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BPOL2015-0024LICENSED 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.: :UC -0100809 Date: �S 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 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 fo 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 I 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 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 IZ mplywith those provisions. te: a " (� Applicant: 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 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. gate: 1 2" "� Signature (Applicant or Agent): V f t SYS4a� VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/3/2015 Application Number: BPOL2015-0024 Owner: Property Address: 57755 BARRI5TO GARY AND SANDRA JENSEN APN: 762500008 57755 BARRISTO Application Description: POOL SPA LA QUINTA, CA 92253 , Property Zoning: Application Valuation: $35,000.00 © N Applicant: Contractor: g LINDLY'S POOLS OF CALIFORNIA LINDLY'S POOLS OF CALIFORNIA 4 m 5 9 , 0 OUTSIDE CITY LIMITS 0 OUTSIDE CITY LIMITS L U .c LA QUINTA, CA 92253 LA QUINTA, CA 92253 LL z �. (760)343-0600 Llc. No.: :LIC -0100809 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.: :UC -0100809 Date: �S 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 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 fo 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 I 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 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 IZ mplywith those provisions. te: a " (� Applicant: 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 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. gate: 1 2" "� Signature (Applicant or Agent): V f DESCRIPTION. FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY . METHOD iRECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTLON , ACCOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD :. RECEIPT #µ 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: POOL SPA Type: POOL Subtype: Status: APPROVED Applied: 2/2/2015 PJU Approved: 2/3/2015 SKH Parcel No: 762500008 Site Address: 57755 BARRISTO LA QUINTA,CA 92253 Subdivision: TR 32225 Block: Lot: 8 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $35,000:00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: POOL AND SPA [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. . ADDITIONAL SITES ,_„,j Applied to Approved Printed: Tuesday, February 03, 2015 5:08:29 PM 1 of 2 CR SYS7F. iv1S CONDITIONS CONTACTS NAME TYPE- NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT LINDLY'S POOLS OF CALIFORNIA 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR LINDLY'S POOLS OF CALIFORNIA 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER GARY AND SANDRA JENSEN .57755 BARRISTO LA QUINTA CA 92253 FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 7 BY BSAS SB1473 FEE 101-0000-20306 0 1 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: Printed: Tuesday, February 03, 2015 5:08:29 PM 1 of 2 CR SYS7F. iv1S PARENT PROJECTS Printed: Tuesday, February 03, 2015 5:08:29 PM 2 of 2 C SYSTEMS rw CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD .PAID BY 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 PARENT PROJECTS Printed: Tuesday, February 03, 2015 5:08:29 PM 2 of 2 C SYSTEMS , ;f �' Crty of La Qutnta Rulk ft ar Sarety Division V K0 Box 1504,78-495 Calle Tampico 4. ui4 CA 92253 - 760 777-7012 Building Permit Application and Tracking Sheet Permit # ^� n {� Project Address: 1 1 �S 17 S nj Oamet's Mame:/. (L, A 03 -Spsd tti�ft-br Z1j 0 A. P. Number. Address:�/ [city. Legal Description: (o'2�- S o L) ST, Zip: LA Q,) l _A. C' Z, C 1 Contractor. 1-1 rj ()AU5 �� � (✓ (A fA 'l Telephone: i Address: Qf-► (�� Project DpPf� /�� City, ST, Zip: : ` pv,-) �/ ' //Description: p N 4 w \ aDL SIA ` j k 1 Telephone: State Lia #: 00'YY1Nqj city Lie. #: Arch_ Eng}'., Designer Address: City., ST, Zip: Telephone: State Lia #: Name of Contact Person: �.