BPOL2015-0066LICENSED CONTRACTOR'S DECLARATION
1 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 : C10 C53l� License No.: 634338
/ y
Da �.Y Contractor
OWNER -BUILDS TION
I hereby affirm under penalty'of perjury that 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 Na
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.
.9914 1 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 370 a Labor ode, I shall forthwith
comply with those provisions. .
Date: / Applicants
WARNING: FAILURE TO SECURE WORKS S' C PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO INAL PENALTIES AND CIVIL FINES URTO
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 infor is correct.
I agree to comply with all city and county ordinances and state la relati to building
construction, and hereby authorize representatives of this city r o he above.
mentioned pr putt f
te: ` r inspection purposes.
D / �� Signature (Applicant or Age
\
TwitQuIlKs
VOICE (760) 777-7125
78-495 CALLE TAM PICO
D
,.
\�
LA QUINTA, CALIFORNIA 92253
!
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS
(760) 777-7153
BUILDING PERMIT
Date: 4/13/2015
Application Number:
BPOL2015-0066
Owner:
Property Address:
44425 MONTICELLO AVE
VICTOR SANCHEZ
APN: t
604502004
44425 MONTICELLO AVENUE
Application Description:
SANCHEZ / POOL AND SPA ONLY/DOUBLE FEE
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$18,000.00
Applicant:
Contractor:
o
CLASSIC POOLS & SPAS
CLASSIC POOLS & SPAS
'gy�np
79-461 AVENUE 40
79-461 AVENUE 40
b p
INDIO, CA 92203
INDIO, CA 92203
(760)345-8302D
LIc. No.: 634338
--------------------------
-----------------------------
------------------------
--------------
LICENSED CONTRACTOR'S DECLARATION
1 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 : C10 C53l� License No.: 634338
/ y
Da �.Y Contractor
OWNER -BUILDS TION
I hereby affirm under penalty'of perjury that 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 Na
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.
.9914 1 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 370 a Labor ode, I shall forthwith
comply with those provisions. .
Date: / Applicants
WARNING: FAILURE TO SECURE WORKS S' C PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO INAL PENALTIES AND CIVIL FINES URTO
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 infor is correct.
I agree to comply with all city and county ordinances and state la relati to building
construction, and hereby authorize representatives of this city r o he above.
mentioned pr putt f
te: ` r inspection purposes.
D / �� Signature (Applicant or Age
INFORMATIONFINANaAL
. DESCRIPTION, °ACCOUNT
QTY
AMOUNT`, PAID'
'r a.
PAID DATE
«..
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
BY
METHOD;•
r RECEIPT,•#
`
CLTD BY`,
t
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA - $1.00
$0.00
} DESCRIPTIO,N' . r,
}
. ° ACCOUNT ° '
QTY
'AMOUNT w
F
,4 PAIDie
PAID DATE
SWIMMING POOL/SPA ,
101-0000-42404
0
$362.58
$0.00
' PAID BY r
3
:METHOD'
-RECEIPT#
CHECK.#,,-,,
-,CLTDBYt
DESCR1-1 u t `
.,'*ACCOUNT.',
CITY
AMOUNT;'
PAID +'
PAID DATE
1IPTION
,
SWIMMING POOL/SPA PC
101-0000-42600
0
'$197.24
$0.00
r PAID BYe, ' °'
ae a
r , a e
_�. .. `'METHOD
RECEIPT #
�' CHECK #
CLTD BY '¢
Total Paid for POOL / SPA:
' $559.82'
$0.00
TOTALS:.0
00
Description: SANCHEZ / POOL AND SPA ONLY/DOUBLE FEE
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 4/10/2015 SKH
Approved:
Parcel No: 604502004 Site Address: 44425 MONTICELLO AVE LA QUINTA,CA 92253
Subdivision: TR 24197-3 Block: Lot: 33
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $18,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
4/10/2015
Details: POOL AND SPA ONLY. THIS PERMIT DOES. NOT INCLUDE BBQ FIREPIT, EQUIPMENT OR WALL. EQUIPMENT SHALL BE INSTALLED IN
ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING CODE. ***INVESTIGATION FEE ASSESSED PER 2013 CALIFORNIA BUILDING CODE CHAPTER 1
§109.4 FOR WORK COMMENCING BEFORE PERMIT ISSUANCE***
ADDITIONAL
CHRONOLOGY
CHRONOLOGY,'. P t,"`'". ;• „r z "_.:
E STAFF,NAME DATE,
. NOTES "
�h.YMTY , X ..ACTION
t pCOMPLETION,DATE,
„, ,, +m, ^%•; .
