BPOL2016-001778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4&f 4 4� QuINro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
11111111111111111111
59
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/23/2016
Application Number:
BPOL2016-0017
Owner:
Property Address:
80205 VIA CAPRI
ALAN & MARY TWEED
APN:
777100058
550 S. OLEANDER RD
Application Description:
TWEED/ POOL, SPA, AND FIRE PIT
PALM SPRINGS, CA 92264
Property Zoning:
Application Valuation:
$36,459.00
(�
Applicant:
DESERT MIRAGE POOLS &
!- .
SPAS F.
Contractor:
Frr_ 3
201
84267 MIRAMAR COURT
DESERT MIRAG Pq OLS & SPA;
84267 MIRAM R C'oORCfTYOFLAOCI'VTA
COACHELLA, CA 92236
COACHELLA, C i92 6J!Tvnaronn.,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under pr isio s Chapter
9 (commencing with Section 7000) of Division 3 of the Business a Pro s ' ns Code,
and my License is in full force and effect.
License Class: C53 License No.: 999928
Date: Z- % 9 'lb Contractor:
OWNER -BUILDER DEN
1 hereby affirm under penalty of perjury that I a exe t from the Contractor's State
License Law for the following reason (Sec. 703 5, Bu ness and Professions Code: Any
city or county that requires a permit to constru t, a er, improve, demolish, or repair
any structure, prior to its issuance, also requires a 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
(760)702-9222
Llc. No.: 999928
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 wor or 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 w ich th' p mit is issued, I
shall not employ any person in any manner so as to becom ubje to a workers'
compensation laws of California, and agree that, if I should ecoa su ject to the
workers' compensation provisions of Section 3700 of the bor de, shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO PENS ION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PE ALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). II/ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FTIYECTION 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. In
I certify that I have read this application and state that the above inforr
I agree to comply with all city and county ordinances and state laws re
construction, and hereby authorize representatives of this city to enter
above-mentioned property for inspection purposes.
Date: ignature (Applicant or Agent):
FINANCIAL • 1
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00
PAID BY METHOD RECEIPT # CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $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: TWEED / POOL, SPA, AND FIRE PIT
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 2/23/2016 SKH
Approved:
Parcel No: 777100058 Site Address: 80205 VIA CAPRI LA QUINTA,CA 92253
Subdivision: TR 29894-2 Block: Lot: 25
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $36,459.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, AND FIRE PIT. THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ OR WALLS. EQUIPMENT SHALL BE INSTALLED IN
ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING CODE.
Printed: Tuesday, February 23, 2016 5:11:43 PM 1 of 2 COW
SYSTEMS
I er mit Details RERIVIIT NUMBER
City of La Quinta BPOL2016-00.17
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A ACHMENTS
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-
CLTD
DESCRIPTION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2.00 $0.00
BSA:
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
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D TWEED RESIDENCE M�jFWURELOT 24/25 VIA CAPRI wc
Z r CONSTRUCTION LA QUINTA, CALIFORNIA 92253 Landscape Design Services
L L IIIIIIIIIIII I I HIDEAWAY P.O.BoxPLAN
In QUlP.O C ox 57M 97248
ana0: CuatawQGMFutureDealgna.cpn
7EL• 760-3157473 www.GMFu tureDesigns.com TEL 7603157473
THESE PLANS. DRAWINGS AND SPECIFICATIONS ARE NOT TO RE REPRODUCED. CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT THE E%PRESSED WRITTEN CONSENT OF GH Future D-Igne
f
Qin #
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
YDLUIv
Project Address:(�
U
01 (:';A fo.
Owners Name:
A. P. Number:
Address: 80 — Q tc�' r e
Legal Description:
City, ST, Zip:
Contractor: r.
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a e
e lehone:
TP ............................................
Address: 84_ Z
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Project Description: 5
City, ST, Zip:
`
p, qeZ36.
J
Telephone:
ele h
Po . 0
7 2
State Lie. # :
2
City Lie. #.-
:Arch.,
Arch.,Engr., Designer:
Address:
City, ST, Zip:
Telephone:
o tructtn Type: Occupancy:cY
Pr J ' t nPeci(circle one): : New Add'n Alter RepairairDemo
State Lac. #:
...............:...:..:::.::::::.........:::::::::::::
Name of Contact Person:
Jer. r� i
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7 Q — Z ZZ-
c�
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Revicw, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
II.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
02 -5469