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BPOL2016-013478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT V VOICE (760) 777=7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/16/2016 Application Number: BPOL2016-0134 Owner: Property Address: 51780 AVENIDA RUBIO MIGUEL ACEVES APN: 773162002 Application Description: MIGUEL ACEVES; NEW POOL CONSTRUCTION 92253 Property Zoning: Application Valuation: $18,000.00 �1 Applicant: Contractor. t �` MUIGELACEVES OWNER BUILDER 51780 AVENIDA RUBIO ,"7 I . fir^ "V,, :, _ •- _ _ __ Llc. No.: ----------------------------------- ---------------------- -------------------------------------- - 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: License No.: Date: 1' G , /iS Contractor: 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 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.). 9� 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 < 01 wner CONSTRUCTIO ENDING 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: 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 oft a 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:_ Polity 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. r� Date:' J v% Applicar�iy� Y' 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 Offiacial 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. 6A 1:0 0-----7 `yi Application Number: BPOL2016-0134 Owner: Property Address: 51780 AVENIDA RUBIO MIGUEL ACEVES APN: 773162002 Application Description: MIGUEL ACEVES; NEW POOL CONSTRUCTION 92253 Property Zoning: Application Valuation: $18,000.00 Applicant: Contractor: MUIGELACEVES OWNER BUILDER 51780 AVENIDA RUBIO LA QUINTA, CA 92253 LIc. No.: . LA U.00a1M, 1_ti fva: Date: 9/16/2016 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 101-0000-42404 0 $181.29 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 Total Paid for POOL/ SPA: $279.91 ' - t ' Bill # ire of �'b 'QC. nta ., Building 87; Safety Division Permit ;l :. 78-495 Calfe Tampico " ALa'Quinta, y CA 92253 - (760) 777-7012 U �t� j 1 Bur(ding. Permit Application and Tracking Sheet Project Address: AS OfNamc:• ��� S A. P. Number: - /'Mdress-77 Legal Description: Gity' ST–Zip: Contractor: ` o riractqj W N V, �.. -�. _ Tele hone. � P Address: (�� Pr'oje'ct Description: _ �� S (e �.._T I City, ST, Zip: h Telephone: P , State Lic. # : City Lic. r Arch., Engr., Designer: Address:. City, ST, Zip: Telephone: ne: s Con s traction Type: e: O ecu aneY a ic. ! • -Pro w Add'nAlter Repair.air• Demo. type (circleIe one): o. Name of Contact Person:. �---- M�'�.ro � �z Sq. Ft.: #Stories: #Units:, Telephone 4'6f Contact Person?�' 'L 'S(— 3 , +`Estimated Value of Project: --- - - APPLICANT: DO NOT WRITE BELOW.THIS LINE H Submittal Rcq'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item �it Structural Calcs. Reviewed; ready for corrections Plan Check Deposit y Truss Calcs..•" Called Contact Person ' Plan CheckBa nce, Title 24'Calcs. Plans picked up - -Construction . Flood plain plan Plans resubmitted Mechanical Grading plan , '2" Review, ready for corrcctic'ns/isslte'� ' Electrical Subcontactor List Called &niact Pcrson�� Plumbing Grant Deed Plans picked uple;� S.M.I. 14.O.A. Approval PI2ns, res�b<ttcd 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 I'crmit Fccs .. lf� af 4 4aUhrw P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT' PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been sub 'tted ' y urs name listing yourself as . the builder of the property improvements specified at We are providing you with an Owner -Builder Ac wledgment and Information erir Rion Form to—make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have. read, initialed your understanding of each provision, signed, and returned this form to us at our official address. indiated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signs you understand or verify this information. . