BPOL2014-103378-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253
Application Number:
BPOL2014-1033
Property Address:
79920 MERTON
APN:
762110027.
Application Description:
POOL, SPA, AND GAS LINE
Property Zoning:
Application Valuation:
$24,000.00
C 0 D Qum&:
VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
DQ 0 Date: 8/26/2014
Owner.
AUGI2 6 2014 JOHN GRANT
U C 6 SPRINGS MARSH LN
FIRE IT CITY OF LA QUIMA NORTH OAKS, MN 92253
COMMUNITY DEVELOPMENT DEPARTMENT
Applicant: Contractor:
AZURE POOLS & SPAS INC AZURE POOLS & SPAS INC
P 0 BOX 10641 P 0 BOX 10641
PALM DESERT, CA 922557/1//
/ PALM DESERT, CA 92255
C/ (� (760)322-7665
Llc. No.: 802919
--------------------------------------------------------------------------------------------
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: C53 License No.: 802919
Date: Contractor:
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
($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.).
(1 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
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 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.
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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.
Date: Signature (Applicant or Agent):
FINANCIAL .• l
:DESCRIPTION' _ = f rf ACCOUNT'S zu �, ;QTY AMOUNT PAID DATE
r
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
t .x.rt r P:iz PAID BY �f= a'u' x '' METHOD RECEIPT,#� CHECK # , >s CL"TDgBY.
Total Paid for BUILDING.STANDARDS ADMINISTRATION BSA $1.00 $0.00
a �^ `DESCRIPTION'
ACCOUNT
QTY..
=AMOUNT°
r g`K & IPAIO +
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$11.92
$0.00
PAID BY
V 41
! METHOD z"Y `;.<RECEIP..T
# '
I, r''< CHECK #"-
CLTD BY,T'
tDESCRIPiqj�TION c f'*
" *A000UNTD�
'QTY-
AMOUNT y
�'--#PAID err k 9
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$23.83
$0.00
_ PAID BYr;ri
y..; ;METHOD 4�
;,.,:R PT #
RECEIPT
Lis CHECK #ir '
.CLTD BY''
Total Paid forPLUMBING FEES: $35.75 $0.00
KDESCRIPTION'
: �* ACCOUNTQTYc
4 i
;: „ AMOUNT _z
'PAID .'"
#'PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
PAID`BY`$.Y,
"T" METHOD t t'
�`'RECEIPT #=µE
CHECK # x: t�
CLTD BY
,. r.' • tt'rt*DESCRIPTION e`` x F ! f
y t ACCOUNT k ?
•QTY
t AMOUNT'
s= PAID
PA(D,DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
,PAID BY '' * �.
METHOD [s 3*r'
+ s r r,
RECEIPT # ry
�..
CHECK #
>"CLTD BY
Total Paid for POOL/ SPA: $275.99 $0.00
TOTALS:• 00
f
r
Description: POOL, SPA, AND GAS LINE (FIRE PIT)
Type: POOL Subtype: Status: SUBMITTED
Applied: 8/7/2014 SKH
Approved:
Parcel No: 762110027 _ Site Address: 79920 MERION LA QUINTA,CA 92253
Subdivision: TR 28410-2 Block: Lot: 60
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $24,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL SPA FIRE PIT NO BLOCK WALLS ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODES.
CONDITIONS =
Printed: Tuesday, August 26, 2014 1:46:40 PM 1 of 2
srsrrrts
SEQID INSPECTION TYPE: -INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE`_ DATE.
FINAL"
PARENT PROJECTS
BOND INFORMATION
Printed: Tuesday, August 26, 20141:46:40 PM 2 of 2
SYSTEMS
Bi„ # City of La Quinta
Building sr Safety Division
'Permit # n P.O. Box 1504, 78-495 Calle Tampico . .
�0�� La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and.Tracking Sheet
Project Address: 9 9D 67/2 i O nJ D&.'Owner's Name: Z
A. P. Number:
Address: / 2aO '
Legal Description:
City, ST, Zip: I y �� '?2-1 S'3
Contractor: 2 - L
u�2` �
� �s t-
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s S L
Telephone:
Address: �(J �3 C T
Project Description:
City, ST, Zip: /�L !^q�/��SC K �i'iy q 22Ss
Tele hone /
P U- Z— 76,6S
_
L4 t Q ,tet.
State Lic. # : gaa %/ 9 (2--53
City Lic. if...
�� 1 �% i 1�✓
Arch., Engr., Designer.1= _' n
P060,5 �--
Address:
u 3'4 57193
fo w�alis N LA). ET -
• Q� � 1. � _
Occupancy: an
Construction ction TyP e: cY:
City., ST, Zip: U 1 Vl/ 1 A C 22U6
Telephone: ne 7
�5 73
Plan Check Balance_
' State Lic. #:Project
type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft :
# Stories:
# Units:
Telcphone # of Contact Person:Estimated
Value of Project: e U
APPLICANT: DO NOT WRITE BELOW THIS LINE
ti Submittal
Req'd
Rec'd
TRACMG
PERMIT FEES
Plan Scts
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance_
Titic 24 Calcs.Plans
picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrcctio sfissue
Electrical
Subcon(actor List
Called Contact Person
Plumbing
Grant Dccd
Pians picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'id Review, ready for correctionsrissue
Devel nc
Planning Approval
Called Contact Person
A.I.P. .
Pub. Wks. Appr
Date of permit issue
School Fees
AUG 0 7
2014
CIN OF LA
Y1 r
Toa DEVELOPwrur