RPL (14-0061)78180 Masters Cir
14-0061
P.O.. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
. 0 6
or
14-00000061
78180 MASTERS CIR
770-360-002- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
42500
Architect or Engineer:
\ V
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LICENSED CONTRACTOR'S DECLARATION
44
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
THOMAS J HAACKER TRUST
1192 CAMBERA LN.
SANTA ANA, CA 92705
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C53 Lice No.: 833313
Date 3"14 Contractor 11r:.. -
OWNER -BUILDER 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 (5500):
(_ I 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 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 contractorfs) licensed
pursuant to the Contractors' State License Law.).
1 ) 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: (
LQPERMIT
Contractor:
LINDLY'S POOLS OF CALIFORN
30755 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
(760)343-0600
Lic. No.: 833313
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7,153
Date: 2/05/14
Ur
A.
CITY
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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.
,41have 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 RMU SOLUTIONS Policy Number 428122
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
{////y%''' 3700 of the Labor Code, I shall forthwith comply with hose provisions.
Date:/ Applicants
WARNING: FAILURE TO SECURE WO KERS' 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 Director of Building and Safety 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 county to enter upon the above-mentioned property for inspection purposes.
Date:/! `'3 I Signature (Applicant or Agentf "/,
V
LQPERMIT
Application Number . . . ... 14-00000061
Permit . . . POOL 2013
Additional desc .
Permit'Fee ° . . 178.75 Plan Check
Fee
00
Issue Date Valuation
0
Expiration Date 8/04/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
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Special Notes and Comments
POOL AND SPA'AT REAR YARD W/COURTYARD
WATER FEATURE (DENISE POELTLER ENG) THIS
PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING
CODE.
January 29,. 2014 10:18:00 AM AORTEGA
Other Fees ° . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
-----------------------------------------------
Permit Fee Total 178.75 .00
----------
.00
178.75
Plan Check Total .00 .00
.00
.00
Other Fee Total 99.24 .00
.00
99.24
Grand Total - 277.99 .00
.00
277.99
Bill #
.
City ofla a Quints . .
Btdlding 8L Safety Division
Pem>it #
, P.O. Box 1504,78-49.5 Calle Tampico
.- -
La.Wnta, CA 92253 -:(760) 777-7o 12
Building Permit til
App cation and Tracking Sheet
PwiectAddtrss: ` -1 0 p /' S C l /
Owner's Name: .
j
A. P. Number.
Address:
Legal Description:
city, ST, Zip: Qv ADA
contractor• L 1-1q U6
Telephone:
Address: j 0 0 S i
1 o (L
-fAv
Project Description:
City. sr Zip: o.rp
Pt/ U CA i2't 7b
sfA
Tel 9 bj-
\A1 U 11,E ( S SNE
'.i
State Lie #:q-
'Cary Lia
Arch•, FAW•, Designer.
!
Address:
City., ST. Zip:
Telephone:
I -
State Lic. #: J 7 (,Q
Construction Type:. O y,.
Name of Contact Person:
- -
Project type (circle one) ev✓ Add'n Alter Repair Demo
# of Contact Person: vV
= Sq.Ft(,,
-.
#Stories:Telephone
gated Value
of Project: 7,5 co
j
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TBACJCIIVG
PERM F FEES.
Phu Sets
Pian Cheek submitted' (
item
Amount
'
Str°daial CaIca
Reviewed, ready for corrections
Plan Check Deposit. .
-
`
!
Truss Calca.
Called Contact Person
Plan Check Balenee-
Title 24 Calm
Plans picked up
Construction
Flood plain p °
Plans resubmitted'
Mechanical
Giadlag plan
2' Review, ready for correctionsrusue
Electrical
.
Snbeontsetoriiiat
.
Called Contact Person
Plumbing
Grant Deed
Plans picked ap
SbLL
&O A. Approval
Plans resubmitted
Grading
IN HOI]SB:-
Dn° Review; ready for correc
Developer Impact Fee
Planning Approval'
Called Contact Person
A.U.P.
Pub. Wks. Appr •
Date of permit issue
School Fees '
Total Permit Fees ,q
r
D ,--F --
STACKED
STONE
SPILLWAY d
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Pl,
•y"
I
P
CIT O LA QUIN
UILDING & SAFETY DEPT. P
APP,ROVED
FOR CONSTRUCTION
SCAM: IA I FI'
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Length: 35'
Width: 710' ..
Depth: WTO S' -
Perimeter, 121 LN FT
Square Footage: 542 SQ FT
Capacity: 11,812 GALLONS - COURTYARD WATER
Material: TAHOE BLUE PEBBLESHRE - FEATURE WITH 3 BASALT
Water FeatureS: INFINITY BASIN COLUMNS.
- ' - O i " BASALT COLUMNS TO BE:
3', 4' & 5' BIGB _
O
SLOW VOLTAGE LIGHTS
length: 8' ..
Width: 8' r
Depth: 36" .. -
Perimeter: 25 LN FT
Square Footage: 50 SQ FT - P
Capacity: 1,680 GAL
Material: TAHOE BLUE PEBBLESHEEN
JETS:8
L=7 -
After Pump: 2 SPEED WHISPERFLO '
Alter Type: 525 SQ FT CARTRIDGE
Infinity Dump: 3HP WHISPERFLO
Heater: 400K BTU MASTHt TEMP ANEW
i
Sanitation: IC40 8 FUNCTION SALT
SYS ..
Pod B Spa lights: 1-000watt
3-I00watt