BPOL2014-109478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:' BPOL2014-1094
Property Address:
53245 TROON TRAIL
APN:
770360005
Application Description:
POOL/SPA
Property Zoning:
Application Valuation:
$26,000.00
Applicant:
PREMIER OUTDOOR INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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-0005115
Date ?3 "ALJ / 1 '1 Contractor:/I f
OWNER -BUILDER D69 ARATION
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.).
(_J 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JONES DEVELOPMENT CORP,
78060 CALLE ESTADO 9
LA QUINTA; CA 92253
Contractor:
PREMIER OUTDOOR INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)345-9790
Llc. No.: :LIC -0005115
Date: 10/30/2014
I PS
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'
comp s tion, as provided for by Section 3700 of the Labor.Code, for the performance
h rk fo hich this permit is issued.
ave and will maintain workers' compensation insurance, as required by
S c i 3700 of the Labor Code, for the performance of the work for which this permit
i issu 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 Sectio 0 of the abor.Code, I shall forthwith
com�ply with those provisions.
Dabofl"WO Applicant:
, 'l -I
WARNING: FAILURE TO SECURE WORKVSOMVNSATION 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 in rmation is correct.
I agree to comply with all city and county ordinances and state law relati rgto building
construction, and hereby authorize representatives of this city ter u the ove
mentioned property for inspection purposes.
Dat t ignature (Applicant or Age
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT r`";ta
QTY e; AMOUNT *! i' PAID z
F 4PAID;DATE
BSAS SB1473 FEE,
.101-0000-20306
0 $2.00 ;
, $0.00,
,�, r
t ?g ; -,•o PAID
rs'4 ..•7 "
O -.s
METH
` ..
ECRECEIPT;
�� .*ysfi*.
sZ
:,.CLTD,BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $2.00 • $0.00
.rad 'efr;'DESCRIP>,TION #; {; i+''
°+ " T "ACCOUNT tj
QTY".0
AMOUNT,
PAID ",'
PAID DATE
, y?
:s
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BYp" `sl `.� z°"
' `*, "MET.HOD ',
RECEIPT # r[
CHECK'#
CLTD'BY
E� ,e
[�,DESCRIPTION�
;QTY"
AMOUNT
PAID DATE:
, z sA000UNTj .:
jLLN
$ rPAID L'.
' SWIMMING POOL/SPA PC •
101-0000-42600
0
$98.62
$0.00
-
"PAID BY,, f a,
`METHOD,
?C, Iyz. RECEIPT:#
CHECK #
CLTD" BY
: ^T"�
+r S�
aw .h•
��
c:.
[ Total Paid forPOOL/ SPA: .$279:91 $0.00 .
TOTALS:• •-
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rt
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4" .40
Description: POOL/SPA
Type: POOL
Subtype: Status: APPROVED'
Applied: 10/23?2014 KHE
Approved: 10/30/2014 MFA
Parcel No: 770360005 Site Address: 53245 TROON TRAIL,CA'
Subdivision: TR 28867
Block: Lot: 77
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $26,000.00
Occupancy Type: Construction Type:,
Expired: -
No. Buildings: 0.
No. Stories:, 0 No. Unites: 0
Details: POOL, SPA, [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.
7
Printed: Thursday, October 30, 2014 1:55:07 PM 1 of 2
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CLTD. -
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"AMOUNT
4...PAID
DATE
—RECEIPTU
CHECK
-METHOD
PAID BYa
,*:,DESCRIPTION
R1PAID
_#"
BY,,'
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total, Paid for POOL/ SPA. $279.91 $0.00
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P.O. Box f SO4, 78-495 Calfe Tampico
4-Quinti, CA 9220 -:{760) 777-7012
Building Permit -Application' and Tracking Sheet
Perinit # �� -.
Q�
PmjectAddress: w� . Il/
1-
owner's Name:. �'.S Cj Yh f"M '
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor.
Telephoner
Project Description: Po SPA i (rL Y
Address:-%5gg1 �L11 C
City, ST, Zip: 'Pal YYI e5 CA. 612-z 1 I ..
Telephone: 7(00 3 yS' 97q r`
a Lic. #; 5!!
State Lia # : ip 3 l ! 10
Archy Engr.; Desiga«
Address:
City, ST, Zip.
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: #Stories: #Unita:
State Lia #:
Name of Contact Person: �f �j f sot /
Telephone # of Contact Person:-7 .d :. 1��7. ,� Estimatedvalue of Project Z.DOD
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
submittal
Plan sets
Req1d
Recd.
T8AG3CIIV6..
Plan Check submitted �
PTsRM1'TFEES-
Item Amount
Structural Calci
Reviewed, ready for corrections
Plan Check Deposit. .
Truss talcs.
Called Contact Person'.
Plan Check Balance-
Title 24 Cafes,
Plans picked up
Constrnetion
Flood plain plan
Plans resitbm[tted
Metbariical
Giadiag plan
2'! Review, ready for corrections/issue
Electrical
Subeoatacior Ust
tailed Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
DV HOUSE:-
Ji° Review, ready for eorrectio e
<
Developer Impact Fee
Planning Approval
Called Contact Person
A LP.P. '
Pub. Wks. Appr
Date of permit issue
Scbool Fees
Total Permit Fees
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- CITY OF LA QUINTA'
BUILDING & SAFETY DEPT. ' =
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s t APPROVE'D'
FOR CONSTRUCTION
By
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ADDRESS: LOT Z ;
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TRADITION GLOF CLUB. '
53245 TROON TRAIL
`� ,LA"QUINTA CA'92253
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ADDRESS: LOT Z ;
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TRADITION GLOF CLUB. '
53245 TROON TRAIL
`� ,LA"QUINTA CA'92253