BPOL2015-008478-495 CALLE TAMPICO `
LA QUINTA, CALIFORNIA 92253
c&,t,,, 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2015-0084
Property Address:
79705 CORTE NUEVO
APN:
609580008
Application Description:
CASTRO / POOL SPA AND GAS LINES FOR BBQ AND FIREPIT
Property Zoning:
Application Valuation:
$50,000.00
Applicant:
VINTAGE POOL CONSTRUCTION
56525 ANACONDA DRIVE
YUCCA VALLEY, CA 92284
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 C • C53 License No.: 10
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm der 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.).
( ) 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 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
Owner:
MATHEW MICHAEL WEST
79705 CORTE NUEVO
LA QUINTA, CA 92253
Contractor:
VINTAGE POOL CONSTRUCTI
56525 ANACONDA DRIVE
YUCCA VALLEY, CA 92284
(760)578-2952
Llc. No.: 1002467
Date: 5/1/2015
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
ofPon
or which this permit n issued.
ave and will maintain workers' compensation insurance, as required by
Se3700 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 tat, if I s ecome subject to the
workers' compensation provisions of Section �700 o the La or Co e, shall forthwith
comply with those provisions.
Date: —' 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 law e a to building
construction, and hereby authorize representatives oft is city to nter upon a ve•
mentioned property for inspection purposes. f
Date: Signature (Applicant or Agent),
DESCRIPTION ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$2.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $36.26 $0.00
DESCRIPTION
ACCOUNT
CITY
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:• 00
Permit Det;ails
City 0f LaQuinta
P.ERMIT NUMBER
BPO.L2015-00.84
Description: CASTRO / POOL SPA AND GAS LINES FOR BBQ AND FIREPIT
Type: POOL' Subtype: Status: UNDER REVIEW
Applied: 5/1/2015 SKH
Approved:
Parcel No: 609580008 Site Address: 79705 CORTE NUEVO LA QUINTA,CA 92253
Subdivision: TR 29323-1 Block: Lot: 86
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $50,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings:•0 No. Stories: 0 No. Unites: 0
7
Details: POOL, SPA, FIRE PIT, AND BBQ. THIS PERMIT DOES NOT INCLUDE WALL. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODE.
Process Summary
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NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
VINTAGE POOL CONSTRUCTION
56525 ANACONDA
YUCCA VALLEY
CA
4046
F I N -ANC I ALI INFORMATION 1
Printed: Friday, May 01, 2015 10:18:55 AM 1 of 3
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RETURNED
STATUS
REMARKS
REVIEW TYPE REVIEWER
SENT DATE
CLTD
DESCRIPTION]-
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
1 101-0000-20306
0
$2.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$2.00 $0.00
BSA.
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00
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
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RETURNED
STATUS
REMARKS
REVIEW TYPE REVIEWER
SENT DATE
DUE DATE
NOTES
DATE
BOND INFORMATION
Printed: Friday, May 01, 2015 10:18:55 AM 2 of 3
17LJ L.1 v t.-/ SYSTEMS
�t• Y Permit Details PERMIT NUMBER
City of La-Quinta BPOL�201'S=00,84 y
- - . - - - - ATTACHMENTS
Printed: Friday, May 01, 2015 10:18:55 AM 3 of 3
CB?SYS7EMS
Bin # .
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012_
Building Permit Application and Tracking Sheet
Permit #
i
Project Address: '� �(� L '
Owner's Name:
A. P. Number:
Address: —1-1-1O ,�;, CC)"lA ICOID
Legal Description:
City, ST, Zip: LO &RA1 1
Contractor: 1 t
Tele h ne•
P0
Address: '"
Project Description: YY--, ry? I
City, ST, Zip: ZQ
Telephone: ne
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State Lic. #:C " I OQ�
City Lic. #;
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Arch., Engr., Designer:
Address:
W 1P ourl 6L
City., ST, Zip:
CTelePhone: on tru tio n •
Type: Occupancy:
State Lic. #:
Repair Demo
Project hP (circle one): New Add'nAlterRe o
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: n
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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
EXISTING
-A
B
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C oul
NTA
/&SAFETY DEPT
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35'
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DECK
JETS
2A
• (5) Deck Jets
BEACH ENTRY
58 SQFT
6 BOULDERS
SIZES 2'-5'
TRELLIS -
• 312 SQFT
PAVING
0. 600 SQFT
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