BPOL2015-0166Applicant:
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA COURT #1
INDIO, CA 92201
AUG 12 2015
-- pF LAW14TA
COMMUNITY DEV :L0 ?MENT DEPARTMENT
. 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.
icense Class: C53 License No.: 987978
/Y Iter%/e(— c)IS Contract, ally (oJ r�t��
OWNER -BUILDER ECLARATION
I hereby affirm under penalty of perjury tha 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 Division
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 r a
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 I I am exempt under Sec. B.&P.C. for this reason
Contractor:
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA COURT #1
INDIO, CA 92201
(760)397-7699
Llc. No.: 987978
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' compensatiomprovisions of. Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
; (=12 - Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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 permif'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: i D te: / 12 - ISignature (Applicant or Agent_):
Lender's Add
of78-495
VOICE (760) 777-7125
CALLE TAMPICO
FAX
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
(760) 777-7153
BUILDING PERMIT
Date: 8/4/2015
Application Number:
BPOL2015-0166
Owner:
Property Address:
79703 S S PARKWAY ESPLANADE
SHARON K HJERPE
APN:
609590005
79703 S.PARKWAY ESPLANADE
Application Description:
HJERPE RESIDENCE POOL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:.
$23,000.00
Applicant:
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA COURT #1
INDIO, CA 92201
AUG 12 2015
-- pF LAW14TA
COMMUNITY DEV :L0 ?MENT DEPARTMENT
. 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.
icense Class: C53 License No.: 987978
/Y Iter%/e(— c)IS Contract, ally (oJ r�t��
OWNER -BUILDER ECLARATION
I hereby affirm under penalty of perjury tha 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 Division
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 r a
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 I I am exempt under Sec. B.&P.C. for this reason
Contractor:
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA COURT #1
INDIO, CA 92201
(760)397-7699
Llc. No.: 987978
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' compensatiomprovisions of. Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
; (=12 - Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS -($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES.AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application ; the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permif'issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with, all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency.for construction, and hereby authorize representatives of this city to enter upon the above -
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 'mentioned property.for inspection purposes.
Lender's Name: i D te: / 12 - ISignature (Applicant or Agent_):
Lender's Add
t'v`.-:.-'?[i`C's�.$:':'2S.#'Ya;'a-:t�: ia.+r. ...`: :ir"".. .Y?.'..;-.�'1-".%'..� ,y`;:'- "�.i',f.9`'.:fr'�s`. ..xs..':
.. �� ...; '^x."y. �,? �1' FAC < � .: $ - .S fi' +5, %f"s E`er* : { '�!' v'a .ww ' '.:+ISG
x s ,DESCRIPTION: ;, �€, .m- FA000UNT yg :. a u,QTY T <AMOUNT :<;# '' Y PAID ,, i= PAID,DATEa
��..Sn::3:li'.+` ,Y:£:.' : .Sgk....G. `:.`v '%"'.3:�.. �'4hP.8€A�?Ye"$ <Ss'k siif.a '%:'i :& ..: ai ."...... :b.~ Z`£�v
BSAS SB1473.FEE 101 0000-20306' '
0 $0.00
?7 F a:. +i'.h�,a�3's-ay�r •=:i'Ao,� ;F% + ��;:"3.R,:.:G'c"';.'i'Sz.R
a:.
`���PAID BYi� METHOD
�.`�'•.:.`.x .. `` .g�:,_ava:w x.3:[ n?. x,,:� .....:Yu',^L:.;i:•�rYa. _:.�h<.. ffr'4€4R�
.. ,
°> �RECEIFT"Al y>_ �CLTD BYE
CHECK #
zE..ra.;3?; ��...-,_W_:ti:....' E.�fs„�` fa'F:.`:.esEr.;'�"7Le:;.1.E...��,�.e..�:>:�, .s�;..�,....�,x�s. �
N'
Total Paid for�BUILDINGSTANDARDS ADMINISTRATION BS/t„ $1 00°. $0.00
UESCRIPTION��ACCO.UNT
t'ai ai 13rs�° szaa1;ft,
°��
tea:4x.
r TY
`AMOUNT
rra , d5?�.
PAI
.:�..vs
PAD'+DATE«
I
�tveu
SWIMMING POOL/SPA
101 OOOG-432404 _
0
y$.1 29:
$0.00
..iY', .� - C'
{ ?��
,F.. PAID BY
:r,F
METH D�aRE
—.
IPTG#t`CHE
f K #
�CLTD BY
""3s�n` ; Kaits-x,`k`:s`._➢:";"�''"i.t $§`Y2tX"^ %
-.0' DESCRIPTION�4�
IN a t' .. _ _ .- r� : rz x of s u, :'�r::�m- �f,f :. 'a:. - +s s
` " f"Ma'�`z'm+r'x;pzX.,'?'
