05-0060 (RPL)54775 Avenida Alvarado
oil 29
IE j
Tay/ ot adna
P.O. Box 1504
78-495 CALLE TAMPICO
INTA, CALIFORNIA 92253
BUILDING PERMIT
APN:
Application description
Property Zoning
Application valuation .
• Owner
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
05--00600.0.6.0' Date 1/06/05
54775 AVENIDA ALVARADO
774-292-030-4 000000 -
POOL - RESIDENTIAL
,COVE RESIDENTIAL
' 21000
LOCKARD T SWIFT
4 -17 5 Q,cx• Lu44
49
4144+EsfeWP3 CA
eiCoL4 q 22 5 3
Contractor
ALTERNATIVE ENERGY CONCEPTS
P.O. BOX 564
PALM SPRINGS, CA 92262
WCC: STATE FUND
WC: 555371
CSLB: 384460
CCC: C53,C46,B
03/12/05
11/30/05
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tait aF4Q14trw
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: c) 5 . 0060
Applicant:
Applicant's Mailing Address:
Date: /* 11.04/
Architect or Engineer:
Architect or Engineer's Address: _ i I'
►v m
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licen s in fulljpr a and effect. 9 G�
cense Class— s icense No. G� �U C / 6 D
Date ///43 j /Contractor /¢�7` �f/N ti /✓ LO t ccyd
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 or 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.).
U 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.).
U I am exempt under Sec. , B.8 P.C. for this reason
Date Owner -
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
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
/
.LSyed. July worl�erscompensation oiicy nce Cartier and poly number j
/Darner ���.rl�� fC.;,� /boli Number ,�" js � 7(
_ 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 Califomia, 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 I`t -0< t Ii"– C --
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.
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Sec. 3097. Civ. C.).
Lender's Name
Lender's Address
flA
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 pemriit
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 Ouinta, 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 1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize re resentatives of this county to enter upon the above-mentioned property for inspection purposes.
nate ///t/46,5–Signature (Applicant or Ag
Application Number . 05-00000060
Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . 216.00 Plan Check Fee . . 140.40
Issue Date Valuation . . . . 21000
Qty Unit Charge Per Extension
BASE FEE 45.00
19.00 9.0000 THOU BLDG 2,001-25,000 171.00
Permit MECH POOL
Additional desc
Permit Fee . . 24.00 Plan Check Fee . . 6.00
Issue Date Valuation . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
Permit ELEC POOL PERMIT -RES
Additional desc
Permit Fee
Issue Date Valuation . . .
45.00 Plan Check Fee . 11.25
Qty Unit Charge Per
BASE FEE
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL
0
Extension
15.00
30.00
Permit PLUMBING
Additional desc
Permit Fee
Issue Date
Qty Unit Charge Per
1.00
1.00
1.00
6.0000 EA
3.0000 EA
3.0000 EA
27.00 Plan Check Fee . . 6.75
Valuation . . 0
Extension
BASE FEE 15.00
PLB FIXTURE 6.00
PLB WATER I•NST/ALT/REP 3.00
PLB GAS PIPE 1-4 OUTLETS 3.00
Special Notes and Comments
POOL ONLY. ALARMS/BARRIERS SHALL BE.IN
PLACE PRIOR TO PREPLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED IN
PERMIT.
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged
312.00
164.40
47.6.40
Paid Credited Due
.00
.00
.00
. 00
.00
. 00
312.00
164.40
476.40
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Post Offic.4 Box 564, Palm CA 92263
I + hone: Area. Code (714) 324-5880
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�c7lvicep/'s E/.+8/ive•xv/Au
8- a s
Length
A(0‘
Min. Depth
Suction Line Dia.
Make
SWIMMING POOL CONSTRUCTION:
Width
vavd
/0'
Depth
Surface Area (oO "'`'
Volume /d9o0 60/
PAJ
Skimmer Weir: No.
Model 5/9 /a% 0
�/
/ 1.n Type
No. of Return Inlets Dia.
Deck Type C d w e re. e..
Sand Rail Type
Shell Type
Water Fill Type IP
Finish
Make
EQUIPMENT:
Site 5,Ald
Circulator Pump: f�
Type Ek4/7ho Size A4 ` '
Seater: )
Type �4NG Size
Jet Pump:
Type ,COM€- Size
Jet Air Blower:
Type Size Make
Diverting Valves:
Type Make
Water Fill:
Type 4415 Make ✓ ` T'
SOl f
Seal A%%//t P7/s' ler
Ix
Make r e4'/✓
Make/A'6 /
Make
Make
Shape
SPA CONSTRUCTION:
No. of Jets-------
Bench
ets
Bench Width
Size
Model CA(0;Qs.. IC/q✓
Model,
Model
(Alkspe4/2l o.
Model,
Model
Model
Model
Make.
Step Size
Nang Rail Type
ELECTRICAL EQUIPMENT:
Cir. Pump Motor:
Size //y 6:,
Model 4,441V4.4; Volts
Size Model Volts.
Jet Pump Motor:
Pool Lights TT
Make /"'i'f'r Model /4 M er Watts "[ e' 0,
Spa Light:
Make Model Watts
Auto Valve Operators:
Make
Volts. I( 0 v
Volts;
Model _.. Volts_,
Time
7:k/1241'1
,�/./,�
Make , a `c Model
7= to talk
Volts DOo
NOTES:
GUNITE: Machine mixed, pneumatically
placed, 6 sack mix, 2000 psi, in 28 days.
Water cured.
REINFORCE STEEL: Deformed bars,
intermediate grade, ASTM A-15-39, joint
lap 40 diameters minimum, support
reinforcing steel on concrete blocks to
insure 2" minimum clearance between soil
and steel. Tie a minimum of 50% of the
steel joints.
ELECTRICAL: Ground all poolelectric
equipment to steel with 18 bare copper
wire. Provide GFI circuit for pool
light.