BPOL2016-0067JL, ;
78-495 CALLE,TAMPICO r D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/16/2016
Application Number:
BPOL2016-0067
Owner:
Property Address:
80266 HERMITAGE
C D J CONLEY
n
APN:
762230025
3625 PERKINS LN SW S�O1
Application Description:
CONLEY / POOL SPA BBQ AND FIRE PIT
LAKEWOOD, WA 9225
Property Zoning:
Application Valuation:
$25,000.00
z
E�
n
C)
Applicant:
Contractor:
o
�.-• ,•//
VACATION POOLS INC
VACATION POOLS INC
P O BOX 10940
P O BOX 10940
z
ry
INDIO, CA 92202
INDIO, CA 92202
m $a
(760)775-046
Llc. No.: 856835rrl
�
----------------.-----------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1. am licensed under rovisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Busin and Professions Code,
and my License is in full force and effect.
License Class:: C53 /r License No.: 85683
Datel [ �b Contractor
OWNER -BUILD 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 they
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).:.
(1 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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
( '1 1, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors:. issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(_) I am exempt under Sec. , B.&P.C. for this reason 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.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ have and will maintain a certificate of consent to self -insure for workers'
compe on, as provided for by Section 3700 of the Labor Code, for the performance
Df th k for which this permit is issued.
i ve and will maintain workers' compensation insurance, as required by
Secti 3700 of the Labor Code, for the performance of the work for which this permit
is is ed. 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 oul ecome subject to the
workers' compensation provisions of Section 37 of th abor Code, I shall forthwith
comply with those provisions.
Date: —� Applicant:
WARNING: FAILURE TO SECURE WORK COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER T RIMINAL 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.
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. Q.
Lender's Na
Lender's Add
I certify that I have read this application and state that the above informs ion is correct.
I agree to, comply with all city and county ordinances and state law a g to building
construction, and hereby authorize representatives of this city t nter on the
above-mentioned property for inspection purposes. -
Date" Signature (Applicant or Agent)-
Lender's
gent
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY .` AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD •
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT It
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION'
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $36.26 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL / SPA: $279.91 $0.00
TOTALS:00
Description: CONLEY / POOL SPA BBQ AND FIRE PIT
Type: POOL Subtype: Status: APPROVED
Applied: 5/16/2016 SKH
Approved: 5/16/2016 SKH
Parcel No: 762230025 Site Address: 80266 HERMITAGE LA QUINTA,CA 92253
Subdivision: 28118• Block: Lot: 10
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $25,000.00 Occupancy Type: Consfruction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTACTS
......,
STATE
Details: POOL, SPA, FIRE PIT, AND BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
ADDITIONAL SITES
__j Applied to Approvedp
t, Wit~", m
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME .,, ..
."ADIMSSICITM
CONTACTS
......,
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
VACATION POOLS INC
P 0 BOX 10940
INDIO CA
92202
CONTRACTOR
VACATION POOLS INC
P 0 BOX 10940
INDIO CA
92202
OWNER
CID J CONLEY
3625 PERKINS LN SW
STE 101
LAKEWOOD WA
92253
Printed: Monday, May 16, 2016 5:12:14 PM 1 of 2 C
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CL TD
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00 .
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:00
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED
DATE
STATUS REMARKS " NOTES
1ST BLDG NS (1 JAKE FUSON 5/16/2016 5/17/2016 S/16/2016
APPROVED
DAY)
Printed: Monday, May 16, 2016 5:12:14 PM 2 of 2 cJ
srsTenns
Bin #
Qty ofLa a Quint
Building &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 2 / �} .I- .1p
Owner's Name:
A. P. Number:
Address: �d 6 6�� •4— -
Legal Description:
City, ST, Zip:
Contractor: — fM.
