BPOL2014-102778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
AZURE POOLS & SPAS
PO BOX 10641
LA QUINTA, CA 92253
l
buy, °r'
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2014-1027
50800 CYPRESS POINT DR
770110057
ADD POOL TO EXISTING SPA
$18,000.00
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: C53 License No.: 802919 _
Date: F -7-1Y 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 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
VOICE (760) 777-7125
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 8/7/2014
Owner:
MARYANNE WEDNER
50800 CYPRESS POINT DRIVE
LA QUINTA, CA 92253
Contractor:
AZURE POOLS & SPAS
PO BOX 10641
LA QUINTA, CA 92253
(760)327-7665
LIc. No.: 802919
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
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.
are not intended or offered for sale. If, however, the building or improvement is sold APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, and as a result of this application, the owner, and the applicant, each agrees to, and shall
who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
State License Law.). employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. , B.&P.C. for this reason 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
Date: Owner: for 180 days will subject permit to cancellation.
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
Lender's Address:
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.
Date: —%% V Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT .
QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
' PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT .
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
PAID -BY _
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL/ SPA: $275.99 $0.00
TOTALS:00
Iain#
Qty Of La Qtuinta
Building 8I' Safety Division
P.O. Box 1504, 78-495 Calle Tampico . \�
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet -
Permit #�O`.
Project Address:
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Owner's Name: ,
A. P. Number:
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Legal Description:
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Project Description:
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State Lic. #
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Arch., Engr., Designer:
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Telephone:
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Construction TYP e: Occupancy:
State Lic. #:tYPect
Project a circle one): New Add'n Alter Repair Demo
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Name of Contact
Person:law
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact
Person:
2 Q
Estimated Value of Project: az
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
7/3D
Item
Amount
Structural
Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Caped Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain
plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correction
Electrical
SubcontactorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" 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
LIC# C -S3, 802919
POOL SPECS
POOL SIZE: 15'X 29'6"
POOL AREA: 292 SF.
POOL PER: 77 FT.
POOL DEPTH: -3'X -5'
SPA SPECS
SPA SIZE: EXISTING
SPA AREA:
SPA PER:
EQUIPMENT
PUMP:
FILTER:
HEATER:
POOL LIGHT:
SPA LIGHT:
FINISHES
DECK AREA: EXISTING
868
WEDNER RESIDENCE
ADDRESS: 50800 CYPRESS POINT DR.
CITY: LA QUINTA
1 "=8' SCALE
Azure Pools & Spas, Inc.
P.O. Box 10641
Palm Desert. CA 9225
ALL PROPERTY LINES
HAVE EXISTING 5'
BLOCKWALLS
-3'
EXISTING, SPA
STACKED STONE
SPILLWAY -51
00-
NEW POOL_ '
EXISTING PROPERTY LINE WALL
P/L
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ED
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6'-0" R
BUIL Y� &� QUii\I q
ETY DEPT
APPROVED
F R CONSTRICTION
DATE
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4'-0" R
12'-0"
5'-0" R
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