BPOL2014-1096 IIIIIII VIII III�����IIII 77
E
78-495 CALLE TAMPICO Tit!t44aw
VOICE(760)777-7125
.�
LA QUINTA,CALIFORNIA 92253 FAX(760)777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS(760)777-7153
BUILDING PERMIT
Date: 10/27/2014
Application Number: BPOL2014-1096 Owner:
Property Address: 49398 AVILA DR GEORGE ROMINE
APN: 646270024 1341 PALOS VERDES DR W
Application Description: SPA ONLY PALOS VERDES EST,CA 92253
Property Zoning:
Application Valuation: $18,000.00 rr,07LOPMENT
Applicant: 27 214 Contractor:
C&M POOLS INC C&M POOLS INC
41-530 BALACLAVA DRIVE F LA QUINTA 41-530 BALACLAVA DRIVE
BERMUDA DUNES,CA 92203 DEPARTMENT BERMUDA DUNES,CA 92203
(760)360-6254
Llc.No.:838188
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under r visions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9{commencing with Section 7000)of Division 3 of the Business n Professions Code, I have and will maintain a certificate of consent to self-insure for workers'
and my License is in full force and effect. compensation,as provided for by Section 3700 of the Labor Code,for the performance
License Class:C53 License No.:838188 of the work for which this permit is issued.
'^ I have and will maintain workers'compensation insurance,as required by
Date: /�, Contractor: 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:
OWNER-BUILDER DECLAION Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exe pt from the Contractor's State I certify that in the performance of the work for which this permit is issued,I
License Law for the following reason(Sec.7031.5,Business and Professions Code:Any shall not employ any person in any manner so as to become sub' ct to the workers'
city or county that requires a permit to construct,alter,improve,demolish,or repair compensation laws of California,and agree that if I should bec a subject to the
any structure,prior to its issuance,also requires the applicant for the permit to file a workers'compensation provisions of Sectio 70 of the Lab ode,I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions.
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 Date: ��b—lh d Applicant:
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 WARNING:FAILURE TO SECURE WORKERS'COMPE SATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_J I,as owner of the property,or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS($100,000). IN ADDITION TO THE COST OF
compensation,will do the work,and the structure is not intended or offered for sale. COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec.7044,Business and Professions Code:The Contractors'State License Law does not INTEREST,AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If,however,the building or improvement is sold IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one year of completion,the owner-builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made,each person at whose
( )I,as owner of the property,am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec.7044,Business and Professions Code:The Contractors' issued as a result of this application,the owner,and the applicant, each agrees to,and
State License Law does not apply to an owner of property who builds or improves shall defend,indemnify and hold harmless the City of La Quinta,its officers,agents,and
thereon,and who contracts for the projects with a contractor(s)licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors'State License Law.). following issuance of this permit.
(�I am exempt under Sec. .B.&P.C.for this reason 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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and stI ws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction,and hereby authorize representatives of thi ity enter upon the above-
the performance of the work for which this permit is issued(Sec.3097,Civ.C.). mentioned property for inspection purposes.
