04-4817 (RPL)0.�CeWY6v.
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 .(760).777-7012.
OFT'� 78-495 CALLS TAMPICO FAX (760) 777-7011
LA QuINTA, 'CALIFORNIA 92253 INSPECTION REQUESTS (760) 7.77-7153. '
BUILDING PERMIT
Application. Number = 0 81-7 Date .6/09/04
. ..Property Address 53955 AVENIDA VILLA
APN: 774-173-024-12 -00 - 1s
Application description POOL"- RESIDENTIAL D
Property Zoning . . . COVE RESIDENTIAL
Application) valuation 18000 09 Zo��
Owner Contractor CiTYOFLA(lUINTA
F
COVE DEVELOPMENT 'LEGACY HOMES
.54425 AVENIDA MARTINEZ P.O. BOX 696
LA QUINTA CA 92253 LA.QUINTA CA 92253
,(760)777-8317
WCC: KNOX INS
WC: 01330203 06/14/04
CSLB: 778280.. 05/31/06
CCC: B
Permit. . . . BLDG POOL PERMIT
Addi.tionaldesc .
Permit Fee 189.00; Plan Check Fee 122.85.
Issue.Date 'Valuation 18000'
Expiration Date 12/09/04
Qty Unit Charge Per T. Extensi'on'
BASE FEE 45.00
16.00 9.0000 THOU BLDG 2,001-25,000 144.00
Permit MECH-.POOL ..
Additional desc..,
Permit Fee . . . "Plan Check Fee 6.00
Issue Date Valuation, 0
Expiration Date 12/09/04
Qty Unit Charge Per Extension.
BASE FEE 15.00
1..00 9.0000 EA MECH FURNACE <=100K 9.00
- - - - - - - - - - - - - - - - - - - - - - - ------- ----------------- ' - 7
PermitELEC POOL PERMIT -RES
Additional desc".
'Permit Fee. 45.00 Plan Check°.Fee, 11.25
Issue Date Valuation' 0
Expiration Date,- 12/09/04
Qty Unit Charge.. .Per -Extension
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: Q 1
Applicant: I Architect or Engineer:
Applicant's Mailing Add r s
VOICE (760) 777-7,01:
FAX (760) 777-701
INSPECTIONS (760) 77;-715:
Date: 161�1 _q -O
Architect or Engineer's Address:
Lic. No.
BUILDING PERMIT DECLARATIONS
' LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under DB It of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o1 Division 3 of the Business and Professionals
c - and my License n full force and effect. � G
/[=cense Class License No. !l�.l D
s
ate Contractor / & "], G QJs�,ry1/1.
I hereby affirm under penaltyof OWNER -BUILDER DECLARATION "'J
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 1, 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.).
(--) 1 am exempt under Sec. BA P.C. for this reason
Date Owner
I hereby affirm under Penaltyof WORKERS' COMPENSATION DECLARATION
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 perforrrmance
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. My workers' compensation insurance carrier and policy number are:
Carrier Policy Number
I Certify that, in the performance of the work for which this permits issued. I shall not employ, an
y person in any compensation laws of California, and agree that. if I should become subject to the workers' compensation Provisions ro Sso aections to b3700 of t �bor�od workers'shal
forthwith Comply with those provisions.
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.
I hereby affirm under penalty of perjury that there is a construction lendinCONg
LENDING GEENoCI� work for which this
9 Oe ry permit is issued (Sec. 3097, Civ. C.).
Lenders Name
Lender's Address
IMPORTANT APPLICANT ACKNOWLEDGEMENT
Application is hereby made to the Director of Building and Safety for a permit subject to t 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 100 d
cessation of work for 180 days will subject permit to cancellation. --. ay= from date of issuance of such permit of
I certify that I have read this applicatiori and state that the above information is correct I agree triply with all
city construction. and hereby authorize representatives of this county, to enter n t abo tion y a"ti copur oro=mances and state lows relating to building
for inepeCt, purposes..
Xate"
4V-atur, (Applicant or Agent):
Page 2
Application Number
04-00004817
Date 6/09/04 .
Qty Unit Charge
Per
Extension
s
BASE FEE
.15..00
1.00 30.0000
EA ELEC PRIVATE SWIMMING,POOL
30.00
Permit*
PLUMBING
Additional, desc,..
Permit Fee
33:00 Plan Check.Fee
8.25
Issue Date . .
Valuation . .
. . 0
Expiration Date
12/09/04
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
Special Notes and'Comments
POOL/SPA. ALARMS/BARRIERS'SHALL.BE
IN
PLACE AT..PRE-PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT
INCLUDED
Fee summary, Charged
Paid Credited
Due
- -----------N------- ----------
..
Permit Fee .Total
291.00 - .00 .00
291.00
Plan Check Total
148.35.. .00 .'00
148.35
Grand Total
439.35 ..00 .00
439.35
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DATE
.L.DATE
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FIN SH SALT
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29'-5„ _
1 LONGITUDINAL SECTION
--- SCALE: NONE
T ♦
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 ORIGIN/LL AND MODIFIED -
DERIVATIVE PLANS AND IS APPLICABLE TO -"
INTENTIONAL AND UNINTENTIONAL
INFRINGEMENTS.
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SECTION
SCALE: NONE
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A.P.N.: 774-173-023 -774-173-024
ADDRESS: 53-955 AVENIDA VILLA
LEGAL: LOT #111 a 12, BLOCK # 249, UNIT # 23 ;
SANTA CARMELITA cQ VALE LA QUINTA
IS PREPARED BY.
L VENTURES, INC.
dbB
DESIGN GR
A.P. LENCH
PRESIDED
ORANN
A.RADONI
CHECKED
S.L.
DATE
06-01-04
SCALE
NONE
SHEET
2
•
r.4L.
A.P.N.: 774-173-023 -774-173-024
ADDRESS: 53-955 AVENIDA VILLA
LEGAL: LOT #111 a 12, BLOCK # 249, UNIT # 23 ;
SANTA CARMELITA cQ VALE LA QUINTA
IS PREPARED BY.
L VENTURES, INC.
dbB
DESIGN GR
A.P. LENCH
PRESIDED
ORANN
A.RADONI
CHECKED
S.L.
DATE
06-01-04
SCALE
NONE
SHEET
2
•
�•.......♦ ......
••••
A.P.N.: 774-173-023 -774-173-024
ADDRESS: 53-955 AVENIDA VILLA
LEGAL: LOT #111 a 12, BLOCK # 249, UNIT # 23 ;
SANTA CARMELITA cQ VALE LA QUINTA
IS PREPARED BY.
L VENTURES, INC.
dbB
DESIGN GR
A.P. LENCH
PRESIDED
ORANN
A.RADONI
CHECKED
S.L.
DATE
06-01-04
SCALE
NONE
SHEET
2