BPOL2015-0144a
Applicant:
"
1tPVOICE
(760) 777-7125
78-495 CALLE TAMPICO
CLASSIC POOLS & SPAS
79-461 AVENUE 40
V
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LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/6/2015
Application Number:
BPOL2015-0144
Owner:
Property Address:
52920 AVENIDA MONTEZUMA
FOLTIN RESIDENCE
APN:
773311008
52920 AVENIDA MONTEZUMA
Application Description:
FOLTIN RESIDENCE POOL
LA QUINTA, CA 92253
Property Zoning:.
�
Application Valuation:
$16,500.00
Applicant:
"
Contractor:
CLASSIC POOLS & SPASA
79-461 AVENUE 40
V r�o1f�
t,
CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO, CA 92203
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D �
INDIO, CA 92203
Ate�'j,�
C(s 113r
(760)345-8302
Llc. No.: 634338
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensedunder pr visions of Chapter
9 (commencing with Section 7000) of Division 3 of the iness and rofessions Code,
and my License is in full force and effect.
License Class- C10 CS f License No.: 634338
Date: l Contractor:
OWNER BUILDER ION
I hereby affirm under penalty of perjury tha m mpt from the Contractor's State
License Law for the following reason (Sec. 031.5, 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.).
( ) 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 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 Address:
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 shoul� ecom subject to the
workers' compensation provisions of Section 3700 the bo de, I shall forthwith
comply with those provisions.
Date: [ T' Applicant:
WARNING: FAILURE TO SECURE WORKER 0 PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO AL 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 inforr
I agree to comply with all city and county ordinanc ' tate laws rel
construction, and hereby authorize representati es of is ity to enter
mentioned pr
opertyforinspection purposes.
Dater/11—Signature, (Applic for nt):
is correct.
P building
he above
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
'PAID
PAID'DATE
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
CITY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
'
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
o
DESCRIPTION
ACCOUNT. •:
CITY
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::0 • ••
Description: FOLTIN RESIDENCE POOL
ADDITIONAL
Type: POOL
Subtype:
Status: APPROVED
Applied: 7/6/2015 EVA
Approved: 7/6/2015 KKI
Parcel No: 773311008 Site Address: 52920 AVENIDA MONTEZUMA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA
VALE LA QUINTA Block: 169
Lot: 19
Issued:
UNIT 17
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
Lot Scl 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:
,Applied to Approved
Printed: Monday, July 06, 2015 4:04:07 PM
loft
SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
PLAN CHECK SUBMITTAL ED VASQUEZ
RECEIVED
7/6/2015
7/6/2015
sent back to ed
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO
CA
92203
CONTRACTOR
CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO
CA
92203
OWNER
FOLTIN RESIDENCE
52920 AVENIDA
MONTEZUMA
LA QUINTA
CA
92253
Printed: Monday, July 06, 2015 4:04:07 PM
loft
SYSTEMS
Printed: Monday, July 06, 2015 4:04:07 PM 2 of 2 J
sysrrMs
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE.
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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::0 0•0
Printed: Monday, July 06, 2015 4:04:07 PM 2 of 2 J
sysrrMs
Bin #
p'. 9 �l
city of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quints,. CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
'Permit #
Po L~ O l r —
Project Address: FOwner's
A. P. Number:
Name: 1
Address:
Legal Description:
City, ST, Zip:Ju C
ContractorIM(St-C.
S
Telephone: `>;>�>s'<Y'>�<r>'','>A<�:`•:
Address:
Project Description: PC
City, ST, Zip:
�a3
Telephone7I/- )-
- VV
1'} ��u:,v'i.:r�if�U.��i•<{iiil{{i''y'�I:.:N%'
State Lie. # : 3LJ33
City Lie. i;
Arch., Engr., Designer:
Address:
City, ST, Zip: PR
CA a k
Telephone:
State Lic. #: 3
Name of Contact Person:
:: f::>:: " <><''::„ «;n.>.w.•<.<:
? f: >>:><"':>:',`%<<>>- :::::
-
t g ,r7
Construction Type: Occupancy
tyPa (circle circle one : New Addn Alter
J ) ' Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
SZ
Estimated Value of Project: �! Q Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
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 correctionslissue
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 correctionsCssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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Alt. . ;THESE PLANS, DRAWINGS AND SPECIFICATIONS ARE NOT TO BE SCALE 8" = I'
- REPRODUCED, CHANGED OR COPIED IN ANY FORM OR MANNER
below WHATSOVER WITHOUT THE EXPRESSED WRITTEN CONSENT OF CLASSIC
1ofejf°OdJ9'POOLS/SPAS
0
l
r
POOL PLAN
FOLTIN
RESIDENCE
52-920 AVENIDA MONTEZUMA
LA QUINTA, CA
4
Cassic Pools/Sp as
Oficce 760 345-8302 Lie* CIO C53 634338