12-0420 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address: .
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
r 12-00000420_
53701 AVENIDA VELASCO
774-124-025-
POOL
74-124-025 POOL - RESIDENTIAL
COVE RESIDENTIAL
18900
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LAPIDES RESIDENCE
53701.AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
KANCON POOLS AND SPAS,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7.153
Date: 4/19/12
t
ZX
R 19 2012
46625 DESERT VILLA #1
INDIO, CA 92201
-(160)397-7699 CITY OF LAQUNTA
FINANCE DEPT.
Ar LiC. No.: 946375
. 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 Professionals Code, and my License is in full force and effect.
License Class: C53 License No.: 946375
C ractor:
' OWNER -BUILDER DECLARATION
I hereby affirm under penalty of priury 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 theapplicant 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).:
1—) 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.).
( 1 1, 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.).
(_ 1 I am exempt under Sec: , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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:
LQPERMIT
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 EXEMPT Policy Number EXEMPT
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 L;RIMINAL
r Cod�Ihall forthwith comply with those provisions.
Yae: pplican'
WARNING: FAILURE TO SEC'WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO 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 Director of Building and Safety 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 Quint a,'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
oZis county to enter on the above-mentioned property fo inspection purposes.
Date: Signature (Applicant or Agent):
Application Number .
. 12-00000420
Permit- BLDG POOL PERMIT .
Additional desc .
Permit Fee
198.00 Plan Check Fee
128:70
Issue Date
Valuation . . .
. 18900
Expiration Date...
10/16/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
•17.00 9.0000
THOU BLDG 2,001=25,000•
153.00.
Permit . . . MECH POOL
Additional.desc .
Permit .Fee '..
24.0.0 Plan Check 'Fee
6.00
Issue Date
Valuation
0
Expiration Date
10'/16/12
Qty Unit Charge
Per
Extension
'
BASE FEE.
15.00
1.00 9.0000
EA. MECH FURNACE <=100K
'9.00
Permit ELEC.POOL PERMIT -RES
Additional desc
Permit Fee
45.00 Plan Check -Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/16/12
Qty' Unit Charge
Per
Extension
BASE FEE
15.00
1.'00 30.0000
EA ELEC. PRIVATE SWIMMING POOL
30.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee
33.00 PlanCheck Fee
8.25
Issue Date . .
Valuation
0 .
Expiration Date
10/16/12
' Qty Unit Charge
Per
Extension'
BASE FEE
15.00.
2.00 6:0000
EA PLB FIXTURE
12.00
1.0.0 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00, 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL, SPA ALARMS, BARRIERS -SHALL BE IN
LQPERMIT - .
Application Number 12-00000420
Special Notes and
Comments
PLACE AT PRE -PLASTER INSPECTION
EQUIPMENT ENCLOSURE - NOT INCLUDED. 2010
CODES.
----------------------------------------------------------------------------
Other Fees
BLDG STDS ADMIN (SB1473)
1'.00 .
Fee summary
Charged Paid
Credited-
Due
Permit Fee Total
300.00
.00
.00
300.00
-Plan Check Total
154.20
.00
.00
154:20
Other Fee Total
1.00
.00
.00
1.00
Grand Total
455.20
.00
.00
455.20
LQPERMIT
a
{ - CFY OF LA QUINTA
KANCUN POOLS AND SPAS INC t.is dbondbe.12" - BUILDING &SAFETY DEPT.
ti
760-397-7699 C-53 946375
rFOR
CON STRI
cTION
r�
• P2 - BLOCK W
L
�
3'
DATE BY
SIDE YARD .
T6' 10'
_
~
' 6 li
spa---- 7161rx6rr
- r
perimeter-- 27'
237i
30'
163'3
45 sq feet
CA
6 jets a
3' sbellow end
IT Y deep end
pool--- 30r x'12
z
3' .
W �
W
✓
✓E—I"'
��
°
269" � 22' 1—�j
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r
EXISTING CONCRETE PATIO 8 0-1N
O
c LAURA LAPIDES RESIDENCE
�r53-701 AVENIDA VELASCO
LA QUINTA CA 92253
SIDE YARD POOL & SPA
front door
�rA
r
�o
�' ' 18' S' GATE
- -r
DRIVE WAY
CITYOFQUINTA SUB -CONTRACTOR LIST,
JOB ADDRESS PERMIT NUMBER OWNER. BUILDER.
This form shall be posted*on the job with the Building lnsl2 - ection'Card. at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Anyy-changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below MUST be completes
by appiicant. -L)n i-iie is not an acceptdme response.
Trade Classification A
Contractor
lato!-ContrActd�,
' i-e
Wkeiiq noetiohfisurinde:
City- Lsineis
9e`.*::-
Company Name
Classification
(e.g. A, B, C-81
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
lxx/xx/xx)
License Number
(xxxx)
Exp.. Date
(xx/xx/xx)
EARTHWORK C . -12
%ms mzv 5PAS I PC
C-6-75
12 -
CONPREETF IP 8)'::'
CONCRETE
12
f�� q7 T;
t2a- r�
72-
1,25
1,
FRAMING :(G-5)
STRU CT'.': STEEL. (d-61)
Q�j 'A%pi-S hoP SPAS I W.
'10q2_91
MASONRY (C-29)
Y-MiCUN P03iS AW59AS' I W_
C
T/V-2-30_l2
-I(Z-
"
r .
�'(2
PLUMBING
PLUMBING (C-36)
T P,
VWPI 01C) A
C
q39332'
6-30-13
-6,) Av_r�% kisorance-
05166 '17"1
J
.2At3
(.ATH; PLASTER—
(P'35)
DRYWALL (C-9).--.-.
HVAC. -
ELECTRICAL. (C-40),:.' .
-SHEET.METAL (043):"
*1LP**R'1RINq (q -
GLAZING
INSULATION:: (C-2).
SEWAGE* DISP':i.- (C -42) -
PAINTING (C_'33)'-:
CERAMIC TILE (C-54)
;if, P+W1NG
53
l0q26-1
12-31-111
CABINETS IC -61
FENCING (C-13)
4
LANDSCAPING (C=27)
POOL (C-53)
Bullding 8z Safety Divlslon :.. .. .
P.O. Box. 1504,78-495 Calle Tampico • '
La.Quinta, CA 92253 -:(760) 177-7012
Buildin Permit -Application and Trackn g Sheet
Permit #
n
Ql
Project Address: 53* - 20'1 i
Owner's Name:. LpwR
A. P. N.uinber.
Address:
q 16 n
Legal Description: ®b L S R C-0 wacri OIV
City, ST, Zip: L-A v!!V k C - 3
Contractor.
Telephone: 310-97q-1-3,62
Address: 6,35 L
Project Description: �o O L 6 R C. s i
p
City, ST, zip: 1: l O �/,
N
Telephone: 760'3 7'7
State Lia #: C 53 ( 15 City Lia #:1Q C12 $
Arefi., Engr., Designer.
2 �(ly, n o
7'_(11 t' 7
Address:
City., ST, Zip:
Telephone:Panty:
State Lic. #:
Construction e:.
'4+P N Ttt A L
Project type (circle one): (!q Add'n Alter Repair Demo
Sq. Ft.: • 05 ' # Stories�.p _ # Units: ---
Name of Contact Person: t W p V G S
Telephone # of Contact Person: (, L, 6 Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
RWd
Recd
TRACMG PERMIT FEES.
Pian Check submitted Amount
Structural Cake.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cates.
Caged Contact Person Plan Check Balance.
Tide 24 Calcs.
Plans picked up Constructioa•
Flood plain plan
Plans resubmitted.'. Mechanical
Grading plan
2' Review, ready for correcdonsfisstte Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
''"Review; ready for corrections/issue Developer Impact Fee
Planning Approval.
Called Contact Person A.I.P.P.
Pub. Wks. Appr -
Date of, perm It issue
School Fees
Total Permit Fees