BPOL2016-005178-495 CALLE TAMkICO t
LA QUINTA, CALIFORNIA 92253
Tit�t 4 ,(F'Quu&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2016-0051
Property Address:
80475 WEISKOPF
APN:
762100001 .
Application Description:
MAJESKI / POOL,SPA, BBQ AND FIRE PIT AT
Property Zoning:
Application Valuation:
$48,650.00
Applicant:
DESERT MIRAGE POOLS &
SPAS
84267 MIRAMAR COURT
COACHELLA, CA 92236
VOICE (760) 777-7125
FAX (7 60) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/22/2016
CITYQFLAQUINTA
COMMUN41YDEVEMOPMEMDEPATM,!E IT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Prcfessions Code,
and my License is in full force and effect.
License Class: C53 License No.: 999928 /�
*Date: ontractor. &,`,A,rA�� <Iy
r2_
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, demo ish,.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 off 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 of=ered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State Licerse 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 impro+ement 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: TI -e 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:
:SKI V R & T LIVING TRUST
5 WEISKOPF
UINTA, CA 92253
Contractor:
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR COURT
COACHELLA, CA 92236
(760)702-9222
Llc. No.: 999928
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 workfor 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 I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. y
Pate: q. 22.jpplicant: 1 L
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. ,
toz.-
DW:�ZJLP Sigr#ure (Applicant or Agent)
FIN,ANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $2.00 $2.00
4/22/16
PAID BY METHOD: `
RECEIPT # CHECK #
CLTD BY
DESERT MIRAGE POOLS & SPAS CHECK
R14979 1137
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
4/22/16
PAID BY.
METHOD
RECEIPT#
CHECK #.
CLTD BY
DESERT MIRAGE POOLS & SPAS
CHECK
R14979
1137
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
4/22/16
PAID BY
METHOD
RECEIPT #
CHECK#
CLTD BY
DESERT MIRAGE POOLS &SPAS
CHECK
R14979
1137
MFA
Total Paid for ELECTRICAL: $48.34 $48.34
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$12.09
4/22/16
PAID BY
METHOD .
RECEIPT #
CHECK#
CLTD BY
DESERT MIRAGE POOLS & SPAS
CHECK
R14979
1137
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$24.17
4/22/16
PAID BY
METHOD
RECEIPT #
CHECK .#
CLTD BY
DESERT MIRAGE POOLS & SPAS
CHECK
R14979
1137
MFA
Total Paid for PLUMBING FEES: $36.26 $36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID.
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
4/22/16
PAID BY
METHOD. :.
RECEIPT #CHECK
#
CLTD BY
DESERT MIRAGE POOLS & SPAS
CHECK
R14979
1137
MFA
DESCRIPTION
,ACCOUNT
QTY
AMOUNT
PAID
PAID.DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$98.62
4/22/16
PAID BY
METHOD
RECEIPT,#
CHECK #
CLTD BY
DESERT MIRAGE POOLS & SPAS
CHECK
R14979
1137
MFA
Total Paid for POOL / SPA: $279.91 $279.91
TOTALS:
Description: MAJESKI / POOL,SPA, BBQ AND FIRE PIT AT REAR YARD
Type: POOL Subtype: Status: ISSUED
Applied: 4/20/2016 SKH
Approved: 4/21/2016 JFU
Parcel No: 762100001 Site Address: 80475 WEISKOPF LA QUINTA,CA 92253
Subdivision: TR 28444 Block: Lot: 7
Issued: 4/22/2016 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $48,650.00 Occupancy Type: Construction Type:
Expired: 10/19/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ACTION DATE
Details: POOL, SPA, AND FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
1
Po .
1 .,.
�------------- - — -------
__j
__ j Applied to Approved
Approved to Issued
Printed: Friday,.April 22, 2016 10:18:11 AM 1 of 3 er_
} SYSTEiv1S
ADDITIONAL
SITES -
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTIFIED JERRY PEREZ THAT PLAN WAS APPROVED AND
TELEPHONE CALL
JAKE FUSON
4/21/2016
4/21/2016
PERMIT WAS READY TO ISSUE.
CONDITIONS.
