BPOL2015-015678-495 CALLE TAMPICO
LA QUIN TA, CALIFORNIA 92253
Application Number: BPOL2015-0156
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 55700 PINEHURST
APN: 775241010`
Application Description: TITUS / POOL, SPA REMODEL, FIRE PIT, BBQ, AND WALLS
Property Zoning:
Application Valuation: $55,000.00 .
Applicant:
LEAK SPECIALISTS INC DBA LEAK
P 0 BOX 727
THOUSAND PALMS, CA 92276
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I im 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: C336, CC53 License No.: 618116 L
Date �/ ") E Contractor— '111 V—
irJL 1 t -L [C7lb
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 improvenientis 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 Jcontractors
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. BAP.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 Na
Lender's Add
VOICE (760) 777-7125 .
FAX (760) 77777011
INSPECTIONS (760) 777-7153
Date:
7/20/2015
Owner:
BRUCE TITUS
55700 PINEHURST
`
r=
LA QUINTA, CA 92253
tt� W
N
0
Contractor -0
LEAK SPECIALISTS INC DBA LEAK[Q�_
w
U
P 0 BOX 727
—'
THOUSAND PALMS, CA 92276
c
(760)773-9070
Llc. No.: 618116
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.
��have and will maintain workers' compensation insurance, as required by
Sect1 n 3700 of the Labor Code; forthe performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: Policy Number:-
the performance of the work for which this permit is issued, I
I certify'that in
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. /1
APPlicanvss" /1A/t J"` f�►c
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'SFEES.
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.,
issuedas 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 actor 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-
meent/ionn�eed.prop"erty for inspection purposes.
Dat" e: � Z(!') S Signature (Applicant or Agent) f
�:' uc5P"y_ 1wr1w �c, S.-i'X .. 9, k ^r '.Nw ge.i' 'tel'. # �.::
_ fA00011NThfi
�� ' DESCRIP--TION QTYAMOUNT h Q¢gID PAID DATE
ter.
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,. .'
s. 2a at E ::;a. a s rc� � r '. � � .as W,, � »
BSAS S61473 FEE - 101 0000=20306 �
0 � � $3.00 � . $0.00
K-11270- 'Yn s -. uC ': ."'" t av-a.3 „' ml- : Y �� �
n`j6 is ^`lYYx' I.M. f r :: iI t, E.:f . tk°+., e:.,`Ai�
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Total Paid forBUILDING STANDARDS ADMINISTRATION
BSAk "_. $3.00
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# ,
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.PAID
DATE
DEVICESJIRST 20
101 0000.=42403 ' ;
`- 0
$24 17
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' DESCRIPTION #
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' ACCOUNT
' 's..e3P.�?,Fd`-.:.�#'1?:=',>�-as¢iiu` �' Yv»?i.t;,$...'';#.,
'>?EQTY AMOUNT `
v- "est w; - ".:,C°�idm
"?AIDS ON
�:.+r+°-a�
;:` .
P,i41D DAT
.x
:
=b.:+nt3'�.'k v`;>u.,.S'r.-.: 3c'w"..-c$kbrf.`;;'s3.znd�
-'.y§r::s,:ili, `v.ri_'>
t*ga' i4;
DEVICES; FIRST:20 PC
101-:00 42600,;
0 ` $24 173
$0.00
4:8.iTP.f:
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Total rtPaid forELECTRICAL $48 341. $0.00
DESCRIPTION ��
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y ACCOUNT t
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PAID DATE
w
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r#QTY�AMOUNT
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101 0000=42404:.
0
r , $47 86u
$0.00
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AMOUNT .
.: "mss .'r`a ks'. RADIO
F PAID��F
PAID�SDATE
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101 0000_=42600~ ,
.':. OP
$0:00
�����METHOD�
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Total Paid:forFENCE
OR;FREESTANDING iWALL ; 08.77 $0.00
kx't' "` ,rte
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ACCOUNT�`��QTY�
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5
PAID DATE.
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GAS SYSTEM, 1-4 OUTLETS
101 0000=42401'
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:�A000UNT
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'AMOUNT
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GAS SYSTEM, 1-4:0.UTLETS PC ..
101 0000=42600' ,
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$24:17.
$0:00. .
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,METHODS
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Total Il id-forPLUMBING FEES -`.'$36.26 = $0.00
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3+ QESGRIPTIONx
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SWIMMINGPOOL/SPA
1010000:42404 0
$181:29
$0.00
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a 4 f F t
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'r 0 $98:62
$0.00
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RECEIPTS#
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TotalPaid'•forPOOL/SPA- $279:91 $0.00
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133AIU D
RET WALL <=12,'-F IRST'IOO.LF ,
101 0000,42404"
-0 ':
$4Q6 :,.