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am -aware of the limits of my insurance coverage for injuries to workers on my property. �2. I understand building permits are not required to be signed by property owners unless they are responsible for the instruction and are not hiring a licensed Contractor to assume this responsibility. ' 3. I understand as an"Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. G77;�-4. I understand,Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 4V.-!%zZ>5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal gldvemrnent, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial risk. 62�.7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or.all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property forwhich this permit is issued, I may be held liable for any uncial or personal injuries 'sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. ,,;�9. I understand I may obtain more information regarding my, obligations as an "employer" from the Internal Revenue Service, the United States Small -Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. L�I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the ilgally: an � financially n potsiW for proposed r-11 t\^ construction_ activity^ at ^ to following address: . I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all aapplicable laws and.requirements that govern Owner -Builders as.well as employers. Q b2. l agree to notify the issuer of this 'form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may -unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a•permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to' the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner Date: Note: The following Authorization Form is required to be' completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to,act as my agent(s) to apply for, sign; and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction. Project (or Description of Work): Project Location or Address: V 19P u Ny E RJU B 1 b LA U NT Name of Authorized Agent: 4.0- V `UL9 i N d A_ . Tel No, Address of Authorized Agent: ! • . Ct t p 1 I declare under penalty of perjury that I am the property owner for the address listed above and I. personally filled out the above information and certify its accuracy. Note.: A copy of the.owner's driver's license, form notarization, or.other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature. Prop... 'Qwner's=Signa �D e: SAFETY FEATURES: w ALL ANTI -ENTRAPMENT COVER INSTALLATION MEETING CURRENT STANDARDS OF THE AMERICAN SOCIETY FOR TESTING AND MATERIALS OR THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS (ASME) ELECTRICAL: EQUIPOTENTIAL BONDING REQUIREMENTS SHALL BE INSTALLED TO ELIMINATE VOLTAGE GRADIENTS IN THE POOL AREA AS PER CEC ART, 680.26. 201 3 CALIFORNIA BUILDING CODE(BASED ON2006IBC) 201 3 CALIFORNIA MECHANICAL CODE (BASED ON 2006 UMC) 20 1 3 CALIFORNIA PLUMBING CODE ( BASED ON 2009 UPC )TITLE24,PARTS 20 1 3 CALIFORNIA ELECTRICAL CODE (BASED ON 2006 NEC) 201 3 CALIFORNIA ENERGY EFFICIENCY STANDARDS GOVERNMENT CODE SECTION 4216.2, (a) (1) EXCEPT IN AN EMERGENCY, ANY PERSON PLANNING TO CONDUCT ANY EXCAVATION SHALL CONTACT THE APPROPRIATE REGIONAL NOTIFICATION CENTER, AT LEAST TWO WORKING DAYS, BUT NOT MORE THAN 14 CALENDAR DAYS, PRIOR COMMENCING THAT EXCAVATION, IF THE EXCAVATION WILL BE CONDUCTED IN AND AREA THAT IS KNOWN, OR REASONABLY SHOULD BE KNOWN, TOCONTAIN SUBSURFACE INSTALLATIONS OTHER THAN THE UNDERGROUND FACILITIES OWNED OR OPERATED BY THE EXCAVATOR AND IF PRACTICAL, THE EXCAVATOR SHALL DELINEATE WHIT WHITE PAINT OR OTHER SUITABLE MARKING THE ARE TO BE EXCAVATED 6'X6' RAISED SPA AT +18" WITH A TILE SPILLWAY CONSTRUCTION S October 1 st - April 30 Mo.Iday -.Friday: 7:00 a.m. to 5:30 p.m. caaL'rd��Y: 8:00 a.m. to 5:00 Sir, rswy: Peto" P.M. G'0Ve --!