BPOL2015-011678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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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. I
License Class: C5�33 �1Liceensse No.: 987978
Date' -'6 1 —2QI f Contractor:
OWNER -BUIL 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.).
() 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:
r
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/8/2015
Owner:
GEANOULOS
51575 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor:
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA COURT #1
INDIO, CA 92201 1.
.(760)397-7699
Llc. No.: 987978
L
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: 6- 07?yApplicant:
WARNING: FAILURE TO SECURE WORKERS/ ATION 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 actor 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: o'a 7-20ft— Signature (Applicant or Agent)
Application Number:
BPOL2015-0116
Property Address:
51575 AVENIDA NAVARRO
APN:
773144028
Application Description:
GEANOPULOS / POOL AND SPA
Property Zoning:
Application Valuation:
$25,000.00
Applicant:
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA COURT #1
INDIO, CA 92201
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. I
License Class: C5�33 �1Liceensse No.: 987978
Date' -'6 1 —2QI f Contractor:
OWNER -BUIL 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.).
() 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:
r
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/8/2015
Owner:
GEANOULOS
51575 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor:
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA COURT #1
INDIO, CA 92201 1.
.(760)397-7699
Llc. No.: 987978
L
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: 6- 07?yApplicant:
WARNING: FAILURE TO SECURE WORKERS/ ATION 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 actor 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: o'a 7-20ft— Signature (Applicant or Agent)
FINANCIAL INF61RIVIATION
":DESCRIP,TION 4 g =• s °' ACCOUNT a"'
QTY AMOUNT.;3
PAID PAID DATE
.i
¢: , x_
4
s'; .
--
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00 6/8/15
:PAID, BY.
.`CHECK#i
x h,'CLTDBY`"
KANCUN POOLS AND SPAS INC
CHECK
R6844
5106 MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$1.00
DESCRIPTION y t
t ACCOUNT° ' �T
Q TY
t + _.'AMOUNT
°
T PAIDXDATE
�, ,° ?� ,
, jPAID
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
6/8/15
METHOD'.
" u+RECEIP,T #
k t CHECK #
CLTD BYE
}
KANCUN POOLS AND SPAS INC
CHECK
R6844
5106
MFA
t
,K: DESCRIPTIONF k
:ACCOUNT
'rQTY
AMOUNT
s "t
PAID + b
PAID
e
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$98.62
6/8/15
- ss
PAID by,w{.saMETHOD
4 :LLt _
F ��RECEIPTs4"
CHECK # A ".
BY
}�
ECLTD
KANCUN POOLS AND SPAS INC
CHECK
R6844
5106
MFA
Total Paid for POOL / SPA:
$279.91
$279.91
TOTALS::0$280.91
Description: GEANOPULOS / POOL AND SPA
Type: POOL Subtype: Status: ISSUED
Applied: 6/4/2015 SKH
Approved: 6/8/2015 JFU
Parcel No: 773144028 Site Address: 51575 AVENIDA NAVARROLA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: Lot: 4
Issued: 6/8/2015 MFA
NO 12
,Y '.'<-_...w . .Qa - .. •P ..,'.
CHRONOLOGY TYPE "; '
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $25,000.00 Occupancy Type: Construction Type:
Expired: 12/5/2015 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
^
Details: POOL AND SPA AT REAR YARD (DENISE POELTLER ENGINEERINGj THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
44
x V
Applied to Approved
Approved [o Issued
FINANCIAL • + •
Printed: Monday, June 08, 2015 9:20:04 AM 1 of 2
0TWsYSTEMS
CHRONOLOGY
,Y '.'<-_...w . .Qa - .. •P ..,'.
CHRONOLOGY TYPE "; '
- ..- -'v'.._ -_ -M,
, i'' ' STAFFNAME
;,
R
" .-ACTION DATE`'
COMPLETION DATES
NOTES'
^
NOTIFIED KANCUN POOLS (760-397-7699) THAT PLANS WERE
TELEPHONE CALL
JAKE FUSON
6/8/2015
6/8/2015
APPROVED AND PERMIT WAS READY TO ISSUE.
