BPOL2015-0184f .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
haw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/26/2015
Application Number: BPOL2015-0184 Owner:
Property Address: 55487 SOUTHERN HILLS BEH PROPERTIES LLC
APN: 775200018. P.O. BOX 10389
Application Description: BEH PROPERTIES LLC SWIMM O SPA `S NE PALM DESERT, CA 92255
Property Zoning:
Application Valuation: $30,000.00 ASG 312015
Applicant: Contractor:
CALIFORNIA POOL MASTERS CIN OF UkQUINTA CALIFORNIA POOL MASTERS
71974 VISTA DEL RIODcVELOPMEDEpARTME71974 VISTA DEL O
NT.
RANCHO MIRAGE, CA 92270 COMMUNITY M RANCHO MIRAGE, CA 92270
(760)275-9779
Llc. No.: 979450
-----'-----------------------------------------------------'-----------------------------------
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: C53 License No.: 979//�445((''0 ,, � �,ry/ e���Q
�'Date:qV-31 Contracto�C.- MFOF44A ��� HA5
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 Divisi
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 f a
permit subjects the applicant to a civil penalty of not more than five hundred doll rs
($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.).
(_) 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:
Carrier: _ Policy Number: _
_ I certify that in the performance of the work for which this permit is issued, I
shallnot 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 Labor Code, I shall forthwith
complyr�it�( (1—�'Qa5
with those provisions. �f rscz
ate:V9 � Applican&�004WIA P
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 information is correct.
I agree to comply with all city and county ordinances and, state laws relating to building
construction; and hereby authorize representatives of this city to a ter the above-
mentioned property for inspection purposes.
Signature (Applicant or
FINANCIAL INFORMATION
w y°.
i ` ACCOUNTf ;K:i "QTY'rAMOUNT PAID DATE
i _DESCRIPTION
;
BSAS 561473 FEE
101-0000-20306
0 $2.00 $0.00
'J�: PAIDBYj*` �`;
r"� 'METHOD ;�, i
{
> "5 "RECEIPT#: '1�; c CHECK# +
�:.
CLTD;BY,4�
, K
„ .
t
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
I* ,T r' {
a DESCRIPTION t
{ '-ACCOUNT-..?rAMOUNT.j
z
rr
'PAID z,
-'PAID.UATE
t
SWIMMING POOL/SPA
'101-0000-42404.
0
$181.29
$0.00
PAID BY
•'METHOD 'fr:"
`o"[�.
CITD BY
_,.... ..xTMgat
1
rr .. ?
r.i ,.i. !.�
YRr
DESCRIPTION' tic t,
ACCOUNT^
QTYv'v
AMOUNT �?�,,
s PAID;'&.
;PAID DATE;
u{
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
RECEIPT. 94;1 Jr
C *� 4
HECK` #
CCTDBY,
rg ..(_� ,a
+s- �.
,
Total Paid forP00L / SPA: $279.91 $0.0041,
• • ••
11
r
_
11
Description: BEH PROPERTIES LLC SWIMMIN POOL SPA GAS LINE
Type: POOL Subtype: Status: APPROVED
Applied: 8/24/2015 PJU
Approved: 8/25/2015 KKI
Parcel No: 775200018 Site Address: S5487 SOUTHERN HILLS LA QUINTA,CA 92253
Subdivision: PM 28805 Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $30,000.00 Occupancy Type: Construction Type:
Expired:"
No. Buildings: 0 No. Stories: 0 No. Unites: 0
it,
Details: POOL & SPA. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE
WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION2013
CALIFORNIA BUILDING CODE
m Applied to Approved, '
ADDITIONAL
l
E11
it,
m Applied to Approved, '
FINANCIAL INFORMATION =
Printed: Wednesday, August 26, 2015 5:32:44 PM l 1 of 2 C SYSTEMS
ADDITIONAL
CHRONOLOGY
.. ..:..[ 3..n _ .: ..-s de ,w'..
NOTES,GYTYP
TIONDCOMPLETION DATECHRONOLO;AC
y +-• ). ;,5.-*
, _-
f _ ,
�.
PLAN CHECK SUBMITTAL
PHILIP JUAREZ
2 8/24/2015
8/24/2015
sent back to philip 8/25/15
RECEIVED
CONDITIONS
CONTACTS
NAME -TYPE_,
�NAMEc+z t
t}
CITY;,;-"
tlw STATE
ZIP `
P.HQNE
" FAX
;: `EMAILr
.::.: ••+._._.,,_..-.. ^ •.
f ,''�
,�, ..� - 7 � � :.µ,E.�-'�4,r_:�
.,ADDRESSl'
' e . Y.i f' � ;
.-s . _ -� L `
M . •z'
, -.�
y Cr_t' � �
y. ,,.
�.t
APPLICANT
CALIFORNIA POOL MASTERS
71974 VISTA DEL RIO
RANCHO
CA
92270
(760)272-2691
MIRAGE
CONTRACTOR
.'CALIFORNIA POOL MASTERS
71974 VISTA DEL RIO
RANCHO
CA
92270
(760)272-2691
- y
MIRAGE
OWNER
BEH PROPERTIES LLC
P.O. BOX 10389
PALM DESERT
CA
92255
(760)272-2691
,
FINANCIAL INFORMATION =
Printed: Wednesday, August 26, 2015 5:32:44 PM l 1 of 2 C SYSTEMS
PARENT PROJECTS
INSPECTIONS
CHEDULED* 'COMPLETED!
ESULT
FINAL*.* BLD
BY
BSAS SB1473 FEE
101-0000-20306,
0
'$2.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING PCIOL/SPA
101-0000-42600
0
$08.62
$0.06
Total Paid for POOL/ SPA. $279.91
TOTALS: $281.91 $0.00
PARENT PROJECTS
INSPECTIONS
CHEDULED* 'COMPLETED!
ESULT
FINAL*.* BLD
PARENT PROJECTS
M
Bin #
City of La Quin to
Building &" Safety Division '
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address
Owner's Name: LLC'
A. P. Number:
Address: Vo &OY- 103 a 0� 225 -5 -
Legal Description:
City, ST, Zip:
Contractor: POMI, HAWSIL55
Telephone:760 -12-1271 (0 11.
Address: —11!374 QLS —,A DU, 140
P . roject Description:
City, ST, Zip: e" Cqc> d
I gtq�& (A 2 ?Z70
Swtli III O's POOL—
Telephone: 7,60-2-15-97
iqtyLic.#.-.
..... . ...
i
5 PA -
State Lie. 9
—yA15-UAW '7 7
Arch o-n7g )rDesigner: 0&-4'51:i� rl. PkLT'*Lzm-'
6k
Address: 7 7 TZS &,Wi C -Lb "'s- -4f 3o
City, ST, Zip: pAutl
Telephone:76o--77VM(
..........
........
Construction Type: Occupancy:
State Lie. #: L(
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:0—iAAs-1p9j7. Ltz,+,,jo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person::&Q .27 5-- 9 -7 -7 9
Estimated Value of Project. ,0-1 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Submittal
Req'd
Rcc1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'd Review, 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
6*1
t
Bin #'
City of La Quinta
Building 8t Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking -Sheet
Permit #
Project Address:
Owner's Name: G ReepE em e LLC
A. P. Number:
Address: P Q' 1 Q v 9'
Legal Description:
City, ST, Zip; H 5 j,.1 C�"1 172,2-:5 5'
Contractor:rO r+I�
(!AU � c
Telephone:hone:
Address: 7 t. - 4V'5�'bEL t Q
Project Description:
City, ST, Zip:VPOJCHO RAGS I 0�) 91Z2_
1 157 GA5 t:l 4IS
Tele h
P <<L
one:3.EMNISM
7 7
i
U
T o 2 SO
State Lie. #: C
CityLie. #;
Arch., Engr., Designer: NZA
Address:
City.; ST, Zip:
Telephone:
.
Con tr ucti n TY e: aneY
Occupancy:
P :
a #.
State Lie
Add'nr Project tYPe �a'rce one): . New Alter Repairair Demo
Name of Contact Person: CN Q-V5-rl AtA Q-Wp4i3�
Sq. Ft.:
#. Stories:
# Units:
Telephone # of Contact Person: -?(:yo . tZS ^9779
Estimated Value of Project: d
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted.
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Clreck Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
3'! Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees