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BPOL2016-007878-495 CALLE.TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2016'0078 Propef-tyAddress:• 54339 SOUTHERN HILLS APN: 775105051 Application Description: CARMEN ERICSON / POOL Property Zoning: o Application Valuation: $44,000.00 Applicant: DESERT OUTDOORS INC IV .'O 78065 MAIN STREET #205 p� 9 LA QUINTA, CA 92253 T4tw4XPQu;.rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice ed under provisions of Chapter 9 [commencing with Section 7000) of Division 3 of th Bnsdfessions Code, and my License is in full force and effect. License Class: C53 License No.: 964474 Date: I t Contracto . - LDER DECI VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: CARMEN ERICSON 54339 SOUTHERN HIILS LA QUINTA, CA 92253 Contractor: DESERT OUTDOORS INC 78065 MAIN STREET#205 LA QUINTA, CA 92253 (760)399-9600 Lic. No.:.964474 � spate: .6/1/2016 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 or 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 hereby affirm under penalty of perjury' that I am a empt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (S t . 7031.5, EPsiness and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to c • nstruct, ter, improve, demolish, or repair compensation laws of California, and agree that, if Is: du b e jest to the any structure, prior to its issuance, also re fres a applicant for the permit to file a workers' compensation provisions of Section 3700 o the or o e, shall forthwith signed statement that he or she is licensed pur uant to the provisions of the comply with thosr provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 1�p 3 of the Business and Professions Code) or that he or she is exempt therefrom and the Date: ` Applica 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 WARNING: FAILURE TO SECURE WORII ($500).:, AND SHALL SUBJECT AN EMPLOYER TC (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS I compensation, will•do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVI (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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: COMPE ATION COVERAGE IS UNLAWFUL, J NALTIES AND CIVIL FINES UP TO ADDITION TO THE COST OF CTION 3706 OF THE LABOR CODE, 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. I 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 inf I agree to comply with all city and county ordinances and state laws construction, and hereby authorize representatives of this city to en above-mentionedpropertyfor inspection purposes. Date: I (� Signature (Applicant or Agent cJ z C= s� o m O C m� IV .'O O p� 9 rn 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 or 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 hereby affirm under penalty of perjury' that I am a empt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (S t . 7031.5, EPsiness and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to c • nstruct, ter, improve, demolish, or repair compensation laws of California, and agree that, if Is: du b e jest to the any structure, prior to its issuance, also re fres a applicant for the permit to file a workers' compensation provisions of Section 3700 o the or o e, shall forthwith signed statement that he or she is licensed pur uant to the provisions of the comply with thosr provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 1�p 3 of the Business and Professions Code) or that he or she is exempt therefrom and the Date: ` Applica 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 WARNING: FAILURE TO SECURE WORII ($500).:, AND SHALL SUBJECT AN EMPLOYER TC (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS I compensation, will•do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVI (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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: COMPE ATION COVERAGE IS UNLAWFUL, J NALTIES AND CIVIL FINES UP TO ADDITION TO THE COST OF CTION 3706 OF THE LABOR CODE, 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. I 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 inf I agree to comply with all city and county ordinances and state laws construction, and hereby authorize representatives of this city to en above-mentionedpropertyfor inspection purposes. Date: I (� Signature (Applicant or Agent FINANCIAL, INFORMATION, ACCOUNTr QTY' AMOUNT "zf„e, PAIDF PAID DATE .Ir i'DE$CRIPTION VIA €.d x... BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 'BY r -x r a .� ti �M {' a ECEIPT # `$sad CHECK # CLTD BY A -PAID g pETHOD � ;, Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 ��rDESCRIPTIONY'��M'” g "�;,yrACCOUNT,x,QTY AMOUNT':Swp� PAID "x PAID DATE-' q`x', GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 Y '� PAID:BY3`� METH.OD�4RECEIPTs# 4$aCHECK# "`'CLTpBY E J. ��; "P; i DESCRIPTION'S fe , `ACCOUNT +E QTY AMOUNT _ PAID DATE :; ., .PAID F IN GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 METHODR�� RECEIPTS#' CHECK # �4 CLTD BY ; Total Paid for PLUMBING FEES: $36.26 '$0.00 &DESCRIP.TION ,$ s%ACCOUNT,` PAID.' 'OATE SWIMMING POOL/SPA 101-0000-42404 0, '$181.29 $0.00. PAID! BY e METHOD � #ice CHECK # E' CLTD BYE x rRECEIPT �rk�DESCRIP„„TION �a a ` UNT a A D PAID:;DATE ,°ACCOUNT :''QTY a ..:.o.r ... :AMO r SWIMMING POOL/SPA PC 101-0000-42600 0 • $98.62 $0.00 METHOD ° RECEIRT,# {` 5 r `CHECK # =CLTD BY € s f '” Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:•• Description: CARMEN ERICSON / POOL Type: POOL . Subtype: Status: APPROVED -CONDITIONS Applied: 5/25/2016 RSE Approved: 5/26/2016 BHA Parcel No: 775105651 Site Address: 54339 SOUTHERN HILLS LA QUINTA,CA 92253, Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43, Block: Lot: 6 Issued: FOR CMS 5/26/2016 Lot Sq Ft: 0 _. Building Sq Ft: 0 . , Zoning:, . • _ _ _ ' Finaled: - _ - valuation: $44,000.00 Occupancy Type: Construction Type: Expired: , No. Buildings: 0• No. Stories: 0 No. Unites: 0' Details: POOL (36'-9"X14'-6" W/ SPA (7X7) 400,000 BTU HEATER (1.5 INCH GAS PIPING. THIS PERMIT DOES NOT INCLUDE FIRE PIT OR EXIST. BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. (ENGINEERING; DENISE POELTLER). t - Applied to'Approved' Printed: Wednesday, June 01, 2016 9:34:52 AM 1 of 3 syszrMs - NOTIFIED JOHN THAT PERMIT IS APPROVED. ENGINEERING TELEPHONE CALL BURT HANAOA 5/26/2016 5/26/2016 - SHEET IS REQUIRED PRIOR TO PERMIT ISSUANCE. • • P ,: N.. ..d,G. S d .5 ATE--r-1-DATE CONDITION DATE 4 2i+'" 7",, us ..-; s E ,_':;.,CONTACT e a, STATUS "` • REMARKS.: Y� s"NOTES£ TYPE ADDED :.. REQUIRED ;SATISFIED -. , READY TO ISSUE - ENGINEERING SHEET BY DENISE POELTLER BURT HANADA 5/26/2016 5/26/2016 6/1/2016 COMPLETE CHECKLIST - REQUIRED PRIOR TO MPERMIT ISSUANCE. NAME TYPE i NAME +; f .:CITY S?ATE ZIP'S. :PHONES `* FAX, ;:�ADDRESSi .i:, .�� ^a.:vx4A$'..3'u'y 5..i ..--i'+i+w y... :n q.. t h.'.'iL-k^.%. i4Mti APPLICANT. DESERT OUTDOORS INC 78065 MAIN STREET LA QUINTA CA 92253. (760)399-9600 #205 CONTRACTOR DESERT OUTDOORS INC 78065 MAIN STREET LA QUINTA CA 92253 (760)399-9600 #205. Printed: Wednesday, June 01, 2016 9:34:52 AM 1 of 3 syszrMs ........... ............ ........... ... - . '. . - ..� I ... ........... ......... . ....... .. ...... .. ... . II II' .......... ........... . ... ... .. .. .. ........ .. . TARENTPROJECTS . . .... . ............. . ...... ............ . .... . .. ........ . ....... . ........... . .. .... . I ,H. ...... .. . .. ..... INFORMATION . ........ . Y ................ P�11!.."' 11. 161.1hY .. . ........... ....................... 'mq . ....... . 11 ml t I � , "' '.. . ... ...; � IM1 1. . . . . . I 'N ........... ... U.; . . . .. I. ­ ) A Printed: Wednesday, June 01, 2016 9:34:52 AM 2 of 3 c§?w.1YSTrMS ............. FINANCIAL INFORMATION '7777777r-77-;= 'i:QTY- PAID, PAIDPATE. LTD.� CEIPT'#7.', CHECK METHOD� —_DESCRIPTION BSAS SB1473 FEE 101-0000-20306 .0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 -$0.00 BSA: GAS SYSTEM, 1-4 . 101-0000-.42401 0 $12.09 .$0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 01 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $3616 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00, SWIMMING POOL/SPA 101-0000-4269*0 0 $98.62 $0.00, PC Total Paid for POOL SPA: $279.91 $0.00 ....... ... TOTALS: $318,17, . .. ..... ........... ............ ........... ... - . '. . - ..� I ... ........... ......... . ....... .. ...... .. ... . II II' .......... ........... . ... ... .. .. .. ........ .. . TARENTPROJECTS . . .... . ............. . ...... ............ . .... . .. ........ . ....... . ........... . .. .... . I ,H. ...... .. . .. ..... INFORMATION . ........ . Y ................ P�11!.."' 11. 161.1hY .. . ........... ....................... 'mq . ....... . 11 ml t I � , "' '.. . ... ...; � IM1 1. . . . . . I 'N ........... ... U.; . . . .. I. ­ ) A Printed: Wednesday, June 01, 2016 9:34:52 AM 2 of 3 c§?w.1YSTrMS PermitµDetails .k­'-Y4­,-PE-RMIT:NUMBER��� 6Gty of La Quanta �" :� _� , :B.POL2U16-U�78 M a' J4'� .*. ^�.� _ a._;f:. _:.,. < ..rte °n.+a'"k.....•F ` '::���'*� �._.x. ' v ,fi,.ATTAGHMENTS .,. �.,.•.,, .,� .., I Bin # City of La QuInta Bulkilils &r Safety Division P.O. Box 1504,78-495 Calle Tampico L3,Qdnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet 011111 Permit # L OL-,�Lo I L— Project Addf=: -�LP3±1 TRACING -- Owner's 11 Name: CA -61-21 C cp Add 53UT+(o(44 -M I LL� A. P. Number. Legal Description: City, ST, Zip: LAV I 11�2261T I !!-P,* Contractor. TF-Cjm--T Item, Telephone: - MIN= Project Description: NCO -'2L- I SAA Address: -Mc)( 45 �"-S-W 1:&�5 City, ST, Zip: L Reviewed, ready for corrections Telephone- -AQ-3M. %z� State Lfc. #: LOA City Llc. #, Called Contact Pawn Arch, Engr-, Designer. Plan Check Balance Address: Mde 24 Pales. NALY, 0 9, "F,. Telephone: State Lic. M Name of Comet Person: Telephone # of Contact I Construction Type. OCC*UPWIW: Construction Project We (circle one): , Now Add1n Alter Repair Demo Sq. FL: -it Stories: # =Unit% Estimated Value of Project I LA oc>:,—> AEM lNAkrr. fto% N ESubmittal 'd 11 -ted TRACING PERMr FEES plan sets Plan Check submitted Item, Amount . Structural CAlM Reviewed, ready for corrections Pin 6tck Deposit Trus Cates. Called Contact Pawn Plan Check Balance Mde 24 Pales. Plans picked up Construction Flood plain plan Plans resubmitted mccoahicai Grading pian r! Review, ready for vorrectiousnow Mectritai Subcontattor Lin Called ConractPergon Plumbing Grant Deed H.O.A. Approval 11 Plans picked up Plans resubmitted &SLL Grading Review, ready for corrections&soc Developer Impact Fee Planning Approval Called Contact person AIP.P. Pub. Wks- Appr Date of permit issue School Fees FT— I Total Permit Fees I FOR PERMIT0 01 GOLF COURSE - .. - APPROVAL3 -J O " @ w • POOL r • - - : b e� Lu SPAIJETDETNL . - - w I_. Mill TS • NI�KiaM eSllx - _ _ x • • - _ _ _ _ _ _ _ ' --.. _ _ F, �' . - '' • • `liMrdRvc wad 1VAlENlaO • i� � _ Y- — — .OIM,E• TlE �I - a r i , TIE III—I 'Illlllllllll.:.. POOL 1 EXI9TIN6 I I PLASTER• j RESIDENCE It W DETAIL as O o< t tl W• 2 r - � w N r � r �r �EUFlC,aTM4 v . E • s Swe 1 H OPTIONAL PAVER CAPING DETAIL t 2 Swe 1 r - - - Ae A mass; DETAJL SfNPIITs I SITE PLAN �. • • u®� DEEP ROOT LEGEND BUBBLER SYSTEM ° (I(//I VINE DETAIL . ,.-�. .�,,ER MATERIAL ° • O J. n� Q rnu IEG4 O . nwon � w a"¢r z _ _._ - ^.,c• of 'b 9z a o x -ca . - �SELECTIONS: - fW¢ g2 JON3R�Nn,S,-SRs SNA - ` 3� � PER PIAN ; DETAIL 4 _ ' "' D. ,",:: o ®� m .% ""a ®om s I 1 OF II 1 s Ta