BPOL2017-0044LICENSED CONTRACTOR'S CLARATION
I hereby affirm under penalty of perjury that I am i ensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 ol t e Business and Professions Code,
and my Li ense is in full force and.effect. n
LicenselCIbss: C53 License No.: 6589961_1
Date:- 11' I r \ X\ I Contractor
\ OWNER -BUILDER DEC"RATION
I herebyffi
arm under enalty of perjury that I am empt from the Contractor's State
License Law for the following reason (Sec. 7031.5, usiness 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
Lender's Address:
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 cf the Labor Code, for the performance
of the work for which this permit is issued.
f 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 - arrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9108132
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'
compensati n laws of C lifornia, and agree ff
should become subject to the
workers' c pensation rovisi ns of Sectiof the LaborCode, I shall forthwith
complyw't h se rovi '
�. 1 f
Date: A plicant:
WARNING: FAILURE TOS CURE WORKERS' COM? SATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA_ PENALTIES -AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000}. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR I q SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this applicacion 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 is!uance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and stat-_ that the above information is correct.
I agree to ply with all city and county ordinances and state laws relating to building
construe io , nd here authorize representati-es oftity t enter upon the
above- nt o ed r rty r inspection purpo:.es.
Date: Sig ture (Applicant of Age t .
4 QuIArcu
VOICE (760) 777-7125
78-495 CALLE•TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS Q6Oj 777-7153
BUILDING PERMIT
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Xn�424�17
z
Application Number: BPOL2017-0044
Owner:
a
Property Address: 81853 RUSTIC CANYON DR
PHIL BENOIT®
^ aQ
APN: 764550006
81853 RUSTIC CANYON
o �i; �-
w
Application Description: BENOIT / SPA AND EQUIPMENT WALL
LA QUINTA, CA 92233
N a
Property Zoning:
IRV �s Q -
Application Valuation: $9,000.00
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® CD w
C�
CL LLJ
Applicant:
Contractor:
Q
Q U n
FAMILY POOLS CONSTRUCTION
FAMILY POOLS COMSTRUCTIO
d
53-300 AVENIDA RAMIREZ
53-300 AVENIDA RAMIREZ
z
LA QUINTA, CA 92253
LA QUINTA, CA 92253
W
O
_
(760)564-3655
Lic. No.: 658996
LICENSED CONTRACTOR'S CLARATION
I hereby affirm under penalty of perjury that I am i ensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 ol t e Business and Professions Code,
and my Li ense is in full force and.effect. n
LicenselCIbss: C53 License No.: 6589961_1
Date:- 11' I r \ X\ I Contractor
\ OWNER -BUILDER DEC"RATION
I herebyffi
arm under enalty of perjury that I am empt from the Contractor's State
License Law for the following reason (Sec. 7031.5, usiness 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
Lender's Address:
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 cf the Labor Code, for the performance
of the work for which this permit is issued.
f 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 - arrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9108132
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'
compensati n laws of C lifornia, and agree ff
should become subject to the
workers' c pensation rovisi ns of Sectiof the LaborCode, I shall forthwith
complyw't h se rovi '
�. 1 f
Date: A plicant:
WARNING: FAILURE TOS CURE WORKERS' COM? SATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA_ PENALTIES -AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000}. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR I q SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this applicacion 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 is!uance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and stat-_ that the above information is correct.
I agree to ply with all city and county ordinances and state laws relating to building
construe io , nd here authorize representati-es oftity t enter upon the
above- nt o ed r rty r inspection purpo:.es.
Date: Sig ture (Applicant of Age t .
Date: 4/24/2017
Application Number: BPOL2017-0044
Owner:
Property Address: 81853 RUSTIC CANYON DR
PHIL BENOIT
APN: 764550006
81853 RUSTIC CANYON
Application Description: BENOIT / SPA AND EQUIPMENT WALL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,000.00
Applicant:
Contractor:
FAMILY POOLS CONSTRUCTION
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA RAMIREZ
53-300 AVENIDA RAMIREZ
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)564-3655
---------------------------------------------------------------------------------------------
Llc. No.: 658996
Detail: SPA AND 16 LF OF 6' HIGH EQUIPMENT WALL AT REAR YARD [JEFFREY COLLINS ENGINEERING] ALARMS AND BARRIERS REQUIRED TO BE INSTALLED
AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
r
,
PINANCIALa 0
DESCRIPTION
$413.36
ACCOUNT QTY
AMOUNT'
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT'
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL:
'$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
.0
$103.36
Total Paid for POOL / SPA:
$293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$S.00
,
i
TOTALS:
$413.36
i
r�
Bin #
�
City ®f La Quin
Building 8r Safety Dh4don
P.O. Box 1504, 78-495 Calle Tampico
LJ QIdnW, CA 92253 - (760) T77--7012
�aritdtng Permit Application and Trac(dng Sheet
Permit #
-ID- �—
Project Address:
G
Owner's Name:
