BPOL2015-0123Q. i
78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/16/2015
Application Number:
BPOL2015-0123,
Owner:
Property Address:
79955 DOUBLE EAGLE WAY,
PAM ALLEY
APN:
775250005
79955 DOUBLE EAGLE WY
Application Description:
FILLEY / REMODEL SPA ADD BBQAND FIRE PIT
LA QUINTA, CA 92253
a�
Property Zoning:
Application Valuation:
$24,000.00
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o
Applicant:
Contractor:
DESERT OUTDOORS INC
DESERT OUTDOORS INC
10�ry vP
78-065 MAIN STREET STE
205
78-065 MAIN STREET STE 2�
LA QUINTA, CA 92253
LA QUINTA, CA 92253
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Amo
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9
(760)399-9600
C.
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 thq-4siness and Professions Code,
and my License is in full force and effect.
License Class: C27, C53 License No.: 964474
Date: `� Contractor
OWNER-BUI DER DEC RATION
I hereby affirm under penalty of perjury hat I am xempt from the Contractor's State
License Law for the following reason (Sec. 7031. , Business and Professions Code: Any
city or county that requires a permit to cons ruct, 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 wor 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 polity 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 I uld become subject to the
workers' compensation provisions of! 3700 f t L o Code, I shall forthwith
comply with those provisions.
Date:' l� 1 1� Applica
WARNING: FAILURE TO SECURE WOR ERS' COM LATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER T CRIMIN PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ( 00,00 IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDE R 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 Quinti, 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 Pesult 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 abov rormation is correct.
I agree to comply with all city and county ordinances and state, I ws Iat g building
construction, and hereby authorize representatives of this city tent po he above
mentioned property for inspection purposes.
Dater 2 ( Signature (Applicant or Agent):
r s
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
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $36.26 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPOOL / SPA: $279.91 $0.00
TOTALS:• ••
Pel"1111t D -eta 1�5 PERMIT NUMBER
r 'r BPOL2015-0123
City of La Quinta
Description: FILLEY / REMODEL SPA ADD BBQ AND FIRE PIT
Type: POOL Subtype: Status: APPROVED
Applied: 6/15/2015 SKH
Approved: 6/16/2015 KKI
Parcel No: 775250005 Site Address: 79955 DOUBLE EAGLE WAYLA QUINTA,CA 92253
Subdivision: TR 28259-1 Block: Lot: 5
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $24,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: SPA REMODEL, CONSTRUCT FIRE PIT, AND BBQ 12 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES
NOT INCLUDE WALL. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
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Printed: Tuesday, June 16, 2015 5:09:19 PM 1 of 3
U U IJV SYSTEMS
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CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTE
MARY FASANO
6/16/2015
6/16/2015
sent back to mary 6/16/15
i.l
' 2+4:
i'i •yi.�
3 -
i
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE FAX
EMAIL
APPLICANT
DESERT OUTDOORS INC
78-065 MAIN STREET
LA QUINTA
CA
92253
STE 205
CONTRACTOR
DESERT OUTDOORS INC
78-065 MAIN STREET
LA QUINTA
CA
92253
STE 205
OWNER
PAM FILLEY
79955 DOUBLE EAGLE
LA QUINTA
CA
92253
WY
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Printed: Tuesday, June 16, 2015 5:09:19 PM 1 of 3
U U IJV SYSTEMS
� .• Permit DetoaiI PERMIT NUMBER
City of La Quinta BPO -L2015-0123
Printed: Tuesday, June 16, 2015 5:09:19 PM 2 of 3
U U SYSTEMS
___PAID
CLT D
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid forPLUMBING FEES: $36.26 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL/ SPA: $279.91 $0.00
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CMV 1J SY57EMS
P.O. Box 1504,78-495 Calle Tampico
Building Permit Application and Tracidng Sheet
Address: 7SO66 4trr fm Project Dewnption: VA
City,ST,Zip: LA Quk NJ
Arch, Engr-, Designer.
City, ST, Zip -
Telephone: struction Type: oc�Qpwlq:
State Lic. ed type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: # units:
Telephone # of Contact Persow— Estimatex! Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
if
'Submittal
Reqld
Rted
TRACKNG PERMIT FEES
Plan Sets
Plan Check submitted item Amount'
Structural Cales.
Reviewed' , ready for corrections Phu Check Deposit
Truss C21cs.
Called Contact Person Plan Check Balance.
Mde 24 Cater.
Plans picked up Constmetion
Flood plain plait
Plans resubmitted Methajilcal
Grading plan
2� Rvvitwi ready for ewrectionwriswe Electrical
Subcontactor Ust
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
ILOA. Approval
Plans resubmitted Grading
IN HOUSE--
ReYiew, ready for correctionsAssue Developer Impact Fee
Planning Approval
Called Contact Person AJLPJ?
Pub. Wks. Appr
Date of perwit Issue
School Fees
Total Permit Fees
r
May 18, 2015
Jeff & Pam Filley
11192 Limetree Dr.
Santa Ana, CA 92705
Reference: 79-955 Double Eagle Way, La Quinta, CA 92253
Architectural Change Request — Spa & Patio Remodel, Add Firepit & BBQ
Dear Jeff & Pam Filley:
The Architectural Committee met on May 14, 2015 and reviewed and approved your architectural
plans with the following conditions being met.
• The contractor shall ensure the make-up water for the automatic water feed device be
tapped ahead of the main dwelling shutoff. Existing hose bibs cannot be used for this
purpose.
• A Covenant and Maintenance Agreement will be required, one will be sent to you for
proper execution as soon as it is prepared by counsel.
• Your contractor must meet with Bob Pantanella, Director of Community Services prior to
any work commencing on this project, Mr. Pantanella's phone number is 760-564-1032.
• Your contractor must meet with the Golf Course Superintendent, Son
Maddern; Joanne Rose, Association Manager, Luis Umana with Sunshine
Landscape prior to any work commencing on this property, please call 3oanne
Rose to arrange this meeting at 760-346-1161 ext. 147.
• All other PGA WEST II Residential Association Architectural Rules & Regulations dated
May 20, 2013 pertain to this project.
Review by the Committee is only for general conformance with the Architectural
Rules. It is the responsibility of the owner to fully understand and conform to the
Architectural Rules criteria whether or not all deficiencies are noted during review. It
is also the owner's full responsibility to field verify all existing conditions. The
Committee's decision with regard to project design will be final. Please refer to the
Architectural Rules for all required submittals.
Please contact Luis Umana, Sunshine Landscape at 760/346-3999 and Joanne Rose, Association
Manager at 760/346-1161 ext. 147 prior to any irrigation modifications associated with this
change. Damage to the landscaping, i.e. shrubs, trees, flowers and turf is the responsibility of
the contractor. The original landscaping must be brought back to its original condition when the
project is completed.
Approvals given by the Architectural Committee are good for only six months from the date
on the approval letter. If construction has not commenced within six months after the project
approval date, a new application must be submitted.
AZ►
Page II PGA WEST II Residential Association
Architectural Committee Approval Filley Spa & Patio Remodel, Add BBQ & Firepit
Upon completion of your project, please complete and return The Notice of Completion of
Architectural Change, along with the Permit from the City of LaQuinta sign off.
For additional information or questions, the Board has directed that you contact Joanne Rose,
CCAM, Association Manager, at 760/346-1161, Ext. 147.
Sincerely,
PGA WEST II Residential Association
Joanne Rose, CCAM Association Manager for
Architectural Committee
Cc: unit
Peters & Freedman