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BPOL2016-0093Applicant: Contractor: DESERT MIRAGE POOLS & SPAS DESERT MIRAGE P00 L ..SPAS cwt 84267 MIRAMAR COURT 84267 MIRAMAR COURT COACHELLA, CA 92236 COACHELLA, CA 92236 z (760)702-9222 ::D Lic. No.: 999928 -LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pr isions • apte 9 (commencing with Section 7000} of Division 3 of the Business an rofes io Code, and my License is in full force and effect. License lass: C53LicenseLicense No.: 999928 DKe-j� - 7 Contracto OWNER -BUILDER DEC RATIO I hereby affirm under penalty of perjury that I am a empt rom the Contractor's State License Law for the following reason (Sec. 7031.5, B sin ss and Professions Code: Any city or county that requires a permit to construct,.alte , 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 1000) 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 Address: 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: Carrie Policy Number: II 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 beco su ct to the workers' compensation provisions of Section 3700 of the Labor d , hall forthwith comply With those provisions. )a��il Applicant: WARNING: FAILURE TO SECURE WORKERS' COULPE ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00DITION TO THECOST 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 i I agree to comply with all city and county ordinances and state laws relati to t construction, and hereby authorize representatives of this.city to enter u on the above -mm tioneed(propeerrty for inspection purposes. Dace: ' c^►��b Signature (Applicant or Age / VOICE (760) 777-7125 78-49S CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date; 6/28/2016 Application Number: BPOL2016-0093 Owner: Property Address: S3S81 VIA BELLAGIO PISCIOTTA APN: 7771700Q6 53581 VIA BELLAGIO Application Description: PISCIOTTA / POOL, SPA AND FIRE PIT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $38,700.00 _, w Applicant: Contractor: DESERT MIRAGE POOLS & SPAS DESERT MIRAGE P00 L ..SPAS cwt 84267 MIRAMAR COURT 84267 MIRAMAR COURT COACHELLA, CA 92236 COACHELLA, CA 92236 z (760)702-9222 ::D Lic. No.: 999928 -LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pr isions • apte 9 (commencing with Section 7000} of Division 3 of the Business an rofes io Code, and my License is in full force and effect. License lass: C53LicenseLicense No.: 999928 DKe-j� - 7 Contracto OWNER -BUILDER DEC RATIO I hereby affirm under penalty of perjury that I am a empt rom the Contractor's State License Law for the following reason (Sec. 7031.5, B sin ss and Professions Code: Any city or county that requires a permit to construct,.alte , 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 1000) 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 Address: 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: Carrie Policy Number: II 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 beco su ct to the workers' compensation provisions of Section 3700 of the Labor d , hall forthwith comply With those provisions. )a��il Applicant: WARNING: FAILURE TO SECURE WORKERS' COULPE ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00DITION TO THECOST 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 i I agree to comply with all city and county ordinances and state laws relati to t construction, and hereby authorize representatives of this.city to enter u on the above -mm tioneed(propeerrty for inspection purposes. Dace: ' c^►��b Signature (Applicant or Age / FINANCIALINFORMATION DESCRIPTION . ': .. -ACCOUNT " . QTY AMOUNT • "PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID, BY 's METHOD ` :RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $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 PAIDDATE . GAS SYSTEM, 1-4 -OUTLETS PC 101-0000-42600 0 $24.i7" $0.00 PAID.BY METHOD >: :,RECEIPT # CHECK #1 CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ': ACCOUNT %, } ." : CRTY 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 ? PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BYMETHOD RECEIPT<# `''::CHECK # CLTD BY " Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:$0.00 Description: PISCIOTTA / POOL, SPA AND FIRE PIT Type: POOL Subtype: Status: APPROVED Applied: 6/22/2016 SKH Approved: 6/28/2016 DCL Parcel No: 777170006 Site Address: 53581 VIA BELLAGIO LA QUINTA,CA 92253 Subdivision: TR 29894-2 Block: 'Lot: 318 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $38,700.