BPOL2014-1008`{/ 4�i �t/ , VOICE (760) 777-7125
78-495 CALLE TAMPICO C& 0 D -` �Cl/
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/4/2014
Application Number:
BPOL2014-1008
Owner:
Property Address:
61064 DESERT ROSE DR
MICHAEL GUREVITCH
APN:
764350005
61064 DESERT ROSE
Application Description:
POOL SPA BBQ FIRE PIT & WALLS
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$55,000.00
( I
v
Applicant:
Contractor:
DESERT OUTDOORS INC
/
DESERT OUTDOORS INC
78-065 MAIN STREET STE
205
` ��/
78-065 MAIN STREET STE 205
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)399-9600
Llc. No.: 964474
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: C27, C53 License No.: 96447
i ,�' O /
Date: Contract
OWNER -B ILDER D LARATION
I hereby affirm under penalty of perju that I exempt from the Contractor's State
License Law for the following reason (S 7 .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 the wo r 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 rftoh)e
be a subject to the
workers' compensation provisions of Section 3700o Code, I shall forthwith
comply with those provisions.
Date: J� Applicant:
WARNING: FAILURE TO SECURE WOR ERS' COMPE SATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TV CRIMINAL P NALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS 100,000). ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVI FOR I 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 Kws relat'ng to building
construction, and hereby authorize representatives of this city enter u on the above•
mentioned property for inspection purposes.
Date: ' � r Signature (Applicant or Agent
BSAS SB1473 FEE 1011-6606-20306' -0 $0.00
R
NOR
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA, $3.00 $0.00
RIPTI 6N
BSAS SB1473 FEE 1011-6606-20306' -0 $0.00
R
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA, $3.00 $0.00
RIPTI 6N
arm-
CN
DEVICES, FI RST 20:,
31
''O -$21811
$O.OQ
`MET.Mb. 4' 01�3,�R-N
"Na 'Ek r#3 g",
�
at
Ntlw
Yuig wli
DEVICES, FIRST 20 P . C
10.1-0006-42600
o
$2 3.83
$0.00,
Tota Paid,f6r ELECTRICAU,
$47*.66, $0.00
hH`w IT %I
WALL/FENCE EA ADDITIONAL 50 LF
101-0000-42464
.0$90.09
$0.00
mmopum
NO w
1, 11-110
0
IN ACCOUNTa�st"g
COMM
iTI, 0
WALL/FENCE -FIRST. 100 LF
101-0000-42404
0
$47.19
$0.00"
'-u
_A1
5"'gmgg TA
j
L'
R.
4til
g
�414 trv"vrgrg;
Al
WALL/FENCE - FIRST.100 LF PC
101w=0-42600
$60.06
$0.00
111-11"IK"1171
iCEIPTL,-
,""'Y..",
,
WMIN
SY,
Total Paid for FENCE OR'FREESTANDING WALL. $197:34 $0.00
I PTI 0 N1Y,!g-i.'-'
0
gg
�AC
OLIN
PAI DATE,�
��R ,
GAS'SYSTEM, 1,-,4 OUTLETS...
101-0000-42401
0
1.92�
$0.00
BY
�R
PAID rr4M.
,GAS SYSTEM, X1-4 OUTLETS PC
101=0000-42000
0
$0.66'
ECEIRT 6"'0
El"41g11651
OR q. iECKc#;;W
'RM
.-Total Paid -for PLUMBING FEES: $35.15 .$0.00
001"Irl
AlDATE;
SWIMMING, POOL/SOA'
101-0000742404
0
'$178.75
.$0.00
mango"=
NCHECK #
O
CLTD BY
-'DESCRIPTION , , ' :
ACCOUNTAMOUNT-,'
TYYQ
PAID
SPAID A
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
PAID BY
METHOD ': A
RECEIPT #
• ,:CHECK #;
CLTD BY
Total Paid for POOL / SPA: $275.99 $0.00
TOTALS:• 00
Description: POOL SPA BBQ FIRE PIT & WALLS
Type: POOL Subtype: Status: APPROVED
Applied: 7/11/2014 PJU
Approved:
Parcel No: 764350005 Site Address: 61064 DESERT ROSE DR LA QUINTA,CA 92253
Subdivision: TR 30023-1 Block: Lot: 128
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $55,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: NEW POOL SPA BBQ FIREPIT & 200 LN FT X 5 FT HT; 30 LN FT X 4 FT HT BLOCK WALLS ALARMS AND BARRIERS REQUIRED TO BE
INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
DESERT OUTDOORS INC
78-065 MAIN STREET
STE 205
LA QUINTA
CA
92253
(
Printed: Monday, August 04, 2014 2:17:04 PM 1 of 3 r)7ff
SYSTEMS
Printed: Monday, August 04, 2014 2:17:04 PM 2 of 3 C
SYSTEMS
CITD
DESCRIPTION
ACCOUNT
QTY :
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD .
PAID BY _
BY
BSAS SB1473 FEE
101-0000=20306
0
$3.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $3.00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$23.83
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$23.83
$0.00
Total Paid forELECTRICAL: $47.66 $0.00
WALL/FENCE - EA
101-0000-42404
0
$90.09
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
101-0000-42404
0
$47.19
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.06
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL- $197.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$11.92
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$23.83
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $35.75 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$97.24
$0.00
PC
Total Paid for POOL / SPA: $275.99 $0.00
TOTALS:00
INSPECTIONS
SEQID- INSPECTIONJYPE INSPECTOR SCHEDULED :COMPLETED
RESULT : ; REMARKS NOTES,
DATE DATE`.
DECK BOND
Printed: Monday, August 04, 2014 2:17:04 PM 2 of 3 C
SYSTEMS
Printed: Monday, August 04, 2014 2:17:04 PM 3 of 3
SYSTGIv1S
UNDERGROUND GAS
FINAL"
UNDERGROUND ELEC
FOOTINGS
PRE-GUNITE
UNDERGROUND PLBG
PRE -PLASTER
BOND BEAM
Printed: Monday, August 04, 2014 2:17:04 PM 3 of 3
SYSTGIv1S
Bin #
City of La Quinta
Building 8r Safety Division
1 P.O Box 1504,78-495 Cade Tampico
1a.Quinta, CA 92253 - (760) 777-7012 .
Building Permit Application and Tracking 5peet
Permit #/
, �
ZQ off'
Project Address: N 1 p
Owner's Name:
VJ
A P. Number
Address:
Legal Description: f{L�l.f.7G�`'l
City, ST, Zip: / 1,/ w 1 CtA
L%f'1"'
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Contractor: V E '�'
Telephone:? '
Project Description:N15r4 (,
Address: —ZS0(p5�T'
City, ST, Zip: LA Qu thm�.A
Telephone:. —soft 4 `.. ;� Mlm,
State Lic. #: 14City Lia ti•
1
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Arch., Engr., Designer. �AtAim
Address:
s -
City, ST, Zip:
Telephone: Construuction Type: Occupancy:
State Lie. #: 31 �'� F - Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: #Stories: # Units:
Estimated Value of Project: cloo
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
1
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Putt Check Balance
Tide 24 Calm
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Gi adhtg plan
2'! Review, ready for eorr s M,
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^° Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
Ad-P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total mit Fees ,
ter.
(VO