14-0610 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000610
Property Address: 51310 CALLE JACUMBA
APN: 770-166-004-21 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM DENSITY RES
Application valuation: 15000
Applicant:
"n"ISU.�
T,ityl 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY 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 Professionals Code, and my License is in full force and effect.
License Class: C53 r Li ense N 956397
XDate � =='•( Contractor:
• OWNER -BUILDER DE RATION
I hereby affirm under penalty of perjury that 1 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 3 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 for 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.).
(_ 1 1, 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.).
(_ 1 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
/21/14
Owner.
FYEE KIP & BRLIZ VICT 1
MAY 22' 20:'1 1'
c1T1r oP quwTA
Contractor: PIrI44CE I)EPT. _
DESERT SAND POOL CONSTRUCTION
79405 HIGHWAY 111, STE 9-378
LA QUINTA, CA 92253
(760)567-7377
Lic. No.: 956397
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
ode, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EX PT Policy Number EXEMPT
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 Cc a shall forthwcomply ith those provisions.
bate:;�_gth Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 Director of Building and Safety 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 ouinta, 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. I agree to comply with all
city and county ordinances and state laws relating to buildinnstryction, a d hereby �on ze representatives
of this county
�to��e(n(te�r upon the above-mentioned prop�t7non pses.
Date: _�Q' // /—Signature (Applicant or Agent):
r
Application Number . . . . . 14-00000610
Permit . . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/17/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
----------------------------------------------------------------------------
Special Notes and Comments
POOL AND SPA AT FRONT YARD [DENISE
POELTLER ENGINEERING) THIS PERMIT DOES
NOT INCLUDE EQUIPMENT OR POOL AND SPA
ENCLOSURE. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING
CODE.
May 21, 2014 1:05:10 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
----------------------------------------'-----------------
Permit Fee Total 178.75 .00 .00
178.75
Plan Check Total .00 .00 .00
.00
Other Fee Total 98.24 .00 .00
98.24
Grand Total 276.99 .00 .00
276.99
A
LQPERMIT
-
r
DESERT SAND POOL
`
`
CONSTRUCTION
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t
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STEPS CROSS ECTION 1/4" SCALE
.
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-
POOL SPECS
`N
_6'
POOL SIZE: 11'6"X25'6"
f
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BULL NOSE STEPS TO
INDUSTRY STANDARDS
POOL AREA: 245 SF.
POOL PER: 72 SF.
t
POOL DEPTH:
SPA SPECS
`•ololo
-'
SPA SIZE: TX 4'6"r
m -
�TY ®������
-
SPA AREA: 31 SF.
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o,
BUILDING
& SAFETY DEPT.
SPA PER: 23 FT.
APPROVED
EQUIPMENT
OR CONSTRUCTION
PUMP'
UMBRELLA SLEEVE
iO
DAT
6u i�1 BY�_
FILTER:
HEATER:
t
-35" 8' t0.,
Iwo -
POOL LIGHT:
m
'�
I
11' - �
EQUIPMENT TO BE SCREENED
SPA LIGHT:
FINISHES
WITH BLOCK WALL
51
EXISTING WALL
-0„
-7','
%
_
t°
-5' N
ENCLOSURE
FILTER
PUMP
DECK AREA:93 SF.
MAIN DRAINS WITH
HEATER
3' SEPARATION
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L,
rl DRIVE WAY
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PROPANE TANK
+12"
A 11
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FYFE / BRILZ
RESIDENCE
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ADDRESS:51-310 CALLE JACUMBA
TANNING LEDGE
WITH UMBRELLA SLEEVE
9" DEEP
•
CITY: LA QUINTA
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14 SCALE
CITY OF LA QUINTA
SUB -CONTRACT R_ LIST
JOB ADDRESS S��310 L' ,� !�-�=� , *C_—L1 r 8A
PERMIT NUMBER
OWNERF ��. _6R L „BUILDER Pbo
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This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
in a stoppage of work and/or the voidance.
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result
i permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
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Bin. # City of n' La Quitd
Building a Safety Division
Permit # P.O. Box 1504,78-495 Calle Tampico
ia.Quinta, CA 92253 - (760) 777-7012
14— (-bI-D Building Permit Application' and Tracking Sheet
ProjeccAddress: 51310 Calle Jacumba owner's Name:.
A- P. Number:
Address: 51310 Calle Jacumba
Legal Description: Single family- residence
city, ST, zip: La Quinta CA 92253
Contractor: Desert Sand POOI COnstruCtion
Telephone: �.
Address: 79405 HwV 111 Ste 9-378
Project Description:
cityX,zip: La Quinta CA 92253
Construction of a new swimmin o &-
Telephone: 760-567-7377
s{�: .,,<`'` "
City Lie'. #:
spa, with new pool equipment er Ian
state Lic. #: C-53 956397
Arch., Engr., Designer: The Flying
Buttress
Address: 77725 Enfield Lane
City, ST, zip: Palm Desert CA 92211 .
Telephone: 760-772=4411 .Y �, . ., <.
State Lic. #: 33446
Name of Contact Person: Keith GOOdyer
-
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq Ft-:
#Stories:
#TJnitg:
Telephone # of Contact Person: . 760-567-7377
Estimated Value of Project: S
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Sub mittal
Req'd
Recd
' ------IIH
TRACKG PERMIT FEES i
Plan Sets
Plan Check submitted 14t4r Item Amount
Structure( Cales.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Plan Check Balance.
Title 24 Calci.
Plans picked up 1p Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2`a Review, ready for correctio kssue 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 eorrectionsfissue Developer.Impact Fee
Planning Approval.
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
sit
T
Total Permit Fees
' D10) GAME Qeoc, 6ft Spee, Ut
- ...._._.. ... ...................
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