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BPOL2016-0076i'` 78-495 CALLEJAMPICO. LA QUINTA, CALIFORNIA 92253 s- c&t�p 4 4 Qum&, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BPOL2016-0076 Owner: Property Address: 52910 DEL GATO DR SCOTT -FREE APN: 770330021 Property Zoning: Application Valuation: $25,000.00 Applicant: Contractor: PREMIER OUTDOOR INC PREMIER OUTDOOR INC 77588 EL DUNA COURT 77588 EL DUNA COURT PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)345-9791 Llc. No.: 963116 ------- ---------------------------------------------------- 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.: 963116 Date: 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, willdo 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 Name: Lender's Address: Date: .7/7/2016 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. 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 to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): FINANCIAL DESCRIPTION ACCOUNT' QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Ronald Morning CREDIT WEB848 201606024127584720 ECON Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE- CreditCardFee 101-0000-43505 0 $6.18 $6.18 6/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Ronald Morning CREDIT WEB848 201606 02217584720 ECON Total Paid for Credit Card Fee: $6.18 $6.18 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 6/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Ronald Morning CREDIT WEB848 2016060217584720 742 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $98.62. 6/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Ronald Morning CREDIT WEB848 201606 2412 584720 ECON Total Paid for'POOL / SPA: $279.91 $279.91 TOTALS:0• $287.09 tl Permit Is PERMIT NUMBER �,ar x City of La Quinta BPOL2 - 6-OQ76 Description: FREE /POOL AND SPA AT REAR YARD ONLY Type: POOL CONSTRUCTION Subtype: PRIVATE Status: ISSUED !Applied5/23/2016 ECON (WEB) Approved: 5/24/2016 AOR Parcel No'. 770330021 Site Address: 52910 DEL GATO DR LA QUINTA,CA 92253 Subdivision: TR 28867 Block: Lot: 57 Issued: 6/2/2016 ECON Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $25,000.00 Occupancy Type: Construction Type: Expired: 12/19/2016 crw No. Buildings: 0 No. Stories: 0 No. Unites: 0 AJ ORTEGA Details:. POOL AND SPA AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. Applied to Approved =Approved to Issued s Printed: Thursday, July 07, 2016 1:38:36 PM 1 of 5 ' OffLJ Ll SYSTEMS Imam CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES EMAIL SENT TO APPLICANT THAT PLANS ARE APPROVED AND E-MAIL • AJ ORTEGA 5/24/2016 5/24/2016 PERMIT IS READY TO ISSUE, ADDITIONALLY THE POOL ENGINEERING SHEETS IS STAMPED AND READY TO BE PICKED UP. EMAIL SENT TO APPLICANT ('PREMIEROUTDOORS@GMAIL.COM') STRUCTURAL POOL ENGINEERING SHEET REQUIRED FOR ALL PROJECTS. DEPENDING ON THE ENGINEERING BEING PROVIDED, IT MAY BE REQUIRED TO BE ONSITE DURING INSPECTION IF THE PENDING DOCUMENTS AJ ORTEGA 5/23/2016 5/23/2016 ENGINEER OF RECORD HAS LISTED SPECIAL CONDITIONS TO VALIDATE THE DESIGN (I.E. `ONLY VAID IS WET SIGNED IN RED INK", ETC.) IF THAT IS THE CASE PLEASE UPLOAD A PHOTO OF THE DOCUMENT FOR REFERENCE AND BE SURE TO HAVE THE VALID COPY ONSITE AND COMPLETELY FILLED OUT FOR THE SPECIFIC JOB SITE. Printed: Thursday, July 07, 2016 1:38:36 PM 1 of 5 ' OffLJ Ll SYSTEMS Printed.: Thursday, July 07, 2016 1:38:36 PM 2 of 5 = srsrEMs STATE ZIP PHONE FAX EMAIL CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY APPLICANT PREMIER OUTDOOR INC 77588 EL DUNA COURT PALM DESERT CA 92211 (760)698-9624 PREMIEROUTDOORS@ GMAIL.COM CONTRACTOR PREMIER OUTDOOR INC 77588 EL DUNA COURT PALM'DESERT CA 92211 (760)698-9624. QTY. PREMIEROUTDOORS@ GMAIL.COM OWNER SCOTT FREE 1570 LINDA VISTA DR I SAN MARCOS CA 92078 1 (760)698-9624 , Printed.: Thursday, July 07, 2016 1:38:36 PM 2 of 5 = srsrEMs FINANCIAL INFORMATION CLTDf3Y DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD. PAID By , . 201606021 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/2/16 WEB848 758472074 CREDIT Ronald Morning ECON 2 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA:. 