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04-5111 (RPL)i � • t� o�f�ft�v civo ffi BUILDING & SAFETY DEPARTMENT c -w4 P.O. Box .1504 (760).777-7012 OFTE9 78-495 CALLE TAMPICO FAX (760) 777-7011 LA.QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777 -7153 - BUILDING; PERMIT Application Number 04-00005111,` Date 6/23/04 Property Address .-. 54460—AVENIDA VALLEJO APN:. 774-245-011-14'0©0000 Application description POOL RESIDENTIAL Property Zoning . . . . COVE RESIDENTIAL Application valuation. . 12000 JUL 19 2004 Owner ContractorGITYG�L�QUISdA - - - -pjRjA JCE DEPT- -------------- ----------------.- --a---`---- ------ COVE DEVELOPMENT LEGACY HOMES 54425 AVENI.DA MARTINEZ P.O. BOX 696 . LA�QUINTA CA? 92253 LA QUINTA CA 92253' .(760) 777-8317. WCC: KNOX INS WC:. 1576313 06/01/05 CSLB:. 778280. 0:5/31/.0 CCC:., B 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. 0 0 Permit. BLDG POOL ?ERMIT Additional desc . -Permit Fee 135.00 Plan Check Fee 87.75 Issue Date- Valuation 12000 :Qty Unit Charge.. Per Extension BASE FEE 45.00 10.00 9.0000 THOU BLDG 2,001-:25,000 90:00 7. Permit . . . . . ELEC POOL ?ERMIT-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 30.000'0. EA ELEC PRIVATE SWIMMING POOL 30.00 P.O. BOX 1504 w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS '(76.0) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number:p �-- j l� / Date: Applicant: Applicant's Mailing Address: t� Architect or Engineer: Architect or Engineer's A r s: 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 is in full force and effect la7 O ;-- ; �� License Class License No. Date / gontctor ' OWNER -BUILDER DECLARATION I hereby affirm under penafty of perjury that I am exempt from the contractors' State Lioense Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a pernit 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 000)*' 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 (Sea 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 1, as owner of #*,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 oontractor(s)licensed pursuant to the Contractors' State License Law.). U 1 am exempt under Sec. , BA. P.C. for this reason Date Owner I hereby affirm under Pena of WORKERS' COMPENSATION DECLARATION penalty perjury one of the following declarations: _ I have and will maintain a certificated consent to selfinsure 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. R y rkers' comp sation insurance cartier and 9pl�y number are: Carrier2i �i� r� i. . Policy Number { S-- / / _ 166rtify that; in the performance of the work for which ttus permit is issue 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, l shall forthwith comply with those provisions. Date - — Applicant _aL 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 ($I o0,000), 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 (Sea 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 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 data 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 t.0 comply with all city and county ordinances and state laws relating to building construction, and/hereby authorize representatives of this county t n t rpo he a on rty for inspection puses. Date 2— �i+ OutSignature (Applicant or Age s 1 Page 2 Application Number . . . . . J4-00005111 Date. 6/23/04 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . Permit Fee 27.00 Plan Check Fee6.75 I-ssue Date Valuation . . .'• 0 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 6.00'00 EA PLB FIXTURE 6.00 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 ------------------------------------------------------------------------------ Special Notes and Comments POOL 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 .231.00 .'00 .00 231.00 Plan Check Total 111.75 .00 .00 111.75 Grand Total 342.75 .00 .00.. 342.75 i' } f DCOVE DEVELOP1VfNT PLAN LENCH DESIGN GROUP P.O. BOX 450 POOL 66 LA QUINTA, CA 92253 PHONE: (760) %&18PAX. (760) 56&2627 POOL PLAN PLAN ARCHITECTURE & CONSTRUCTION FA o � o � Q2 b a o Z DCOVE DEVELOP1VfNT PLAN LENCH DESIGN GROUP P.O. BOX 450 POOL 66 LA QUINTA, CA 92253 PHONE: (760) %&18PAX. (760) 56&2627 POOL PLAN PLAN ARCHITECTURE & CONSTRUCTION FA 1 11 FINISH SALT WATER LINE io 19 1 LONGITUDINAL SECTION SCALE: NONE 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. 3'%" N 18" BENCH DETAIL SCALE: NONE A.P.N.: 774-245-011 ADDRESS: 54-460 AVENIDA VALLEJO LEGAL: LOT # 14, BLOCK 290, UNIT 28 SANTA CARMELITA AT VALE LA OUINTA PLANS PREPARED BY: LENDEL VENTURES, INC. dba LENCH DESIG G P i A.P. LE H H 1 PR IDENT DRANK- - A.RADONI CHECKED S.L. DATE 06-15-04 .SCALE NONE -•SHEET #2