�5� �11X1lL"Z, Construction Type:. Oooupaugr Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:,lb o —� "L � Estimated Value of Project: 'a) APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rev'd TRACKING PERMrrFEES Plan Sas Pian Check submitted item Amount Strgaaral Calcs. Reviewed, ready for corrections 2 3 Plan Check Deposit • . Truss Cates. Called Contact Person Plan Check Balance _ Title TI Coles. Plans picked up Construction Flood plain plan Plans resubmitted Meehaeleal Grading pian V Review, ready for correctionsfisaue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M& H.O.A. Approval Plans rwabmitted Grading IN ]ROME -1 Df° Review; ready for eorrectionsrassae Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees W SANTERRA. OWNERS ASSOCIATION 57-619 Barristo Circle 831-332-9100 January 29, 2015 City.of La Quinta Dear Sir/Madam: Please accept this letter as approval of the the swimming pool plans submitted by James Lindly of Lindly's Pools of California, Inc. to Santerra Owners Association for architectural review. This pool is to be located on Lot 8. our our development. The Board of Directors has reviewed these plans and accepts them as presented. If you have any comments or questions in this regard, please do not hesitate to contact me. Thank you for your cooperation in .this matter. Yours truly, Thomas P. Stearns, President Board. of Directors Santerra Owners Association PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE C OAC H E LLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUX CSD SAN JACINTO TEMECULA WIL.DOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 RIVERSIDE COUNTY FIRE DEPARTMENT_ IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert; CA 92211-4131 • Phone (760) 863-8886 • Fax (760) 863-7072 3L• www.rvcfire.org February 21, 2014 Fire Sprinkler Systems Re: Residential Fire Sprinkler Plan Review LAQ-13-RS-091 Santerra Lot #8.57-755 Barristo Circle La Quinta, CA The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside County Fire Department Planning & Engineering personnel and are approved with the following conditions: NOTE: Refer to sheet FP2 for "re -lined" change to plan. Permanently marked identification signs shall be attached to all control valves. A warning sign, with minimum '/ inch letters, shall be affixed adjacent to the main shutoff valve and shall state the following: WARNING: The water system for this home supplies fire sprinklers that require certain flows and pressures to fight a fire. Devices that restrict the flow or decrease the pressure or automatically shut off the water to the fire sprinkler system, such as water softeners, filtration systems, and automatic shut-off valves, shall not be added to this system without a review of the fire sprinkler system by a fire protections specialist. DO NOT remove this sign. i' The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: I (a) Overhead Rough and Hydro static test: All piping shall be visible and pumped at normal operating pressure. (b) Final inspection. The Fire Department job card, approved plans and conditions letter must be at the job site or NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection date. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Applicant/installer shall be responsible to contact the Fire Departme t to schJule ins ection. Sincerely, Jas n tubble Fire afety Specialist sialz f*3Xd;jo%% aLslyAg 66L.45 r. 1 CONSTRUCTION NOTES: POOL: 12' X 27' DEPTH: 3'6" TO 5'6" POOL WATER LINE TILE TO BE SELECTED. POOL FINISH TO BE IN PEBBLE, COLOR TO BE SELECTED, SPA: 5' X 5'. 6 JETS, 18" REGULAR SPILLOVER. OUTSIDE PERIMETER TO BE IN STUCCO TO MATCH HOUSE POOLrSPA EQUIPMENT: (1) 1-2HP WHISPERF'LO PUMP (1) 350 SO. FT, CLEAN AND CLEAN FILTER (1) 40GK BTU MASTER TEMP HEATER (1) 110 TIMER BOX (1) 480WATC POOL LIGHT (1) 1DOWATT SPA LIGHT PAVERS: POOL AND SPA COPING TO BF 12" X 12" ORCO PAVER —COLOR TO MATCH EXISTING POOL DECK TO BE 2 PIECE ORCO PAVER TO MATCH EXISTING m SCALE. 1/8" = 1 FT siat/sfi . . POOL CONSTRUCTION FOR: CARY AND SANDRA JENSEN 57-755 RARRISTO LA QUINTA CA 92253 Zoo- S I do-Z -10do CITY OF LA QUINTA C' [BLUJ IN & SAFM DEPT. APPROVED nATF� . 4 F3Y