BPOL2015-0010a�
78-495 CALLE TAMPICO VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORI a }iv253+.i. COMM1IU,NITY`DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/12/2015
Application Number:
BPOL2015-0010
Owner:
Property Address:
43330 CROISETTE CT
HENNESSEY RESIDENCE
APN:
609052002
43330 CROISETTE CT
Application Description:
POOL, SPA & WALL AT
REAR YARD
LA QUINTA, CA 92211
Property Zoning:
Application Valuation:
$22,000.00
D n 0
Applicant:A
JAN 12 2015
Contractor:
COMPETITIVE WEST POOL
CONSTR
COMPETITIVE WEST POOL CONSTR
78150 CALLE TAMPICO
101
78150 CALLE TAMPICO 101
LA QUINTA, CA 92253
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LA QUINTA, CA 92253
(760)625-2510
Llc. No.::LIC-0104803
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.: :LIC -0104803
Date: -12 —Pr
Contractor: Cbwm i lje 09M
OWNER BUILDER 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 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 fo 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 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:
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 La ode, I shall forthwith
comply with those provisions.
,t
Date: (�! Zi"LS Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enterup the above-
mentioned property for inspection purposes. 1417
Date: 1 -11-- 1 �P Signature (Applicant or Agent)
FINANCIAL •1•
DESCFSIE N �. ACCOUNT
QTY
AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL- $108.77 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:i0
Description: POOL, SPA & WALL AT REAR YARD
Type: POOL Subtype: Status: APPROVED
Applied: 1/9/2015 PJU
Approved: 1/9/2015 JFU
Parcel No: 609052002 Site Address: 43330 CROISETTE CT LA QUINTA,CA 92253
Subdivision: Block: Lot:1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $22,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, AND EQUIPMENT ENCLOSURE AT REAR YARD [JOHN HENRY HACKER ENGINEERING] ALARMS AND BARRIERS REQUIRED
• TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION l
Printed: Monday, January 12, 2015 9:43:04 AM 1 of 2
CRWSYSTEMS
ADDITIONAL
• • ilKe •
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTIFIED GEORGE W/ COMPETITIVE WEST POOL
TELEPHONE CALL JAKE FUSON
1/9/2015
1/9/2015
CONSTRUCTION PLANS WERE APPROVED AND PERMIT READY
TO ISSUE.
CONDITIONS
NAME TYPE NAME
ADDRESS1
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
COMPETITIVE WEST POOL CONSTR
78150 CALLE TAMPICOLA
QUINTA
CA
92253
101
CONTRACTOR
COMPETITIVE WEST POOL CONSTR
78150 CALLE TAMPICO
LA QUINTA
CA
92253
101
OWNER
HENNESSEY RESIDENCE
43330 CROISETTE CT
LA QUINTA
CA
92211
FINANCIAL INFORMATION l
Printed: Monday, January 12, 2015 9:43:04 AM 1 of 2
CRWSYSTEMS
INSPECTIONS �j
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, January 12, 2015 9:43:04 AM 2 of 2 V?wSYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL $108.77 $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
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:00
INSPECTIONS �j
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, January 12, 2015 9:43:04 AM 2 of 2 V?wSYSTEMS
Bid#
City of La Quinta.
Building &r Safety Division
✓ P.O. Box 1504, 78-495 Calle Tampico.
Ca Quina, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
b�
Project Address: 4333o C42,o i SE (Te Co_j2 t
Owner's Name:
A: P. Number:
Address: S�ntiE
Legal Description:
City, ST, Zip:
Contractor: •WL -ST
CAN�PETI ll�k= 071. �O � �
Telephone:
Address: -T3—(90 CAUuF 7.1w6(a
Project.Description: tjUa o -6L
City, ST, Zip: • (_A Q1 ,),*,rm
60,9c,JE EQjileAAENc t,j I<L.
Telephone: loo 2 5 - S
SEEM=
'o
1
State Lia # : (o Z
City Lia#U�--7
Arch., Engr., Designer:
pr p
Address:
City, ST, Zip:
Telephone:
<' ; " '>'°° >'> ''.> °
Construction Type: Occupancy:
State Lic. #:
Project type circle one): New Add'n Alter Re air Demo
Name of Contact Person: Ll ILA 14
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: —7(,c-> (o ZS- 5�0 S
Estimated Value of Project: �- CDo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
1
tem
Amount
Structural Cates.
Reviewed, ready foreerseefious 1SSJ6
Plan Check Deposit
Truss Cates.
Called Contact Person
(
Plan Check Balance.
Title 24 Calcs.
Plans picked up '
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcclions/issue
Electrical
Subeontaetor List
Called Contact Person
Plumbin5
Grant Dccd
Plans picked up
S.M.I.
Ii.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.
Total Permit Fees
ni
I m MI'll rl I I H
VIII' IIID IIII IIII Page 1 of 1
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ExPoRr TO EXCEL
Type: POOL
e
Subtype:
PERMIT DESCRIPTION _
- POOL, SPA'S WALL -ARREAR YARD
ICAPS ONLYjt ,_ _._._ —__ _ ._�
Status: ISSUED
AppEad Date: 1/92015 {{`
Approved Data: 11912015 -
Issued Date: 1/12/2015
_ FinaleA Date;
j
Explratioo.0ate:_ 82512015
Noles: 11912015 3:12:16 PM POOL, SPA; AND EOUIPMENT ENCLOSURE AT
REAR YARD (JOHN HENRY HACKER ENGINEERING) ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER 1
INSPECTION. 2013 CALIFORNIA BUILDING CODE.
C
f
e
crops C
This site is designed to offer the Public an opportunity to apply for.all permits and projects online from the convenience of your
home or business)
Please contact (760)777-7125 if, you have any questions!
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http://Iaquinta.trakit.net/etrakit3/Search/permit.aspx . 11/23/2015
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RECEIVED
JAN 11 2016
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