Lender's Name: Date: 0'Z1— Signature(Applicant or Agent):
�i
Lender's Address:
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT , PAID PAID DATE
�BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/27/14
PAID BY METHOD RECEIPT# CHECK# CLTD BY
C&M POOLS INC CHECK R2416 4525 MFA'
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
DETACHED SPA/WATER FEATURE/OTHER 101-0000-42404 0 $181.29 $181.29 10/27/14
PAID BY METHOD RECEIPT# CHECK# CLTD BY
C&M POOLS INC CHECK R2416 4525 MFA
Total Paid for POOL/SPA $181.29 $181.29
TOTALS:
a� o •
V k Detailsermit •
ER
a, wCity • La Quinta BPOL2014-109,
Description:SPA ONLY II _
Type:POOL Subtype: Status:SUBMITTED Applied: 10/27/2014 MFA •
Parcel No:646270024 Site Address:49398 AVILA DR LA QUINTA,CA 92253 Approved:
Subdivision:TR 6064&INT IN COMMON AREAS Block: Lot:24 Issued:
EXCEPT LOT 27
Lot Sq Ft:0 Building Sq Ft:0 Zoning: Finaled: q
Valuation:$18,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings:0 No.Stories:0 No. Unites:0 "
Details: SPA ONLY. REPLACE EXISTING FIBERGLASS SO=PA. PER 2013 BUILDING CODE
ADDITIONAL
CONDITIONS
NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL
APPLICANT C&M POOLS INC 41-530 BALACLAVA BERMUDA CA 92203
DRIVE DUNES
CONTRACTOR C&M POOLS INC 41-530 BALACLAVA BERMUDA CA 92203
DRIVE DUNES
OWNER GEORGE ROMINE 1341 PALOS VERDES DR PALOS VERDES CA 92253
W EST
FINANCIAL INFORMATION
Printed:Monday,October 27, 2014 7:44:43 AM 1 of 2 c��
Permit Details PERMIT NUMBER
,.
City ' ' •• •
1 1 •
nta
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/27/14 R2416 4525 CHECK C&M POOLS INC MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
DETACHED SPA/WATER 101-0000-424040 $181.29 $181.29 10/27/14 R2416 4525 CHECK C&M POOLS INC MFA
FEATURE/OTHER
Total Paid for POOL/SPA: $181.29 $181.29
TOTALS:
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"*
PROJECTSPARENT
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED 7STATUS REMARKS mT DATE NOTES
BOND INFORMATION
Printed:Monday,October 27,2014 7:44:43 AM 2 of 2 CBPW_........
0
LD -D W o Cl)
m
� cd
;0; N 'a �o cc
Z b O w
NJ-0 0 C K
-w y
S O
fD 3
r
� y
Ca I m y d
Q m m
O o
D � N
S O
S A n ID
A � 3
'o C O0*
X z yam
a
N n � CO)
M O
,o m
0
D m
? m
Residence
i
I
V
M g
v, ktFy
? — \ Bedroom
Ln
_ -
I V
I _
r I
rn
/ W
G3uepisaa
� o
M
.a a,
.a
3
CD
D
CD
b
Qo `n
C
'77 a;
o C
z o 0 z -
Bin# City of La Qulnta
-Building&r Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico .
La Quinta,CA 92253- (760) 777-7012
Building Permit Application qn.d Tracking Sheet
Project Address: — igu( Loa (7 Owner's Name: J U flee --1 1•
A.P.Number: Address: ��2j L-ICA,
1,,F-
Legal Description: , City,ST,Zip (k,(r 1'-x �� �!22 �j
Contractor: �,/i�l �� S '� -L Telephone: •>�.;�;r•:>: �>:::>:»:_;>;:;;
Address: 1.53^ (� \ `(Q�,� F- Project Description:
City,ST,Zip: ('� �v.c�r� (J U.:tSC Cl Re✓n 0 Arc- b 4-- (-5-V t + r uS S
Telephone:1(t? ?j(C'O
$ 4�,J
State Lie.# City Lie
w > a6 r
Arch.,Engr.,Designer: �;�
Address: 1 t-- �� (�t►n���
City.,ST,Zip: 0 C �w .
Telephone:hone:
Cnio
nType: Occupancy:
an
cY
•ostruct
f->
State Lie.#: :;-;;;:;::_;-:; :<.;:= ::n:-•==. Project type circle one a > Add'n Alter Repair Demo
Name of Contact Person: 6(Ls� C�� Q.ri Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: f to o - Estimated Value of Project: W,000
APPLICANT:DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cala. Reviewed,ready for corrections Plan Check Deposit
Truss Cala. Called Contact Person Plan Check Balance.
Title 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2"Review,ready for correctionsrssue Electrical
Subeontaetor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '`d Review,ready for correctionsfissue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees