BPOL2014-105378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
HYSELL POOL COMPANY
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
BPOL2014-1053
44595 MILAGO [
604261002
POOL, SPA AND
$20,000.00
"&t,r4 IwQu&rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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 Cl a s: License No.: :LIC -0100625
Date: 0 antra or:
OWNER -BUILDER DECLARATIO
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.).
(_) 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/10/2014
Owner:
STEVE HUFFMAN
44595 MILAGO DR
LA QUINTA, CA 92253
Contractor:
HYSELL POOL COMPANY
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)322-0830
Llc. No.: :LIC -0100675
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 n•3700 of the Labor Code, I all forthwith
comply wi t�h10 provisions.
Date? G Applicant--
WARNING: FAILURE TO SECURE WOt PENSATION CORAG I UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A CIVIL ' NES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE OST 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 . city to enter upo the above -
mention pr perty for inspection purposes.
Dat 30 / Signature (Applicant or Ag°tennt):
FINANCIAL INFORMATION
"
, ` QTY
AMOUNT
PAIACCOUN`DESCRIPTION PAID DATE
.. .:
,...._..
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
a PAID
METHOD;'i '' G ." -t ,> _
RECEIPT #_e
-
CHECK # ~`,.
CLTD BY '
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
}t. r DESCRIPTION » '
r `4 'ACCOUNT
QTY„
_': '� AMOUNT
PAID
'PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$11.92
$0.00
z. r PAID BY ',.-' '
METHOD`S `
a <'.RECEIPT# � .r'
CHECK #, i
i
• CLTD BY j'
DESCRIPTION
kACCOUNT
`QTY
AMOUNT
PAID
PAID DATE
.
r i
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$23.83
$0.00
:"PAI I DBY
..., . METHODµ' ;
''RECEIPT #
CHECK #
CLTD BY
zja
Total Paid for PLUMBING FEES:
$35.75
$0.00
"-.E_ DESCRIPTION �'
'� `ACCOUNT "�
Q TY:
o .AMOUNT :,
" PAIDr
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
i
PAID BY
g -
s s �; METHOD y , �.
-.RECEIPT #n .
-; CHECK #,x
'.CLTD BY
§ DESCRIPTION:' :
ACCOUNT
QTY,
;,`AMOUNT-
PAID
'PAID DATE;
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
,•, PAIDrBY
RECEIPT #
CHECK#r,CLTD
BY
Total Paid for POOL/ SPA:
$275.99
$0.00
• e
00
a
ut
v
...
• wa
Description: POOL, SPA AND FIREPIT
Type: POOL Subtype: Status: APPROVED
Applied: 9/10/2014 MFA
Approved: 9/10/2014 MFA
Parcel No: 604261002 Site Address: 44595 MILAGO DR LA QUINTA,CA 92253
Subdivision: TR 23913 Block: Lot: 43
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, FIRE PIT, 1/2" INCH GAS PIPING/#8 AWG 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. 2010 CALIFORNIA BUILDING CODE.
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101-0000-20306
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$0.00
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'Awl,
'NAME TYPE
--NAME
•' ADDRESSl
°CITY-
STATE:
ZIP PHONE
FAX '
EMAIL'
APPLICANT
HYSELL POOL COMPANY
BSA:
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253 (760)574-9996
CONTRACTOR
HYSELL POOL COMPANY
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253 (760)574-9996
OWNER
STEVE HUFFMAN
44595 MILAGO DR
LA QUINTA
CA
92253 (760)574-9996
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PAID
f -: i
�iPAID DATE
S3. Y
RECEIPT #
d; LaK •- •.
;°'CHECK #METHOD
-;. S . v` 'L:
'`� BY
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,C TDx.
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••m �- . �.,�
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.PAID
-'�
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
'
Total Paid forBUILDING
STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Wednesday, September 10, 2014 4:14:29 PM 1 of 2
�_ srsrrnns
........ . ..... ... . .
DESCRIPTION
ACCOUNT
QTY
AMOUNT...
PAID
PAID DATE
RECEIPT #.
CHECK #
METHOD
PAID BY
CLTD..'
�DATE
'-�:i)ATE
'09
1 VIEWER.
FINAL"
DUE DATE:
DATE:
GAS SYSTEM, 1-4
101-0000-42401
0
$11.92
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$23.83
$0.00
OUTLETS PC
1
Total Paid for PLUMBING FEES: $35.75 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$97.24
$0.00
PC
Total Paid for POOL/ SPA: $275.99 $0.00
-1777,7
.SEQID
INSPECTION TYPE
INSPECTOR.
SCHEDULED
COMPLETED
" RES ULT
REMARKS
.,':NOTES -
RETURNED'
�DATE
'-�:i)ATE
'09
1 VIEWER.
FINAL"
DUE DATE:
DATE:
PARENT PROJECTS
Printed: Wednesday, September 10, 20144:14:29 PM 2of2
77
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7'
RETURNED'
STATUS
REMARKS
REVIEW TYPE
1 VIEWER.
SENT DA
DUE DATE:
DATE:
NOTES
Printed: Wednesday, September 10, 20144:14:29 PM 2of2
77
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7'
Printed: Wednesday, September 10, 20144:14:29 PM 2of2
kin #
City of La Qulnta
"Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
AdA Owner's Name: ZT V
Permit #
Project Address: Ll—
A. P. Number:
Address: NeA T
Legal Description:
City, ST, Zip:
Contractor: �
Telephone: r? i //�`'.':s:<:':>:<::::,<x>.:>;<»»:::><.:�r;;.>::>::
Address: d2"�'
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Project Description:
fJnl.'tt4r,
City, ST, Zip:�� q2-2-3H
%�ij• 1�?
1`elephonc:"7(06 _ &&6 5't
"<:f.::.:..:.:.::.:.::.;.,�:<at;<.;; ._::::-...
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V
State Lic. # 41
City Lie. .-
Arch., Engr., Designer:
o
Address:
1
S PA 8.
City, ST, Zip:
Tele hone.•
-
ii:fi.
.............................
aney•
Constructionn Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: b t l'
Sq. Ft.:
# Stories:
It Units:
Telephone # of Contact Person: �V •� ��
Estimated value of project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Recd
TRACMG
PERMIT FEES
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 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN I10USE:-
'`" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees