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BPOL2016-0172LICENSED 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: C53, B License No.: 185102 Date: ^l� 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 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 thw rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 00 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: 9134270 _ 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. A Date: _I(-7J'11b Applicant: ,,�v ­1­� 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 upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): 78-495 CALLE TAMPICO G�i � V VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/15/2016 Application Number: BPOL2016-0172 Owner: Property Address: 48800 LEGACY DR LEGACY VILLAS AT LA QUINTA H APN: 658420001 68950 ADELINA RD Application Description: LEGACY VILLAS / REMODEL POOL #26 CATHEDRAL CY, CA 92253 Property Zoning: © w Application Valuation: $15,000.00 s a Ct1 Q am H Applicant: Contractor: ? w CALIFORNIA POOLS INC DBA CALIFORNIA POOL � CALIFORNIA POOLS INC DBA CALIF DRNIA POQb o 901 CALLE AMANECER #115 901 CALLE AMANECER #115 .--4 uo j SAN CLEMENTE, CA 92673 SAN CLEMENTE, CA 92673 w z z (800)282-7665 Llc. No.: 185102�� 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: C53, B License No.: 185102 Date: ^l� 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 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 thw rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 00 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: 9134270 _ 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. A Date: _I(-7J'11b Applicant: ,,�v ­1­� 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 upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): Date: 11/15/2016 Application Number: BPOL2016-0172 Owner: Property Address: 48800 LEGACY DR LEGACY VILLAS AT LA QUINTA H APN: . 658420001 68950 ADELINA RD Application Description: LEGACY VILLAS /REMODEL POOL #26 CATHEDRAL CY, CA 92253 Property Zoning: Application Valuation: $15,000.00 Applicant: Contractor: CALIFORNIA POOLS INC DBA CALIFORNIA POOL CALIFORNIA POOLS INC DBA CALIFORNIA POOL 901 CALLE AMANECER #115 901 CALLE AMANECER #115 SAN CLEMENTE, CA 92673 SAN CLEMENTE, CA 92673 (800)282-7665 --------------------------------------------------------------------------------------------- Llc. No.: 185102 Detail: CHIP OUT OLD PLASTER IN POOL AND REPLASTER, NEW TILE IN POOL, NEW HANDRAILS, NEW COPING, SKIMMERS, DECKING, PAVERS, DRAIN COVERS AND NEW EQUIPMENT. PER 2013 CALIFORNIA BUILDING CODE. DESCRIPTION L .• I, FINANCIAL ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT EQUIPMENT CHANGEOUT ALONE 101-0000-42400 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT EQUIPMENT CHANGEOUT ALONE PC 101-0000-42600 0 $96.27 Total Paid for POOL/ SPA: $121.60 Bin # City of La Quilita Building & Safety Division Permitig 78-495 Calfe Tampico 1 La Quinta, CA 92253 - (760) 777-701.2 d(w Building Permit Application and Tracking Sheet Project'Address: Owner's Name: Le o4iq A. P. Number: Address: — G c l /- Legal Description: City, ST, Zip: ZA 14lo-M ei 12T r3 Contractor: ' ,h' o Address: — .� o��� Telephone:, Project Description: City, ST, Zip: 4;0 I22. for hq. W h OO/e- '.04 .. Telephone: 60 ^6l »»::::>s::r>~:r::z':r:':`>;, :..A `#; N h� Ltl � r � , !1'�W�'o h .//��Sl��l'hrr,t�J State Lic. # : J �0� CitylLic. ' w tc �' 4V . A -W [vve.f. Arch., )✓ngr., Designer: 4—w �' W11v► h� t�N L�MKhT . Address: City, ST, Zip: Telephone: ?4> :^.:s ...::::.:.... . `s`:v�::>„ >;r.<> ccu an Construction Type: Occupancy: P cY State Lic. #. Project type circle one): New Add'n Alter Repair emo Name of Contact Person:10m ®� �. Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:/& �7g= 9 �� Estimated Value of Project: 15, 000 CG APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'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 Cluck Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2ad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN If OUSE:- '"! 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 • .ut- 14&-uq is POWCODE N Clubhouse Pools 6:00 AM - 10:00 PM Pools & Spas. 8:00 AM - 10:00,P M Fitness Center.. 6:00 AM - 10:00)PM Speed Limit --0 SLOW 15 MPH 10 c-NO,PARKING, Intfront'of garages or driveways_ LEASH YOUR DOGS AT ALL TIMES Children, 14 years or younger must be 'accompanied and supervised by an adult, 18 years or older at all times in the Clubhouse, Fitness Center and in all Pools and Spas WELCOME fe A4 .JE GAC1' VILLASS' 77_712 p' i:.Qsa �l N .^R. 77.7c0! r-796 T 5. Mt ?1-773 i \- \`. lig• w �.r `,``s.. `fir.. 'b 11 ,� '' � �, •�/ °�S� ,� afro ,S'b` � �� � ".. , 1.'17` C�l a 31 ,r ''if1Y1 91 .� i . t } l' 3635( i� \ a +saSgS •�, /y`i, t w•'"" ~1 `. ss ' �A ([ �, �. - a ;{33 -; l �---' ,. ,9. a9• ,9'7 . i ,,gyp .10 ,sem' 757 49-tb ��1 'u-, � a8_�p f'6-S� ,9� � w .y• 'fY , rx0i •.L i&r1+Y'' :. 19" _ , y9.,i- • ' jai 30 ia 1731 *011 lip yrs * �! V � . •....__.......� i �,s• s� ��` err o Qq J% �� ry !&863 $Trash & Recycle Locations (Please display your parking pass at all times) Security -- Main Gate �,,� ` O l� (Exp ting.a Visitor?� Please call Security) 48-925 Eisenhower f-76-6--564-0504) 760-564-0560 fax ; 77_712 p' i:.Qsa �l N .^R. 77.7c0! r-796 T 5. Mt ?1-773 i \- \`. lig• w �.r `,``s.. `fir.. 'b 11 ,� '' � �, •�/ °�S� ,� afro ,S'b` � �� � ".. , 1.'17` C�l a 31 ,r ''if1Y1 91 .� i . t } l' 3635( i� \ a +saSgS •�, /y`i, t w•'"" ~1 `. ss ' �A ([ �, �. - a ;{33 -; l �---' ,. ,9. a9• ,9'7 . i ,,gyp .10 ,sem' 757 49-tb ��1 'u-, � a8_�p f'6-S� ,9� � w .y• 'fY , rx0i •.L i&r1+Y'' :. 19" _ , y9.,i- • ' jai 30 ia 1731 *011 lip yrs * �! V � . •....__.......� i �,s• s� ��` err o Qq J% �� ry !&863 $Trash & Recycle Locations (Please display your parking pass at all times) LL Recirculation Pump Make: Hayward- Model: ECOStar Hp: 2.7 Min flow: Rpm Max flow: 128 spm D1 Split Main Drain ❑ Unblockable Drain ❑ Single Drain + SVRS: Drain Covers Make: Paramount Model: SDX K Floor ❑ Wall Max Flow: 200 ❑ NEW Jet System Pump v ❑ EXISTING Make: Model: Hp: s Model: ❑,N/A V ❑ Floor ❑ Wall Max Flow: IX N E W Filter Backwash: ❑ EXISTING Make: Hayward Model: HCF342T Type: Sand ��gaey U.v 4s'RoA I%NEW 13 N/A Chlorinator ❑ EXISTING Make: IPS Model: M920 NL 26 . K Salt Chlorine Generator Make: HaMard Model: HCSC60 Quantity: 1 fXNEW ❑ EXISTING Skimmer(s) Make: Hayward Model: WG10712SFVAQuantity: 2 Equalizer Drain Covers Make: Paramount Model: SDX IX NEW ❑ N/A Flow Meter ❑EXISTING Make:BlueWhlte Model: F-300 ❑ NEW ❑ N/A Solar System ❑ Separate pump system 17 EXISTING Submit'a detailed plumbing. schematic 1 ❑ Bypass Loop ❑ Bypass Loop w/ booster ` of ==vv ♦, tl M / DAN - S Zl� 3 v s t ( 3 J Lx I CITY OFLA QUINTA ' BUILDING & SAFETY DEPT. ... r APPROVED. FOR CONSTRUCTION DATE I BY ` Equipment Information: LL Recirculation Pump Make: Hayward- Model: ECOStar Hp: 2.7 Min flow: Rpm Max flow: 128 spm D1 Split Main Drain ❑ Unblockable Drain ❑ Single Drain + SVRS: Drain Covers Make: Paramount Model: SDX K Floor ❑ Wall Max Flow: 200 ❑ NEW Jet System Pump v ❑ EXISTING Make: Model: Hp: s Model: ❑,N/A V ❑ Floor ❑ Wall Max Flow: n X NEW ❑EXISTING - Recirculation Pump Make: Hayward- Model: ECOStar Hp: 2.7 Min flow: Rpm Max flow: 128 spm D1 Split Main Drain ❑ Unblockable Drain ❑ Single Drain + SVRS: Drain Covers Make: Paramount Model: SDX K Floor ❑ Wall Max Flow: 200 ❑ NEW Jet System Pump Drain Covers I ❑ EXISTING Make: Model: Hp: Make: Model: ❑,N/A ❑ Split Main Drain ❑'Unblockable Drain ❑ Single Drain + SVRS: ❑ Floor ❑ Wall Max Flow: IX N E W Filter Backwash: ❑ EXISTING Make: Hayward Model: HCF342T Type: Sand I%NEW 13 N/A Chlorinator ❑ EXISTING Make: IPS Model: M920 ❑ NEW ❑ N/A, ❑ EXISTING Salt Chlorine Generator Make: HaMard Model: HCSC60 Quantity: 1 fXNEW ❑ EXISTING Skimmer(s) Make: Hayward Model: WG10712SFVAQuantity: 2 Equalizer Drain Covers Make: Paramount Model: SDX IX NEW ❑ N/A Flow Meter ❑EXISTING Make:BlueWhlte Model: F-300 ❑ NEW ❑ N/A Solar System ❑ Separate pump system 17 EXISTING Submit'a detailed plumbing. schematic 1 ❑ Bypass Loop ❑ Bypass Loop w/ booster A COUNTY.OF RIVERSIDE DEPARTMENT OF ENVIRONMENTAL HEALTH Pool & Spa Renovation Worksheet Name of Facility: Ly -c, ac,/ v Se [tel' 6 Site Address: r 't; Ur Contractor: Cie U Aer•� 4 PA S Telephone: Fax: Circle One: POO SPA R: SR: City: 1_ cruel 4 License i#: �pS�/D j License Type: Email: WADER WATER FEATURE Scope of Work: (check all that apply): Include all modifications, upgrades, & additions that will be done during the renovation - regardless of whether multiple contractors are performing the work. The scope of work may require additional plan submittal. Resurfacing- White Plaster C1 Splitting suction outlets ❑ Solar System Installation f Water line tile 2" Coping (Provide detail) 0 Fencing (Provide fence plans) :?�Tr'im the 2`�Replace surface skimmers ❑ Replace plumbing i�Depth markers " Decking 0i Depth change (ie. Shallow) M Breakline tile @ 4 % foot depth /teck depth markers C Other Remodel: Hand rails (Provide detail) Bring equipment out of pit Drain covers Deep end exit ladder/grab rails Equipment addition/change Pump replacement �/ Pool or Spa Information: Surface Area Volume Depth(s) Suction Pipe: J in. Return Pipe: —7 in. p %3 ! sq.ft. �J . ZOO gallons 1 ) Min: s Max: �. S Piping Type: py�, Equipment Information: -k%tW EXISTING Recirculation Pump Make: it�Wgil1 Model olJ4r Hp:2 Drain Co,g��rs Make: /"r A"ia n 7— Min flow: Qpm Max flow: Qpm Min Model: f o X Split Main Drain _ Unblockable Drain _ Single Drain + SVRS: " loor .= Wall Max Flow:D _ NEW Jet System Pump Drain Covers _ EXISTING Make: Model: Hp: Make: N/A _ Split Main Drain _ Unblockable Drain _ Single Drain + SVRS: Model: -Floor _ Wall Max Flow: 24IEW Filter �• Type:J 9 Backwash: EXISTING Make: '04rd Model:?�1 �( --,NEW __,N/A Chlorinoyor _ EXISTING Make: k& Model: ,L7 7 ,C ?<EW := N/A Salt Chlor'ne Generator _-EXISTING Make: w Model: 1 -11 -re �O Quantity: ?-1q?N Skimmer(s//�� 2 Equalizer Drain Covers _ EXISTING Make: Model: (.t)U2ivantity: Make: Model: NEW •_ N/A Flow Met G / -Wh EXISTING Make: s Model: r ,_?00 NEW _ N/A Solar System = Separate pump system _ EXISTING Submit a detailed plumbing schematic _ Bypass Loop _ Bypass Loop w/ booster Legacy Pool A 4862 -15 -Classic Dr This outer line represnts the 3"Concrete Sub -deck. This sub -deck is 48"from the pool coping. COPING: ,, handhold of bullnose cnping. Hand,ofds wdp werNrg the elle at least I Ind,. but not over 21nchas and will rot exceed two and half Indies In thickness. t' o^ 2'0" Pavers Dol--itir Send - Hardens to Create an Elastic 28"-36" Handrail 1 Height Step 1:Tread 12, Height 1 Step 2: Tread 12, Height 11 Step 3:Tread 12, Height 11 Step4:Tread 12,Height 11 r:. Sand 3.S FT 4.5 FT 3.5 FT D® SKIMMER D® D® IND S lit E ualize Li ht 00 3.5 FFME. Split Main Drain 00 00 g 3.5 FT O L%4111 Li ht I S IitE ualizer Dm D® \ OR ®D ®D SKIMMER ®D 3.5 FT 4.5 FT 3.5 FT COPING: ,, handhold of bullnose cnping. Hand,ofds wdp werNrg the elle at least I Ind,. but not over 21nchas and will rot exceed two and half Indies In thickness. t' o^ 2'0" Pavers Dol--itir Send - Hardens to Create an Elastic 28"-36" Handrail 1 Height Step 1:Tread 12, Height 1 Step 2: Tread 12, Height 11 Step 3:Tread 12, Height 11 Step4:Tread 12,Height 11 r:. Sand