04-6935 (RPL)7
T ° BUILD'ING & SAFETY DEPARTMENT
P.O.•Box. 1504
(760).777-7012
78-495 CALLS TAMPICo FAX (760) 777-7011
LA QUINTA,: CALIFOR.Ni'A 9,2253 ' ,INSPECTION REQUESTS (760) 777.-7153.
BUILDING. PERMIT
Application Number OCA OAO-Date 10/25/04
Property Address (75250-- NIDA RUBIO
APN:773=2.82=.`0;13-1 -0.00000-
-Application description '?POOL RESIDENTIAL
Property Zoning -COVERESIDENTIAL.
Application vaauation'. 15000
Owner. Contractor
y
TWIN PALMS DEV DESERT HOME..CONSTRUCTION, INC.
C/O TROY CLARKS.' Q . 231 E:. ALESSANDRO BLVD, #348
19714 CHINOTTO�LN RIVERSIDE 1 -CA .52508
RIVERSIDE CA .925;0.8 °;(•9.09) :641-3269
C) moi` ' WCC: STATE FUND
0;' O WC:- 002'613.12004 0.4/01/05
CSLB+.; 824985, 09/30/05
�® CCC, B
G _ C _
-
------------------------- \�'�,'�� 1-- -- ------------------------------
Permit . . ... BLDG, PO IT'
Additional desc
Permit Fee 13:5'. 00 - m` Plan .Check Fee 87.75
Issue Date . . Valuation . . . . .11752
Expiration Date 4/--25,/05 a.
Qty Unit Charge Per . R Extension
BASE FEE r4 45.00
10.00 9.0000 -THOU -BLDG 2;:001=25,000 90.00
------------------------------------------------------------------------------
Per-,mit MECH POOL
Additional,;. desc
Permit: Fee 24 :U:: <Plan'- Check"''Fee .6..-00
Issue Date . . . Valua.tion 0
Expiration Date 4/25./05
Qty Unit Charge Per Extension
BASE-* FEE 15.00
1.00 9.0000 EA MECH FURNACE.y<=100K 9.00
Permit ELEC POOL'.PERMIT-RES
Additional desc
Permit'Fee. 45.00 Plan Check`Fee 11.25
Issue Date Valuation` 0
Expiration Date 4./25/„05.,
Qty Unit Charge Per Extension
BASE -'FEE°_ 15.00.
1.00 30.0000 EA' ELEC PRIVATE SW.IMMING:POOL 30.00
P.O. BOx 1504 • VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: /r;,/-R&OV
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
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
de, and my License ift full force and effect.
License Class__ icense No.
/ Dateont-ctor
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).):
U 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. , BA P.C. for this reason
Date Owner
WORKERS' 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
syyed. Nay Yvorkers' compensation insurance carrier and policy number e
�rrier .C> t! f^�ev�l,� s�t�cy Number (9D 2 6 /3%Zoo cl
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.
e 6^ t. -0 pplicant
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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application'is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
t
ate 16:26-041 Signature (Applicant or Agent):
' .-`,. 1 lt� "•1$v' _ ._ ._ - . ,fir
Page 2
Application Number .04-00006935
Date 10/25/04
Permit . . PLUMBING
Additional desc "
Permit' Fee 39.00 P_Yan Check Fee
9.75
Issue Date . . Valuation . .
. . 0
Expiration -Date 4/25/05
Qty .Unit Charge,•,..Per
Extension
BASE FEE
15.00
3.00 6..0000 EA P.LB.FIXT.URE
18.00
1.00 3.0000 EA, •'ALB WATER"INST/ALT/REP
3.00
1: 0 0 3.00 0 0 EA -PLB GAS. P:I PE°.1-.4 OUTLETS
3.00
Permit . . .. WALL/FENCE.; PERMIT
Additional desc .f'':
Permit Fee 63.•00 Plan.Check Fee
.00
Issue DateValuation
3248
Qty Unit Charge Per
`FEE
Extension
BASE
45.00
2.00 9.0000 THOU. BLDG 2,001--25,,-000
18.00
Special Notes :arid" Comments' "
POOL & 2 SPAS'; 1;50 L : F . 5 ', WALL.
PCE:AT
ALARMS/BARRIERS SHALL::BE IN LA
. PRE -PLASTER INSPECTION:...
Fee summary " ': Charged--` " Paid, Credited
Due
_i .. :
Permit Fee Tbl 306-.0.0, x.00. .00
306.00
'Plan Check Tota'1., 114:'.75 00 00
114.75
Grand Total '.^ 420'.75 :' 00 .00
42.0.75
14_,
0
W
Z
J
W
a
z
a
�Tr9A/A-TC Pool- 6(Q(I P- Lo C4lr/ 0/✓ i F AlArb`124,L CCAS
a e.
° A X18" RAISED
(4)JETS4/,
NEW 4' HIGH BROWN
_NEW 5' HIGH BROWN
BLOCK WALL
BLOCK WALL
(/
q. °
•R4'0
�q
j��e
D SLOPE 1% MIN.
ANK N
�`�y.�
FLOW LINE
P RETURN
^,q
10'-0"
3'GAT
.
MIN. TO
PROPANE TANK
BED
0' -
RETURN '°.
`PLANTINGS TO SCREEN
_ :.
