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BPOL2016-004778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPOL2016-0047 81382 AMUNDSON AVE 767690015 T -STAR III / POOL, (2) SPAS, AND (3) WATER FEATURES $82,000.00 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: D35. C53 License No.: 644723 Da Contrado�B�G+I 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 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).: (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the wo}k, 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. (See. 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 Owner: DAVID DELLAPENTA VOICE (760) 777-7125 FAX(760)77 7-7011 INSPECTIONS (760) 777-7153 Contractor: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 (760)27S-7626 Llc. No.: 644723 Date: 5/4/2016 7 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: 1 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. Dat t Applicant: 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date/2NLk AQZ4 Signature (Applicant or Agent): t S,"�Y✓Y$f-£T, x. iY-.. .£ �Tz!^Li'C'A) �" §^ S,:-k(F ..,.. ,<F�{,fib,` .•7#.'"s'Y DESCRIPTION ACCOUNTF ;, ;Q R, f ry�Tk , Q� 3 AMOUNT�� RAIDy PAID DATE,�ap BSA. SB1473 FEE` 101-0000-20306 0 - $4.00 $0.00 k5Y 5] -f':• PAID _ BY CLTD BYEt'� --, Total. Paid for:B� STAN DARDS ADM IN ISTRATION BSA:. - -, $4.00' $0.00. BUILDING j{.• DESCRIPTION S1 on. 61YT ''t L."t' ACCOUNTS F - '� •f it . aT,:F14v _:3� k 5 :•: s< .. a Rim -AMOUNT P DN AI 4PAID DATE DETACHED SPA/OTHER 101-0000-42404 0 $181.29 $0.00 +� aPAIDBY� f r METHOD F S 'j .F <„3:t F{ ;;, RECEIPT #7 45` Y .587.::+,`4.`•1 CHECK Y•yy',Y 44, iv , :z. <:�� # �4 CLTD BY �� " �DESCRIPTIONx' t�� r FACCOUNT _ AMOUNT ° Eto sPA16 � A PAID?DAT,E . SWIMMING'POOL/SPA, 101-0000-42404 0 $181.29 $0.00 ,"��',(•�*� �'��,'L�4�bY{�d`�4 ,'...G 'y �C �,�` V�,�i'2tfR4 �_�}" i'�'..7s PAID �� PtY �:'S � �' '`�F. ,3°".?^ > ah,.. f t r� .C:�'...4 .::� -5i i..{ P ?h ]` # ".: ,a. ''" J k` x..%.6{cer'FF' ". t sz rBYz "l,E .f� zMET1OD na4SRECEIPyT ,CHECK #` ECLT,D BYE ,'S'S �§+�.,. k,� rt arz C.� N�.t" .,• �..+" � _ zutp�i d5r •�+ .5 � �1,�^£��' yf'k y...H A000UNT .y g .G O -` Y � - '.uta l! ?2., - ,' %�5,. k ie"- F sDESCRIPTIONKUK s 4TYiAMOUNTr:. 17 PAI.::" xPA1D DATE{ SWIMMING POOL/SPA—M—,:: 101-00001-42600 0 -$98.62 $0.00 k...? 4y 7 {a�k:v`,E,:`'�%"` Xi s f PAI D' BY ' &s a f° $' <_.{'` i a i a,. F g <:rs c -.ai. {, `w` - :z r+ >y _ `x ?METHOD:Xs<.s �aRECEIPT#? CHECK #� CLTD BYE r ts. ", -n'iC ➢^F i'fs°'il "^' F%:�''%+ffr Y. S' s¢.,. 'Y Y zDESCRII?TION<: F ` b',{,"A@CUIINl ��..._,f py% Tf i z`�':: .. f ; ,,�*R . %? k,.rx :, ..."w r"..�.:�,< g.s .., " .:4T<Ym ..AMOUNT3QPAIDs,.... PAIDSDATE WATER•FEATURE :. 101-0000-42404. ' 0 $362.58 $0:00 avz'r .� ..,,{,5; u''u F' 3PAID•BY{ �ra`"+ '� E"` ria Ez>.. -- { METHOD + "i *a:-SY,i„uau..::,fit 1 'fid,: rf RECEIPT# s ;zt'r y ".{�,.,'s�. ��-r'�y't{ 'Y" jv.E t4^'iYBft�£."• T e ',,`N DESCRIPTIONS f :c"' �,.yt .�. �, ACCOUNT ftz yc: xyd� ':K5, yti{• ?�, *v<FF 'IiD' .e '.XK.. "S _ Re5 `Ki°Y.-.. �:. <Yy,R_ %Y hQTY2AMOUNTxk ,A.Vt' PAIDf ,PAID DATE, WATER-FEATURE PC ' 101-0000-42600 0 $197.24 $0.00 y' „�,,.:'R",.y a%., yeC' ys ') r PAIDBYf E °,^< % .. eZ '• <� !# METHOD f "::,�` -.Ya &.acT .:, cRy..F,,< �! RECEIPT # k , {�,E•j.'��kk?..ek'SY.E`:38 CHECK # CLTD BY -... ri<k," >., iF t ,_, .....: v€'"'r., ,Mrt. -,v ...t�:€'+4 }^,Y ,,..-... .,, < ...'>tia,..c s i£ar,*=4itp »aa. 'Yi �E Total Paid for POOL/ SPA: $1,021:02 $0.00 e QO r F p1. LE N 0,9 P cw� R I ICV 1110, L=45.4 0' w w w w w W S S S S -9 Ry F V 02- 0- ir z F C) I @ ir )o 2k o ER - 9, -8, �F �, �-:. -2 T a, 7 m 1- A = 'y 2 a ;-- � 72 0 CH _F, a iF oz 9t FM3 Fg cz @ 3 T- SCALE 1' = 10' 6 : • �" ,�( I j j� I I i I I I i RAILING PER /ARCM. PS PR�p�TING ALOIG ED dDEEPENED C CRETE O�- tit r� ! I I 1 P/t I 1 '•;1 1� 1 � I I S I I i 1 Y4, `,I I rg I j > I I 1 �, s• I'. • j � I I I I 1 I � I I I I II I II I LOT )7 (VACANT) (APPROVED PAT 1003.0,) ..0.5x y _► —� . —► . 0 11Jr2y a p i Ir �V 1 (VACANT) (APPROVED PAD: 1002.0) I y,, EXISTIN 18' $TORDR N I 11 PER PLAN SEfi /0220 i J I I 11102201 J J CONSTRUCTION MOTES 1 I I 1 CONSTRUCT STAKE PAVER DRIVEWAY PER LANDSCAPE _PLANS ,XNN EXISTING Y J�J J�J II J I I CONCRETE BAND AT STREET tic 1 \ 02 INSTALL 24' DIA. ADS NYLOPLAST DRAIN BASYN (OR EQUAL) W7H I — — GRA 7E INLET, 2-8' INLET STUBS (< PER PLAN), AND 10' OUTLET. I I \ © INSTALL 4' PVC (SOR 35) DRAW PIPE. ® INSTALL 12'x12' NDS AREA DRAIN PER DETAIL ON SHT. 1 © GVSTALL 4' DIA. NDS ATRIUM DRAIN PER DETAIL ON SHT. 1 © INSTALL 6' DIA. NDS ATRIUM DRAIN PER DETAIL ON SPIT. 1 Q INSTALL 5'x5' NDS BRASS DECK DRALN PER DETAIL ON SHT 1 ® INSTALL 6' PVC (SDR 35) DRAIN PIPE. (2) INSTALL 8' PVC (SDR 35) DRAIN PIPE. 1® INSTALL 10' ADS N-12, SM007H-LINED PLASTIC PIPE. 1© INSTALL 12' DIA. RCP DRAIN PIPE. CONNECT TO EXISTING INSTALL LANDSCAPE HEADER PER LANDSCAPE PLANS i® CONSTRUCT LOOSE STONE DRIVEWAY WTH EDGE BAND PER ARCH. PLANS NOTE.- CONTRACTOR TO CONNECT ALL ROOF DRAINS AND POT DRAINS INTO UNDERGROUND SITE DRAINAGE SYS7£M. GRAPHIC SCALE 10 0 s 10 so a ( tx Feer ) I inch a 10 it h 1.80 Fs) It J5 o PA 1 RE -GRADE :co EX SWALE LAWf � •q f 997.88 ES / 1 / �EX. CONC. BAND` (PROTECT) a Y ;(987.70 FS 'I'll VE CAP AND CONNECT TO EXIS71NG PIPE INSTALL 22.5' BEND. (9922t INV) (100 -YR. HGL=9922.