CONDITIONS
CONTACTS
' NAME TYPE u
_ .._-
NAME.-__
.
ADDRES51
CITY STATE
ZIP PHONE' ; " FAX} EMAIL t
,: {
APPLICANT
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA
INDIO
CA
92201
COURT #1
CONTRACTOR
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA,
INDIO
CA
92201
COURT #1
OWNER
GEANOULOS
51.575 AVENIDA
LA QUINTA
CA
92253 .
NAVARRO
F
FINANCIAL • + •
Printed: Monday, June 08, 2015 9:20:04 AM 1 of 2
0TWsYSTEMS
f::. .r `7, e•: _g ;:,
DESCRIPTION
X i' .�. v e :e
" .': 'ACCOUNT
+
=QTY
Fa+aivs a: +ad q'`
;:$AMOUNT
T�:: •" Y A t' .. ,'.
PAID f
- �'-
' PAID D'ATE�
7777=7 '^
RECEIPT::#
*=CHECK #-"
METHOD
PAID BY
CI.TD•
,• F�
,
m
4",-Y�'�'
d[.r {
4�,.6 Y
BSAS SB1473 FEE
101-0000-20306
0-
$1.00
$1.00
6/8/15
R6844
5106.
CHECK
KANCUN POOLS AND
MFA'
SPAS INC
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
6/8/15
R6844
5106.
CHECK
KANCUN POOLS AND
MFA
SPAS INC
SWIMMING POOL/SPA
KANCUN POOLS AND
101-0000-42600
0
$98.62
$98.62
6/8/15
R6844
5106
CHECK
MFA
PC
SPAS INC
Total Paid forPOOL / SPA:
$279.91
$279.91
TOTALS::0$280.91
INSPECTIONS
-SEQIDINSPECTION TYPE' . INSPECTOR
:'SCHEDULED; 'COMPLETED
RESULT �'
REMARKS
: '
NOTES, _
DATE
,DAT E;,r
`
FINAL" BLD
PARENT PROJECTS
BOND INFCIRMATION
ATTACHMENTS
Printed: Monday, June 08, 2015 9:20:04 AM 2 of 2 _
SYS7FAAS '
i
POOL EQUIP
3'
18'6"
P/L
P/L q I O POWER POLE
TELEPHONE BOX
11'
GEANOPULOS
RESIDENCE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAM6 Y41s py Qf
EXISTING CONCRETE
BOBCAT
ACCESS
KANCUN- PQOL-AND SPA CONSTRUCTION
POOLS TITLE
AND 51575 AVENIDA NAVARRO
SPAS INC LA QUINTA CA 92253
SIZE CAGE CODE DWG NO REV
--------------------A4
SCALE SHEET
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
r _
Project Address: 5 - 5AsKpige,
Mcua rD
Owner's Name: p Pl) S
A. P. Number:
Address: j Al 6L klwaytro
Legal Description: `Poo` aA
S .
c o(J axvtdvl
City, ST, Zip: 00 10'q co 02M
Contractor:
1
O)OaS
1 h
Telephone:
hone.
Address: _ �j� 1>t% 110
Project Description:L0,V 0o';<;.>; 1I
City, ST, Zip: I PDLO
CA
Sao, O Qh
Telephone:
.
6
6 Jq
State Lic. # :
City Lie. #.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction s ucti Type: e• ane
Y P Occu P Y:
tat Lic. •
State #
Project (circle ew Add'n Alter
Demo ne)•
Repair
Name of Contact Person:t
Sq. Ft.:3�jb
#Stories:
#Units:
Telephone # of Contact Person:
c+_
Estimated Value of Project: ono
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 ee ieea
(0 L
Plan Check Deposit
Truss Calcs.
Called Contact Person
61&
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmi tted
Mechanical
Grading plan
2p' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' 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