E 4'-0":
TO WATER
PROPANE TANK
INE
/L SLOPE 1 % MIN.
�FIOW LINE
q .•
8
20'-(r
o
SETBACK
C)
0 .�
.INE 'O
AUTO a' '
Q
..FILL ;.
� �
O
CONCRETE
2
p0°
DRIVEWAY
a
,q
PLANTER .. °: ... '° n ¢ �•
�
a e.
° A X18" RAISED
(4)JETS4/,
BOND BEAM
q. °
•R4'0
�q
R3, �� r TEP WATER
P RETURN
^,q
R�
°.
.
.d ° °q
WATER
BED
RETURN '°.
•
SKIMECHl STONE
_ :.
E 4'-0":
TO WATER
O' WATT® FALL
INE
lDRA
Z
q .•
A
?ETU
0 .�
.INE 'O
AUTO a' '
WATERJ
RETURN OQ O��
..FILL ;.
� �
O
2
p0°
a
,q
°
A
UMBR LLA
1 a
SLEEV
? q • 8' q.
16'DEED
WATE
•WATER °q`
°
RETU
:4.:
N
RETURN '. •• ..a °
°
q:
1
° q.
a '
—NEW 5' HIGH BROWN
BLOCK WALL
'NEW 5' HIGH BROWN
BLOCK WALL
PROPERTY LINE 100.0' NEW 6' HIGH BLOCK WALL
UNAUTHORIZED USE WARNING
I THESE DESIGNS ARE THE PROPERTY OF
/f SLOPE 1°.6 MIN. IS EXPRESSLY PROHIBITED. UNAUTHORIZED i
FLOW DERIVATIVE PLANS AND IS APPLICABLE TO
LINE USE EXTENDS TO ORIGINAL AND MODIFIED
INTENTIONAL AND UNINTENTIONAL
INFRINGEMENTS.
X
0
0 A6' • m
a p .i,..
'o r
0' I m
SETBACK iQ
rO
E;
*O
v
Cm
m�
X
A.P.N.: 773-282-013
ADDRESS: 52-505 AVENIDA RUBIO
LEGAL: LOT #1 & PORTION OF LOT #2 BLOCK #16,
UNIT #1. LA OUINTA
—NEW 5' HIGH BROWN
BLOCK WALL
LANS PREPARED BY:
EL VENTURES, INC.
dba _
u
BED
EAM
1i
A
IW
A.P.N.: 773-282-013
ADDRESS: 52-505 AVENIDA RUBIO
LEGAL: LOT #1 & PORTION OF LOT #2 BLOCK #16,
UNIT #1. LA OUINTA
—NEW 5' HIGH BROWN
BLOCK WALL
LANS PREPARED BY:
EL VENTURES, INC.
dba _
u
ETAIL
18" RAISED BOND'
BEAM BENCH
............... .......... ....... . . . . . . . . . . . . . . . . . . . .
..................
. . . . . . . . . . . . . . . . ............. ..WATER . . . . . . . ....... ....... .....
. . . . . . . . . . . . . . . . . ....... ....... ....... .....
...... . . . . . . . . . . . . . . . . . . .
P 0 0 L ==_-=-- . . . . ------
... _.:_:_= ...... . . . . .
... . . . . . . . . . . . . .
. . . . . . . . . . .
. . . . . . . . . . . . . . . . . .............. ........... .......... ......... ....... ....... ...... . . . . . . . . . . . . .
....... . . . . .
R 12".,, .............. ........... ......... ........... ......===
...... .....
LONGITUDINAL SECTION SCALE: NONE -
.
3 BENCH
12" RAISED
. DETAIL
BOND BEA
18"
...... . . . . . . . . . . . . . .
...... . . . . . . .......
Ib�
- - - - - - - . . . . . . . SPA= 12-
........ . . . . . . . .
. . . . . . . . . . . ....... ...... . . . . . P 0-
. . . . . ------------- ...
. . . =r_==== ---- --
....................
. . . . . . . . . . . . ........ ........... Z9
..........
---------- ......
K�
SPA -POOL DETAIL
SCALE: NONE
4" CONC.EWD1
DECK
F6"ILE\ WATER LINE
DETAIL
SCALE: NONE
-IN
UNAUTHORIZED USE WARNING
THESE DESIGNS ARE THE PROPERTY OF
LENCH DESIGN GROUP. REPRODUCTION
IN ANY FORM WITHOUT WRITTEN CONSENT
IS EXPRESSLY PROHIBITED. UNAUTHORIZED
USE EXTENDS TO ORIGINAL AND MODIFIED
DERIVATIVE PLANS AND IS APPLICABLE TO
INTENTIONAL AND UNINTENTIONAL
INFRINGEMENTS.
VARIES
SECTION.
SCALE: NONE
A.P.N.: 773-282-013
ADDRESS: 52-505 AVENIDA RUBIO
LEGAL: LOT #1 & PORTION OF LOT #2, BLOCK #16,
UNIT #1. LAQUINTA
i PREPARED BY -
VENTURES, INC.
dba
)ESIGN GRO16
A.P. LENfH H
PRE ENT
I i
DRAWN
A.RADONI
CHECKED
S.L.
DATE
10-16-04
SCALE
NONE
SHEET
#2