NAME TYPE
NAME
ADDRESSI
CITY STATE-
ZIP
PHONE
FAX
EMAIL
APPLICANT
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR
COACHELLA CA
92236
COURT
CONTRACTOR
DESERT MIRAGE POOLS & SPAS
84267 MIRAMAR
COACHELLA CA
92236
COURT
OWNER
MAJESKI V R & T LIVING TRUST
80475 WEISKOPF
LA QUINTA CA
92253
Printed: Friday,.April 22, 2016 10:18:11 AM 1 of 3 er_
} SYSTEiv1S
PARENT PROJECTS
Printed: Friday, April 22, 2016 10:18:11 AM 2 of 3
srs7rnns
--_..._ ---------------__---
CLTD
DESCRIPTION
ACCOUNT
CITY `
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD.
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306.
0
$2.00
$2.00
4/22/16
R14979
1137
CHECK
DESERT MIRAGE
-MFA
POOLS & SPAS
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
4/22/16
R14979
1137
CHECK
DESERT MIRAGE
POOLS & SPAS
MFA
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
4/22/16
R14979
1137
CHECK
DESERT MIRAGE
POOLS & SPAS
MFA
Total Paid for ELECTRICAL: $48.34 $48.34
GAS SYSTEM, 1-4
101-0000-42401.
0
$12.09
$12.09
4/22/16
R14979
1137
CHECK
DESERT MIRAGE
MFA
OUTLETS
POOLS & SPAS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$24.17
4/22/16
R14979
1137
CHECK
DESERT MIRAGE.
MFA
OUTLETS PC
POOLS & SPAS
Total Paid for PLUMBING FEES: $36.26 $36.26
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
4/22/16
R14979
1137
CHECK
DESERT MIRAGE
MFA
POOLS & SPAS
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$98.62
4/22/16
R14979
1137
CHECK
DESERT MIRAGE
MFA
PC
POOLS & SPAS
Total Paid for POOL / SPA: $279.91 $279.91
TOTALS:
PARENT PROJECTS
Printed: Friday, April 22, 2016 10:18:11 AM 2 of 3
srs7rnns
BOND INFORMATION
ATTACHMENTS
Printed: Friday, April 22, 2016 10:18:11 AM 3 of 3
sys7eins
Bin #
City of La Quinta
Building &T Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building- Permit Application and Tracking Sheet
Permit #
Project Address:
.
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Owner's Name:
A. P. Number:
Address: 80 —'472 6 isP.) W
Legal Description:
City, ST, Zip: CA ,v` C.
Contractor:T
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elephone:
Address:
Project Description:
Ad J
City, ST, Zip:
A-17
C6
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P o 7 6 a 9
/ 7
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.State Lie.
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
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Con tructi n TY e• Occupancy:
P :
StateLie. #" S
Project a (circle one • New Add'n Alter Re air Demo
Name of Contact Person:
e
e-
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
707
Estimated Value of Project:
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, -eady for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs:
Plans picke.d up
Construction "
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". Review, ready for corrections/issue
Electrical
Subcontactor List
Called Cor.tactPerson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review,ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of peemit issue
School Fees,
tzal
Permit Fees
STONE PAVER COMBO
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STUCCO AND PAINTED
STUCCO AND
PAINTED
TAN POURED IN PLACE
TO
MATCH EXISTING ARCHITECTURE
TO MATCH EXISTING
ARCHITECTURE
GUMTF
20'-0"
40'-0"
POOL PEBBLE FINISH:
CONCRETE COPING
719 SQ.FT.
TROPICAL BLUE MINI
_
120'-0" LF
3'-6"
5'-0"
WATER LINE:
SpA SPECIFICATIONS
ELECTRICAL
SLATE, SUNRISE
7'-0" „ 7'-o" I-( 49-0"
SSS -SUNRISE 6" X 6"
....
I
`
PRESERVE EXISTING
LANDSCAPE
- _
6'
_ 1
SEATING AREA
RAISED @+12"
TAN COLORED DECKING
r `
EXCAVATION
:.
_
---- _..
-
COPING & TILE
5'
FIRE PIT
31'-6„
RAISED @+12" HIGH
}, J
` 10'
Depth -4'-0" Depth= -5'-0" 7
24'
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CITY
BUILDING &SAFETY DEPT.
------ —
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.
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ACCESS DOORS
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FLEX LIGHT
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--
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-- -PRESERVE EXISTING
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LANDSCAPE
PEBBLE
RAISED COUNTER TOP AT +42",_------
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FOR BARSTOOLS
--
SPECIAL EQUIPMENT
EXACT MEASUREMENT TO BE
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REVISIONS
DATE DESCRIPTION OF CHANGE
DRAWN
GC
DESIGNED ON:
03/28/16
REVISED DATE:
SCALE
1 11=81-011
LOT
SHEET
1
OF
H 1