04-3573 (RPL)BUILDING`& SAFETY DEPARTMENT
P.O. Brox '1504"
(760) 777-7012
F �
78-495 CAiLE TAMPICO FAX (760) 777=7011
-
,W
LA QUINTA, CAL.fFO'RN[A
92253 INSPECTION REQUESTS (760) 777-7153
C
0
BUILDING PERMIT
�!
A
pi
ca ion Number
`.04.-00'0:03573-
Date 4/29/04
op
rty Address
52080 AVENIDA RAMIREZ
773-222-003.-2:0 -0.00000-
Application description .:. P,OOL- RESIDENTIAL
Prop.erty-.Zoning
COVE RESIDENTIAL
Applic'at'ion valuation**,.
15000
Owner
Contractor
---------------
------------
BILLS RANDALL
LEGACY.HOME&
P O. BOX 1053
' P.O. .!rBOX 696i,
LA QUINTA ' " CA 92253 LA' QUINTP,_ ' .' '
CA 92253
rt
(760) 7777,b Y17
WCC.: KNOX,INS
W.0:: <, 013%30203
06/14/04
CSLB: 778280
05/31/04
CCC:. B
Permit . . . . . MECH POOL.
Additional desc ..
Permit Fee . .
24.00 - Plan Check Fee•
6.00
Issue Date . . . .
Valuation ~.
0
Expiration Date`,
4/29/'05
Qty Unit Charge
Per
Extension
...:_BASE
15.00.
1..00 9...0000
,,FEE,•,,
`EA ME.CH FURNACE .<=10,0K.: t
9.00
------------------ -----------
Permit . . . . . BLDG POOL PERMIT
Additional desc
Permit Fee
1:62 :.00 P- n 'Cheek Fee
1105.30
Issue Date
Valuation-
15000
Expiration Date'.
4/29/05•'
Qty Unit. Charge
Per.. .
Extension
'BASE FEE
45.00
13.00 9.0000
THOU-• BLDG 2,001-25,000
117.00
Permit . . . ELEC'POOL PERMIT -RES
Additional desc.,
Permit Fee45:00'._,
Plan-.'Che`ck' Fee
11.25
Issue Date
Val., at. on
0
-Expiration Date.
4/29/0.5:
Qty Unit Charge
Per.
Extension
P.O. Box 1504 •
VOICE (760) 777=7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Date:
Architect or Engineer:
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
Code, and my License i� ull force and effect.
License Class License No. 77 2— O
Date �� /—OrContractor
6—
OWNER -BUILDER DECLARATION
I 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 1 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
�+'� dd. My worke compensation insurance carrier and li �@r�tp
Cartier .7J /tTX� A/Q Policy Number ��V (% -35--73
1 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. /
Date Applicant �/1Gt/JYl� / !✓
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 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 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 toe pon the above- entioned roperty for inspection purposes.
Date ` tiG Signature (Applicant or Agent):
MR
Page 2
Application._Number
;04=000b,3�573 "fi <<
Date 4/19/04
Permit'
PLUMBING'=° �
Additional desc
Permit Fee
33.00 Plaft Check,Fee
8.25
issue-Date
a:.. Valuation
0
Qty Unit Charge Per
Extension
BASE:FEE .'
15.00
2.00
6.0000 EA - PLB`FIXTURE,
12.00
1.00
3-A000 EA PLB WATER INST/.ALT/REP '
3.0.0
i 1.00
3:.10 0 0 0 EA PLB GAS PEhPE 1 4' OUTLETS,
3.00
Special :Notes, and., :Comments
POOL & SPA
AhARMS,:BARRIERS SHALL,,-BE IN
' PLACE PRIOR
TO'�PREPLASTER.INSPECTION.
Fee summary
Charged Paid Credited
Due.::
Permit Fee
`To ' tal 264.00 00' .00
264.00
Plan Check
Toal 130.80 .0.0 _:.00
130.80
Grand Total394..80
.00 .00
394.80
r
COVE DEVELOPMENT
PLAN I LENCH DESIGN GROUP
POOL PLAN
P.O. BOX 450
LA QUINTA, CA 92253
POOL PHON& (760) 566.1666 PAX: (760) 566.2627
�An
AD
Nm
�D75�
COVE DEVELOPMENT
PLAN I LENCH DESIGN GROUP
POOL PLAN
P.O. BOX 450
LA QUINTA, CA 92253
POOL PHON& (760) 566.1666 PAX: (760) 566.2627
FINISH SALT
WATER LINE
Rt' -B' ih i; ; •,
iO
R1'-5'
514' 7'-0" 5'47'
LONGITUDINAL SECTION
SCALE: NONE
12" RAISED
BOUND
BEAM
BENCH CHINK STONE
WATER FALL
BENCH DETAIL
SCALE: NONE
CHINK STONE
18" RAISED WATER FALL
BOND BEAM-'-\ i
A
WAT
LINE
GUNIT•--'
DETAIL "A" -"A"
(A) SCALE: NONE
UNAUTHORIZED USE WARNING
THESE DESIGNS ARE THE PROPERTY OF
TENCH DESIGN GROUP. REPRODUCTION
INANY FORM WITHOUT WRITTEN CONSENT
IS EXPRESSLY PROHIBITED. UNAUTHORIZED
USE EXTENDS TO ORIGINAL AND MODIFIED
DERIVATIVE PLANS AND IS APPLICABLE TO
INTENTIONAL AND UNINTENTIONAL
INFRINGEMENTS.
A.P.N.: 773-222-003
ADDRESS: 52-080 AVENIDA RAMIREZ
LEGAL: LOT # 20 BLOCK 77 UNIT # 10
SANTA CARMELITA AT VALE LA QUINTA
N PREPARED BY:
L VENTURES, INC.
dbB
DESIGN 9ROUl
A.P. LENCH
CHECKED
S.L.
DATE
04-18-04
#2
a
a