BPOL2015-015378-495 CALLE TAVPICO `
"LA QUINTA, CALIFORNIA 92253
T4 4 4 Qumr(u
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/17/2015
Application Number:
BPOL2015-0153
Owner:
Property Address:
80325 VIA CAPRI
ALAN FLEENOR
APN:
777100052.
80100 VIA P.ESSARO .
Application Description:
RE
POOL SPA FIRE PIT WATEr
LA QUINTA, CA 0
Property Zoning:
Application Valuation:
$63,780.00
Applicant:
UL 2'0
2015
Contractor:
DESERT MIRAGE POOLS & SPAS,
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR COURT
CIpyOFLAQUINTA
84267 MIRAMAR COURT
COACHELLA, CA 92236
ITY DEVELOPMENT
DEPARTMENT
COACHELLA, CA 92236
Yntythat
CENSED CONTRACTOR'S DECLARATION
I herrider alty of perjury that I am license and revisions of Chapter
9 {cwith a ion 7000} of Division 3 of the B ine d Professions Code,
and is in u force and effect.
Lice53 License No.: 999928
Dat- 2 V ' 6ntactor:OWNER-BUILD DEC ATION
under penalty of perjury tha 1ama empt from the Contractor's State
Licer the following reason'(Sec. 70 .5, usiness and Professions Code: Any
city that requires a permit to. constru , 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 x
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fo
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.).
(_) 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
Lender's
/ dE /0dL-
(760)702-9222.
Llc. No.: 999928
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 sub' t to the workers'
compensation laws of Calif&nia, and agree that, if I shld be m subject to the
workers' compensation provisions of Section 3700 oft a Lab r de, I shall forthwith
comply with those provisions.
7, 70 ' /.S Applicant:
WARNING: FAILURE TO SECURE WORKERS' OM ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI IN PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100)ep). 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 inforr
I agree to comply with all city and county ordinances and state laws rel
construction, and hereby authorize representatives of this city to enter
mentioned property -for inspection purposes. - A
7- W-15- Signature (Applicant or Agent):
FINANCIAL .• 1•
DESCRIPTION',` ,' .ACCOUNT QTY y; AMOUNT
PAID' i `PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$3.00
$0.00
PAID BY ry` `' ' METHOD >: - RECEIPT #
CHECK # CLTD BY. -
total Paid forBUILDING STANDARDS ADMINISTRATION BSA $3.00. $0.00
DESCRIPTION
- ' ACCOUNT
QTY
'AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY'
DESCRIPTION
ACCOUNT,
QTY
.• AMOUNT
-'PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #' .
CHECK #
CLTD BY,
Total Paid forPLUMBING FEES: $36.26 $0.00
DESCRIPTION.-
ACCOUNT •
QTY.
" •AMOUNT, •
PAID
-PAID DATE'
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
'PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
'.DESCRIPTION
ACCOUNT. '
QTY.
AMOUNT,
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY.
METHOD.
RECEIPT #
CHECK # '. • ;
"'CLTD BY ,
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID`
PAID DATE.
WATER FEATURE ONLY
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
? 'RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
.:ACCOUNT.QTY
F* AMOUNT
PAID ,.
`PAID DATE
WATER FEATURE ONLY PC
101-0000-42600
0
$98.62
$0.00
PAID BY;METHOD
f
RECEIPT # - ''
CHECK # =
CLTD BY ,.
Total Paid for POOL / SPA: $559.82 $0.00
TOTALS:• •00
Description: POOL SPA FIRE PIT WATER FEATURE
Type: POOL Subtype: Status: APPROVED
Applied: 7/15/2015 PJU
Approved: 7/16/2015 KKI
Parcel No: 777100052 Site Address: 80325 VIA CAPRI LA QUINTA,CA 92253
Subdivision: TR 29894-2 AMEND NO 2 Block: Lot: 11
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $63,780.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
sent back to philip 7/16/15
Details: INSTALL NEW POOL & SPA, FIRE PIT, BENCH, 18 INCH ACCENT WALL, COURTYARD WATER FEATURE
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION.DATE
.,t
NOTES . "s
NOTE
PHILIP JUAREZ
7/16/2015
sent back to philip 7/16/15
CONDITIONS
CONTACTS
NAME.TYPE.NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR
COACHELLA
CA
92236
COURT
CONTRACTOR
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR
COACHELLA
CA
92236
COURT
OWNER
ALAN FLEENOR
80100 VIA PESSARO
LA QUINTA
CA
0
FINANCIAL INFORMATION 11
Printed: Friday, July 17, 2015 9:19:54 AM 1 of 3 CO
SYSTEMS
Printed: Friday, July 17, 2015 9:19:54 AM 2 of 3 cfl?sysrrMS
d
CLTD
DESCRIPTION
- ACCOUNT
QTY,
AMOUNT
PAID ., ..
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
,
,
BY
BSAS SB1473 FEE
101-0000-20306
0.
$3.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$3.00 $0.00
BSA:
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00,
OUTLETS PC
Total Paid forPLUMBING FEES: $36.26 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
WATER FEATURE ONLY
101-0000-42404
0
$181.29
$0.00
WATER FEATURE ONLY
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL / SPA: $559.82 $0.00
TOTALS:0: $0.00
Printed: Friday, July 17, 2015 9:19:54 AM 2 of 3 cfl?sysrrMS
Printed: Friday, July 17, 2015 9:19:54 AM 3 of 3
SYSTEMS
Bin #
��\\ 5?�
V `
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application.and Tracking Sheet
Permit # 4� S'
Project Address: GS
i �G o
Owner's Name: ��(e
A. P. Number:
Legal Description:
Address:
City, ST, Zip: rA
✓1
Contractor:
G hCG W f Y.
telephone:
Address: _ Z
Project Description: )od
City, ST, Zip:
d
U• Z 736
1 c I
Telephone: (7 60) d
Z-
cAvu . � or
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: le one:
P
Construction T •
e• Occupancy:
Type: aneY •
State Lic. #S 2.
Project tYPa (circle one): New Add' n Alter Rep Demo
Name of Contact Person:
Jelr f
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Q
)
7OZ — Ct Z Z z
Estimated Value of Project: 6
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs,
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' 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