A. P. Number.
Address: �+
Legal Description:
City, ST, Zip:41611—MI-olVAC
Contractor•o )
6N4Telephone:
ZAddress:
ProjectDescription:
"5M
City, ST, Zip:jf
Telephone:
r
���/,,Ce
-may``:.;t
VWL C('`
State Lic. # :
City Lic. #.:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
eP
State Lic. #:
Name of Contact Person:
f
4 f • Construction Type: Occupancy: -
{ f'° '� } ` ,. i : 4 Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: # Storms: #Units:
Telephone # of Contact Person:
_ , 75-EstimatedValue
of Projekt
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Reed
TRACKWG
Plan Check submitted
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Pian Check Balance
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°° Review, ready for eonwhouslissne
Electrical
Sabcontactor 11st
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S M.I.
H.O.A. Approval
Plans resubmitted
Grading
W HOUSE:-
'°' Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
AlF.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
A
IWI `
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
April 12, 2017
PHILLIP BENOIT / SYLVIA BENOIT
81853 Rustic Canyon Dr
La Quinta CA 92253 USA
RE: Design Review Modification Condition
81853 Rustic Canyon Dr /Customer ID #:
Dear Phillip Benoit / Sylvia Benoit
We are pleased to inform you that your pl
and an attached patio cover, received -on
with the following conditions: 7, 8, 13, 1.
-(see attached copy).
note:
4,
Trilogy
3:. t.1 �tk�ilSa
�
lly Approved
TRLAQ-0965-02
ns for installation of a spa, connect new drainage to existing drains
larch 29, 2017, have been approved by the Design Review Committee
19 and 20. Drainaqe to be operable following completion of project
clue to construction must 1
n
This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on
any property other than that of the applici nt. This approval is related solely to the items reserved for approval
by the CC&R's in accordance with the Desi gn Review Guidelines. The approval does not extend to the quality of
work done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading
and drainage design. You are urged to obt Min the services of a state licensed professional for consultation as
needed.
The Design Review Committee is compos
compliance with building codes, or other
you from obtaining any necessary buildin
compliance with these codes. Any violatic
for your patience in this matter and for ci
Sincerely,
For the Design Review Committee,
Mirna Aceves
Landscape/DRC Specialist
Enclosures
cc: Board of Directors
Design Review Committee
of volunteers. As.such, it does not review applications to ensure
:al or state laws. Please be advised that this approval does not relieve
permits from the governmental agencies involved to ensure
s of these ordinances will be your responsibility to correct. Thank you
iplying with the Association's policies and standards.
RECEliIED
APR 2 0.2017
Cts or LA QUINTA
COMMUNITY DEVELOPMENT
4r
Trilogy at La Q4inta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
April 7, 2017
PHILLIP BENOIT / SYLVIA BENOIT
81853 Rustic Canyon Dr
La Quinta CA 92253 USA
I
RE: design Review Modification Received
81853 Rustic Canyon Dr / Customer
ID. #:. TRLAQ-0965-02
Dear Phillip Benoit / Sylvia Benoit
This shall confirm receipt of an design Re
iew submission, received on March 29, 2017, for the above referenced
address for installation of a spa, connect new
drainage to existing drains and an attached patio cover. Please be
advised that the application and plans have
been forwarded to the Design Review Committee for review. The
governing documents for your Association
allow forty five days (45) for review; however; we hope to have a
response to you within 3-4 weeks.
The Design Review Committee is composed
of volunteers. As such, it does not review applications to ensure
compliance. with building codes, or other local
or state laws. You are encouraged to contact the governmental
agencies involved to ensure your plans co
nply with these codes. Thank you for your patience in this matter and
for complying with the Association's policies
and standards.
Sincerely,
For the Design Review C6mmittee,
Mirna Aceves
Landscape/DRC Specialist
cc: Board of Directors
%
'i I[NSTAI< LA'TION CERTIFICATE CIS-�B-P�ECH-03
Pool And Spa Heatin ystems(Page 1 of 2
d Enforcement Agency: Permit 14urnbei'
Pool and Spa Heating Systems requirements
�— §.114 ): Systems and Equipment.
