BPOL2017-006978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BPOL2017=0069
Property Address:
54495 WINGED FOOT
APN:,
775110016
Application Description:
ETHEREDGE / POOL
Property Zoning:
Application Valuation:
$41,500.00
Applicant: -
MASTER POOLS INC DBA MASTER POOLS & SPAS
81770 TRADER PLACE STE B
INDIO, CA 92201
Is
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/22/2017
Owner:
MIKE AND BRENDA ETHEREDGE
54495 WINGED FOOT DR
LA QUINTA, CA 92253
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• Contractor: o 7�z
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MASTER POOLS INC DfEAgVI %SLPOOLS !
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81770 TRADER PLACE STAB �
INDIO, CA 92201 c tv
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(760)346-6115 D v
Llc. No.: 238947
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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 Professio s Code, and
my License is.iD full force and effect.
License Class: icense No.: 238947 .
Date: 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 mVemployees 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:
SPAS
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 won 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: EVEREST NATIONAL INSURANCE COMPANY Polity Number:
7600016542161
_ 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 all forthwith
comply with those provisions.
i
Date:41
Applicant
WARNING: FAILURE TO SECURE WORIERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS r>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.
APPLICANI 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 tF is 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 relayed 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 data of issuance of such permit, or cessation of work
for 180 days.will subject permit to cancellation.
I certify that I have read this applicaticn and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to bu' ding
construction, and hereby authorize representatives of this city 'enter upon th -ove-
mentioned proper y for inspection purposes.
Date:� % f Signature (Applicant or Agen :
Date: 5/22/2017
Application Number: BPOL2017-0069
Owner: .
Property Address: 54495 WINGED FOOT
MIKE AND BRENDA ETHEREDGE
APN: 775110016
54495 WINGED FOOT DR
Application Description: ETHEREDGE / POOL
LA QUINIA, CA•92253
Property Zoning:
Application Valuation: $41,500:00
Applicant:
Contractor:
MASTER POOLS INC DBA MASTER POOLS & SPAS
MASTER POOLS INC DBA MASTER POOLS & SPAS
81770 TRADER PLACE STE B
81770 TRADER PLACE STE B
INDIO, CA 52201
INDIO, CA. 92201
(760)346,6115
Llc. No.: e.38947
Detail: DEMOLITION OF EXISTING REAR YARD WATER FEATURE AND SPA. CONSTUCT NEW POOL AND SPA AT REAR YARD [DENISE POELTLER
ENGINEERING]. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE.
ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FORMATION
DESCRIPTION ACCOUNT QTY . AMOUNT
BSAS SB1473 FEE 10170000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
01.
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid fon POOL / SPA. $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
LA
Bin #
Crty of La Quinta
Building &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701 '
Building Permit'Application and Track.n g Sheet
Per it #
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-Project Address: ,,
_
_Owner's Name:
A. P. Number:
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Address: -G4416-: alt l Y'1 �
Legal Descriptior�
Contractor: r
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-City, ST, Zip: C
Telephone:
Address: _"
;ProjectDescription:
_City; ST, Zip
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L, t• p
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-.-Telephone:'
�ry
-State Lic. # :
City Lic. #;
,Arch., Engr., Designer:
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,Address:
,Cit', ST, Zip:
Tele hone:
State ic. #-
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Constructionon Type: Occupancy:
cY: -
Project ci
role one): New e Ad d'n Alter' er
J type � ) Repair Demo
N m f Contact. Person:
' —
�� Q��::::..
Sq. Ft.:
# Stories:
#Units:
'Telephone # of Contact Person:
C
:Estimated Value of Project:
APPLICANT: DO. NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calls.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review; ready for corrections/issue
Electecal
Subcontactor List
Called Contact Person
PlumUng
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.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
PGA WESTII :.
Residential Association _ Y
t •, .. May 5, 2017
R E., C"; V E
Mike & Brenda Etheredge '
54-495 Winged Foot `' MAY ' 1 92017 y' `
J, La Quinta, CA 92253
f, r \.CITY OF LA QUINTA, '
` .
Reference:. 54-495 Winged Foot La Quinta, CA PLANNING DEPARTIMBN;
Architectural Change Request — Removal of Existing spa and'Decking and Adding' ,
i� new pool, spa and decking: ,
Dear Mike & Brenda Etheredge:
i The Architectural Committee met on May 11, 2017 and reviewed 'and approver your architectural,,
plans with the following conditions being met..
•_ Landscape plan -needs' to be submitted showing new planter and turf areas including F4
L lighting plan if you are making any changes to the landscaping
An Agreement and Covenant . Running with the Land will be required for these
improvements being made, the homeowner will be responsible for the concrete driveway;.:. ; ;
' - garage doors, new entry way, new wall areas and roof of the home structure where_ the
improvement is being added. `
All other PGA WEST II Residential Association Architectural Rules &'', Regulations dated
5/20/2013 pertain to this project. ': r
t ,(Review' b� fire Comniltiiee ,rs on/� 1%r� genera/ aonfivrmance with tris Ar�c/iitectura/.' -
Ru/es • It rs the responsibi/fty of e.,oiWfi to' fir//y understand anal conform to the;,
- ArchitecWW Rales criteria whether or 'tit
a// dercrenaes ar�e'notied a�'unng review > It;:
is a/so ahs owner's` fu// resQonsibi/ity to field 'verify a// ezisling �ndltrons' The ,
Committee's decision with reaa►d to..pro�ect design wi//be:fns% %P/ease.:refer'Ye the<. y •; '
AM i%dura/ Ru/es-lhr a/L equitedsabiiiitta/s: _
Please contact Luis Umana, Sunshine Landscape at 760/346-3999 and Lobi Petrrson,,the General
Manager, prior to any irrigation modifications associated with this change: , Damage to
- 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.".'
Your contractor must schedule a meeting with Bob Pantanella, Director of Community Services
: prior to commencing any work to review the Rules of the Master Association and Rules relating to ,
Res II regarding construction activity. Mr. Pantanella's phone number is 760/564-1032.
• �., 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. , ,
WINGED FOOT �, f CUSTOMER SIGNATURE D TE
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