BPOL2014-1109i
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BPOL2014-1109
Property Address:
51565 AVENIDA RUBIO
APN:
773121010
Application Description:
POOL/SPA
Property Zoning:
Application Valuation:
$24,500.00
Applicant:
AZURE POOLS & SPAS INC
P 0 BOX 10641
PALM DESERT, CA 92255
4Sep Ruilkrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
�uLNOV 14 2014 Ll
CoMMUNI CIT OF LA QUINTA
EVELOPMENTOEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C53 icense No.: 802919
ate: `� tractor:
OWNER -BUILDER DECLA ATION
thereby 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 fX
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.).
(_J 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 Address:
VOICE (760) 777-7125
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/10/2014
Owner:
GREG HERRELL
51-565 AVENIDA RUBIO
LA QUINTA, CA 92253
Contractor:
AZURE POOLS & SPAS INC
P 0 BOX 10641
PALM DESERT, CA 92255
(760)322-7665
Llc. No.: 802919
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: _
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 Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
bate: pplicant:
WARNING: FAILURE TO SECURE WORKERS' COM NSATION COVERAGE 15 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.
'nature (Applicant or Agent):
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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $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::0•0•
Description: POOL/SPA
AZURE POOLS & SPAS. INC
Type: POOL Subtype:
Status: APPROVED
Applied: 11/10/2014 KHE
Approved:
Parcel No: 773121010 Site Address: 51565 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 23
Lot: 1
Issued:
UNIT 2
51-565 AVENIDA RUBIO
LA QUINTA
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $24,500.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: POOL/SPA. (TODD LACHER ENGINEERING). ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2013 CBC
CONTRACTOR
AZURE POOLS & SPAS. INC
P O BOX 10641
PALM DESERT
CA
92255
OWNER
,
GREG HERRELL
51-565 AVENIDA RUBIO
LA QUINTA
CA
92253
Printed: Monday, November 10, 2014 3:12:32 PM 1 of 2
= i5Y5 TEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
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
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL**
Printed: Monday, November 10, 2014 3:12:32 PM 2 of 2 e7PsrsrEMs
E,
LIC# C -S3, 802919
POOL SPECS -
-POOL SIZE: 16'6",X 36''•
POOL AREA: 460 SF
POOL PER: 112 FT.. -
POOL- DEPTH.
SPA SPECS
SPA SIZE:7.
'SPA.AREA: 49 SF.
SPA PER:'28 FT: "
EQUIPMENT,
PUMP: -
FILTER:
HEATER: `
POOL LIGHT:
SPA LIGHT: _
FINISHES
.DECK AREA: 916 SF.
HERRELL.
_rAVLzNTlDA RUBIO
LA QUINTTA; CA 92253
•
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AZURE POOLS & SPAS_ INC.
PO BOX 10641:r
PALM DESERT. CA 92255
760.322.7665 - • • '
EMAIL: OOLSANDSPAS.COM
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SPA i+12"
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