G mJv
C
/•
Telephone: O
Address: IC9 4 f%
Project Description: NO L S /nl(—
City, ST, Zip:` C
ele h one-
TP 6
State Lic. # :
City Lie. #.-
Arch.; Engr., Designer:
Address:
City., ST, Zip:
h
Telephone:
one:
<
Construction s on TY e• Occupancy:
P P 0 C
State to Lic. #
rJect t7.PPe (circle one): New Add'n Alter Repair Demo
Name of Contact Person: ,
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: �b0 d
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 corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2qd 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 correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I-P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
A A
PGA;
=;2-°635 M. �nie Nice, S} li-Ie 103
Ma 16 2016 Palin Deser'- .,A 92211
y 7e'4phone: (750) 346-116" Fa)(, (7£30) 3')6-9�J18
William & Diana Conley
Reference: 80-266 Hermitage, La Quinta, CA 92253
Architectural Change Request – Pool/Spa, Pavers, BBQ, Firepit
Dear William & Diana Conley:
The Architectural Committee met on May 12, 2016 and reviewed and approved your architectural
plans with the following conditions' being met.
• The contractor shall ensure the make-up water for the automatic water feed device be
tapped ahead of the main dwelling shutoff. Existing hose bibs cannot be used for this
purpose. All water for all improvements is to be homeowner unit water, not irrigation
water.
• A Covenant and Maintenance Agreement will be required, one will be sent to you for
proper execution as soon as it Is prepared by counsel.
• Your contractor must meet with Bob Pantanella, Director of Community Services prior to
any work commencing on this project, Mr. Pantanella's phone number is 760-564-1032.
• All other PGA WEST II Residential Association Architectural Rules & Regulations dated
5/20/2013 pertain to this project.
Review by the Committee is only for general conformance with the Architectural
gules it is the responsibility of the owner to fullv understand and conform to the
ArcNtect—ura-L&Ules c ' eria w ether of all d ciencie are noted during review. It
is also the owner's full responsibility to field verify all existing conditions The
Committee's decision with regard to protect design Evill be final Please refer to the
Architectural Rules for aff reguired submittals,
Please contact Luis Umana, Sunshine Landscape at 760/346-3999 and Joanne Rose, Association
Manager at 760/346-1161 ext. 147 prior to any irrigation modifications associated with this
change. Damage to the landscaping, i.e. shrubs, trees, flowers and turf is the responsibility of
the contractor. The original landscaping must be brought back to its original condition when the
project is completed.
Approvals given by the Architectural Committee are good for only six months from the date
on the approval letter. If construction has not commenced within six months after the project
approval date, a new application must be submitted.
Page II, Conley, May, 16, 2106
Architectural Approval Pool/Spa, Pavers, BBQ, Firepit
Upon completion of your project, please complete and return the Notice of Completion of
Architectural Change along with City of LaQuinta Permits signed off by the City as approved final.
For additional information or questions, the Board has directed that you contact Joanne Rose,
CCAM, Association Manager, at 760/346-1161 or direct at 760-610-7750, or Kevin Camarillo
Assistant at 760-346-1161 Ext. 165.
Sincerely,
PGA WEST II Residential Association
Joanne Rose, CCAM, CMCA Association Manager for
Architectural Committee
Cc: Peters & Freedman
EXISTING LAWN
TO REMAIN
NEW +18", 4'-0" X 7'-0" OVAL
FIRE PIT, 4"X12" PAVER CAP TO
MATCH POOL COPING, AND
STONE EXTERIOR VENEER
0
� -
�5
+6"
= +0"
O
23'-6"
+18", 33 LN. FT. SEAT WALL, WITH
(2) +24", 24" DIA. COLUMNS WITH
A 31" DIA. AUTOMATED FIRE BOWL
+6" +0• `
+18", 9'-0" X 7'-0" FREEFORM SPA,
4"X18" PAVER CAP, STONE EXTERIOR
VENEER, (8) JETS, (1) COLOR L.E.D.
LIGHT, AND A 8'-10"W STACKED STONE
SPILLWAY
11
NEW POOL
16-0" X 50'-0"
(5) COLOR L.E.D. LIGHTS
o
t
+18" R.B.B. WITH (8) 6"X6" COPPER
WATER SPOUTS
A
f
BENCH 20 LN. FT., WITH
(4) L.E.D. UP -LIGHTS
-5'-6"
EXISTING LAWN
TO REMAIN
+6", 23 LN. FT. R.B.B.
