BPOL2016-015578-495 CALLE TAMPICO C 0 D Qum&
LA QY1NTA CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2016-0155
Property Address:
44065 CALICO CIR CIR
APN:
604091035
Application Description:
PATTERSON / POOL SPA EQUPMENT
WALL AND GAS L B
Property Zoning:
Application Valuation:
$50,000.00
Applicant:
O N
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MAURICE PHILIP PEGORELLI
a
P 0 BOX 541
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TWENTY NINE PALMS, CA 92277
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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: License No.: 823063
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).:
( 11, 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. Q.
Lender's Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/19/2016
Owner:
MICHEL PATTERSON
44065 CALICO CIR
LA QUINTA, CA 92253
Contractor:
MAURICE PHILIP PEGORELLI
P 0 BOX 541
TWENTY NINE PALMS, CA 92277
(714)404-5514
Llc. No.: 823063
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I ave and will maintain a certificate of consent to self -insure for workers'
co ---- a , as provided for by Section 3700 of the Labor Code, for the performance
oft r 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: EXEMPT 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 s ject to the
workers' compensation provisions of Section 3700 of the La or Cod I shall forthw'
comply with those provisions.
Date: l) C1 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 laws relating to buil
construction, and hereby authorize representatives of this city to enter upon th
above mentionedpro perty for inspection purposes.
Date: l / Signature (Applicant or Agent):
Application Number:
BPOL2016-0155
Owner:
Property Address:
44065 CALICO CIR CIR '
MICHEL PATTERSON
APN:
604091035
44065 CALICO CIR
Application Description:
PATTERSON / POOL SPA EQUPMENT WALL AND GAS LINE BBQ
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$50,000.00
Date: 10/19/2016
Applicant: Contractor:
MAURICE PHILIP PEGORELLI MAURICE PHILIP PEGORELLI
P 0 BOX 541 P 0 BOX 541
TWENTY NINE PALMS, CA 92277 TWENTY NINE PALMS, CA 92277
(714)404-5514
Llc. No.: 823063
---------------------------------------------------------------------------------------------
Detail: POOL, SPA, STUB FOR BBQ, AND 8 LF OF 4 FOOT HIGH EQUIPMENT WALL [HACKER ENGINEERING FOR POOL/CITY STANDARD ENGINEERNG FOR
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.
FINANCIAL ' '
DESCRIPTION ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$50.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$63.33
Total Paid for BLOCK WALL: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
Bill # .
Qty 9f La Quinta
Building Safety Division
Permit 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
"Project Address: ! qd&�- c,4LlCC) (Owncr:s{Namc: [c&L 0476
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A. P. Number:
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Address: Y v6-c- C-0 �'
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Legal Description:
:City, ST, Zip: e14-
'2-2-5�3
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CoLactor.
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Address: 126 OL-'-
City ST, Zip:/ --
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Project Description:
6pui POO IL c6w
Pne• r
Tele h o . 2
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ti
Sta e Lic.#:::>:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: •
:
aneY
Construction Type: Occupancy:
:
Stateic. 9:
circle one): Add'n
Project P � Alter Repair air
0>:
Demo
Name of Contact Person:
(c
Sq. Ft.:
# Stories:
# Units:
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iTe-lephone # of Contact Person: % 1 —'I p / ��'� flEstimated
Value of Project: -'K-0 OC9 ei
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Rcc'd TRACKING . :PERMIT FRES
Plan Sets
Plan Check submitted
Item
Amount
AA,
Reviewed, ready for corrections
Plan Check Deposit '
Truss ales.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Revicw, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
li.O.A. Approval
/
/
flans resubmitted
Grading
INHOUSE:-
'"' Reyicw, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I-P.P.
Pub. Wks. Appr
•Da(e of permit issue
School Fees,
.
I
Total I'c
OCT 18 2016
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
ti
EXISTING TREE
TO REMAIN
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ni \/ I'll TA AIAIIAIP' rI_Jri r nil ISI r%
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NOL, oar 6
NEW +18", 7'-0" DIA. SPA, QUARTZITE
CAIP AND VENEER, (5) JETS, (1) COLOR
L.E.D. LIGHT, AND AN 8'-7 LN.
STACKED STONE SPILLWAY
NEW _
: HORSE SHOE PIT
(15) N EW��
S &' cov&
9' '°i( l V
(42) EXISTING TREES TO REMAIN
SINK EXISTING 12' DIA. TRAMPOLINE TO
GROUND LEVEL, AND SURROUND WITH
PAS;
r
('ow< Vt vc.- wtw -0-221 047S
AIC -0i
NOL, oar 6
NEW +18", 7'-0" DIA. SPA, QUARTZITE
CAIP AND VENEER, (5) JETS, (1) COLOR
L.E.D. LIGHT, AND AN 8'-7 LN.
STACKED STONE SPILLWAY
NEW _
: HORSE SHOE PIT
(15) N EW��
S &' cov&
9' '°i( l V
(42) EXISTING TREES TO REMAIN
SINK EXISTING 12' DIA. TRAMPOLINE TO
GROUND LEVEL, AND SURROUND WITH
PAS;
r
SHEET
OF1
DATE: 8.30.2016 41111111110 I
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('ow< Vt vc.- wtw -0-221 047S
POOL SPECS.
SIZE 15'-6" X 32'-0"
AREA - 445 SQ. FT. PERIMETER - 96' LN.
DEPTH -3'-0" TO -7'-0"
CAPACITY 16,600 GALLONS'
LIGHTS COLOR L.E.D..
S rA Al pj' ilk ► -' `= 400 SQ. FT.
.`
CONCRETE DECKING 100 SQ. FT.
r,.
FINISHQ
f
x
SPA SPECS.
�
4
SIZE +18", 7'-0" DIA..;h
AREA - 39 SQ. FT. PERIMETER - 22' LN.
JETS (5)
CAPACITY 1,100 GALLONS
LIGHTS (1) COLOR L.E.D.
SPILLWAY SIZE 8'-7" LN.
SPILLWAY TYPE STACKED STONE
FINSIH WHITE PLASTER
GENERAL NOTES
-1) LANDSCAPE ELEMENTS. (TREES, SHRUBS, VINES
AND LAWN) AND PATIO FURNITURE -SHOWN FOR
ILLUSTRATION ONLY. UNLESS BY SEPARATE BID.
2) NOTIFY DIG ALERT, A FREE PUBLIC SERVICE
PROVIDED BY UNDERGROUND SERVICE ALERT OF
SOUTHERN CALIFORNIA @ 811 PRIOR TO ANY
EXCAVATION.
3) BOULDERS: (17)15" DIA., (15)12" DIA.,
AND (5) 30" DIA. p
W
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CUSTOMER APPROVAL / SIGN & DATE
COUNTRY CLUB:
CACTUS FLOWER
GATE CODE:
NO GATE
PATTERSON, MICHE L
760.799.5928
44065 CALICO CIRCLE
LA QUINTA, CA 92253
!
DESIGN SPECIFICATIONS
SCALE:
SHEET
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DATE: 8.30.2016 41111111110 I
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