BPOL2015-0033 (BPOL)_lk
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,78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT '
Application Number: BPOL2015-0033
Property Address: 60880 AZUL CT
APN: 764450022
Application Description: VALENTINE RESI
Property Zoning:
Application Valuation: $20,000.00
Applicant:
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
IIIIIIIIVIIIIIIVIIIIIII 23
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CHUCK & SANDY VALENTINE
� 60880 AZUL CT
SPA n It 11 LA QUINTA, CA 92253
v
FEB 2 6 tC►S
C�QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 Professions Code,
and my License is in full force and effect.
License Class: License No.: AEC314
\/Date: &r> 2A -X1 E Contractor:
OWNER -BUILD DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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
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).:
(_) 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 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.).
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 Nam
Lender's
Contractor:
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
Llc. No.: AEC314
Date: 2/23/2015
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 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 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.
Dat :6'F3.�G, �iVl s Applicant:
WARNING: FAILURE TO SECURE WORKEM 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.
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 laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above.
mentioned property for inspection purposes.
Signature (Applicant or Agent):
QTY `AMOUNT
PAID
PAID DATE
DESCRIPTION - '
FINANCIAL •1•
ACCOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY" _.,:
METHOD
RECEIPT #, -
CHECK#
CLTD BY
Total Paid forBU1LDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION '
ACCOUNT
QTY,
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY:
METHOD
RECEIPT #,.
CHECK #
CLTD, BY
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID BY
..METHOD
RECEIPT .#
CHECK- #'
CLTD BY..
Total Paid for FENCE OR FREESTANDING WALL- $108.77 $0.00
DESCRIPTION
4. . ACCOUNT.
QTY
,AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY _
METHOD
RECEIPT .# • " ""
CHECK#
CLTD BY
DESCRIPTION.
ACCOUNT
QTY
,;AMOUNT
PAID ..
PAID DATE,
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
- . „PAID BY
METHOD-
RECEIPT #
CHECK#,. "
CLTD BY
Total Paid for POOL/ SPA $279.91 $0.00
TOTALS: $389.68 $0.00
Description: VALENTINE RESIDENCE POOL & SPA
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 2/23/2015 MFA
Approved:
Parcel No: 764450022 Site Address: 60880 AZUL CT LA QUINTA,CA 92253
Subdivision: TR 30023-4 Block: Lot: 83
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA,INSTALL GAS LINE WITH 12LF AT 4 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT
ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODE.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
Printed: Monday, February 23, 2015 2:21:38 PM 1 of 2 r - SYSTEMS
CONTACTS
CITY., STATE ZIP PHONE FAX
EMAIL
NAME TYPE NAME ADDRESSI
APPLICANT
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
CONTRACTOR
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
OWNER
CHUCK & SANDY VALENTINE
60880 AZUL CT
LA QUINTA CA
92253
FINANCIAL•
DESCRIPTION ACCOUNT QTY AMOUNT
•
PAID
•
PAID DATE RECEIPT# CHECK# METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
BSA.
$0.00
Printed: Monday, February 23, 2015 2:21:38 PM 1 of 2 r - SYSTEMS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, February 23, 2015 2:21:38 PM 2 of 2SYSTEMS
CLTD
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
PAID
PAID DATE
RECEIPT # -
CHECK .# '
METHOD
PAID BY
BY .
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE -FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL / SPA: $279.91 $0.00
TOTALS:00
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, February 23, 2015 2:21:38 PM 2 of 2SYSTEMS
Big .
Qty of La Quints.
Building sl: 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
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Project Address:
Owner's Name:�(�1T1
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A. P. Number:
Address: _ 8Y) Z( -A C ,
Legal Description: Spa
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ST, Zip: Qv I A C 2253
Contractor:
telephone:
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Address: -SSS I
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ProjectDescription:y-v0 Dom O\nd
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City, ST, Zip:IM0-.Cll.
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Telephone:
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State Lic. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction aneY
�A., Occupancy:
State Lic. #:Project
type (circle one): ew Add n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:.
#. Stories:
# Units:
Telephone #,of Contact Person: -
- 6 q
Estimated Value of Project: ' o D
APPLICANT.: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT PEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance,
Title 14 Calcs.
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 Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:- .
'rd Review, ready for corrcctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees