BWFE2015-007378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
c&t,, 4 lwQ�ry
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BWFE2015-0073
53255 AVENIDA DIAZ
774071013
DEANDREA MICHEAL BLOCK WALL 112 LN -FT X 5 FT HT
$5,000.00
Applicant:
CRYSTAL BLUE POOLS AND PATIOS
31166 ORANGE AVENUE
NUEVO, CA 92567
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed un r provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Busin s and Professions Code,
and my License is in full force and effect.
License Cla s: 3 8 -8 Licens N.o.: 8 843
�. Date: C%hr Contractor:
OWNER -BUILDER DECLAWATION
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
of the Business and Professions Code) or that he or she is exempt therefrom and theJ�
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant f r a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/13/2015
Owner:
MICHAEL DEANDREA
53255 AVENIDA DIAZ
LA QUINTA, CA 92253
Contractor:
CRYSTAL BLUE POOLS AND PATIOS
31166 ORANGE AVENUE
NUEVO, CA 92567
(951)906-2761
LIC. No.: 846843
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 thew kers'
compensation laws of California, and a mome subject o the
workers' compensation provisions of SWion3700OoftheLorCode,Is �I forthwith
comply wit those revisions.
Yate: Applican
WARNING: FAILURE TO SECURE WORKERS' SATION 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 law .elating to building
construction, and hereby authorize repr ntatives o his city t er upon the above.
mentioned rope y for inspection pur ses
Date: Signature (Appli nt or Age tl
1 .
l l -INFORM
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�.:. < z PAID
�,g..A000UNT� =, AMOUNTc DATE'
. .DESCRIPTION.0 ,QTY �g ;PAID
BSAS SB1473 FEE
101-0000=20306
0
$1.00
$1.00, 4/13/15
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CRYSTAL BLUE POOLS AND PATIOS -
DEBIT
R5009
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Total -Paid for BUILDING 'STANDARDS ADMINISTRATION BSA $1.00
DESCRIPTIONS
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WALL/FENCE- EA ADDITIONAL 50 LF
101-0000-42404
0
$14.50
$14.50
4/13/15
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CRYSTAL BLUE POOLS AND PATIOS
DEBIT'
R5009
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(DESCRIPTION
._:
ACCOUNT
AMOUNT
`; 3,-
PAID kF
PAID DATE
A „
sQTY
x
�Yv.t,.es�
WALL/FENCE - FIRST 100 LF
101-0000-42404
0,
$47.86
$47.86.
4/13/15
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DEBIT
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¢PAID DAlErv.
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WALL/FENCE - FIRST 1001F PC
101-0000-42600
0
$60.91
$60.91
4/13/15
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CRYSTAL BLUE POOLS AND PATIOS
DEBIT
R5009
PJU
Total Paid forFENCE OR FREESTANDING WALL $123.27 $123.27
f
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 for BUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$14.50
$0.00
PAID BY
`, METHOD
RECEIPT #
CHECK #
CLTD BY
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
TOTALS:•0
$123.27
$0.00
Description: DEANDREA MICHEAL BLOCK WALL 112 LN FT X 5 FT HT
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 4/13/2015 PJU
Approved:
Parcel No: 774071013 Site Address: 53255 AVENIDA DIAZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 183 Lot: 1
Issued:
UNIT 18
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE
Details: 112 LN FT X 5 HT PRECISION CONCRETE PER ANGELUS & CITY STANDARDS BLOCK WALL APPROVED PLANS & AJ SHALL BE COVERED
WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
EMAIL .
ADDRESS1
CONTACTS
CITY
STATE
ZIP
PHONE __
FAX
APPLICANT
CRYSTAL BLUE POOLS AND PATIOS
31166 ORANGE
AVENUE
NUEVO
CA
92567
(
Printed: Monday, April 13, 2015 5:19:16 PM 1 of 2
�MY SYSTEMS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES
Printed: Monday, April 13, 2015 5:19:16 PM 2 of 2
CRWSYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
FINAL*"
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$14.50
$0.00
FOOTINGS
BLD
ADDITIONAL 50 LF
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 $123.27 $0.00
TOTALS:•0
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES
Printed: Monday, April 13, 2015 5:19:16 PM 2 of 2
CRWSYSTEMS
INSPECTIONS
SEQID
INSPECTION TYPE •
-
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT.
REMARKS
NOTES
BOND BEAM
BLD
FINAL*"
BLD
FOOTINGS
BLD
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES
Printed: Monday, April 13, 2015 5:19:16 PM 2 of 2
CRWSYSTEMS
Bin #
Qty of La Q uin td
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address: 32j� �� ��
Owner's Name:
A. P. Number:
Address: 3255 ita,,,Diaz-
Legal Description:
City, ST, Zip: LA_ 223
Contractor: 4&W IS
Telephone:"? (
Address:`.
Project Description:
City, ST, Zip:q 7
CG�
Telephone:*o M? iI
'State Lic. # : �� g��j
City Lic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
cY•
Construction ionTYPe: Occupancy:
Project circle one): New ~Add'n Alter Repair Demo
Name of Contact Person. �a y�
Sq. Ft.: —
# Stories:
# Units:
Telephone # of Contact Person: ( —
Estimated Value of Project: S� 000
APPLICANT: DO NOT WRITE BELOW THIS LINE
# I
Submittal
Req'd
R.ec'.d
.. TRACKM4
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 correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up = ��
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3' Review, ready for correctionstissue
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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