04-7937 (RPL)54610 Avenida Alvarado
IIIIIIIII24 •-
P.O. BOX 1504 IE
78-495 CALLE TAMPICO -J
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
,.04 00°07937. —
54610 AVENIDA ALVARADO -
774-273-006-19 -000000-
POOL - RESIDENTIAL
COVE RESIDENTIAL
15000
Architect or Engineer:
11/4) (tei-
4 44dArai
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TWIN PALMS DEV CORP INC
100 LOWEL AVE
RIVERSIDE, CA 92508
nt = .r:
HOME CONSTRUCTION, INC.
ALESSANDRO BLVD, #348
DE, CA 92508
1-3269
.: 824985 •
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/21/04
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 License ,: 824985
Date:1on rt actor:
60.114.4.1
/ 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.).
( ) 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 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
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 00261312004
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 Code, I shall forthwith comply with those provisions.
ate: /2-2y plicant: 4,01%‘04
/' 1
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 )S100,000). 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 Quints, 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 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 county to enter upon above-mentioned properly forfo inspection purposes.
Date: l2, .77 ignature (Applicant or Agent): /4 i iJ L
Application Number 04-00007937
Permit
Additional desc
Permit Fee . .
Issue Date . .
BLDG POOL PERMIT
162.00
Qty Unit Charge Per
Plan Check Fee . .
Valuation . . . .
BASE FEE
13.00 9.0000 THOU BLDG 2,001-25,000
105.30
15000
Extension
45.00
117.00
Permit MECH POOL
Additional desc
Permit Fee . .
Issue Date . .
Qty Unit Charge Per
24.00 Plan Check Fee . .
Valuation . . . .
BASE FEE
1.00 9.0000 EA MECH FURNACE <=100K
6.00
0
Extension
15.00
9.00
Permit ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00 Plan,Check Fee .
Issue Date Valuation . . .
Qty Unit Charge Per
BASE FEE
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL
11.25
0
Extension
15.00
30.00
Permit
Additional
Permit Fee
Issue Date
desc
PLUMBING
33.00
Qty Unit Charge Per
Plan Check Fee . .
Valuation . . . .
BASE FEE
2.00 6.0000 EA PLB FIXTURE
1.00 3.0000 EA PLB WATER INST/ALT/REP
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
8.25
0
Extension
15.00
12.00
3.00
3.00
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
BE IN PLACE PRIOR TO PREPLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
Permit Fee Total 264.00 .00 .00 264.00
Plan Check Total 130.80 .00 .00 130.80
Application Number
Grand Total 394.80
04-00007937
.00 .00 ' 394.80
(
— PROPERTY LINE 50'
i COMBO WALL
l 2'-0' RET_ WAIL.
W/6'-0" STUCCO COVERED BLOCK WALL
yJ
3'-0" METAL SELF
CLOSING GATE
NEW 6' HIGH STUCCO—
COVERED
BLOCK WALL
U
U
N
0 Q�wCX3
W 0
U
O
0 03
w
a.
0
a
R
2'-60 �.
M
9 PLA
17 RAISED
BOND BEAM
AVENIDA ALVARADO
HOLE TO
ACCOMODATE
DRAINAGE
3'-0" METAL SELF
CLOSING GATE
7N -N
CALLE TEMECULA
AVENIDA OBREGON
UNAUTHORIZED USE WARNING
THESE DESIGNS ARE THE PROPERTY OF
LENCH DESIGN STUDIO, INC.
UNAUTHORIZED USE, IN ANY FORM, IS
EXPRESSLY PROHIBITED AND EXTENDS
TO ORIGINAL AND MODIFIED DERIVITAVE
PLANS AND IS APPLICABLE TO INTENTIONAL
AND UNINTENTIONAL INFRINGEMENTS.
r
CHECKED
CHECKED
S.L.
DATE
12-03-04
SCALE
1/8"=1`-0"
JOB NO.
SHEET
s-1
1
2
3
4
5
6
7
8
9
10
11
12'
/
7,/,
X24
23
22
21
2,19/`18
17
16
15
14
1)
AVENIDA ALVARADO
A.P.N.: 774-273-006
ADDRESS: 54-610 AVENIDA ALVARADO
LEGAL: LOT #19, BLOCK 268, UNIT # 25
PLANS PREPARED BY:
LENC 1 ESIGN STU
CH II
WENT
e REVISIONS
BYS
1
P.O. BOX 450
LA QUINTA, CA 92253
1/
DRAWN
I.
CHECKED
CHECKED
S.L.
DATE
12-03-04
SCALE
1/8"=1`-0"
JOB NO.
SHEET
s-1
1
1
II 111111
1111111
12" RAISED
BOND BEAM
HOLE TO
ACCOMODATE
DRAINAGE
'••••0
i0 SPA POOL
......... •
4.4
.. ..
••, R 12 R 12"
,,:, •:a.‘ . •41•1
CALLE TEMECULA
UNAUTHORIZED USE WARNING
THESE DESIGNS ARE THE PROPERTY OF
LENCH DESIGN STUDIO, INC.
UNAUTHORIZED USE, IN ANY FORM, IS
EXPRESSLY PROHIBITED AND EXTENDS
TO ORIGINAL AND MODIFIED DERIVITAVE
PLANS AND IS APPLICABLE TO INTENTIONAL
AND UNINTENTIONAL INFRINGEMENTS.
AVENIDA OBREGON
i1
2
3
4
5
6
7
8
9
10
11
12
j
4
\24
23
22
21
219//18
17
16
15
14
1_3)
AVENIDA ALVARADO
cc
w
re
a
A.P.N.•
•
774-273-006
ADDRESS: 54-610 AVENIDA ALVARADO
LEGAL: LOT #19, BLOCK 268, UNIT # 25
PLANS PREPARED BY:
eREVISIONS
BY'
P. O. BOX 450
LA QUINTA, CA 92253
w•014o
t
HaEN*
6T4 cif)
611
c.)
POOL / SPA DETAIL SHEET
1✓
DRAWN
I.B.
CHECKED
S.L.
DATE
12-03-04
SCALE
114=1'-0"
JOB NO.
SHEET
P - 1
1