BPOL2016-008978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t(t4 4 4"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2016-0089
Property Address:
77975 CALLE COLIMA
APN:
774135013
Application Description:
STEMMER / POOL AND SPA
Property Zoning:
Application Valuation:
$18,000.00
Applicant:
A & R POOLS INC
P 0 BOX 103
LA QUINTA, CA 92247
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C53 License No.: 993197
Dae Or Contractor: f
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 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STEMMER JOE W JR & VICKY L
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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, ovided for by Section 3700 of the Labor Code, for the performance
of the weivror 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 ag a that, if I sh become subject to the
workers' compensation provisions of S ction 3700 o e Labor Co , I shall forthwith
comply 78�
those provisions.
Date: Applica
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 building
construction, and hereby authorize representatives of this city toter upo the
above-mentioned property for inspection purposes.
JJh
Date: Z� (� Signature (Applicant or Agen .
DESCRIPTION
FINANCIAL .• 1
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 for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
T DESCRIPTION
ACCOUNT
QTY
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:
TOTALS::0
$279.91
$0.00
00
Permit Details PERMIT NUMBER
City of La Quinta
BPOL2016-0089
Description: STEMMER / POOL AND SPA
Type: POOL Subtype: Status: APPROVED
Applied: 6/22/2016 SKH
Approved: 6/24/2016 DCL
Parcel No: 774135013 Site Address: 77975 CALLE COLIMA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 240 Lot: 1
Issued:
UNIT 23 -
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $18,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CHRONOLOGY
Details: POOL AND SPA ONLY. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE
I Applied to Approved
Printed: Friday, June 24, 2016 2:34:41 PM 1 of 2 CRWrsrEMs
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE,-,.
NOTES a�
TELEPHONE CALL
DUANE CLAYTON
6/24/2016
6/24/2016
SPOKE TO MICHELLE AT A&R TO CLARIFY DECK BOND
COMMENT ON APPLICATION AND INFORM HER PLANS WERE
APPROVED AND READY FOR PICK UP. A&R WILL INSTALL
DECK BOND WIRING AND FLAT WORK WILL BE. PERFORMED
BY OTHERS.
CONDITIONS
CONTACTS
NAME TYPE >"
':
NAME`
ADDRESSl
CITY
STATE
ZIP
PHONE
FAX `
.EMAIL
APPLICANT
A & R POOLS INC
P O BOX 103
LA QUINTA
CA
92247
arpoolsinc@hotmail.co
M
CONTRACTOR
A & R POOLS INC
P O BOX 103
LA QUINTA
CA
92247
arpoolsinc@hotmail.co
M
Printed: Friday, June 24, 2016 2:34:41 PM 1 of 2 CRWrsrEMs
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
OWNER STEMMER JOE W JR & VICKY L 42215 WASHINGTON PALM DESERT CA 92211.
ST #355
INSPECTIONS
Printed: Friday, June 24, 2016 2:34:41 PM 2 of 2
CB?WSYSTEMS
•
FINANCIAL••
CLTD
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATERECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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::0 00
INSPECTIONS
Printed: Friday, June 24, 2016 2:34:41 PM 2 of 2
CB?WSYSTEMS
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CITY OF LA QUINTA
BUILDING
& SAFETY DEPT.
APPROVED
FOR
�JCONSTRUCTION
DATE `(' f0` I is BY p c",
RECEIVE®
JUN 2 2 2016
CITY OF LA OUINTA
COMMUNITY DEVELOPMENT
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CITY OF LA QUINTA
BUILDING
& SAFETY DEPT.
APPROVED
FOR
�JCONSTRUCTION
DATE `(' f0` I is BY p c",
RECEIVE®
JUN 2 2 2016
CITY OF LA OUINTA
COMMUNITY DEVELOPMENT
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Qty. of La Quin to
Building 8r Safety Division
P.O. Box 1504, •7B-495 Calle Tampico
4-Quinta, CA 92253 -:(760) 777-7012
Building Permit' Application and Tracking Sheet
Permit #
(ID Lao I�
Project Address: (C IIrYIOwner's
Name:. D � 5 fpm ri't �'L
A_ P. Number.
Address: .Z 7 q do-
Legal Description:
Contractor. A p6p I
�7,5--
City, ST, Zip:
Telephone: ( ~ ? ~
Project Description:
Address: R C) Do" D 5
City, ST, Zip: :A (, -t 1 I CA -'47 OZU q 7
POO I t 12 L
Telephone: /0
CITY OF LA QUINTA
State Lie. # : 14c7:30-7 City Lic_ #,
Arch, Engr., Designer.
13UILDING & SAFETY DEPT.
Address:
AFFKUVLU
City, ST, Zip:
Telephone:
3
State Lia #:
Name of Contact Person:
pe.
Project n Alter Repair Demo
-Sq. Ft: q # Swries:
# Units:
Telephone # of Contact Person: I tpD
Estimated Value of Project: /e,1000
APPLICANT: DO NOT WRITE BELOW THIS UNE
p
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calc&
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Pian Check Balance_
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted. ' .
Mechanical
G:mding plan
2" Review, ready for corrcctionslessue
Electrical
Subcontattor List
Called Contact Person
Plumbing
Grant Deed
Plans plcked up
S.M.I.
ELO.A. Approval
Plans resubmitted
Grading
N HOUSE:-
'"' Review; ready for eorrectionslissue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees