BPOL2016-009178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPOL2016-0091
Property Address:
52165 AVENIDA RAMIREZ
APN:
773221019
Application Description:
VIVEROS / POOL AND SPA
Property Zoning:
Application Valuation:
$16,875.00
Applicant:
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR COURT
COACHELLA, CA 92236
COMMUNITY DEVELOPMENT: DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
9 (commencing with Section 7000) of Division 3 of the Business
and my License is in full force and effect.
License Class: C53 License No.: 99999228
Date: 6 6 Contractoir
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/2016
I' 'Owner:
J I '; HENRY-VIVEROS
L� uN 24 2016 h(./ .52165 AVENIDA.RAMIREZ
L — LA QUINTA, CA 92253
COMMUNI>y' E 000P QUTAM.
MENTpEppgTMENT
Contractor:
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR COURT
COACHELLA, CA 92236
(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 th 5k, for which this permit is issued.
,
imI have and will maintain workers',compensation insurance, as required by
r
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:
OWNER -BUILDER CLARAT ON Carrier:._ Policy Number:
I hereby affirm under penalty of perjury that I m eice pt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 70311 B iness and Professions Code: Any, shall not employ any person in any manner so as to become subject to th rkers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if. I should bec me sub' ct the
any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labo Code, sh forthwith
signed statement that he or she is licensed pursuant to the proGisions of the comply with those provisions.
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`worli
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 Address:
WARNING: FAILURE TO SECURE WORKERS' MPENSAT bN COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0 0). IN DDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FORNqXCTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Applicationis hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
I... Each person upon whose behalf this application is made, each person at whose
request and4or 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,iesult 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 inf
I agree to comply with all city and -county ordinances and state laws
construction, and'hereby authorize representatives of this city to en
above-mentioned property for inspection purposes.
Z Signature (Applicant or
0
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BSAS 561473 FEE 101 0000 20306 0 $1:00 $0:00
i. .
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
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nia
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SWIMMING.POOL/SPA'
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Description: VIVEROS / POOL AND SPA
Type: POOL Subtype: Status: APPROVED
Applied: 6/22/2016 SKH
Approved: 6/23/2016 DCL
Parcel No: 773221019 Site Address: 52165 AVENIDA RAMIREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 78 Lot: 8
Issued:
UNIT 10
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $16,875.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL AND SPA ONLY. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
GAS LINES SHALL BE SLEEVED AS REQUIRED. SETBACKS WILL BE MAINTANED-PER LQMC.
Applied toApproved
FINANCIAL, INFORMATION
Printed: Thursday, June 23, 2016 3:21:15 PM 1 of 2 CNTWIYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
; NAME i r
"' ADDRESSl t
CITY TATE ZIP .
" ; S
PHONE FAX {:.EINIAIL f'
�,. .
t
APPLICANT
DESERT MIRAGE POOLS &.SPAS
84267 MIRAMAR
COACHELLA
CA
92236
(760)702-9222
COURT
CONTRACTOR
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR
COACHELLA
CA
92236
(760)702-9222
COURT
OWNER
HENRY VIVEROS
52165 AVENIDA
LA QUINTA
CA
92253
(760)702-9222
RAM I REZ
FINANCIAL, INFORMATION
Printed: Thursday, June 23, 2016 3:21:15 PM 1 of 2 CNTWIYSTEMS
DESCRIPTION ACCOUNT QTY . ' AMOUNT PAID PAID DATE :RECEIPT4 CK
-CHE#,. :_METHOD PAID BY
� BY
BS AS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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
TOTALS::0 00
Printed: Thursday, June 23, 2016 3:21:15 PM 2 of 2 O SYSTEMS
CITY -OF LA QUINTA
BUILDING & SAFETY DEPT
APPROVED
FOR UN61 KUCTION
DATE
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BUILDING & SAFETY DEPT
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CITY -OF LA QUINTA
BUILDING & SAFETY DEPT
APPROVED
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DATE
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Bin #
City of La .Quinta
Building &r Safety Division
78-495 Calle Tampico
La Quinta; CA 92253 - (760) 777-7012
I Building Perm.k Applicadoh. and Tracking -Sheet
Permit #
.Nob W_ off
Project Address: _
Owner's.Name: V I V e y(3 C
A. P. Number:
"Address:
Legal Description:
City, ST, Zip: 14
Contract r•
o .e
u G J
T leP hone:
Address:04-7-6 a
City, ST, Zip:
Telephone: 7�0 Z Z
Project De .
n � DEPT
State Lic. # : CS _ qq Z fj
city Lic. #:.
OR CONSTRUCTION
Arch., Engr., Designer:
Address:
DAT
City, ST, Zip:
Telephone:
...
aneY:
Constr ction type: Occupancy:
State Lic.
cir le one). N w Add'n Alter Re air 'Demo
Name of Contact Person: fey
ea
Sq. Ft.: 71
# Stories:
# Units:
Telephone # of Contact Person: -70Z- ZZ
GG
Estimated Value of Project: �j S
APPLICANT: DO NOTMRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRA Ck jVG •
PERMIT FEES
Plan Sets
Plan:Check submitted
Item
Amount
Structural Calcs.
Revicwed, ready for corrections
PlawCheck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance. '
Title 24 Calcs.
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 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