E, �q�A000UNT
q�:s "`'�+<a.:6'� �,xK,k4<...:�.:s< :5;r, s .xff '. D aw'` +'.s
'^
QTY
:...mss.: v
W�-m.',�. �c4"w dam';
AMOUNTS :;
k::4:v�,,x'A"4�i'.:`wt�3�"T.
y'.,i"Ap`[rt':?Y.:��-,,.,*'Sh
;, PAID
%re ��". z <z.,..:..,.r .:�. -�in
z'C�4Y..'�n.»
PAIQ„DATE
R�W&�;ZA'w
SWIMMING POOL/SPA PC
101-00004260011
•0':
_4,:.
$98 62`
$0.00
`s��;cy%,a`:hYa�'Q C`z.” -2011 �..:., x. v . . ,mss .�
�-tP;e �P.AIDaBY�':.� �����;� ��
r..s .'
^sa, ;' MM
�`,�'�+�,,�
CHECK#
CLTDBY.
Tofal'Paid fo�POOI /SPA $279 91 P.00.
Description: HJERPE RESIDENCE POOL
Type: POOL Subtype: Status: APPROVED.
Applied: 8/4/2015 EVA
Approved:, 8/4/2015 KKI
Parcel No 609590005 Site Address: 79703 S'S PARKWAY. ESPLANADE LA QUINTA,CA 92253 -
Subdivision.. TR 29323-1 Block: Lot: 23
Issued: ..
Lot Sq Ft: 0 Building Sq Ft:.O Zoning:
Finaled:
Valuation: $23,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 - . No Unites ,0 .
KANCUN POOLS AND SPAS INC
Details:. -POOL; $PA, [2,INCH'GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT.DOES NOT. -INCLUDE" ELECTRICAL AT.BBQ
EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SP--ECIFICATIONS. ALARMS:AND BARRIERS REQUIRED TO
BE -INSTALLED AT•PRE-PLASTER INSPECTION: 2013 CALIFORNIA BUILDING:CODE.
I.. PHILIP JUAREZni
8/4%2015
KANCUN POOLSAND SPAS INC
46625 •
•
'
•
KANCUN POOLS AND SPAS INC
46625 DESERT VILLA
•SHARON
•
®®
«--
. ,. i .:'.... ... �,.... :. w'A ,. .. .G. e:. t z..0 4i: .2 -.. - C .,
.<.a .,x� ,. .-,f M,. f. ..Y �. ,},., r .k. ...H.
;. ,» '''iy,."NiA" .1a R'}, ro+,5., �.. �. kk3 r.:x rC r�t�._ .,tY.. .., `.5�. �.,
yPn�. t� dYyy.. 1...: k'-d�yA;nfi: ., Y5L� Sy:.m1fi%.;,v{... „!
5h ..a', 'X` :i ,.x .. i� d �k.
.»� ,.S ...'",,`:is- , x s7
y
-,�_'. ..:�;,a .way.:. 'afd;: P�,x..:!"•
�,� -an . :ra)� a e. 2"`� .y+ .•�— -'� t"
<x:��xx�v.�x:&.::>v:.:.'x'ax.. '�.:>. ���� .:,..sd5..�a$� �u x'�..,��...�`-�.x...::
u
.. ,f',.:. d 'sk.' 1. i.. :4w.
.. C., _a.. ... ,a ..(L ... *ffi
Y r,}x, ',' ., vs s�� sr.iw,
E7�u w .. s,!`°^k $
'.,>C",,e
.,.";% FINANCIAL:INFORM/�TIONr
:a� .*>rr3•
?�?`_,: _�a:��'2.`✓�"'ix::'»:T:zC.'x
P. s .< as n -,?''a, a. y c.;, l::z..o t.
:,.::,,.,.. .. d.',';45 .rX.A. Y.•,c is#.: •,L,.av'i',-4 �}..T. FP, .� ,SQ, Mfx§'' :?a"._•
'11 ,..' Jk';.. rc." +�V:' s1i. `�31, "''.�t� r' - YYF}. S' , �E� 4',S
Y .alk:.. „3n k. .,�,;7 r.•
".. z`";C'zp 'Sd. ,,. .v,`"';" ,,::: s` 3a. w.+r R q%ei,�• 'q
z �.,. r,S - ✓' *.F .3 aq.. , ,<w, <, �:
zh.,,r•. � � . .'1��: z:2+x,- �'_ °� • :w � �. �;; - .y>.,. :.� &, 1`" �t � .,. �'�`��' n �.
;°?�3u..:»:&...s:;-���'u;'24...y::.�.h:Sz,,::z�»..se:.:.`f.,��"�.,..�n.<.z�'�$�rkr,.�r.�3.�i::'_.r`n;.i....�.,,.:.�=a..,C:�..,..r�?L.,.�....,.<..✓,,.:.,.....xa.:�'.:��::s5�
Printed:- Tuesday, August 04, 2015.3:10:55 PM
a3�s '+y�, rr ...
1 of 2 CR
INSPECTIONS
SEQIDINSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL" BLD
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, August 04, 2015 3:10:55 PM 2 of 2 OrPIfflYSTEMS
---
..-----
- - - -
------ -- -
C
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METH CID
D
PAID BY
t
BY
BY
BSAS S131473 FEE
101-0000-20306
0
$1.00
$0.00
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
INSPECTIONS
SEQIDINSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL" BLD
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, August 04, 2015 3:10:55 PM 2 of 2 OrPIfflYSTEMS
Sin #
a City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
�,� Building. Permit Application and Tracking Sheet
Permit#
,l
Project Address: IOL5A
L0fJ .5,
Owner's Name:
A. P. Number:
Address: I
Legal Description:
0.l►UCfldn
City, ST, Zip: - -12. Z5
Contractor:
bis AYt� Fis 1 DAG'><`•.`;«i::>;:<ri:<s::..::.:s:vi#
Telephone:
Project Description: $Jfw 'C>a L_
Address: _5,54 yJ 1 `
[ti
City, ST, Zip: (C)
224 g); 1
J C, LO h t 1t
t
Telephone:
State Lic. #
City Lic.;
Arch., Engr., Designer:.
Address:
City, ST, Zip: i P�1,tA
Telephone:
State Lic. #:
Name of Contact Person:"
'::: <:':% : :>:i :`> . #:•# <3 z >'<>
;<:>,>.zis•:.
CP'1
1�
, Construction Type: 6;U 1).4f— Occupancy:
Project type (circle one): Add'n. Alter Repair
Sq. Ft.: 3 gp ` # Stories: #Units:
Demo
Telephone # of Contact Person .. '
_ — �r 6 _~
Estimated Value of Project:
APP.LICANT:.DO.NOT WRITE BELOW THIS LINE
i/
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' 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
Esplanade
c/o Desert Resort Management, Inc.
42635 Melanie Place
Palm Desert, CA 92211
Customer Care: 760-346-1161 Fax: 760-346-9918
Website: www.drmintemet.com
Date: July 30, 2015
Project Ref: [ 16680546] 79703 Parkway Esplanade . S
Sharon K. Hjerpe
79703 Parkway Esplanade S.
La Quinta CA 92253
Dear Sharon K. Hjerpe,
For the listed project item(s):
Pool
I am pleased to inform you that the Esplanade Architectural Committee has approved your
application with the following stipulations:
Approved with the condition that you obtain permits from the city of La Quinta.
The approval is contingent upon compliance with the specifications set forth in the approved
application. If your change or addition requires a county, city or state permit, it is the responsibility of the
homeowner to obtain this before starting construction.
Please retain this letter in your files. If you have any questions regarding this matter, please
contact Customer Care at 760-346-1161 or e-mail us at
Sincerely,
Jennifer Zeivel
Community Association Manager
_izeivel(@drminternet.com
Esplanade
* **ESTE DOCUMENTO ES MUY IMPORTANTE. SI USTED NO PUEDE LEER INGLES, POR
FAVOR CONSIGA A ALGUIEN. PARA- QUE LE TRADUZCA ESTE DOCUMENTO***
g 5 4 3 /I 2 1
tree demo exsiting block we
tree
tree for access and repair
tree to at planter to remain
tree tree
bobcat access L n O rt
0'
6' 5.6..
J 14'
existing d inage to remain
decko drain
� 79-703 Parkway Esplanad
.existing covered
30' south
patio
front entrance
12" residence
planter
sun deck
3'6" dept CITY 1 ®F'A QUINTA
i'1
3 existing BUILDING & SAFETY DEPT
to'
planter
APPROVE.
FOR CONSTRUCTI
r' `j
6.6..
DATE j �y t -
NEW POOL AND SPA
existing tre 38' existing drainage to remain KANCUN
to remain POOLS TITLE
4 / AND SPAS SHARON HJERPE
ool equip 79-703 PARKWAY. ESPLANADE SOUTH
►� INC,LAQUINTACA92253
SM ------------ SIZE CAGE COD DWG NO REV
Y A3
------------
SCA SHEET
6 5 p/I 4 3 2 1