BPOL2014-1132• � - - . to y�'
78-495 CALLE TAUPICO.
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN: °
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ACE POOLS
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
4 at
COMMUNITY DEVELOPMENT DEPARTM
BUILDING PERMIT
BPOL2014-1132 Owner:
60702 OROURKE CIR CIRD Lry GAYLE LUNDMARK
764330011 �, 60702 OROURKE
SPA ONLY DEC 16 2014 LA QUINTA, CA 92253
$8,000.00
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.::LIC-010 1 P
Date: 2 _1L0_ i 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, 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 Name
Lender's Ad
Contractor:
ACE POOLS
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)578-8780
LIc. No.::LIC-0101281
VOICE (76�).777�,Z125
FAX (760)-`)774011
CTION5 (760) 777-7153
Date: 12/16/2014
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 Se 3700 of the Code, I shall forthwith
comply with those provisions.
Date: . Applican
WARNING: FAILURE TO SECURE WORKERS' COMP NSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P IES 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 representativesofj[P��s cityy<feTiter upo _the above.
mentioned property for inspection purposes. / ,
Date: \2 � 1�� I \ Signature (Applicant or Age�t
:ii..2t� >S•t.:+�. X�,:h��x . n;�g; •`-9, y d '�, 'hF�'L..`� �, �M ^G xS,Y^1JyRa.'r3'°zi #'� &'`xH} �.' •�; �.� "%.5 .t € ,r�# �'z{,�•�, S-::"F'„<'%"'PN<?rs�`A ;'�a^!:3Y "°'''Y/,%
-� a�IlESCRIPTION�',y�=ACCOUNT F`�?Nu ::�s. AMOUNT cn ': r QPi1Dz �PAIgDATEx.
BSAS 581473 FEE 101-000 0
$1.00 $0.00
:�Y.� .1 �. .�yi a"i.,
?tsw:RECEIPT,# 5 $s CHECK{#� CLT,D BY t
Total Paid forBUILDING STANDARDS ADMINISTRATION3� BSA; $1.00. $0.00
V�tt,
'�r'`DESCRIP,TION3_:
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SI:
* mACCOl1NT�
ts.'f�'ir?.
i;i.b..i.
:QTY:
byteAMOUNTi'�PAID
'�PAIU.DATE:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
Y'. <: a<'F.:•,.xe
PAID BY,
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5 1'*' ETH0D # a .E-:^i•«N^
:.:y.u_'<l�y`. >;e.
RECEIPT # a Q'
£CHECK
:{DESCRIP,TION:�rACCOUNT„sy#
QTY
:,.
�AMOUNTX,�PAID
�i""'F
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
,R €7F':e;: 9+. 1 #D`t"'�b{'+,� °.e:¢.;$i, e"F+ze, e. ,' M- .���;
.r5""y'*s• �,<
:PAID:BY e x �:s
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?ti-. S.,fg4 : T'.'�. i+'°. 'x-:S;iFJ�,�!•z,Tki•Y ' o�'' i,�"R:
-::i.. #"�.:�., 6 �, ;:y, •.. 'fir;<.N
' METHOD•���
v'��rz..:k., n`f ..{s`,Xa 'F &*'a..r_z!>,..;+i•`N,;k:'`''.a..vzTti,
F � '# F eY"�S`ii 3:'e�.;{'KS'mF P'+, u., �
y.`M# .. xe; , r# `i i,:,.
¢. ,
47 :P..::"F': {" 5s'R,t�k°y'�Jw'..4
:'s„s�y.'CH
.- ECK #
p.. ,4f?,s`. •-�g..'?✓'�j°'..
CL70 BY ,
' Total Paid for POOL/ SPA: $279.91 $0.00
Description: SPA ONLY
0 OUTSIDE CITY LIMITS
LA QUINTA
Type: POOL
Subtype: ° Status: SUBMITTED
Applied: 12/16/2014 MFA
CONTRACTOR ACE POOLS
r
Approved:
Parcel No: 764330011 Site Address: 60702 OROURKE CIR CIR LA QUINTA,CA 92253
r
Subdivision: TR 30023-1
Block: ( Lot: 11
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,000.00
Occupancy Type: ` Construction Type:
Expired: .
