS � "-
FTcicphonc: '�%�' D?O0..-7.::•_"....:.:47.:i.,-'
.7
: t
Address: 1-73 t I4W V f i �_ 2
Project Description: Poo
I i•' S
A
+d{
City, ST, Zip: Indic, eh -L n..
l -
Telephone: 3 pi _ sci -T-)
State Lic. # : C53 RiTriLict
City Lic. #: WO
Arch., Engr., Designer:
Address:
'
City, ST, Zip:
Telephone:
-'r_: _ :`;
Construction Type: Occupancy:
State Lic. #:
- . --
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: JIikA 123.4 l -Z
X Sq. Ft.: 2 6 R
# Stories:
# Units:
Telephone # of Contact Person: S 7 s- 1 Slo
'Estimated Value of Project: If ti,Li3o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
•
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
.
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
-
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Laguna Falls Pools Phone: (760) 347-8977 Designed by:
81-730 Hwy 111, Ste. 2 J. Mancilla
Indio CA 92201 Fax: (760) 347-8975 10!24/2005
Designed
for:
e Bonanfant Residence
570 Avenida Alvarado
Quinta CA 92253
s! s
2
Self close & latch
II
00
aW
U
RI
m
s! s
2
Self close & latch
II
00
aW
U
Building
Address
11111111111111111 15
54-570 Aida Alvara0
44u4dw
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
Bobronanfant
Mailing
Address
City
Zip
La s, int a 92253
Tel.
564-5042
Contractor
Address
BUILDING: TYPE CONST. -
A.P. Number
No. 002367
774-X273-004
OCC:'GRP.
tot 21
Legal Description
Project Description
City
Zip
Tel.
State Lic.
& Classif.
City
Lic. #
Arch., Engr.,
Designer
Sq. Ft. o5�3. c.No.
Size Stories •
No. Dw.
Units
New ❑X
Add ❑
Alter ❑- • Repair 0
Demolition 0
Address
Tel.
City
Zip
State
Lic. #
6 foot high block
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 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 (8500).
❑ 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. 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.)
❑ 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.)
❑ I am exempt under Sec B & P.C. for this reason
,�-
Date Owner v %' !
f
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 (8100) valuation
or less.)
I certify that in the performance of thg 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: If, 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lenders Address
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 properly for inspection purposes. r )
Signature of applicant -
Mailing Address J
City, State Zip -
Date
HARD COPY
Estimated Valuation
$ 4875.00 •
PERMIT
AMOUNT
Plan Chk: Dep.
Plan Chk. Bal.
32.82
Const.
50.50
Mech.
Electrical
Plumbing
S.M.I.
•
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
03.82
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
5 -8 -?6
Issued by: Date . Permit
Validated by:
Validation:
A5565
8 83.82 .Ck
CONSTRUCTION ESTIMATE
NO. ',
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL
SQ. FT.
SO. FT.
SO FT
SO. FT.
SQ. FT.
SQ. FT.
SQ FT
VALUATION
®
$
ROUGH PLUMB.
BONDING
UNITS
STORAGE TANK
SEWER OR SEPTIC TANK
ROUGH WIRING
2ND FL.
0
ROCK STORAGE
ppFORMS
FC,/(FOUND. REINF. ( /G/ El;
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
YARD SPKLR SYSTEM
GAS (FINAL)
TEMP. POLE
POR
@
GROUT
WATER HEATER
MOBILEHOME SVC.
FINAL INSP.
BAR SINK
/9fg".
WATER SYSTEM
GAR.
@
x$ _$
LUMBER GR.
POWER OUTLET
FINAL INSP.
$ plus
FRAMING
ROOF DRAINS
FINAL INSP.
CAR P.
N
DEC 1 7 .e -
REMARKS:
VENTILATION
DRAINAGE PIPING
WALL
FIRE ZONE ROOFING
FIREPLACE
DRINKING FOUNTAIN
@
GAR. FIREWALL
LATHING
URINAL
MESH
ESTIMATED CONSTRUCTION
$
INSULATION/SOUND
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSPECTION
FLOOR DRAIN
CERT. OCC.
MECHANICAL FEES
FENCE FINAL
WATER SOFTENER
INSPECTOR'S SIGNATURES/INITIALS
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, TEM/PERM
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 @ 11.4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 1;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
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
ppFORMS
FC,/(FOUND. REINF. ( /G/ El;
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL /',7".y /! ccrr l
�l
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
JJJ
%BOND BEAM S/
/
/9fg".
WATER SYSTEM
GRADING
cu yd
x$ _$
LUMBER GR.
FINAL INSP.
$ plus
FRAMING
FINAL INSP.
ROOFING
N
DEC 1 7 .e -
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