-, _r f Cage Holid Y : None t 7:00 p.m. 5 p r;`tte P.M. i� nrre EXISTING RESIDENCE 400,000 BTU HEATER 5' HIGH BLOCK WALL SPA TO BE EQUIPPED WITH ANTI—ENTRAPMENT DEVICE (SEC. 1404 FEDERAL SWIMMING POOL AND SPA DRAIN COVER STANDAR)12 DOUBLE GATE NOTE: ALL POOL HEATER INSTALLATIONS REQUIRE A CF-6R—MECH-03 FORM TO BE COMPLETED AND SIGNED BY THE INSTALLER OF RECORD AND SUBMITTED TO THE BUILDING INSPECTOR PRIOR TO INSPECTION APPROVAL — — — — PL TANNING SH AT -12"WD CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTR TION ,TE T1161 f f - Corruction is NOT on t I ° following Cod Pl v Year's Day } . Martin Luther esldent's Day P ,rrorial Day I lependence Da: oor Day , :eran's Day f qinksgiving Day stmas Day 30 AMP SERVICE PANEL 1" UL CONDUIT +r:a- 10 AWG WERE. - -- - _ NOTE: JET PUMP 1-1/2 HP. B ITE DURING 2" PLUMBING. S OF CONSTRUC 2" GAS LINE P.E.P. THE EQUIPOTENTIAL BONDING GRID SHALL EXTEND UNDER PAVED AND UNPAVED SURFACES FOR 3 FEET HORIZONTALLY BEYOND THE INSIDE WALLS OF THE POOL." x 1 2 HP FLOW RATE 140 GPM. 7_g 1-1/2" FLOW RATE 125 GMP MOT CIRC PUMP 2HP LOW & HIGH.LECT PANEL SE OF THE OWNI NO OVERHEAD UTILITIES LINES d EXIST. AS METER c> PENTAIR EQUIPMENT MEETS CTION FEE OF ALL REGULATIONS CODES I WILL BE CHA 6 2 LIN FT1" I GAS LINE REP B CARL ARE NI INFO THE SITE 6' --MCI LA QUINTA, CA 92253 ELECTRICAL LOAD CLAC.5'-3"I �0 '9-14-2016 9.6 - 8.8 1-1/2 HP 22 AMPS MAX LOAD- VARIABLE SPEED PUMP 1/8" = 1' 1.2 - 2.0 LIGHT 3'WD NOTE: 1. "ALL EQUIPMENT WILL SHALL BE SEISMICALLY ANCHORED 2. MANSORY EQUIPMENT WALL SHALL BE BUILT PER CITY STANDAR SPECIFICATIONS 23' 3. ALL GFI OUTLETS WILL BE WEATHER AND TAMPER PROOF _ 4. ALL OUTLETS SUPPLIED BY SINGLE-PHASE, 15A AND 20A, 125V OR 240V BRANCH CIRCUITS FOR SWIMMING POOL PUMP MOTORS ARE REQUIRED TO HAVE GFCI PROTECTION 5. PROVIDE 36" WORKING CLEARANCE FOR THE POOL EQUIPMENT 5'--6"WD MOTORS ARE REQUIRED NEW BLOCK WALL AT +4' HIGH I 12' POOL SAFETY BARRIER: POOL EQUIP EXIT ALARMS g' SELF—CLOSING SELF—LATCHING DOORS' _ 400,000 BTU HEATER 5' HIGH BLOCK WALL SPA TO BE EQUIPPED WITH ANTI—ENTRAPMENT DEVICE (SEC. 1404 FEDERAL SWIMMING POOL AND SPA DRAIN COVER STANDAR)12 DOUBLE GATE NOTE: ALL POOL HEATER INSTALLATIONS REQUIRE A CF-6R—MECH-03 FORM TO BE COMPLETED AND SIGNED BY THE INSTALLER OF RECORD AND SUBMITTED TO THE BUILDING INSPECTOR PRIOR TO INSPECTION APPROVAL — — — — PL TANNING SH AT -12"WD CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTR TION ,TE T1161 f f - Corruction is NOT on t I ° following Cod Pl v Year's Day } . Martin Luther esldent's Day P ,rrorial Day I lependence Da: oor Day , :eran's Day f qinksgiving Day stmas Day T DRIVEWAY, IRON FENCE AVENIDA RUBIO 30 AMP SERVICE PANEL 1" UL CONDUIT DEQUATELY SIZE 10 AWG WERE. - -- - _ IS RE JET PUMP 1-1/2 HP. B ITE DURING 2" PLUMBING. S OF CONSTRUC 2" GAS LINE P.E.P. "0T NO OUTDOOR LIGHTING EXIST. FAILURE TO DO 2 HP FLOW RATE 140 GPM. 7_g 1-1/2" FLOW RATE 125 GMP MOT CIRC PUMP 2HP LOW & HIGH.LECT PANEL SE OF THE OWNI NO OVERHEAD UTILITIES LINES d EXIST. AS METER c> PENTAIR EQUIPMENT MEETS CTION FEE OF ALL REGULATIONS CODES I WILL BE CHA 6 2 LIN FT1" I GAS LINE REP B CARL ARE NI INFO T DRIVEWAY, IRON FENCE AVENIDA RUBIO NO General Notes 4 '7 DEQUATELY SIZE DEBRIS CONTAII IS RE 1UIRED ON THE J: B ITE DURING PHAS S OF CONSTRUC AND MUST "0T D AS NECESSARI. FAILURE TO DO i`t"AY C;USE THE CITY TO AVE THE CONTAIP MOT LED AT THE EXPEA SE OF THE OWNI CONTRACTOR.' d c> A RE-INSP CTION FEE OF WILL BE CHA GED IF THE APPf PLANS AND 1 B CARL ARE NI INFO THE SITE OR A SCHEC NO General Notes 4 WITTED lidays: gJr. Day z w Lo Q� O N Uj a ax"M Lo LU r' w oz MW cn= r d c> No. Revision/Issue Date RESIDENCE INFO ACEVES RESIDENCE 51-780 AVENIDA RUBIO LA QUINTA, CA 92253 �0 '9-14-2016 POOL PLAN 1/8" = 1'