201606021 Credit Card Fee 101-0000-43505 0 $6.18 $6.18 6/2/16 WEB848 758472074 CREDIT Ronald Morning ECON 2 Total Paid for Credit Card Fee: $6.18 $6.18 201606021 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 6/2/16 WEB848 758472074 CREDIT Ronald Morning ECON 2 SWIMMING POOL/SPA 201606021 101-0000-42600 0 $98.62 $98.62 6/2/16 WEB848 758472074 CREDIT Ronald Morning ECON PC 2 Total Paid for POOL / SPA: $279.91 $279.91 TOTALS:0• $287.09 Printed.: Thursday, July 07, 2016 1:38:36 PM 2 of 5 = srsrEMs Printed: Thursday, July 07, 2016 1:38:36 PM 3 of 5 SYS7[MS IIVSYt%:1IUtV-1 TYC— ""`""""'I MortVIUK'—"'""" --- DATE DATE —Kt3UCI'""••' "—""""'"""""KCMAKK3o-"-'—` IVU I C7. 6/2/2016 11:01 AM PREMIER OUTDOOR INC Contact Name: PREMIER OUTDOOR INC Site Address: 52910 DEL GATO DR DISAPPROVE eTRAKiT Inspection Phone: 7605782952 PRE-GUNITE AOR 6/3/2016 6/3/2016 D Request a -Mail: PREMIEROUTDOORS@GMAIL.COM SPECIAL ENGINEERING REQUIRED FOR SHEARWALL FOOTING LESS THAN 3' FROM POOL 6/2/2016 11:01 AM PREMIER OUTDOOR INC Contact Name: PREMIER OUTDOOR INC DECK BOND AOR 6/3/2016 6/3/2016 NOT READY eTRAKiT Inspection .. Site Address: 52910 DEL GATO DR Request Phone: 7605782952 e -Mail: PREMIEROUTDOORS@GMAIL.COM 6/16/2016 12:17 PM PREMIER OUTDOOR INC Contact Name: PREMIER OUTDOOR INC eTRAKiT Inspection Site Address: 52910 DEL GATO DR PRE-GUNITE AOR 6/17/2016 6/17/2016 APPROVED Request Phone:7603459791 e -Mail: PREMIEROUTDOORS@GMAIL.COM SEE ATTACHED RFI FROM ENGINEER OF RECORD 6/17/2016 2:40 PM PREMIER OUTDOOR INC Contact Name: PREMIER OUTDOOR INC UNDERGROUND GAS JFU 6/21/2016 6/21/2016 PARTIALLY eTRAKiT Inspection Site Address: 52910 DEL GATO DR APPROVED Request Phone:7603459791 e -Mail: PREMIEROUTDOORS@GMAIL.COM Printed: Thursday, July 07, 2016 1:38:36 PM 3 of 5 SYS7[MS Permit Details PERMIT NUMBER � City of La Quinta BPOL241V6 1070 COMPLETE APPROVAL. RETURNED REVIEWS STATUS REMARKS EQUIPMENT LOCATION APPEARS TO HAVE REVIEW TYPE REVIEWER SENT DATE DUE DATE BEEN CHANGED FROM ITS LOCATION ON DATE THE APPROVED PLAN. MAINTAIN SIDE YARD 1ST BLDG NS - AJ ORTEGA 5/23/2016 5/24/2016 5/23/2016 INCOMPLETE SETBACK REQUIREMENTS. GAS PIPING IS ETRAKIT (1 DAY) NOT FULLY INSTALLED (SEE PHOTO). IF 2ND BLDG NS — UNDERGROUND GAS JFU 6/21/2016 6/21/2016 PARTIALLY eTRAKiT Inspection EQUIPMENT LOCATION HAS INDEED BEEN ETRAKIT (1 DAY) APPROVED Request REVISED, OKAY TO BACKFILL FROM NEW EQUIPMENT LOCATION (NEXT TO CONDENSERS AT SOUTH SIDE YARD) TO A POINT 5' FROM SOUTHWEST CORNER OF HOME. SUBSEQUENT UNDERGROUND GAS INSPECTIONS REQUIRED. FROM SERVICE PANEL TO EQUIPMENT UNDERGROUND ELEC JFU 6/22/2016 6/22/2016 PARTIALLY LOCATION ONLY, DOES NOT INCLUDE APPROVED ELECTRICAL TO POOL. 6/21/2016 9:50 AM PREMIER OUTDOOR INC Contact Name: PREMIER OUTDOOR INC eTRAKiT Inspection Site Address: 52910 DEL GATO DR UNDERGROUND GAS JFU 6/22/2016 6/22/2016 APPROVED Request Phone:7603459791 e -Mail: PREMIEROUTDOORS@GMAIL.COM COMPLETE APPROVAL. Printed: Thursday, July 07, 2016 1:38:36 PM 4 of 5 SYSTEMS RETURNED REVIEWS STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE 1ST BLDG NS - AJ ORTEGA 5/23/2016 5/24/2016 5/23/2016 INCOMPLETE SEE CHRONOLOGY ITEMS,.POOL ENGINEERING ETRAKIT (1 DAY) SHEET REQUIRED. 2ND BLDG NS — AJ ORTEGA 5/24/2016 5/25/2016 5/24/2016 APPROVED POOL ENGINEERING SHEET PROVIDED FROM ETRAKIT (1 DAY) DENISE POELTLER, SEE ATTACHED Printed: Thursday, July 07, 2016 1:38:36 PM 4 of 5 SYSTEMS Printed: Thursday, July 07, 2016 1:38:36 PM 5 of 5 SYS7Pti1S ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 5/24/2016 AJ ORTEGA POOL PLAN BPOL2016-0076 - POOL 1 (APPROVED) PLAN (APPROVED).pdf BPOL2016-0076 - POOL DOC 5/24/2016 AJ ORTEGA POOL ENGINEERING ENGINEERING (DENISE 0 (FOR REFERENCE ONLY) POELTLER).pdf RFI (BUILDING BPOL2016-0076 - RFI - 'DOC 6/17/2016 AJ ORTEGA (BUILDING 1 SURCHARGE) SURCHARGE).pdf BPOL2016-0076 -1ST DOC 5/23/2016 EtrakitContractor 1ST SUBMITTAL POOL SUBMITTAL POOL 1 PLAN PLAN.pdf IMAGE 6/21/2016 JAKE FUSON UG GAS PIPING PARTIAL UG GAS PIPING PARTIAL 0 INSTALLATION.JPG INSTALLATION.JPG Printed: Thursday, July 07, 2016 1:38:36 PM 5 of 5 SYS7Pti1S