BPOL2015-019378-495 CALLE TAMPICO 1� '
LA QUINTA, CALIFORNIA 92253 - COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2015-0193
Property Address:
43515 CROISETTE CT
APN:
609052002
Application Description:
CALHOUN RESIDENCE / POOL, SPA & GAS LINE
Property Zoning:
Application Valuation:
$24,000.00
Applicant:
COMPETITIVE WEST POOL
CONSTRUCTION
P 0 BOX 5865
LA QUINTA, CA 92248
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C53 License No.: 916827
Pate: --/ Contractor:
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 for 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 perj6ry 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 Address
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CALHOUN
43515 CROISETTE CT
LAQUINTA, CA 92253
Contractor:
COMPETITIVE WEST POOL
P O'BOX 5865
LA QUINTA, CA 92248
(760)625-2512
Llc. No.: 916827
Date: 9/3/2015
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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.
Date: �� 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 enter up above-
mentioned
above-
mentioned property for inspection purposes. _ 1-1
Date: R_�� Signature (Applicant or Agent
FINANCIAL INFORMATION
DESCRIPTION " 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
QTY
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
QTY
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
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
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:0•
Description: CALHOUN RESIDENCE / POOL, SPA & GAS LINE
Type: POOL Subtype: Status: APPROVED
Applied: 9/2/2015 MFA
Approved: 9/3/2015 MFA
Parcel No: 609052002 Site Address: 43515 CROISETTE CT LA QUINTA,CA 92253
Subdivision: Block: Lot: 12
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $24,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ACTION DATE
Details: POOL & SPA WITH 13 LF AT 4 FOOT HIGH EQUIPMENT WALL [1-1/2 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
SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING
CODE
l
Applied to Approved
FINANCIAL INFORMATION
Printed: Thursday, September 03, 2015 7:47:57 AM 1 of 2 ,
SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES "
PLAN CHECK SUBMITTAL MARY FASANO
9/2/2015
9/2/2015
sent back to mary 9/2/15
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE NAME
ADDRESSI
CITY
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT COMPETITIVE WEST POOL
P 0 BOX 5865
LA QUINTA
CA
92248
CONSTRUCTION
CONTRACTOR COMPETITIVE WEST POOL
P 0 BOX 5865
LA QUINTA
CA .92248
CONSTRUCTION
OWNER CALHOUN
43515 CROISETTE CT I
LAQUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Thursday, September 03, 2015 7:47:57 AM 1 of 2 ,
SYSTEMS
INSPECTIONS
BOND INFORMATION
Printed: Thursday, September 03; 2015 7:47:57 AM 2 of 2 CMMYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
"
BY s,
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING 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 forFENCE 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
$9.8.62
$0.00
PC
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS: $389.68 0►
INSPECTIONS
BOND INFORMATION
Printed: Thursday, September 03; 2015 7:47:57 AM 2 of 2 CMMYSTEMS
Bin # '-
` City of La Quinta i
Building 8i: Safety Division i.
Permit # 78-495 Calle Tampico ;y SEP Q 2 2015
La Quinta, CA 92253 - (760) 777-7012
CI OF LA QUINT
Building Permit Application and Tracking
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Project Address: / ?JStS CIS`G�1 �p J -- Owner's Name: Lv�
A. P. Number:
Address: 51 S 01 2
Legal Description:
City, ST, Zip:
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Contractor: CoM E E
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Address: eo t'�IV
Project Description: oOt_
City, ST, Zip: p' (-M L�'-:55
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Telephone:.
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State Lic. # : Z
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City Lie.AMA
Arch., Engr., Designer: S
Address:
City, ST, Zip:
Telephone:
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Construction s on TYP Occupancy:
P Y:
State Lic. #
roJect d'n Alter
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Repair r De m
Name of Contact Person:
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Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
2S'7•p
Estimated Value of Project: 000D
APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"! 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
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