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BPOL2015-011778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T -wt 4 4 Q91AM COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIF� Application Number: BPOL2015-0117 Property Address: 79945 RANCHO LA QUINTA DR APN: 602220013 Application Description: MELLECKER / REMODEL POOL AND SPA Property Zoning: Application Valuation: $15,000.00 Applicant: BLACK DIAMOND POOLS & DESIGN 88-351 AVENUE 58TH #6 THERMAL, CA 92274 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: C5301_14tense No.: 977341 Date:/ Contractor: OWNER -BUILDER Dfi LARATION I hereby affirm under penalty of perjury that I A 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).: (_J 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 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/8/2015 Owner: 79945 RANCHO LA QUINTA DRIVE 7646 CHICO WAY NE B R E M E RTO NIZM7 - z Contractor: 'o BLACK DIA PC» & 88-351 AV IoJ 8TW o THERMAL, 74e (760)61! LIC. No.: 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' compensatio , as provided for by Section 3700 of the Labor Code, for the performance r which this permit is issued. ave and will maintain workers' compensation insurance, as required by Secti 700 o t e a Code, for the performance of the work for which this permit is is My workers' compensation insurance carrier and policy numbei 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 becom s NJ to the workers' compensation laws of California, and agree that, if I should co e subject to the workers' compensation provisions of Section 3700 of th Lab C - de all forthwith comply with those provisions. Date: X Applicant: C\✓ WARNING: FAILURE TO SECURE WORKERS' CO SATION C EL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALT ND 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 ss relating to building construction, and hereby authorize representatives of this toe er upon the above• mentioned V17ignature ction purposes. \ (Applicant or Agent): '-,77— PAID ' PAID DATE FINANCIAL •R • DESCRIPTION ACCOUNT'-, ' •'" QTY" AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 t =PAID 9Y'-- .-, . "°` �-?:METHOD: , 'RECEIPT #' 4 CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT- QTY AMOUNT- = PAID PAID.DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD . RECEIPT # CHECK # CLTD BY r .DESCRIPTION ': -„ACCOUNT.;.QTY,' Ke _ AMOUNT �. t` ”' PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 ?: 'PAID.BY - "_ • ;; r ' =7METHO6 RECEIPT # -CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION F , ACCOUNT: ' . QTY4 AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY METHOD •RECEIPT# CHECK# CLTD BY +' s: DESCRIPTION n - _ • ACCOUNT „ l : q: QTY - - AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD - �- RECEIPT # CHECK # .' . CLTD BY Total Paid forFENCE OR FREESTANDING WALL' $108.77 $0.00 DESCRIPTION.' . " ACCOUNT. " QTY '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 QTY " . .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 _' QTY .,AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 METHOD. ': ,;� =RECEIPT # CHECK # .. CLTD BY DESCRIPTION �., - ACCOUNT '; 4'. QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY:'' '. _•, , METHO+ RECEIPT# CHECK # CLTD BY� r Total Paid forPOOL / SPA: $279.91 TOTALS: r i $0.00 u 13 ti Description: MELLECKER / REMODEL POOL AND SPA Type: POOL Subtype: - Status: APPROVED - Applied: 6/4/2015 SKH Approved: 6/8/2015 JFU Parcel No: 602220013 Site Address: 79945 RANCHO LA QUINTA DR LA QUINTA,CA 92253 Subdivision: TR 29457-1 Block: lot: 33 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 . No. Unites: 0 Details: REMODELED SPA, NEW BBQ, REMODELED FIRE PIT, AND 20 LF BLOCK WALL EQUIPMENT ENCLOSURE AT REAR YARD [DENISE POELTLER ENGINEERING] ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. ' X-" ' Applied to Approved FINANCIAL INFORMATION ` Printed: Monday, June 08, 2015 2:39:09 PM 1 of 3 C� SYSTEMS ADD • may: CHRONOLOGY TYPE = STAFF NAMERIO E ��., `•_ COMPLETION DATE A N DAT C �» ,^ PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 6/4/2015 6/4/2015 RECEIVED • • :NAME TYPE '' ` «� NAME t ADDRESSI CITY STATE '} '-t ZIP :' PHONE ., "'FAX EMAIL , APPLICANT BLACK DIAMOND POOLS & DESIGN 88-351 AVENUE 58TH THERMAL CA 92274 #6 CONTRACTOR BLACK DIAMOND POOLS & DESIGN 88-351 AVENUE 58TH' THERMAL CA 92274 #6 OWNER 79945 RANCHO LA QUINTA DRIVE 7646 CHICO WAY NE BREMERTON WA 92253 FINANCIAL INFORMATION ` Printed: Monday, June 08, 2015 2:39:09 PM 1 of 3 C� SYSTEMS DESCRIPTION `ACCOUNT QTY YAMOUNT PAID PAID DATE RECEIPT HE # 'MET PAID BY CLTD r',':DATE, FINAL" BLD fOD BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $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 WALL/FENCE -FIRST 101-0000-42404 0 $47.86 $0.00 100 LF WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL- $108.77 $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 $0.00 TOTALS:00 SEQID - 'F INSPECTION TYPE`S `f, INSPECTOR +, SCHEDULEDi COMPLETED RESULV, - REMARKS •� NOTE$ ��+ ••�;' DATE,. r',':DATE, FINAL" BLD PARENT PROJECTS Printed: Monday, June 08, 2015 2:39:09 PM 2 of 3 0T SY57EM5 AOL REVIEWTYPE_.�. SENT,.DATE, REVIEWER'� 7 1 I DATE, BOND INFORMATION ATTACHMENTS NON-STRUCTURAL- BUILDING 6/4/2015 I 6/11/2015 6/8/2015 I I I APPROVED 1 W BUCKET Printed: Monday; June 08, 2015 2:39:09 PM 3 of 3 CRWSYSTEMS BOND INFORMATION ATTACHMENTS ----- Printed: Monday; June 08, 2015 2:39:09 PM 3 of 3 CRWSYSTEMS 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 # DPOL�I5,- 00 Project Address: gr- qe 5— Owner's Name: A. P. Number:& Zlf t�If Address: gq-5 /66 (.,f! 4LI/1y /// � Legal Description: City, ST, Zip: OA 922 s� Contractor: Telephone . Address: 8 �3 S/ 71W SWn Project Description: s.:.... City, ST, Zip: 7?7t��h'7f%t% �Z S T on ele h P — _ - State Lic. # : g % City Lic. #; 2 Arch., Engr., Designer:` - Address: �\,n ,�-� ,, �•�,,..� l City, ST, Zip: h Telephone: one: '•> ..... Ifle dConstructi n Type: aneY Occupancy: :cd 4V State Lic.# Project type (circle rcle one • w e Add'n Alter Repair Demo Name of Contact Perso �.—/ �t4 Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 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 6Qr4*t9idU `SS Ve 8 Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad 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:- 1rd 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 c A , r RAISED SPA AT +18" WITH LIGHT BROOM FINISH COLORED ,: o I A � CONCRETE CAP, STACKED STONE SPILLWAY AND FIRE PIT AT 4.12" WITH LIGHT BftOOM FINISH COLORED RANDOM STONE VENEER FACE tONCRETE CAP AND RANDOM STONE VENEER FACE SPA SPLIT MAIN DRAIN SUCTION MINIMUM Y APART. ANTI -COVERS 10" ASME / ANSI APPROVED PB p8 I i STONE STEPPING PADS PEI I ' P ® .1 B \ I r ® \I 6"WD I POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART. ANTI -COVERS 10" ASME /ANSI APPROVED PB BOULDER WATER FEATURE 1 PB AT +36"',24" and 18" = GUES7 POOL EQUIPMENT: SUITE 400,000 BTU HEATER *ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED B QISLANDAT+36" FIREPLACE STONE STEPPING PADS FOUNTAIN FEATURE I 1 I 1 - I r I I I I y a BRICK PAVER DECKING WITH BULL NOSE PAVER COPINGAROUND POOL ONLY O SPECIFICATIONS TYPE GUNTTE SIZE 4a -D• X_ I� SURFACE AREA OF POOL ONLY 