1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
2. Has a readily accessible on-off switch mounted outside of the heater.
3. Weatherproof plate or card containing operating instructions for the pool or spa heater.
4. No electric resistance heating•except for listed package units that has fully insulated enclosures and tight fitting
covers that are insulated to at least R-6. Or if documentation is provided that at least 60 % of the annual heating
energy is from site solar energy or recovered energy.
5. Heating system has no pilot light.
§114(b): Installation.
1. System is installed with at least 36" of pipe between the. filter and heater, or dedicated suction and return lines,
or built-in or built-up connections for future solar heating,
2. A cover for outdoor pools. or spas that. have a heat pump or gas heater.
3. Pool system has directional inlets to adequately mix the pool water
4. Time switch which will allow the pump to beset or programmed to run during offer � only
§150W pump Sizing and flow rate specification
1. The pump specified is listed in the CEC database of certified pool`pumps.
2. The pump flow rate shall be calculated based on pool sizing table below.
3. The pump is capable of operating at 2 or more speeds (not applicable if pump is less than 1 horsepower)•
4. Each auxiliary pool load is served by either a separate pump, or the system is served by a multi -speed pump.
Fool shine (Values are based on a maximum allowable turnover rate of 6=1$oum
Max Pool
Volume
(gallons)inches
Min Pipe D or Greater
Min Filter
(squareFlow.
Max Pump
m
Return
Suction
Cartridge
13,000
1.5
1.5
100
36
17,000
1.5
2
130
hi
47
21,000
2
2
160
58
29,000
2
2.5
210
78
42,000
2.5
3
320
117
49,000
3
3
360
0
l33
Note: For pumps greater than I hp. 71re maxim= Pump Flow is the lowest speedc0efaUUJiltnertior+
❑ 5. Calculated volume of pool (gallons).
❑ 6.' Return Pipe Diameter. (inches).
❑ 7. Suction Pipe Diameter ® (inches).
O 8. Filter Type �( .4 d0@`i (Cartridge, Sand, DE).
❑ . 9. Filter Surface Area > (sf).
Q 10. Max Pump Flow (gpm).
APR 2 0.2017
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
2008 Residential Compliance Forms August 2009
EKSTALATION CERTIFICATE Cis -6R= Cts -03
L
Tool And S a Heatin S steers ' a e 2 of 2
r AAA-- / _ /7 n Enforcement Agency: PcrmiYNumber.
Sy em Piping
1.. 'Me suction side pipe is straight for at least 4 pipe diameters before entering the pump (See table below for the .
required. straight run lengths for various pipe iiies).
2. The design uses low pressure drop fittings (sweep90's)
Pipe Diameter
Required Pipe Length
inch leading into pump (inch
1.5
6
2
8
2.5
3
L7
+ ..
Floes Fgtripment
1. If a backwash valve is used: The diameter of.the,badcwash multi-pott valve. is 2 inches or as large as the
circulation pipe, whichever is greater
` a
DECL ARATON STAT M.ENT
f certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and cortect.
• 1 aeligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
m
representative of the person responsible for construction (responsible person).
• I certify that tate installed features, materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• t reviewed a copy of the Certificate of Compliame (CF -I K) form'approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met.
o t will ensure that a completed, signed. copy of this Installation Certificate %hall be posted; orettede available.with the building
permit(s) issued for the building, and made available to the enforcement aginey for all ap,plicable.inupectrons. l understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
2008 Residential Compliunce Forms August 2009
'
Golf Course
Existing Garden Wall
wl2' Iron, Bond to Spa
Existing Rock & 8'x 15' Spa
Landscape
33'6'. +18" Raised Beam
4' wd w/ 3-18"w Spills
r'-6 New 6'h Equipment
Existing Gold Quartzite all to Match Existing
Stone Fire Pit 3'6" wd
pa Equipment
Existing 6' Wall
Tie in to Existing 2"
Gas. Use a
dut.
Electrical Conduit.
i Existing 6' Wall
Existing Gold
Quartzite Stone BBQ
Existing Concrete Pavers
®'
Existing A/C
Existing Paver Walk
Mr. & Mrs. Benoit
81853 Rustic Canyon Dr.
CITYOF
&SAFEDEPT. of LA Q N Trilogy CC La Quinta
APPROVED
FOR CONSTRUC I (972)672=0486.
DATE -'A\
3/26/17
Famiffly Pools
Construction
Lic. 658996
Access
Driveway
APR -2 0 2017
CITY OF LA QUIWTA
COMMUNITY DEVELOPMENT
( 59FCOLtorl'0`'�•
.1011i 'CAMN
"Sri 6
Drive