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BPOL2015-008278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BPOL2015-0082 52650 CABO SAN LUG 767660029 1a01&H"tM1*1191Q1L4f4 $35,000.00 Applicant: MASTER POOLS INC DBA MASTER PO 81770 TRADER PLACE STE B INDIO, CA 92201 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed uncle provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu and Professions Code, and my License is in full force and effect. LicenseZqji�Cl License No.: 238947 Dat : Contractor: C t %[ 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 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.). (1 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/29/2015 Owner: MICHAEL & JANICE ROMERSA 52650 CABO SAN LUCAS LA QUINTA, CA 92253 . Contractor: MASTER POOLS INC DBA MASTER PO 81770 TRADER PLACE STE B INDIO, CA 92201 (760)346-6115 LIC. No.: 238947 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 ohhe 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 be me subjectto the workers' compensation provisions of Section 3700 of the Labo Code, I shall forthwith comply wit thos provisions. Date: -41 115 AoDlicant: A_ 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 tcAuilding construction, anq hereby authorize representatives of this ci to enter upon t e above- . mentione prop rty for inspection purposes. I Date: Signature (Applicant or Agent):JLJI 1, FINANCIAL .• 1. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 4/29/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MASTER POOLS INC DBA MASTER PO CHECK R5626 11635 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 4/29/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MASTER POOLS INC DBA MASTER PO CHECK R5626 11635 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 4/29/15 .PAID BY METHOD RECEIPT # CHECK # CLTD BY MASTER POOLS INC DBA MASTER PO CHECK R5626 11635 MFA Total Paid for FENCE OR FREESTANDING WALL $108.77 $108.77 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 4/29/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MASTER POOLS INC DBA MASTER PO CHECK R5626 11635 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $98.62 4/29/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY MASTER POOLS INC DBA MASTER PO CHECK R5626 11635 MFA Total Paid forPOOL / SPA: $279.91 $279.91 • 1LS: $390.68 $390.68 Description: ROMERSA RESIDENCE POOL & SPA Type: POOL Subtype: Status: ISSUED Applied: 4/24/2015 PJU Approved: 4/29/2015 MFA Parcel No: 767660029 Site Address: 52650 CABO SAN LUCAS LA QUINTA,CA 92253 Subdivision: TR 31874-1 Block: Lot: 29 Issued: 4/29/2015 MFA Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: 10/26/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL, SPA, AND 11 LF AT 5 FOOT HIGH EQUIPMENT WALL. THIS PERMIT DOES NOT INCLUDE FIRE PIT OR 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. 1 0 Applied to Approved [ Approved to Issued Printed: Wednesday, April 29, 2015 3:22:01 PM 1 of 3 0?srsrEMs ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE KIRK KIRKLAND 4/27/2015 4/27/2015 sent back to philip 4/27/15 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSi CITY STATE ZIP PHONE FAX EMAIL APPLICANT MASTER POOLS INC DBA MASTER PO 81770 TRADER PLACE INDIO CA 92201 (760)346-6115 STE B CONTRACTOR MASTER POOLS INC DBA MASTER PO 81770 TRADER PLACE INDIO CA 92201 (760)346-6115 STE B OWNER MICHAEL & JANICE ROMERSA 52650 CABO SAN LA QUINTA CA t 92253 (760)346-6115 LUCAS Printed: Wednesday, April 29, 2015 3:22:01 PM 1 of 3 0?srsrEMs DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 4/29/15 RS626 11635 CHECK MASTER POOLS INC MFA - 4/27/2015 APPROVED DBA MASTER PO Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $2.00 BSA: WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $47.86 4/29/15 RS626 11635 CHECK MASTER.POOLS INC MFA 100 LF DBA MASTER PO WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $60.91 4/29/15 RS626 11635 CHECK MASTER POOLS INC MFA 100 LF PC DBA MASTER PO Total Paid for FENCE OR FREESTANDING WALL $108.77 $108.77 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 4/29/15 R5626 11635 CHECK MASTER POOLS INC MFA - DBA MASTER PO SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $98.62 4/29/15 R5626 11635 CHECK MASTER POOLS INC MFA PC DBA MASTER PO Total Paid for POOL / SPA: $279.91 $279.91 TOTALS:•i •0 .68 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD Printed: Wednesday, April 29, 2015 3:22:01 PM 2 of 3 CB? SYSTEMS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES NON-STRUCTURAL KIRK KIRKLAND 4/27/2015 4/29/2015 4/27/2015 APPROVED NON-STRUCTURAL KIRK KIRKLAND 4/27/2015 4/29/2015 4/27/2015 APPROVED Printed: Wednesday, April 29, 2015 3:22:01 PM 2 of 3 CB? SYSTEMS Printed: Wednesday, April 29, 2015.3:22:01 PM 3 of 3 CB?sysrGMs Bin # City of La Quinta Building 8z Safety Division /P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: �j2� /� Owner's Name:, A. P. Number: Address: 2 O CA WC46 Legal Description: Contractor:iw&CaL City, ST, Zip: glzz Telephone: Address: 7`7 IF�iC Project Description. City, ST, ZipZ-343O9(O 7iW 1 one� Telephoneh State Lie. # : City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: hone: '; State Lie. # cY� Construction n TY Occupancy:an e• P P<��"s`»roJectnP icircleone : New Add'n Alter Repair Demo Name of Contact Person:a'� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: J APPLICANT: DO NOT WRITE BELOW THIS LINE N I Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check 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 APR 2 4 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT April 22, 2015 Michael Romersa 52-650 Cabo San Lucas La Quinta, CA 92253 Carmela Community Association C/o Desert Management P.O. Box 799, Rancho Mirage, CA 92270 760-862-1202 Fax 760-862-1210 Email: ggordon@desertmanagement.com Re: Construction of New Pool- Account # 97-00022 Dear Michael, The Design Review Committee has reviewed your application for installing a new pool in your back yard. After review by the Committee and Board of Directors, your application has been approved as submitted. After work has been completed, please contact our office to set up a final inspection with the Committee. If the work has been completed satisfactorily, your deposit will be returned after the final inspections. If you require additional information, please feel free to contact me at 760-862-1202. Cie Gordon -Dearth Association Property Manager Cc: Board of Directors