831 PERIMETER 119LN.FT. I POOL 8 SPA COMBINED B89 SO. FT. 1148 SO. FT. 40 SO.FT. CONCRETE Z is _ 510 SO.FT. DRIVEWAY PAVERS SPA SPECIFICATIONS B'-0' 50 25 SIZE_x _ SO.FT._ W. FT. TILE T� T� WATERLINE y_ TILE TRIM EOUIP. WALLS :v ` NO. OF FTS OUARTER ROUND GATE REVERSAL LIGHT R.B.B. TSE ADDL PUMP SIZE RAISED SPAAT EXTEND 2M SRS ' y Im DECKING j SPECIAL NOTES TIMECLOCN I I EXCAVATION / STEEL TYPEflN i I " I I 1 , CANTILEVER I DEEP END RAMP i I�- I DECOO DRAW _ n L ' I I I i I HT MS PSPAOOL LIGHTS LIG TREE REMOVAL BY STEP FACE CITY OF LA QUINTA BUILDING & SAFELY DEPT. APPROVED FOR CONSTRUCTION oA 6 F �Zo15� SPECIFICATIONS TYPE GUNTTE SIZE 4a -D• X_ 4381 SO.FT.' PAVER DECKING SURFACE AREA OF POOL ONLY 831 PERIMETER 119LN.FT. I POOL 8 SPA COMBINED B89 SO. FT. 1148 SO. FT. 40 SO.FT. CONCRETE DEPTHS MIN. T& MAX LNEF. 414 SOFT. COURT YARD PAVERS 510 SO.FT. DRIVEWAY PAVERS SPA SPECIFICATIONS B'-0' 50 25 SIZE_x _ SO.FT._ W. FT. TILE T� T� WATERLINE -8'-0' TILE TRIM EOUIP. WALLS SPA DAM WALL MOTH ` NO. OF FTS OUARTER ROUND GATE REVERSAL LIGHT R.B.B. TSE ADDL PUMP SIZE RAISED SPAAT EXTEND 2M SRS ' SPILLWAY TYPE DECKING SPECIAL NOTES TIMECLOCN SO. Ft. SEE NOTE SH EXCAVATION / STEEL TYPEflN ACCESSFROM " EXPANSI NJOINTS _ ...... ELEVATION CANTILEVER ICOPING- DEEP END RAMP DECK DRAINS SKIMMER TYPE LOVE SEAT DECOO DRAW _ CONCRETE REMOVAL —LOADSCURBCORE PEBBLE PLASTER SOD REMOVAL LOADS STEPS— HT MS PSPAOOL LIGHTS LIG TREE REMOVAL BY STEP FACE FOUNTAINS I SPRAYHEADS IRRIGATION REMOVAL BY TILE BASE IRRIGATION REPAIR SAND MND LISOUEElN W R.B.B. RIBBONS MOW STRIP IT R.B.B. FT Ir R.B.B, Fr 2Y R.B.B. ' W R.B.B. TAN SHELF DEPTH MASONRY ROCK POCKETS CENTERS COPING TYPE R.B.B. FACING SPILLWAY TYPE SG CITY OF LA QUINTA BUILDING & SAFELY DEPT. APPROVED FOR CONSTRUCTION oA 6 F �Zo15� DRIVEWAY PAVERS wm CONSTRUCTION AUTHORIZATION 11 SALES 11 FIELD RY SIGNATURE(S) uA,e SWIMMING POOL PLAN FOR: NAME MELLECKER RESIDENCE SCALE I DATE IDESIGNEDBY IPROJECTMGR CHE� CKEDBY "= 1' 01.26.15 AH )801 REVISIONS r.r� SELECTIONS ISIGNATURE11 DRAINAGE NOTE: Drainage and irrigation for planters and pots, by Others, unless otherwise noted. w z w 0 w ry w U Li I J w PLUMBING _ STEPS _ _ FILTER SRE PROP. EXT. WALLS - POOL PUMPSIZE PLANTER WALL RETAINING WALLS HEIGHT' BOOSTER RUMP_ SIZE EOUIP. WALLS GATE ADDL PUMP SME FIREPR GATE REVERSAL DEEP END RAMP ADDL PUMP SIZE REMOVE 6 REHANG EXTEND 2M SRS ' HEATER SIZE LOVESEAT TIMECLOCN SUB PANEL tor. erA"r _ ...... ADDL OUTLETS ICOPING- SKIMMER TYPE _ FILL LINE PEBBLE PLASTER — OAS LINE STUBS HT MS PSPAOOL LIGHTS LIG FOUNTAINS I SPRAYHEADS ROLLED BOND BEAM ' SHEER DESCENTS BEHIND SPA EYEBALLS LIGHTS IN POOL IN SPA STUB SET EOUIPMENr DRIVEWAY PAVERS wm CONSTRUCTION AUTHORIZATION 11 SALES 11 FIELD RY SIGNATURE(S) uA,e SWIMMING POOL PLAN FOR: NAME MELLECKER RESIDENCE SCALE I DATE IDESIGNEDBY IPROJECTMGR CHE� CKEDBY "= 1' 01.26.15 AH )801 REVISIONS r.r� SELECTIONS ISIGNATURE11 DRAINAGE NOTE: Drainage and irrigation for planters and pots, by Others, unless otherwise noted. w z w 0 w ry w U Li I J w MISC FENCING PL UMSING SUE FENCE' TYPE HEIGHT' GATE GUNITE - GATE REVERSAL DEEP END RAMP REMOVE 6 REHANG EXTEND 2M SRS ' LOVESEAT SPILLWAY TYPE CANTILEVER tor. erA"r _ ...... ..___..... ICOPING- _ I RAS. ..SEE STEEL—. — DRIVEWAY PAVERS wm CONSTRUCTION AUTHORIZATION 11 SALES 11 FIELD RY SIGNATURE(S) uA,e SWIMMING POOL PLAN FOR: NAME MELLECKER RESIDENCE SCALE I DATE IDESIGNEDBY IPROJECTMGR CHE� CKEDBY "= 1' 01.26.15 AH )801 REVISIONS r.r� SELECTIONS ISIGNATURE11 DRAINAGE NOTE: Drainage and irrigation for planters and pots, by Others, unless otherwise noted. w z w 0 w ry w U Li I J w