BPOL2016-0117I- -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2016-0117
Property Address:
80622 HERMITAGE
APN:
762210030
Application Description:
HARRIS/ POOL AND EQUPMENT
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
A & R POOLS INC
P 0 BOX 103
!A r'1.1!"aTa, CA 9224.7
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.: 3197
Contr or.
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 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).:
I ) 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.).
(_j 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
Lender's
VOICE (760) 777-7125
FAX' (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/15/2016
Owner:
MARSHALL HARRIS
80622 HERMITAGE
LA QUINTA, CA 92253
Contractor:
A & R POOLS INC
P 0 BOX 103
- , -LA QUINTA, CA 92247
(760)772-0752
Llc. No.: 993197
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 thpAork for which this permit is issued.
ave 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: WESCO INSURANCE COMPANY Policy Number: WWC3206752
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 W377Labor ode, I shall forthwith
comply with those provisions.
Date: V J �Applica
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 la relating to uildi 7
construction, and hereby authorize representative of this city me p e
above-mentioned property for inspection purpos s.
r
Date: Signature, (Applicant or
1
Date: 8/15/2016
Application Number: BPOL2016-0117
Owner:
Property Address: 80622 HERMITAGE
MARSHALL HARRIS
APN: 762210030
80622 HERMITAGE
Application Description: HARRIS / POOL AND EQUPMENT
LA QUINTA, CA 92253
. Property Zoning:
Application Valuation: $20,000.00.
Applicant:
Contractor:
A & R POOLS INC
A & R POOLS INC
PO BOX 103
PO BOX 103
LA QUINTA, CA 92247
LA QUINTA, CA 92247
(760)772-0752
Uc. No.: 993197
------------------------------------------------------------------------------------------------
Detail:` FOOL Ai`REAR YARD [JEFFREY A. COLLINS ENGINEERING] THIS PERMIT DOES NOT INeLIi6(:.,�QUIPMENT ENCLOSURE-. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE-PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
t
Y
1
i
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
10170000-42404
0
$181.29
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
Total Paid for POOL / SPA:
TOTALS:;0
$279.91
1
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#
Cj�Y Of - %Q ulntd
Building 8r Safety D,t 6n
P.O. Box 1504,78-495 Calle Tampico
La.Qu,nta, CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
't�DLVDNo, _ 1I r
K
Project Address: gQ ke )-,�,
Owner's Name:.
A. P. Number. �% 4o ;L — . 02 % O — . 0 3D
Address: �j'O 22 ham t"Cl,-t
Legal Description: (,pT LN aq6 Iqq o -n Tit. �Ico3-�
Contractor: A 4* P D c,
City, ST, Zip: (:A Gw CA - C� 22 S 3
telephone: - w "`
u
Project Description: �Do� 0 L lYV G
Address: (� ��
City, ST, Zip: Ll l (/W "�22�� _
�r ----
Telephone: - 10 -n-L-O'-f 5 Z r
State Lia # : �q �j �� City Lic. #, b 1 1
UO ll'l �{��-•
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:Construction
State Lic. #: s
Name of Contact Person: M l(,VlQ��2,
Type: _ d.� LW • Occupancy:
Project type (circle one) Add'n Alter Repair Demo
Sq. Ft.: 71
# Stories:
# Units:
Telephone # of Contact Person: C)
Estimated Value of Project: 02C)/ nZ) E)
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Pian Check Balance.
Title 24 Cates.
Plans picked up
Construction "
Flood plain plan
Plans resubmitted.' .
MechaNeal
Grading plan
2'! Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
ILO.A. Approval
Plans resubmitted
Grading
IN ROUSE.-
'"' Review; ready for correctionalissue
Developer Impact Fee
Funning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr "
Date of permit issue
School Fees
Total Permit Fees
Bin.
Notice of Architectural Review
August 4, 2016
Marshall & Betty Harris
80-622 Hermitage
La Quinta, CA 92253
Re: Architectural Application — 80622 Hermitage (Hermitage SBA)
Dear Mr. & Mrs. Harris:
The Architectural Review Committee .has reviewed your application for the pool and artificial turf
installation to the backyard of the residence. I am pleased to inform you that the Committee has approved
your application .as. submitted with the condition that the installation of the artificial turf meets the
specifications included with this letter.
The specifications outlined on the attached document have been approved by the Architectural Review
Committee after completing extensive research on artificial turf.
Enclosed. is an Exhibit C — the Compliance Review Request form. Please complete this form after the
work is completed and return it by mail or fax to the address below so the completed
inspected. project can be
If you have any questions, please .contact KariMartin at 760-895-6345 or by email at
Kari.Mart' ana ementtrust.com.
Sincerely,
For the Architectural Committee
PGA WEST Fairways Association
Cassie Gertz, IG Tal Manager
The Management Trust esert Division
Enclosure: Exhibit C — Compliance Review Request
cc: Lot File
Architectural Committee
The Management Trust — Desert Division
39755 Berkey Drive, Suite A, Palm Desert, CA 92211
Phone: (760) 776-5100 Fax: (760) 776-5111
www.pgawestfaiiway§corri
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I4W POOL 60' �O
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3 LED POOL LIGHTS
' 1z' POOL GOPMGj
60 rSKnF
IUc4if NEW CONCRETE PAVERS WILL MATCH EXISTING PAVERS
�WEW 3' DRAINAGE SYSTEM LL ATTACH TO EASTING i
8'O-
EXISTING
® CONCRETE
PAVERS
-� DOOR
� ALARM
HARi5 RE51DENCE
80622 HElITAGE
a
LA QUINTA, CA 92253
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BUIL G & SAFE DEPT.
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AUG 14 2016
CITY OF LA ®UINTA
COMMUNITY DEVELOPMENT
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