EXISTING LAWN
TO REMAIN
P P�
v
2'-6" X 8 -0 TANNING N BENCH 8 LN. FT.
SHELF 6' W D WITH (1) . �• _ orn
00 NEW PAVER DECKING- i
UMBRELLA SLEEVE m 4"X12" PAVER POOL.
. (2,030SQ ; fT.)COPI G (11S SQ. FT.) _
i
- e
PA
PA
J
ti EXISTING SHADE
STRUCTURE TO REMAIN
I NEW 3'-0`' X 6'-0" I.D. BBQ- { '
ISLAND, REUSE HARDWARE
AND GRILL FROM OLD BBQ "
j ISLAND, NEW FLEX LAMP
PA
GRANITE COUNTERTOP, AND
STONE EXTERIOR VENEER
I �
i
,y
�M�� CITY F LA QUINTA
f �(
��p M BUILDING & SAFETY DEPT.
y �Q I ( APPROVED
FOR CONSTRUCTION
J'90 RESIDENCE DATE [16 6 BY
a 0:lF_
Fly -
EXISTING FILTER AND EXISTING HEATER TO BE REUSED, 0! v
REUSE (1) EXISTING PUMP FOR WATER FEATURES, REUSE _
(1) EXISTING PUMP FOR UP TO (8) WATER FEATURES
�m *INSTALL (1) NEW V.S. PUMP FOR CIRCULATION
MINI EXCAVATION ACCESS
THIS SIDE
PA
VACATION POOLS, INC.
P.O. Box 10940
Indio, CA 92202
h. (760) 775-0468, Fox(760) 775-0469
License # C-53-856835
POOL SPECS.
SIZE 16'-0" X 50'-0"
AREA - 667 SQ. FT. PERIMETER - 125' LN.
DEPTH -3'-0" TO -5'-6"
CAPACITY 21,200 GALLONS
R.B.B. +18", 18'-0" LN.
R.B.B. +6", 23'-0" LN.
LIGHTS (5) COLOR L.E.D.
PAVER DECK 2,030 SQ. FT.
4" X 12" PAVER COPING/CAP 195 SQ. FT.
WATER SPOUTS (8) 6"X6"
SPA SPECS.
SPA SIZE +18", 9'-0" X 7'-0"
AREA - 46 SQ. FT. PERIMETER - 25' LN.
DEPTH -3'-6"
JETS - 8
CAPACITY 1,200 GALLONS
LIGHTS (1) COLOR L.E.D.
DUAL LEVEL SEATS YES
SPILLWAY SIZE
SPILLWAY TYPE STACKED STONE
GENERAL NOTES
1) LANDSCAPE ELEMENTS (TREES, SHRUBS, VINES
AND LAWN) AND PATIO FURNITURE SHOWN FOR
ILLUSTRATION ONLY. UNLESS BY SEPARATE BID.
2) NOTIFY DIG ALERT, A FREE PUBLIC SERVICE
PROVIDED BY UNDERGROUND SERVICE ALERT OF
SOUTHERN CALIFORNIA @ 811 PRIOR TO ANY
EXCAVATION.
3) CONCRETE TO DEMO (1900 SQ. FT.)
4) POOL TO DEMO 14'-0" X 39'-0", SPA 7'-0" DIA.
5) EQUIPMENT RUN TO THE CENTER OF THE SPA IS
80 LN. FT.
6) ALL PALM TREES SHOWN ARE EXISTING, AND
ARE TO REMAIN
CUSTOMER APPROVAL / SIGN & DATE
4
SCALE: 1/8" = 1'-0"
CONLEY, WILLIAM
760.771.1600
80266 HERMITAGE
LA QUINTA, CA 92253
DESIGN SPECIFICATIONS
PAGE
DATE: 3.18.2016
DRAFTER: ZWM
REVISION NO. 10
OF 2
REV. DATE: 4.27.2016