04-6510 (RPL)BUILDING & SAFETY DEPARTMENT
P.O.—Rol 1504
, lyy l,, 1 (760).777-7012
��►rpF�-��f� 78 49CAt[E TAMPICo FAX (760) 777-7011
�LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
.Application Number. . . . . 04-00006510 Date 9/29/04
Property Address .51345 CALLE RONDO
APN: 770-171-014-151 -000000-
Application description POOL.= RESIDENTIAL
Property Zoning . . . . . LOW-DENSITY RESIDENTIAL
Application valuation . . . . 15000
Owner Contractor
TUVELL MARK F MTB INC.
72850 SOMERA RD 50855 WASHINGTON ST STE 149
PALM DESERT. CA 92260 LA QUINTA CA 92253
(760) 272-6044
WCC: STATE FUND
WC: 1795095-2004 .08/01/05
CSLB:. 838089 05/31/06
CCC: B
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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 . . . . . BLDG POOL PERMIT
Additional desc
Permit Fee 162.00 Plan Check Fee 105.30
Issue Date . . . . ''Valuation . . . . 15000
Qty Unit Charge Per Extension
BASE FEE 45.00
13.00 9.0000 THOU BLDG 2,001-25,"000 117:00
-
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Permit . . . . . . ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
P.O. Box 1504 �/,/���
78-495 CALLS TAMPICO �If� VOICE (760) 777-7012
.4 4
QUINTA, CALIFORNIA 92253
LA FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: .� — S%
Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer' dress:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I h reby affirm under penalty of perjury that I am licensed under rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
I
and my License is in full force and effect.
License Class 13 L/ ;cense No.
contractor A4 / L.✓G
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 I am exempt under Sec. , BA P.C. for this reason
Date
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' compensatio . rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation ' rance carrier and policy �number are:
Carrier �fl±7 - ,Ct>..//� Policy Number 1 7 "t S—D4 r—Z40CD4
_ 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.
i
,,,�.te plicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEIS NLAWFUL, 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.).
Lenders 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 cored. I agree to comply with all city and county ordinances and state laws relating to building
construction, and h�authloldzetatives of this countyto enter upon the above-mentioned pro rty for inspection purposes.
Date licant or Agent):
tL +4 Vet �
Page 2
Application
Number 04-00006510
Date, -9/29/04.
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Permit .
-------
. . PLiJMBING
=------------
Additional desc ..
Permit Fee
33.00 Plan Check Fee
8.25
Issue Date
Valuation . .
. . 0
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
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Special Notes and Comments
POOL & SPA.
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.
Grand Total
394.80 .00 _00
394.80
51-3415) CLLE RONDO
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LA QUII[�,,� A7 CA 92253
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PLANS PREPARED BY:
MARK TUVELL (760) 272-6044
Avpt,iinA TnRRFS
AVENIDA NUESTRA
RUN A HL-MFLU11UN FLL OF $JU MULTI
TRUNK
WILL BE CH
MESQUITE
I CHARGED IF THE APPROVED MESA ITE
4
PLANS ANbJdB CARD ARE NOT ON
AL iNH±=±BE=:A 1f:BiJL E D
CURB PALM SPRINT S INSPECTION. 210 -
COLD GROUND COVER NO EXCEPTIONS!
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3,46- 5 CALLE rR 0” Ple D 0
2, e?
AoLoy�,d �b Data Peso #
• Planning Commission
• City Council
Community Dev, Dept.
Case No.
Exhibit
0 With Conditions
BUILM'NIG
T.
FOR Ox I
DATE
_
I APPROACH REQUIRES
DRIVEWAY
A SEPARATE PERPTI AND
INSPECTIOIJ FROM CITY Or LA
QUINTA PUBLI,.- WORKS
DEPARTMENT
GENERAL NOTES
SHEET:
, 00302
A
DATE:
09-28-04
SCALE: 4„--1,-®„
POOL PLAN
F
Avpt,iinA TnRRFS
AVENIDA NUESTRA
RUN A HL-MFLU11UN FLL OF $JU MULTI
TRUNK
WILL BE CH
MESQUITE
I CHARGED IF THE APPROVED MESA ITE
4
PLANS ANbJdB CARD ARE NOT ON
AL iNH±=±BE=:A 1f:BiJL E D
CURB PALM SPRINT S INSPECTION. 210 -
COLD GROUND COVER NO EXCEPTIONS!
IQ /7r
3,46- 5 CALLE rR 0” Ple D 0
2, e?
AoLoy�,d �b Data Peso #
• Planning Commission
• City Council
Community Dev, Dept.
Case No.
Exhibit
0 With Conditions
BUILM'NIG
T.
FOR Ox I
DATE
_
I APPROACH REQUIRES
DRIVEWAY
A SEPARATE PERPTI AND
INSPECTIOIJ FROM CITY Or LA
QUINTA PUBLI,.- WORKS
DEPARTMENT
GENERAL NOTES
SHEET:
, 00302
A
DATE:
09-28-04
SCALE: 4„--1,-®„
POOL PLAN
F
V i
MARK TUVELL BUILDERS
50-855 WASHINGTON ST. #149
LA 0UHN-TA7 CA 92253
PI-IMNIE/FAX: (7G1) 772-0004
CELL: (760) 272-GO44
SANITA FE Hf.CIEND1.
51-3;15 CALLE RON DO
[J, QUIN!TA, Ct-,,, 92253
PROTECT:
SHEET:
, 00302
DATE:
09-28-04
SCALE: 4„--1,-®„
POOL PLAN