$0.00
.,e.�t.''aypt„ ,§
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;PAIDBYQn
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CHECKS#_
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q aAMOUNT
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:P"+�ivt"K�.,m_.9v.�r�,-E:£._
PAID `DATE=
NAM
i,W,�.S"ti.�••r �r�
RET WALL <=12 - FIRSTIODLF PC. `~ `
101 OOOOc42600 .
0.
$60.91.""
$0.00
° ��.������� E�
4 �� x , �r� ,
te•rI. 3eLY e.>..n,�-i .....FS.S �'3RSY3�i5%.<Y_v x.F £:.. .ve3 a... :§�"l:�A§i?Eyj.
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CHECK #��
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Total Paid foiRETAINING.WALL $108 77 $0.00
... .. :. y.--: ... ,... ..._.:.....� -. �.;..,, ..», �. a•e�. J... a�.ua s�.5i•�x=•a,-4a..rsr+. rte,. :. ,aH,e�r.',_;�, r,� Awa<.:�.i.:,
0 1 1 11
Description: TITUS / POOL, SPA REMODEL, FIRE PIT, BBQ, AND WALLS
Type: POOL Subtype:' Status: UNDER REVIEW
Applied: 7/20/2015 SKH
Approved:
Parcel No: 775241010 Site Address: 55700 PINEHURST LA QUINTA,CA 92253
Subdivision: TR 21381-1 CM 059/074 SEE ASR MB Block: Lot: 1
Issued:
769/41 FOR CM
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $55,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details:. POOL, SPA, BBQ AND FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE PLUMBING AT BBQ
ISLAND. EQUIPMENT SHALL NOT BE INSTALLED WITHIN 5' SETBACK. GAS LINES MUST BE SLEEVED UNDER STRAUCTURES. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
CONDITIONS
FINANCIAL INFORMATION
Printed: Monday, July 20, 2015 2:36:30 PM 1 of 3
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Printed: Monday, July 20, 2015 2:36:30 PM 2 of 3
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Printed: Monday, Jdly 20, 2015 2:36:30 PM 3 of 3
CRSYSTEMS
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Printed: Monday, Jdly 20, 2015 2:36:30 PM 3 of 3
CRSYSTEMS
Jul 20 15 01:42p The Leak Detectors
MAY -28-2015 THU 071:04 AM Air Dreams Inter -national
PGA QST
RESOENTIALASSQCIATI'ON, INC.
May 27, 2015
Mr. and Mrs. Bruce Tifils
55-700 Pinehurst
La Quints, CA 92253
760-320-1785
FAKAO.' 7603418810
Page 1 oft
p.1
P. 01
VY i4*4U w
Dear Mr. and Mrs. Titus,
The Architectural Committee has reviewed your ArciiFte.ctaral . 'V'ariance, submittal, Your proposed project
includes the above listed variances as shown on the drawings, date stamped°April 23;•2015o prepared by Tessa
Goss: ofPalra Dreams-DVaterscanes Anr�' cafes This poposed scope�.of work is. acceptable in accordance with
the Architectural GudeRPM—lib ienwner's Associatioti'CC&R's and. Ivlaintenance and Indemnity=4greement.
I" OTE: The following comments and reQuira e,ntsare>anplicebl:e• .._
1. The HO,4 must be in recefnt ofy67n- contractors proofof iwerttrancI coverage which is to be su
AL.. .Lr/1 I L. .7_
2. Contractoz to scliedul'e•.a meeting 1 i# 83w Bobbitt, Landscape and Irrigation Manager, and William
Aceves, .Light fig •& .-Ml intenance Manager; pear to stgj: i i tr any demolition: It is the responsibility of
the homeowner to coordinate ibis and. toastir'-the .A:ssociati` .1liat the.contzactor will repair and/or
replace, any damage to the landsca ie, Ughtitag; drainage, irrigation° systeam, ]zardsrape or street surface
outside the proposedwork area to the.sadi;factionrofthe HOA.
3. All new electrical; naturalgas piping additions, poal/Vet modifications, and new masonry walls to be per
City of La Quilata Building.Departme t• & Mecbanical. Code approved and permitted by the city. The
,signed copy of Inspection Card to be provided for our files.
4. This review does' -not include new Garage Daozs.
S. All new or relocated electrical lighting power to. be on�homeowrier's circuit. Any new yard lighting is to
be sensitive to compatible nigl tscape and'adjacent properties.
6: The Fre feature is to be.a City of La��Qu to approved unit ar:system vi%ith a permit and inspection card.
Submit the City of La Quinta pezjxut.for. the gas line and. the. electrcal•prioi to the start of work..
7. Anyelectrical wiring ea;.posed during 'construction must be,repggt?d to the'HOA.
8.: The anodized al�=**+�n�: frames for the new -sliding glass, dooxs is to be Bronze colored.
9. Tlie glass is to be a calor to match the existing Love 4 . or bettez .glass is to be used The glass cannot
be mirrored glass. nor have. gzids.
TQ i''lle installation to be complete with all daniaged,stucco and waterproofing repaired, new sv-icco finish to
match existing finish and texture and.all`daanaged fi7vshes.,reIaiuted with f if to Weathermaster paint..
All exterior paint" is Vista b* acid paznt;' The "tucco `color is ,07-16P. All `work is to be done to the
satisfaction of the HOA.
54320 Southem Hills, La 4uinta, California 92253=5665, Terephone,760-771-1234 FAX 760-771-5125
Jul 20 15 01:42p The Leak Detectors
MAY -28-2015 THU 07:05 AM Air Dreams International
760-320-1785 p.2
FAX N0. 7603418810 p; 02
Page 2 of 2
11. If any changes, are made, to. increase the opening .size of window/sliding glass door, the installation and
application requires a City of La Quirita building permit ac,d inspection said submitted to the HOA prior
to starting the demolition work.
12. Tlieowner assuines 1.00% responsibility for the installation. -and all future repairs, maintenance and
waterproofing issues.
13. All new sliding door, frames are to -be installed in accordance WiIH the manufacturer's requirements and
construction standards for water and air intttasion.
K''The hardscape color to be Sequoia Sand per the submittal.
15. All modifications to the existingsprinkler system, laxidscapiug -and drain work are to be made by the
contractor, to the sati,sfactic t. of the 140 A;.
16s. The contractor cannot stockpile the demolition material in floe street
LZ.' The .contmator is to keep the street clean daily_ •T'he>street gutters�are;xaat to be used for concrete and
con-5tnaction, material clean u.p..'
'The camtrnctor cannot wash debris down-the'street gutter.
18' The contractor is to observe mIl Association rules and regulations. Contractor vehicles are
to be parked on one, side, of the street.
19."A copy of the signed -off City of La Quinta Znspectiom Card for;the extended gas line must be submitted
prior to the `Notice of Completion' form:
2& Provide code required surface-slope.to p�anters,and drainage devices.
21.;A11 landscape removal rewired for the proposed -work is to bedone by the' homeowner's contractor.
22. The homeowner, the. contractor, the landscape and. mainteriattce::manageis to walk the project prior to
-filing. a `Notice of Comg[et- on' farm.:. : - -
23. A Mafntenance and Ir:demnity Agreeme nt, shall be signed pnor`.to the start of tworlt and retizewed at the
completion of the project. Saaxae shall delineate .all applw, 16 .work;_:wliicli current and future owners
shall be compelled 1:6: solely maintain and/or- replace as needed and tte document shall be recorded with
of
the County Rvearside and- ruas,with the.Iand:'
We reserve the right to make a final inspection of this change to :make sure that it matches the original request.
An. approval is based only on the aesthetics .o:F your proposed plan and should not be taken as any certification
as to the construction worthiness or st mcturaldl]t69dty 0 Ahe proposed change.
We appreciate your cooperation in submitting this request for upproval If.I may be of further assistance, please
contact me at the HOA office at (760),771 1234,. ExtJ 15.
Cordially,
ted c
tKeIlWcG-aUiafxd
OperationsiManager
For the Architectural committee
KM/bvf
cc: Aachitectural Coanmittee
.r
Bin #
N.
City of LQ •
y Qulnta
Building 8T 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: SS -700' 7P WE hugs
l Owner's Name: 2uCv 1 Vl S
A. P. Number:
Address: S ►� a D � � L (-�� S(
1
Legal Description:
City, ST, Zip: av I AA,
Contractor:H L — K S
Telephone:
P
Address: , Q ' (�d 7 Z
............................
Project Description: P00 RltiffiOde
City, ST, Zip: UU[S v(
Telephone:
o .
P -
6 0 73 d
7 � o
i
i 4
� w o�
State Lie. # :
City Lie. #:..
:
_ J L g1fL ortU lttJ
L
Arch., Engr., Desi7gner. ` l m 4
��I S i � � 6' Bl®Gk w (.S 3(.:,Address:
`—/ "�
7 La
K Cha /VS b4 u
City., ST, Zip: L2�
L\`nE
Telephone:
hone: 86 �Z — yi
Construction Type: Occupancy:
Lie. # 3 3 6
nState
Project type (circle one):: New Add' Alter Repair. r Demo
Name of Contact Person: t l�(' � V �
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: 7 6 0 2 -7 Z j 2-o 6
Estimated Value of Project: 5_�; Q 0 O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs:
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plait 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 ROUSE:-
7r' 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
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