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details:
APPLICANT ACE POOLS
0 OUTSIDE CITY LIMITS
LA QUINTA
CA 92253 (503)426-2116
CONTRACTOR ACE POOLS
d OUTSIDE CITY LIMITS
LA QUINTA
CA 92253 (503)426-2116
OWNER GAYLE LUNDMARK
60702 OROURKE
LA QUINTA
CA 92253 (503)426-2116
Printed: Tuesday, December 16, 2014 8:50:18 AM 1 of 2
CRWIYSTEMS
%a
r.
Printed: Tuesday, December 16, 2014 8:50:18 AM 2 Of 2 CI?WIYSTEMS
-Spa elevation 24"
Pool already exist
only adding spa
Plumbing for spa only
No gas or main
electrical
':WORM
6 Spa
Jease �Wngr n1
017SFSh:a=�e 9
20
3ayle Lundmark
160702 orouke
La quinta ca
X
2., SIZE: >' DEPTH: X X_1
3. INTERIOR FlliliH. F
4 WATERLINE TILE:
MOR #,l-
5 DECKING:
66011:1
6.�::COPING TYP.E.
13. 1 SAL.T:GtkEk#*1 [Vokd
14, NmLINE CHLORINATOR:
15 .POOL
HLOki"f6k-m.,.PoOL CLEANER TYPE', -I
'.166 - RETURNS;;,
K MMERS:
17.
VAC INLET SPA JETS:O DECKJET
:.18. -0 ILS I LAD612118J
I . 9. WATER 4' FEATURE I.-
20 WATER FEATURE i
2 1 1 GAS HEAT - ER BTU:
.
22. HEAT._PUMRBTOJO SOLAR:
23. POOLLIGH*Y .1
24.; TI , ME R'OR - CONTROL -1- _71
C& YIN oAiNT�. FWN--]:
...25.,,AETWALL: ] 1w§TW11C
.i:26.: EXTRA FILL :REQIU!RtD,.Pk VIMDRY.-I
27.CHILD SAFir(dobt.-I I
,2 k". SURVEY WORK BY -
29. ACCESS NORMAL 10SHUTTLE-.
............
30. HOME :UYEN UNDER HOME LIVED
0
I.,'SPA-F SIDE SUCT:
6 #DRAINS.
3 BLOWER- IIG TA
_j
_j
4 HEATER yes
,'...5JETPUMOA 1.5hp =-.-.BUBBLER`:
.:.'6.r. CONTROLS -T_
pebble
8 OTHER
n,
':WORM
6 Spa
Jease �Wngr n1
017SFSh:a=�e 9
20
3ayle Lundmark
160702 orouke
La quinta ca
X
2., SIZE: >' DEPTH: X X_1
3. INTERIOR FlliliH. F
4 WATERLINE TILE:
MOR #,l-
5 DECKING:
66011:1
6.�::COPING TYP.E.
13. 1 SAL.T:GtkEk#*1 [Vokd
14, NmLINE CHLORINATOR:
15 .POOL
HLOki"f6k-m.,.PoOL CLEANER TYPE', -I
'.166 - RETURNS;;,
K MMERS:
17.
VAC INLET SPA JETS:O DECKJET
:.18. -0 ILS I LAD612118J
I . 9. WATER 4' FEATURE I.-
20 WATER FEATURE i
2 1 1 GAS HEAT - ER BTU:
.
22. HEAT._PUMRBTOJO SOLAR:
23. POOLLIGH*Y .1
24.; TI , ME R'OR - CONTROL -1- _71
C& YIN oAiNT�. FWN--]:
...25.,,AETWALL: ] 1w§TW11C
.i:26.: EXTRA FILL :REQIU!RtD,.Pk VIMDRY.-I
27.CHILD SAFir(dobt.-I I
,2 k". SURVEY WORK BY -
29. ACCESS NORMAL 10SHUTTLE-.
............
30. HOME :UYEN UNDER HOME LIVED
0
I.,'SPA-F SIDE SUCT:
6 #DRAINS.
3 BLOWER- IIG TA
_j
_j
4 HEATER yes
,'...5JETPUMOA 1.5hp =-.-.BUBBLER`:
.:.'6.r. CONTROLS -T_
pebble
8 OTHER