BPOL2014-101678-495 CALLE TAMPICO
,.LA QUINTA, CALIFORNIA 92253
Application Number:
BPOL2014-1016
Property Address:
53791 AVENIDA OBREGON
APN:
774154017
Application Description:
N
Property Zoning:
Contractor:
Application Valuation:
$16,500.00
Applicant:
CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO, CA 92203
Tit,, 4 4 Quwo VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/30/2014
Owner:
PEPPERS
53-791 AVENIDA OBREGON
LA QUINTA, Ca 92253
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 th7,47
and Professions Code,
and my License is in full force and effect.
License Class: C10, C53 License No.: 634338
DatCy_ Contractor I
OWNER -BUILDER DE TION
I hereby affirm under penalty of perjury that I a empt from the Contractor's State
License Law for the following reason (Sec. 7031. , 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
Contractor's 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).:
(_) 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 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.).
(_) 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.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
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
WORKER'S 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 thewk 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 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 Se6,000).
;1NADDITION
e Lab r Code, I shall forthwith
comply with those provisions.
Date �G' I—Applicant
WARNING: FAILURE TO SECURE WORKEION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TOLTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($ TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 la relat' g to building
construction, and hereby authorize representatives of this city nter on the above-
mentioned property for inspection purposes.
Date:? io3c 4 Signature (Applicant or Agent)sr
i
!t
czzj .0
N
_Z
Contractor:
CLASSIC POOLS &SPAS
79-461 AVENUE
a
Q
05
40
o
INDIO, CA 92203
QJ
(760)345-8302
$
Llc. No.: 634338
WORKER'S 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 thewk 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 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 Se6,000).
;1NADDITION
e Lab r Code, I shall forthwith
comply with those provisions.
Date �G' I—Applicant
WARNING: FAILURE TO SECURE WORKEION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TOLTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($ TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 la relat' g to building
construction, and hereby authorize representatives of this city nter on the above-
mentioned property for inspection purposes.
Date:? io3c 4 Signature (Applicant or Agent)sr
i
FINANCIAL INFORMATION
; ' `i '`' QTY' `4AMOUNT PAID I PAID`DATE
`DESCRIP.TION COU
• �.. COUNT •,
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
" PAID BY METHOD RECEIPT # " ' CHECK # . CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION .;
ACCOUNT
,,QTY
AMOUNT
PAIDPAID
DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.19
$0.00
PAID BY " ' -:
METHOD
RECEIPT #
CHECK#D
BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
_ •, PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.06
$0.00
PAID BY.
" "METHOD'-
- RECEIPT #
' CHECK #
CLTD BY -
Total Paid for FENCE OR FREESTANDING WALL $107.25 $0.00
DESCRIPTION -
ACCOUNT
QTY;
AMOUNT, `
PAID
:PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
PAID BY
; ' METHOD .
s"' ' RECEIPT #
CHECK #
CLTD BY
DESCRIPTION :,� N
ACCOUNT .,a : • ' ;
QTY
'., •AMOUNT :. k`
. PAID '
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0 •
$97.24
$0.00
t PAID BY'�
METHODS -'
;-RECEIPT #
CHECK #
!CLTD BY
Total Paid for POOL/ SPA: $275.99 $0.00
TOTALS:00
Description:
Type: POOL Subtype: Status: SUBMITTED
Applied: 7/25/2014 KHE
Approved:
Parcel No: 774154017 Site Address: 53791 AVENIDA OBREGON LA QUINTA,CA 92253
Z
Issued:
UNIT 19
Ahr
Finaled:
Valuation: $16,500.00 Occupancy Type: Construction Type:
Expired:
^
Details: POOL. 58 L.F.S' MAX BLOCK WALL AT FRONT YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT
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Description:
Type: POOL Subtype: Status: SUBMITTED
Applied: 7/25/2014 KHE
Approved:
Parcel No: 774154017 Site Address: 53791 AVENIDA OBREGON LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 202 Lot: 5
Issued:
UNIT 19
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $16,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL. 58 L.F.S' MAX BLOCK WALL AT FRONT YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
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-ACCOUNT
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DATE
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DATE
RESULT
REMARKS
NOTES
CLTD
DESCRIPTION
CITY:
AMOUNT.
PAID
PAID DATE
RECEIPT#,
-CHECK #
METHOD,
PAID BY
UNDERGROUND GAS
BY
UNDERGROUND PLBG
CLASSIC PASOOLS &
UNDERGROUND ELEC
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/30/14
R557
5440
CHECK
SKH
DECK BOND
SP
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
WALL/FENCE - FIRST
CLASSIC POOLS &
101-0000-42404
0
$47.19
$47.19
7/30/14
R557
5440
CHECK
SKH
100 LF
SPAS
WALL/FENCE - FIRST
CLASSIC POOLS &
101-0000-42600
0
$60.06
$60.06
7/30/14
R557
5440
CHECK
SKH
100 LF PC
SPAS
Total Paid forFENCE OR FREESTANDING WALL $107.25 $107.25
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$178.75
7/30/14
R557
5440
CHECK
CLASSIC POOLS &
SKH
SPAS
SWIMMING POOL/SPA
CLASSIC POOLS &
101-0000-42600
0
$97.24
$97.24
7/30/14
R557
5440
CHECK
SKH
PC
SPAS
Total Paid for POOL/ SPA: $275.99 $275.99
T,
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PA
SEQID
INSPECTION TYPE!
INSPECTOR.
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
FINAL"
PRE -PLASTER
UNDERGROUND GAS
UNDERGROUND PLBG
UNDERGROUND ELEC
PRE-GUNITE
DECK BOND
1jLP:A_R_tNT
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Bin #
City of La Quinta
-Building 81: Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit # 1
Project Address: ._7
Q1. Owner's Name: Q �.
Ar: , OA
iq kJ Address:5 3 Ji9 I e /tJ
Legal Description:
Contractor: tL s o
Address:qCA-HProject
City, ST, Zip: ta OL,(44v 12.
O� 05 'Telephone:
Description:
1.7 '
>:::$%'=:.:a>:!>>,<s>:
City, ST, Zip: 1 G
2 Qp POO v 0 C, K
Q
Telephone:
3 � .:.
+#..
l
State Lic. # :
Arch. ngr., esigner:
City Lic. ffi:
-r
Address: _ 25
57L.1 Z a24
City., ST, Zip:
Telephone: :. >.::::::: ;;:-;,..;:::..;;;;:•:; r:;:.>:>:.:_:.
P Construction Type: Occupancy:
"ir=?:•:gr:�'i:�r.::;% Vii::: �(i.��::::x{;:'o'r-if':_
.. .:.. ::.-:�
State Lic. `:#:`>::>: type one): ) Project a : ew Add'n Alter .Repair Demo
J
Name of Contact Person: ' �� n Sq. Ft.: # Stories: #Units:
/
Telephone #,of Contact Perso0 Estimated Value of Project: 1 Q Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
7 rry
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
'
Plan Check Dcposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees