BRER2015-001978-495 CALLS TAMPICO
VOICE (760) 777-7125
_ -
• � ,.
, • FAX (760) 777-7011
LA,QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENTY INSPECTIONS (760) 7774153
+.
• BUILDING PERMIT
Date: 1/29/2015 '
Application Number: BPOL2015-0019 -
• �• Owner: f • y ,
Property Address: 53025 AVENIDA VALLEJO
; VICTOR PINZAN
APN: 774052025
z 78023 CALLE ESTADO
Application Description: POOL AND SPA AT REAR YARD
I LA Q_UINTA, CA 92253
Property Zoning:
;
Application Valuation: $15,000.00
`` r
Applicant: _
KANCUN POOLS AND SPAS, INC. D
%Q� 0
[�
Contractor:
KANCUN POOLS AND SPAS, INC.
.OUTSIDE CITY LIMITS
JAN 2 2015
'OUTSIDE CITY LIMITS
• - CITY OF LA QUINTA
COMMUNITYDEVELAPMENTOEPARTMENT
• _ -
Llc. No.: :LIC -762511
----------------------------- - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - -F- - - - - - - - i - - - - - - - - - - - - - - S - - - - - - -
LICENSED CONTRACTOR'S DECLARATION
+ WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
r I have and will maintain a certificate of consent to self -insure for workers'
and my License is In full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: _ License No.: :LIC -762511
of the work for which this permit is issued.
1
Date: Contractor: V L%1 t0 C. fJ&4-
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:
OWNER -BUILDER DECLARATION
Carrier: _ Polity Number:
I hereby affirm under penalty of perjury that I am exempt 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 (Sec. 7031.5, Business 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 construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions. ,
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
c
V064
of the Business and Professions Code) or that he or she is exempt therefrom and the
ate: — Applicant: Biu l.. o �. .L4
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant f a
V If
permit subjects the applicant to a civil penalty of not more than five hundred doll rs
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(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
' APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
' within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1.'Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant,' each agrees to, and
State License Law does not apply to an owner of property who builds or.improves
shall defend, indemnify and hold harmless the City, of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C: for this reason
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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinances and state laws relating to building
I.hereby affirm under penalty of perjury that there is a construction lending agency for
construction, and hereby authorize representatives of this city to enter upon the above•
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).•
mentioned property for inspection purposes.
. Lender's Name:
Date: ��� Signature (Applicant or Agent): ✓L/L/�
•
Lender's Address:
1
f '
10' pool equip
existing planter 15, 1" gas line
existing block wall
01
1 / C
'depth. \
p
CITY OF LA QUINTA
25' 4' depth BUILDING & SAFETY DEPT-.--\
AP P ROV gas/elect
3' depth =" 1 FOR CO UCTION
2I 8120/SBV side yard
residence
8 �zaw.
kancun pools 53$25 avenida Vallejo
to quints ca
TITLE
and spas the pool and spa
drive way SIZE CAGE CODE DWG NO REV
------------------ A4
SCALE SHEET
0 Am mm.0a �a1
-93--025 _ )fV6:A11Ds V,4L-LC-J0 . Orr/
P�— -
FIN
NCIAL
7,
••••.DESCRIPTIONS;A000UNT; '# *a j= QTY• rUAMOUNT ,mays PAID +�
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00'
$0.00
' ` y PAID BY ir�;.a' �a ^�� a r�1 . i METHOD �"
,i'RECEIP,T #
�- CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA
$1.00'
$0.00
DESCRIPTION, fE, 3„'• •
. 1” a `ACCOUNT !; •
+QTY .
C
AMOUNT, r
t -PAID rr:, u`
.PAID DATE;
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00 _
PAIDBY-;;tri a
- s``=�=METHOD .;`
a ?'� RECEIPT# s` ,"„
''` CH CK
` 'tiDESCRIPTION ;.A;; ;'a,k�
_ sACCOUNT ar
QTY.
AMOUNT:
rt . s PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
B
'METHOD * , .
RECEIPT#
�C
HECK# �
CLTDBY•^PAID
•
Total Paid for POOL / SPA:
TOTALS::•
$279.91
''$0.00
00
Description: POOL AND SPA AT REAR YARD
Type: POOL Subtype: Status: APPROVED
Applied: 1/28/2015 PJU
Approved: 1/28/2015 JFU
Parcel No: 774052025 Site Address: 53025 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 219 Lot:.2
Issued:
UNIT 21
ACTION DATE , :. COMPLETION DATE.
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 _ No. Stories: 0 No. Unites: 0
- TELEPHONE CALL
Details: -POOL AND SPA AT REAR YARD [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.
FINANCIAL INFORMATION J
Printed: Thursday, January 29, 2015 12:33:01 PM 1 of 2 C SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE =E`STAFF NAME
ACTION DATE , :. COMPLETION DATE.
;t '', NOTES`,
NOTIFIED JULIO W/ KANCUN POOLS THAT HIS PLANS WERE
- TELEPHONE CALL
JAKE FUSON
1/28/2015 1/28/2015
APPROVED, AND PERMIT WAS READY TO ISSUE.
CONDITIONS
NAME4TYPE"- -NAME ",'4 `; . :.. ADDRESS1 '. - - CITY STATE
ZIP•;,' PHONE,
JAX. EMAIL`
APPLICANT KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
CONTRACTOR KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
OWNER VICTOR PINZAN
78023 CALLE ESTADO LA QUINTA CA
92253
FINANCIAL INFORMATION J
Printed: Thursday, January 29, 2015 12:33:01 PM 1 of 2 C SYSTEMS
DESCRIPTION,
ACCOUNT
---�-
s
1
--r-----�----
----------------�-----�,-�
CLTD,,
-
QTY
AMOUNT
,.,:PAID
-,.,,'.PAID
PAID DATE
, RECEIPT,#
aCHECK # •
METHOD
PAID BY,
t y
'BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
r
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00-
BSA:
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
TOTALS::0 00
NS
•RESULT
_
�SEQID ;` s' INSPECTION.TYPE INSPECTOR{ ` SCHEDULED COMPLETED
REMARKS k - NOTES
r -
... DATE.
t, rya n.
FINAL"
PARENT PROJECTS
Printed: Thursday, January 29, 2015 12:33:01 PM 2 of 2 07SrsrEMs
BOND
INFORMATION
ATTACHMENTS
Printed: Thursday, January 29, 2015 12:33:01 PM 2 of 2 07SrsrEMs
Bin. #
City of La Quinta
�i Butld►ng sz Safety Dn+iston
t� 1 P.O. Box 1504,78-495 Calle Tampico
La..Quinta, CA 92253 - (760) 777-701.2
Building Peanit-Applicatlon'and Tracking Sheet
Permit #
Project Add[ess:
Owner's Name:. k j t
A. P. Number:
Address:IfL—025 v
1 O
egal Description:
City, ST, Zip:
Contractor:
�.
Telephone: 1 - 1E`� !,
Address:
F
6 W
Project Description:
City, ST, Zip: N c(� — C%��
'0 SSS �iCi�1 a Yl
/ /�%�1�—
Telephone: 6o ��— .6
City Lia C ^tiSA
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST. Zip:
Telephone: ^,
7
via.
State Lie. #: , '..r
Name of Contact Person: (f 1 1(7 G (��
Construction.Type: �' l�C Occupancy:
Project type (circle one): r9l Add'n Alter Repair Demo
Sq. Ft.: ` 12 # Stories: # Units:
.Telephone # of Contact Person: (<j
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
g
Submittal
Req'd
Recd
TRACKIMG PERMIT FEES
Plan Sets
Plan Check submittedItem
Amount
Structural Calcs.
Reviewed, ready for owMiGia 1506yZB
Plan Check Deposit. .
Truss Caics.
Called Contact Person
Pian Check Balance.
Title 24 Cala.
Pians picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionMasue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O A Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees