13-1327 (RPL)P.O. BOX 1504 /�--`� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
API
SI(,TrIeg_)12S
13-00001327
8 `�5 TIBURON DR
767-523-001- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
39300
Architect or Engineer:
,^ v
--------------- - - - - -
LICENSED CONTRACTOR'q DECLARATION
I hereby affirm under penalty of perjury that I am licensed under pro i ions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a d Professionals Cod nd my License is in full force and effect.
License Class: C53 License N .: 941004.
L I Contractor:
Date: -
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 Codel 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 -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.).
(_ 1 I am exempt under Sec. , BAP.C. for this reason
Owner:
Date:
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: �` v
LQPERMIT
Date: 10/21./13
Owner:
DAVE & SANDY ANZURES
82620 TIBURON
LA QUINTA, CA 92253
(760)771-1891 D
d
Contractor:
STEVIE D'S POOLS & SPAS IN Oct Z%
P.O. ,BOX 1761
INDIO, CA 92202 Q
(760) 863-5552 Rryy��CgQV��
Lic. No.: 941004 CEQ�p�l�
-----------------------------------------------
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 CALIF INS CO Policy Number 468419340101
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 o become subject the workers' compensation laws of California,
and agree that, if I should b come subject to t e workers' compensation provisions of Section
X1 00 of the LaborUllf ith com I with those provisions.
Date: V 2-I 3 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COM SATION COVERAGE ISUNLAWFUL, 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 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 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 andvoi i work is not commenced
within 180 days from date of issuance of such permit, or cessation f ork for 180 days will subject
permit to cancellation. f
I certify that I have read this application and state that the ab a infor ation is c rre t. I agree to comply with all
city and county ordinances and -state laws relating to building construt t n, and h re y authorize representatives
of this co ty1t enter upon the above-mentioned prop f r in ectio urpos-e
Date: z ` Signature (Applicant or Agent):
LQPERN11T
Application Number 13-00001327
Permit POOL 2013
Additional desc .
Permit Fee 178.75Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 4/19/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
----------------------------------------------------------------------------
Special Notes and. Comments
POOL & SPA REMODEL - ENLARGING EXISTING
POOL 5 L.F. IN WIDTH AND 3 L.F. IN
LENGTH. ADDING 4FT..X 8FT. CONCRETE PAD
OF SPA AT GROUND LEVEL. 2010
CALIFORNIA BUILDING CODES.
-----NORTH-REAR
--------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN,CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
Permit Fee Total 178.75 .00- 00
178.75
Plan Check Total .00 .00 .00
.00
Other Fee Total 98.24 .00 .00
98.24
Grand Total 276.99 .00 .00
276.99
sire.#
Cit)/ Of La Quinta
Building $L Safety Division
%I P.O. Box 1504,78-495 Calle Tampico
bu�D/1 [a.Quinta, CA 92253 - (760) 777-7012
Building Pennit'Application' and Tracking Sheet
Permlr #
Project Address: (p� D % 2
Owner's Name:. two y �S
A P. Number.
Address:
Legal Description:
Contractor. STPv/� ,OSS gdLsrs�E%s, yw�,
City, ST, Zip:
Telephoner% -721 -
Address:
Project Description:
�/ JLj4'�/G,/��V' Oy�- ✓� //� / %
City, ST, Zip: I.jU(+�D / t7 f ZZ0
Telephone77(pt)• a3 -S -5-6c2 ciL
State Lia#:C�53•�I�7007 0�;
(�P�e/^ .E ../�'D O/Lfyl
��CityLic.#;`D7
Arch., EW., Designer- 57AV1E 0-t /D�C6,-S►�IS .�-
'J�� '�('v vN� �
Address:
City, ST, Zip:
Telephone:
State Lia #:
Construction Type: gE/npp a Occupancy:
Project type (circle one): New Add'n ter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories: #Units
C
Telephone # of Contact Person. 3 J 5
Estimated Value of Project: .31.E DU
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted VC(lit,
Item Amount
Structural CaIcs
Reviewed, ready for corrections
Plan Check Deposit. .
Tross Calcs.
. Called Contact Person
Pian Check Balance_
Title 24 Cales.
Pians picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Giading plan
2id Review, ready for correctionsfibsue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Pians pleked up
S,M.L
H.O.A. Approval
Plans resubmitted
Gradlag
IN HOUSE:-
'"' Review, ready for correctionsfrssae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Vi!ks. Appr '
Date of permit issue
School Fees
Fizu IQ=Tota
P
BUILDING & �SAFM DEPT
APPROVED
FOR -CONSTRUCTION
DA _--BY�
OCT 112013
CITY OF LA Q.UINTA
COMMUNITY DEVELOPMENT
PGA WEST
FAIRWAYS ASSOCIATION
August 7, 2013
David and Sandra Anzures
81620 Tiburon Drive
La Quinta, CA 92253
Re: Architectural Application — 81620 Tiburon Drive
Dear. Homeowner:
The Architectural Committee has reviewed your request to remodel the pool, spa and deck in the rear yard
of your residence. I am.pleased to inform you that.the Architectural Committee has approved the
application as submitted.
Enclosed is Exhibit C —the Compliance Review Request form. Please complete this form after the work
is'completed and return it by mail or fakto the address below so the completed project can be inspected.
If you have any questions, please contact Cassie Gertz, Operations Manager at 760-776-5100 Ext. 345 or
email Ccssie:csertzz(�Jv3anatreinen_*t�.�si:cem.
Sincerely,
For the Architectural Committee
PGA
WEST Fairways Association
Je Mc ald, CCAM, PCAM
Ass ciatio Manager
En osure: Exhibit C — Compliance Review Request
cc: Lot File
Architectural Committee
Post Office Box 1690 • La Quinta, California 92247 • Phone (760) 776-5100 • Fax (760) 776-5111
18" HIGH
WALL100011 � 10' 0"
4'0„
NE
enrc.ete,
16" CAP Q A -o
2 POTS AS SPILLWAYS
.I
I
I
4" RAISED I
PA I
I
S DEEP
T DEEP
EXISTIING SPILLWAY.
UNDERNEATH
NEW CAP N
o
ui
m 6" RADIUS CORNERS 38'
T
o THROUGHOUT
18" BENCH �-
Z
_Z 2
91 tofn -
NEW 2' 6° STEP u� w
16" COPING 12" STEPS w
CITY OF LA C, UINTA BBQ o
BUILDING & SAFETY DEPT. 6' O"
APPROVE®
N
DATE O BY��
DATE: -CLIENT NAME: PROJECT ADDRESS: CONTRACTOR:
6-23-13 DAVID & SANDY ANZURES 82620 TIBURON STEVIE D'S POOLS & SPAS
LA QUINTA, CA 92253 (760) 863-5552 * (760) 485-1982 (CELL)
LIC# 941004
Y-