BPOL2016-015878-495 CALLE TAMPICO
c&'1t 4 4 Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & D
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Application Number:
BPOL2016-0158
Property Address:
79080 LADERA
APN:
.604271018
Application Description:
MARLINGA /POOL AND SPA
Property Zoning:
Application Valuation:
$27,875.00
Applicant:
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR COURT
COACHELLA, CA 92236
:VELOPMENT DEPARTMENT
I��s
P CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/27/2016
lwner.
L MARLINGA
9080 LADERA DR
A QUINA, CA 92253
Contractor:
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR COURT
COACHELLA, CA 92236
(760)702-9222
Llc. No.: 999928
------------------------------------ i- } - - - - - - - - - - - - - - - - - - - - - - - ------------ ------ - - - - - -
LICENSED CONTRACTOR'S DECLA ION
I hereby affirm under penalty of perjury that I am license nde pr isions of Chapter
9 (commencing with Section 7000) of Division 3 of the 8 ness nd rofessions Code,
and my License is in full force and effect.
License Class: C53 License No.: 999928
CDate:h-27'-(. —Contractor:
I hereby affirm under penalty of perjury th t I am exe pt from the Contractor's State
License Law for the following reason (Sec. 31.5, Busi ess and Professions Code: Any
city or county that requires a permit to cons uct, alte , improve, demolish, or repair
any structure, prior to its issuance, also requi s the plicant for the permit to file a
signed statement that he or she is licensed purs 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 c
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: STATE COMPENSATION INSURANCE FUND Policy Number: 9125416
I certify that in the performance of the worktjeu
permit is issued, I
shall not employ any person in any manner so as to beco the workers'
compensation laws of California, and agree that, if I shobject to the
workers' compensation provisions of Section 3700ofth I shall forthwith
comply with those provisions.
Date: !a -7 7-16 •Applicant:
WARNING: FAILURE TO SECURE WORKER ' OM PE AT ON COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO C IMINAL ENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($10,000) IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDE FOR 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 cgssation qf/
work for. 180 days will subject permit to cancellation. � //
I certify that I have read this application and state that thea bove infor ;
1 agree to comply with all city and county ordinances and state laws r a'
construction, and hereby authorize representatives of this city to en t r u
above-mentioned property for inspection purposes.
Date: 0 ` Signature (Applicant or Agent)
' Date: 10/27/2016
Application Number: BPOL2016-0158 Owner:
Property Address: 79080 LADERA AL MARLINGA
APN: 604271018 79080LADERA DR
Application Description: MARLINGA / POOL AND SPA LA QUINA, CA 92253
Property Zoning:
Application Valuation: $27,875.00
r
Applicant: Contractor:
DESERT MIRAGE POOLS & SPAS DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR COURT 84267 MIRAMAR COURT
COACHELLA, CA 92236 COACHELLA, CA 92236
• (760)702-9222
Llc. No.: 999928
----------------------------------------------------------------------------------------------
Detail: POOL (12X28), AND SPA (10X12) AT REAR YARD [DENISE POELTLER ENGINEERING) 400K BTU POOL HEATER W/ 1"DIA. POLY PIPE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CODES.
NOTE: REAR YARD ACCESS WALL TO BE REBUILT UNDER SEPARATE PERMIT, WATER FEATURES & FIRE PIT NOT A PART OF PERMIT.
DESCRIPTION
l 1 • • 1 .
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
Binfl
Permit #
V1
Project Address: 7 _ 080 Q
City of La Qullita
6uifding 8t Safety Division
. 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building-Permit Application and Tracking Sheet
Owner's Naine:
A. P. Number:
Address:7 _ Q
Legal Description:
City, ST, Zip: 0-jai CA C7 Z 215 3
Contractor:
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e one:
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Address: E° 4 _ Z6 7
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Project Description: Poo I
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Telephone:
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State Lic. # : Q C(
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City Lie. #c
Arch., Engr., Designer:
Address:
City, ST, Zip:'
Telephone: one:
Cons tfUC1l R
o Type: Occupancy:
an
P Y:
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t i #
State a L c. •
Project ect tYPa Cir le one): New Add'n Alter Repair Demo
Name of Contact Person:
ere
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: C% 60
M,- Q Z Z
0
Estimated Value of Project: 7, 3' 7 5-
# Submittal
APPLICANT:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd Rcc'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted ~ Item Amount
Structural Calcs.
Reviewed, ready for corrections an Check Deposit '
Truss Cales.
Called Contact PersonQ n lie glance,
Title 24 Calcs.
Plans picked up r
Flood plain plan
Plans resubmitted
Grading plan
2"" Review, ready for correc i /i e
SubcontacforList_
Gran( Deed
Called Contact Person Pluptbin N
Plans picked up I.
H.O.A. Approval
Plans resubmitted Grath
IN ROUSE:-
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, .
n L=AO Lo I La LLIF
Total Permi
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
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Construction is it' ar Lk.pp�
on the following Code Holidays:
New Year's Day
Dr. Martin L1 her King
Jr. Das!
President's Day
Memorial Day
_
Independence Day
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a,
Labor Day
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'
Veteran's Day;:
,
Thanksgivingf`
Day
Christmas Day
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Dolle :0�6 P.m.
tocle HoRda
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a's.c9F ber 30th
Sul J • 8:00 a, 7:00 P•m.
'a y;. to 5:00 p,,
toy ea;:�, None
tgert Code Iolidays;-111one---
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