BPOL2015-003878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BPOL2015-0038
53160 AVE N IDA VALLEJO
774053008
DWYER/WATKINS P
$15,000.00
Applicant:
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
4 4Q"
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.: AEC314
yate: 3 -Uy -127)/0( Contractor:
OWNER -BUILD R 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 70 00) of Divisio3
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 fg 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.).
I ) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/4/2015
Owner:
DWYER & WATKINS RESIDENCE
53160 AVENIDA VALLEJO
LA QUINTA, CA 92253
Contractor:
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
Llc. No.: AEC314
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
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 Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Applicant:
WARNING: FAILURE -TO SECURE WORKE 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.
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: Upke. Signature (Applicant or Agent): A17,
Lender's Address
• 3'
3.
pool equip
L^ j
22'5"
28'
5,6„
3'6" _ '
P/I
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6' i n
• � /Z
gray concrete
broom finish '
RESIDENCE
EXISTING CONCRETE G/E
KANCUN POOL, ORAND GAS LINE
CITY OF L /► Q INTA POOLS TITLE -
�� (LJ V 'JAMES A. DWYER &CLAIRE WATKINS
BUILDING & SAFETY DEPT. AND SPAS 53160 AVENIDA VALLEJO
APPROVED LA QUINTA CA 92253
FOR CONSTRUCTION - SIZE CAGE CODE DWG NO REV
DATE _l QY-�rC------------------ SCALE SHEET
A
<X ali DESCRIPTION -, CO
:� "PAID DATE '
6'PAID
y
BSAS S I B1473 FEE
101-0000-20306
0.
$1.00 • $0.00..
'METH
Rk'EIPT4, CHECK # "CLTDAY
.
!'
,,'�K
FINANCIAL
INFORMATION
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00, $0.00
-,DESCRI !(?N
�',!ACCOUNV,,,-,.
A
<X ali DESCRIPTION -, CO
:� "PAID DATE '
6'PAID
y
BSAS S I B1473 FEE
101-0000-20306
0.
$1.00 • $0.00..
'METH
Rk'EIPT4, CHECK # "CLTDAY
.
!'
,,'�K
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00, $0.00
-,DESCRI !(?N
�',!ACCOUNV,,,-,.
"v,
PAID Ij
DATE'
!P811) D E,
J�4�,
SWIMMING POOL/SPA
101-0000-42404
.0
$181.29
$0.00
PA IDZY,r Yi
0 6 j
METHOD*
`�L,'IRECEIPT,-.#
'Ckj�
E
CLTD,BY
a -
APF$CRLPTION,ess
'ACCOUNT
AMOUNT
PAID
PAID DATE'
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
-PAID BYy.
METHOD
RE El # �4nrr
CK
CHE #
CLTU BY
:PT
Total Paid forPOOL SPA. $279.91 $0.00
TOTALS: $280.91 $0.00
A
Description: DWYER/WATKINS POOL & GASA LINE
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 3/4/2015 PJU
Approved:
Parcel No: 774053008 Site Address: 53160 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 218 Lot: 17
Issued:
UNIT 21
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL & GAAS LINE PER APPROVED PLANS APPROVED PER KK &. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
" e •.i •R = z CLTD.
;. "DESCRIPTIONS r, y,4 ACCOUNT :QTY AMOUNT' PAID �` PAID DATE RECEIPT # .CHECK #,,' METHOD' " a PAID BY, _ BY
i -
BSAS SB1473 FEE 101-0000-20306 0 $1.00 - $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Wednesday, March 04, 2015 1:20:48 PM 1 of 2 CR srsTEMS
r
CONDITIONS
CONTACTS
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APPLICANT
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
CONTRACTOR
KANCUN POOLS AND SPAS, INC.
OUTSIDE CITY LIMITS
OWNER
DWYER & WATKINS RESIDENCE
53160 AVENIDA
VALLEJO
LA QUINTA
CA
92253
FINANCIAL INFORMATION
" e •.i •R = z CLTD.
;. "DESCRIPTIONS r, y,4 ACCOUNT :QTY AMOUNT' PAID �` PAID DATE RECEIPT # .CHECK #,,' METHOD' " a PAID BY, _ BY
i -
BSAS SB1473 FEE 101-0000-20306 0 $1.00 - $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Wednesday, March 04, 2015 1:20:48 PM 1 of 2 CR srsTEMS
r
DESCRIPTION
7,
,AC OUNT-
C
QTY,
-;4-
AMOUNI r,
PAIIJ-�.'
"PAID DATE
-RECEIP T #.
XHECK #
METHOD
CLTD
BY
SWIMMING POOL/SPA
101-000042404
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: $280.91 $0.00
I PARENT PROJECTS
Printed: Wednesday, March 04, 2015 1:20:48 PM 2 of 2 NAAF
CRUV SYSTEMS