NOTE STEPHANIE KHATAMI
4/10/2015
4/10/2015
DOUBLE FEE AS WORK WAS STARTED WITHOUT A PERMIT.
PLAN CHECK
COMPLETE/READY FOR PICK
PHILIP JUAREZ
4/13/2015
4/13/2015
returened to philip
UP
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
4/10/2015
4/10/2015
RECEIVED PLAN CHECK.
RECEIVED
•
•
CONTACTS
��ja•'.`P g=. a�
CITY, STATE ZIP ; -; . aEFAXi,# > EMAIL
;PHONE v.
APPLICANT
CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO CA
92203
CONTRACTOR
CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO CA
92203
Printed: Monday, April 13, 2015 2:16:36 PM 1 of 2 ',
SYS7FM5
PARENT PROJECTS
ATTACHMENTS
Printed: Monday, April 13, 2015 2:16:36 PM 2 of 2
SYSTEMS
FINANCIAL
•• •
DESCRIPTION ACCOUNT QTY
AMOUNT
CLTD
PAID PAID DATE . RECEIPT #. CHECK # . METHOD PAID BY .
,
BY,,
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
SWIMMING POOL/SPA
101-0000-42404
0
$362.58
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$197.24
$0.00
PC
Total Paid for POOL/ SPA:
$559.82
$0.00
•�'Ls:'
$'560.82
$0.00
PARENT PROJECTS
ATTACHMENTS
Printed: Monday, April 13, 2015 2:16:36 PM 2 of 2
SYSTEMS
Bin #
City of La Quinta
Req'd
-Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit #
PERMIT FEES
La Qulnta, CA 92253 - (760) 777-7012
��dLaS
Building Permit Application and Tracking Sheet
Project Address: 4a- O I C� I I Q'
Owner's Name: I C
A. P. Number:
Address:
6 worthrel10
Legal Description:
City. ST, Zip Cj � 3
Contractoc C M& S
'Telephone:
Address: 1 Aw, O
Project Description:
City, ST, Zip: rA, ` U a? C -,)I
Truss Cales.
Telephone:
' ';, 5 /s
Called Contact Person
State Lie. # City Lie. #;
Arch., Engr., Designer:
Titie 2/ Calcs,
Address:
City, ST, Zip:
Construction
Telephone:
• ' ;zas�- -- ,� .;arc
..::"
Construction Type: Occupancy:
State Lie. #: j U
3 3
"� .r..3..{,`^;�•. �\
- ,. • : ,-. .. '
Project type (circle one): New Add' n Alter Repair Demo
Name of Contact Person:6
4 11
Sq. FL:
# Stories:
#Units
Telephone #,of Contact Person: C) ^ '-j 1
Estimated value of Project:
APPLICAUTt 00 NAT WRiTE REI AW TNIS 1 INF
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Titie 2/ Calcs,
Plans piekcd up
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
2- Review, ready for correctio ssue
Electrical
Subcontactor List
Calf Contact Person �f
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''a Review, ready for correctlons/issuc
Developer Impact Fee
=t?isnning Approval,
Called Contatt-Yerson
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
ami-azvn
+xzzaoro
N N
N N N
O
m
■ M
D
r=iaD�DD_H~i
D<rDe �7�ZZ. A
22-29
O
w -r
aC�i
F';p
t
DA.y L1,
Iil 61
Iil IJ Li
rtl"ic�
m
,C•,py
f7.01�•'-iZ
;1=3-A20"
n n
D D
00 n
DD D
Z9
HZn
----
tee""�^So
r r
r r r
m
rno
0 0
0 0 0
~mr
c
9rl...z1'1,.,
ONI',A 1.1
Z �.,-1 x/•Z'IDD�-+
Lys===�1z
Z Z
Z Z Z
C
P
m
8
D D
DDD
N
r
r m Co
z
' r
0
D
'
SSbbp--
oo�ocn�Dn
�
L] -}
m D
mcxina'ytz
{ A
m D
Z Z Z
pzi
>�
rmiace+?s
r
D ncty
D n
,+^,D
Am
Qcot ! C,,��
O n0
n
r 0
a r
Fig
"'M'
0
0°
j1••••�� ...+.�
V
� jp� \
� .O N�
m
Z m
m
m 0
pz
C
f,
{{yy CID
1r•INI.I D.C., Z
n
{..
m
ND
C7xD2 Z
r
Ky.
D<6ga n
rrnI - M � Z
D
Z `
O
r
G p n
onlr-.�$D
`
D
i'
0
C.
=
m
If
a+
_t 707:m
z
toMM
gPo
'p OOICCD�Z
t4'`
O
MN
D
•jy y��Zr
mzr
pp= CC
•_
Y
G1
m
y
N
Amn A
A
LL
�'-
41,
Y
,. �_,.�-+y by .+�.., i ..- •. ..
O
c .
O
O
O
O
O
O
O
O
c
O
O
O
O
O
O
O
O
O
O
yr +r •
l ♦ •
S�.
0
' , i*! 1, Y �_ Y. .. `. `
x
----
(R
�{` f _ � ♦.. �
�. �
'44
1 - n C ,.- N � �. r,.;_ 7. '�.. � • �i-air
. �
• •
tam jr PXP
ZY 7%E - Oas /'.• ,. r .+ �" yyyg
,• � ' �yy�C•��y •���0+�t� •.• �•!•�C is .. OO •- • •J.,. FF" •,Pp
M•'0 �y. tz
oO�S OP4 N01
Q f�C�•pj^Uj O" C, [9 f��+�j t•
Igip-.1.8 1 t� o.03o �..;2 �KOq RNs
on
H is
� K
O
O
rA
,a
.
M C1
O
A Y
O O
O
O
yr +r •
l ♦ •
S�.
0
' , i*! 1, Y �_ Y. .. `. `
x
----
(R
�{` f _ � ♦.. �
ZY 7%E - Oas /'.• ,. r .+ �" yyyg
,• � ' �yy�C•��y •���0+�t� •.• �•!•�C is .. OO •- • •J.,. FF" •,Pp
M•'0 �y. tz
oO�S OP4 N01
Q f�C�•pj^Uj O" C, [9 f��+�j t•
Igip-.1.8 1 t� o.03o �..;2 �KOq RNs
on
H is
� K
O
O
O
O
O
O
O
O O
O
O
yr +r •
l ♦ •
S�.
' , i*! 1, Y �_ Y. .. `. `
----
Y '>RsF� 7i
�{` f _ � ♦.. �
�. �
'44
1 - n C ,.- N � �. r,.;_ 7. '�.. � • �i-air
. �
• •
tam jr PXP
71
�
i
1`1!1
�
- � ,
j1••••�� ...+.�
V
� jp� \
� .O N�
1
V,
�i
5!'
y
�i • r.��
I
r '
If
h��1"+
Gni
+
t4'`
',
n _ r•
I
LL
,. �_,.�-+y by .+�.., i ..- •. ..
..
xj...
K # -
{..
` "
A
t
^k,
amylµ
- .
'� � •
, '� '� .'I �
' ��'
. - ,,
�
+
}
_
r*
P OL EQUIP •
ZY 7%E - Oas /'.• ,. r .+ �" yyyg
,• � ' �yy�C•��y •���0+�t� •.• �•!•�C is .. OO •- • •J.,. FF" •,Pp
M•'0 �y. tz
oO�S OP4 N01
Q f�C�•pj^Uj O" C, [9 f��+�j t•
Igip-.1.8 1 t� o.03o �..;2 �KOq RNs
on
H is
� K
O
O
O
O
O
O
O
O O
O
O
NO '
za.
cn
12 813
COQ coi'. '���r " 8� t�
0< � -
Z �.m z NCO 'v��a �'. ;1.. r ;' r ;�
to
e HESE PLANS, DRAWINGS ' AND SPECIFICATIONS ARE NOT TO BE 1„ _
REPRODUCED, `', CHANGED' OR COPIED IN ANY FORM OR � MANNER SCALE 8 —1
what's6elou WHATSOVER WITHOUT -THE. EXPRESSED WRITTEN. CONSENT OF CLASSIC 6
C111betoreyouai DOLS/SPAS
tv
y
SA
oo POOL PLANT NCHEZ RESIDENCE
CaSSZC Pools/spas
44-425 MONTICELLO AVE. OScce 760 345-8302 Lic C10 C53' 634338
' y LA QUINTA, CA 92253' }