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details:.. POOL AND SPA IN REAR YARD. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE 6 7,j Applied to Approved Printed: Tuesday, June 28, 2016 1:54:46 PM 1 of 3 _ SYS Tr: AAS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE _ COMPLETION DATE' " NOTES SPOKE WITH JERRY REGARDING SURFACE WATER PROTECTION FOR IID BOX NEAR POOL. JERRY TO CONTACT PUBLIC COUNTER VISIT DUANE CLAYTON 6/28/2016 6/28/2016 IID TO SEE IF THEY OFFER A BOX COVER TO PROTECT AGAINST SURFACE WATER. JERRY WILL CONTACT CITY WITH RESULTS FROM IID. - SPOKE TO JERRY PEREZ AND INFORMED HIM WE NEED 3 SETS TELEPHONE CALL DUANE CLAYTON 6/24/2016 6/24/2016 OF 11"X17" PLANS WHICH DETAIL THE POOL AND LOCATION OF POOL EQUIPMENT. LEFT MESSAGE WITH JERRY AT DESERT MIRAGE. INFORMED HIM THAT IN ADDITION TO THE ISSUE WITH THE IID BOX THE. TELEPHONE CALL DUANE CLAYTON 6/28/2016 6/28/2016 POOL/SPA EQUIPMENT IN SIDE YARD APPEARS TO BE IN VIOLATION OF THE 5' MINIMUM REQUIRED CLEARANCE TO PL. CONDITIONS Printed: Tuesday, June 28, 2016 1:54:46 PM 1 of 3 _ SYS Tr: AAS FINANCIAL INFORIVIATInN fig... a CLTD - _ DESCRIPT ION ACCOUNT QTY ^: AMOUNT PAID ZIP .: , PHONE FAX EMAIL NAME TYPE NAME ADDRE551 CONTACTS CITY' STATE APPLICANT DESERT MIRAGE POOLS & SPAS 84267 MIRAMAR COURT COACHELLA CA 92236 (760)702-9222 CONTRACTOR DESERT MIRAGE POOLS & SPAS 84267 MIRAMAR COURT COACHELLA CA 92236 (760)702-9222 OWNER PISCIOTTA 53581 VIA BELLAGIO LA QUINTA I CA 922S3 (760)702-9222 $24.17 $0.00 FINANCIAL INFORIVIATInN fig... a CLTD - _ DESCRIPT ION ACCOUNT QTY ^: AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY i » BY. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: 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 101-0000-426000 $98.62 $0.00 PC . Total Paid for POOL / SPA: $279.91 $0.00 INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE — RETURNED: DATE STATUS REMARKS NOTES Printed: Tuesday, June 28, 2016 1:54:46 PM 2 of 3 c . SYSTEIv1S ' Permit Details PERMIT NUMBER'p y City of La Quinta BPOL20160093 1ST BLDG NS (1 DUANE 11x17 PLANS REQUIRED(3 COPIES) WHICH SHOW DAY) CLAYTON 6/22/2016 6/23/2016 6/24/2016 APPROVED POOL AND EQUIPMENT LOCATIONS. PLAN CORRECTIONS COMPLETED. . ATTACHMENTS Printed: Tuesday, June 28, 2016 1:54:46 PM 3 of 3 sysTeMs Iain # ' Qty of La Q uin to Building 82• Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: , S ( l 1'0 Owner's Name: S A. P. Number: Address: '5_3_ S UI C4 R '-_ //011Q Legal Description: Fa _0L 120 City, ST, Zip: Lct , U" A Contractor: . o � Des e ,'d e o Tele hone: Address: _ 2 1. Project Description: Poo 00 City, ST, Zip: CC G! tri. Z 3 t vt F70 40 VE MQ 9 ne• TeleP ho . w miss= State Lie. # : City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ....................................................... tructi n Type: Occupancy: cu aneY• StateLic.#: PCon Project (circle one • New Add'n Alter Repairair Demo Name of Contact Person: efit ere z�. Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:' P 766 6Z- zzz Estimated Value of Project: J 3a 00 s APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted aItem Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan 2". 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:- '"! Reyiew, 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 L - - - - - - - - - - ��u�-��y ��.�� W W W W W W W W W ... W W W W W�-.�,= W-��-�.c•��.��W W:W y��m�v��—ro•�•-—^--f�� rl�`•.4� W W W W W W W W W _ _y _ W W W/ W W W W W �.c- -�„= �..-. W W W W W `• EXISTING LAWN _ - _ EXISTIN AWN W W - ----- _ - -ASS'CrC1"A�lTON EAS�MEN-T' " _.__ � PER HIDEAWAY CLUB. H.O.A. ----------------------- �P� J I 3. 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