* PER PLAN SET 105220, SHT. 13) EXIS77NG 10' STORM DRAIN SNB -OUT PER PLAN SET 105220 (TO BE FIELD VERIFIED) Description: T -STAR III / POOL, (2) SPAS, AND (3) WATER FEATURES Type: POOL Subtype: Status: APPROVED Applied: 4/11/2016 SKH Approved: 4/12/2016 JFU Parcel No: 767690015 Site Address: 81382 AMUNDSON AVE LA QUINTA,CA 92253 Subdivision: TR 33676-2 Block: Lot: 23 Issued: Lot Sq -Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $82,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ACTION DATE Details: POOL AND SPA AT REAR YARD, GUEST SPA AT COURTYARD, FRONT ENTRY WATER FEATURE AND WATER FEATURE AT WEST SIDE YARD. [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. Printed: Wednesday, May 04, 2016 10:24:19 AM 1 of 2 srs rrnns ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE' ` "STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTIFIED SCOTT POOLS (760-275-7626) THAT PLANS WERE TELEPHONE CALL JAKE FUSON 4/12/2016 4/12/2016 APPROVED AND PERMIT WAS READ TO ISSUE. CONDITIONS. CONTACTS NAME TYPE' "' """"'NAME ..... ,,,,. .... . ADDRESSI _ CITY STATE ZIP PHONE FAX EMAIL APPLICANT SCOTT POOLS 74 532 GARY AVENUE PALM DESERT CA 92260 CONTRACTOR SCOTT POOLS 74 532 GARY AVENUE PALM DESERT CA 92260 OWNER DAVID DELLAPENTA 32 WISTERIA DR DOVER NH 0 Printed: Wednesday, May 04, 2016 10:24:19 AM 1 of 2 srs rrnns DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD' BY BSAS SB1473 FEE 101-0000-20306 0. $4.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $4.00 $0.00 BSA: DETACHED SPA/OTHER 101-0000-42404 0 $181.29 $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 WATER FEATURE 101-0000-42404 0 $362.58 $0.00 WATER FEATURE PC 101-0000-42600 0 $197.24 $0.00 Total Paid for POOL / SPA: $1,021.02 $0.00 TOTALS:•0 ATTACHMENTS Printed: Wednesday, May 04, 2016 10:24:19 AM 2 of 2 srsrrnns Bin # Permit # p�e ��''���'A ¢�. Project Address: l 3 City of La Quin to Building 8T Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Si Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Se S I O � Poo S c r ele one• Telephone: P Address: i 74/,5-3;Z /9v Project Description: l 0Food- City, ST, Zip: I 2 to 0 Telephone: .7 b D-� S- 7 a State Lie. 4: rj ij City Lie. #.: /0 %.0 Arch., Engr., Designer: RHAhkl. N Address: 7a— /BS City., ST, Zip: Pd I S V9AIf d-" t0 Telephone: aL Construction on TY Pe- Occupancy: : State• Lie. 4: Proect hPa (circle one New Add' n Alter Repair r De m 0 Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. 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 2°" 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 corrcctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees