14-0676 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: -
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
BUILDING & SAFETY DEPARTMENT
r,Aw� BUILDING PERMIT
14-00000676 Owner:
56495 JACK NICKLAUS CHANNEY STEPHEN & KIM
762-070-019- -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
32800
Architect or Engine
dl
56495 JACK NICKLAUS
LA QUINTA, CA 92253
tractor:
NTYRE POOLS &
95 AVENUE 45
IO, CA 92201
0)342-3612
. No.: 614611
SPAS, INC.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-71�t3'
Date: 5/30/14,,j
--------------------- - - --------------------------------------------------------------- - - - - - —
LICENSED CON RACT R' DECLARATION
I hereby affirm under penalty of perjury that I am licens unde r inions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu irress and Prole. nal and my Linp.nsp. is in full fnrre and effect.
Licens ass: C53 A ice e No.: 614611
Date: � &tractor:
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury t at I exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business n rolesson
s Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or re r 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 70001 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 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 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 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.1.
Lender's Name: _
Lender's Address:
LQPERMIT
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 WESCO INS CO Policy Nu ber 46053611
—I certify that, in the performance of the w/ithply
his permit is issued, I shall not employ any
person in any manner so as to becomeworkers' compensation laws of California,
and agree that, if I should become su -ers' compensation provisions of Section
�� 3700 of the Labor Code, I shall fo h those provisions.
DaTe:5Appl� icant:
WARNING: FAILURE TO SECURE WO9,7ERSEMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIONST 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, indemnif d hold harmless the City
of La Quinta, its officers, agents and employees for any act or omissi rel ed to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becom null and oid i ork is not commenced
within 180 days from date of issuance of such per ' , or cess ion work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abo inform_ on ' correct. 1 agree to comply with all
city and county ordinances and state laws relating to building nstru n nd hereby authorize representatives
of nth' co�u�_�/�� me don the
b mentioned property f inspe o urposes.
Date: J " �� 3fgnature (Applicant or Ag
Application Number . . . . . 14-00000676
LQPERMIT
yV
Permit ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83
Plan Check
Fee
.00
Issue Date
Valuation
0
Expiration Date 11/26/14
Qty Unit Charge Per
Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20
----------------------------------------------------------------------------
23.83
Permit . . . POOL 2013
Additional desc .
Permit Fee . . . . 178.75
Plan Check
Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date 11/26/14
,
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
----------------------------------------------------------------------------
178.75
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee . . . . 11.92
Plan Check
Fee
.00
Issue Date . . .
Valuation
. . .
. 0
Expiration Date 11/26/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
----------------------------------------------------------------------------
11.92
Permit . . . WALL/FENCE PERMIT
2013
Additional desc .
Permit Fee . . . . 47.19
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 11/26/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL,
FIRST 100 LF
47.19
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, AND BBQ WITH 4L.F. OF 4FT.
HIGH EQUIPMENT WALL & 2.5 L.F. OF 5FT.
6IN. HIGH BLOCK WALL AT FRONT OF HOUSE[
2 INCH GAS PIPING/1 INCH CONDUIT
ELECTRICAL] THIS PERMIT INCLUDES
_ ELECTRICAL AT BBQ. EQUIPMENT SHALL BE
INSTALLED IN ACCORDANCE WITH
LQPERMIT
Application Number . . . . .
14-00000676
------------------------ ----------------------------------------------------
Special Notes and Comments
MANUFACTURER SPECIFICATIONS.
ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2013
CALIFORNIA
BUILDING CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK,
POOL
97.24
PLAN CHECK,
WALLS
60.06
Fee summary Charged
Paid,
Credited
Due
----------------- ----------
Permit Fee Total 261.69
------
.00
.00
261.69
Plan Check•Total .00
.00
.00
00
Other Fee Total 158.30
.00
..00
158.30
Grand Total 419.99
.00
.00
419.99
LQPERMIT
r
Bin #
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
P rmi #
b
Project Address: 5
Owner's Name:
A. P. Number:
r
Address: 56_ 49's- 3�ntrk, Ak-ekU.:�!
'
Legal Description:
T
City, ST, Zip:
' -Y7 IrA
Contractor:
/
�
Telephone:
Address: Ai
5
Project Description: t3
A(zo
City, ST, Zip: =
Ono.220
Telephone:>st
7C�d 3 Z —.3,612
>.;.:;;:: ;s_,
State Lic. # Q
611
City Lic. #:
'
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone
'' ` ` ""
Construction anyPe: Oecu ey:
State Lic. #:
Project type circle one): New Addf n Alter Repair Demo
Name of Contact Person: T
��/Pere?#
Sq. Ft.:
# Stories:
Units:
' Telephone #,of ContaFt Person: C
C) - --d-6eqJ
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
RevieNved, ready for correctionsck
Depo
Truss Calcs.
Called Contact Person'
Plan Check Balance.
Title 24 Cales.
Plans picked up
1>Constructi(�
Flood plain plan
Plans resubmitted
Mechanical �^+
Grading plan
2' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbin , net
Grant Deed
Plans picked up
.
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
APR r it lLQ .640 srca. -�,��
VULr. uuuKSE
(2) 24" x 24" x 10" Ht.-
PROPERTY LINE WATER POTS, COLOR TO BE SAND _
4' PA
13'
AUTOFIIl
;
STACKED 6' > `T
STONE
PA _5, -POOL SPILLWAY o PA I.
.31.6m TANNING
37 ; ; :15'-1"
SHELF M
13'
SKIMMER UMBRELLA9�
` SLEEVE
,.
4'
:. EXISTING CONCRETE ❑
DO NOT DEMO BBQ CABINET COUNTER TOP TC
MATCH. POOL TILE; STUCCO ON
J SIDES TO MATCH THE HOU5E.
J
o ) I o
CID
6V"Lu
AAU CHANEY RESIDENCE 7-gn
w
PA 56-495 JACK N.ICKLAUS I PA
LAQUINTA, CA 92253
I
z
�nnr� ■ .v. �c r
L a%:a� a a aILu.
®® ®® \ NEW 4 FT. HEIGHT BLOCK WALL
STUCCO FIN15H TO MATCH NOI
C0NSTRUCTMN.SPE2AGST
mo.342-3612
POOL J 5P_A
EQUIPMENT
t SUB -PANEL
i.I
isu,I.
to
Iz I WALL TO BE REMOVED.
. I FOR ACCESS
3 FT. HEIGHT I I PERMANENTLY-.
FOUNTAIN TO BE
PROVIDED BY 001— EXISTING PALM TO REMAIN IN P
1
° I HOMEOWNER.
1'
�I
EXISTING CONCRETE TO: o
NEW 51-Gll 51-GHEIGHT BLOCK WALL
BE DEMOED .TO GET .� z
I ACCESS TO ELECTRICAL n O �I I 'STUCCO fIN15H TO MATCH HOI
i R L zz 00of ° TO BE BUILT PER CI1Y.5TANDAF
*G MAIN. cn cn �:..5
D N� GATE DONE BY OTHERS
c <
I I ..._. � �m
GAS. � ' 0 Z
° I ELEC. 0 m i C
� . METER ® mm Z -
i � 1
L: CEI
APR 1 7 2014