12-0764 (RPL)P.O.' BOX 1504
78-495 CALLE TAMPICO
LA"QUINTA, CALIFORNIA 92253
Application Number: 12,!00.0:007=64
Property Address: 53672 VIA PALACIO
APN: 772-560-054 - -
Application description: POOL - RESIDENTIAL
Property -Zoning: - LOW-DENSITY RESIDENTIAL
A lication valuation' 37000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LEE AMES
53672 VIA"PALACI.O
LA .QUINTA, - CA . 92253. --- --- -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/10/12
PP
Contractor:
Applicant: Architect or Engineers
LINDLY' S POOLS OF` CALIFORNI D
A
!
30755 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
1
1
(760)34370600
11 q
JUL d2 2012 �(
:
Lic.-No.: 833313-� f
1
CITY® UI 74
FIN. GE
DEPT.-
7
-. LICENSED CONTRACTOR'S DECLARATION
- - WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:.
Section 7000) of Division 3 o) the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided . ,
License Class: C53 License No.: 833313
for by Section 3700 of. the Labor Code, for the performance of,the work for which this permit is
'
1 �_ .11 1
' /Date: �1'1 11.��(�1 " ,�^2 ontractor: % V`^ ��es U-Y1Nl�
J
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
- OWNER -BUILDER DECLARATION -
- insurance carrier and policy number are:
" I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 9014035
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_
I certify that, in the performance of the work for which this permit is, issued,.) shall not employ any "
construct, alter, improve, demolish, or repair any. structure, prior to its issuance, also requires the applicant for the.
person, ! any manner so as to become subject to the workers' compensation laws of California, '
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
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
3700. of the Labor ode, I shall forthw*b comply with those provisions. ,
o� t�1
l'
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.:
ate: \ 1�- pticant:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
/jy'� '
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILUPIE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHA - '
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
' and who does the work himself or herself through his or her own employees, provided that the _
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN _
improvements are not intended or offered for sale. It, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 saleJ.
APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of -the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
- 7044, Business and'Professions.Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
• pursuant to the Contractors' State License Law.). _
,. whose benefit work is performed under or pursuant to any permit issued as a result of this application,
. (—) I am exempt under. Sec. , B.&P.C. for this reason
_ the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
- -
of La-Ouinta, its officers, agents,and employees for any act or, omission related to the work being -
- - -
performed under or following issuance of this permit. .,
'. Date: Owner:
2. Any permit issued as aresul_t of this application becomes null and void if work isnot commenced
-
within ,186 days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY
'within
to cancellation. - -
hereby affirm under penalty of perjury that there is a construction lending agency for'the performance of the .- -
--
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - -
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
-
Name: -
his county to enter up n the above-mentioned prop y for ins ection rposes.Lender's
`•�� Agent): -•• l liYh�s l.A.
Lender's Address: �7
gnature (Applicant or
Je:
LQPERMIT .. -
Application Number . . 12-00000764
Permit . . BLDG.POOL PERMIT
Additional desc .
Permit Fee." ;330.00 Plan Check
Fee
214.50
Issue Date . . . . - Valuation
. . .
. 37000
Expiration Date 1/06/13
-
Qty Unit Charge Per
Extension"
BASE FEE
252.00
12.00 6.5000 TI•IOU BLDG 25,001-50,000
78.00
Permit . . MECH POOL
Additional desc .
Permit-Fee . . . 26.00 Plan Check•Fee
6.50
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 1/0.6/13 -
Qty Unit Charge Per,
Extension
BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE >100K
11.00
" Permit . . ELEC POOL PERMIT-RES
Additional desc .
Permit Fee 45.00. Plan Check
Fee
11.25`
Issue Date . . . . Valuation
0
Expiration Date 1/06./13
i
Qty Unit, Charge Per
Extension
BASE PEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING
POOL
30.00
Permit PLUMBING
Additional desc .
Permit Fee 33.00 Plan Check
Fee
8.25
Issue Date Valuation
. .
. 0
Expiration Date 1/06/13
Qty Unit Charge Per
Extension l
BASE FEE
15.00
2.00 6.0000 EA'' PLB FIXTURE
12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL/SPA, COURTYARD WATER FEATURE, GAS
Application Number 12-00000764
__
- - ,Special Notes :and Comments
LINE FOR FIREPIT. ALARMS/BARRIERS
SHALL
BE IN PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT -ENCLOSURE NOT INCLUDED.
2010
CODES.
.----------------- -----------------------------------------------------
" -Other Fees .' BLDG STDS ADMIN (SB1473)
2.00
--Fee-summary_ --Charged --.._ . -
-Paid.--
—Credited
Permit Fee Total 434.00
.00
.00
.434.00
Plan Check Total 240.50.
.00
.00 :.
240.50 -
Other Fee Total 2.00.
.00
.00
2.00
Grand Total 67.6.50
.00
.00
676.50
LQPERMIT
Bin #.
.. City of La. Quin
Building 8L Safety Division .
P.O.-Box 1504, 78-493 Cage Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracidng Sheet
Pertnit.#
Project Address: 53 012 kcA Ymac'\ O
Owner's Name:
A. P. Number.
]City,STZip:
Address: V C&
Legal Description:
au—ink-CV, CA
Contractor%aS 6f &Aj�V� \ �
Telcphone:`s -
Address: b1SSQe �Podm g^NQi
Project Description:
city, ST, Zip: o.vsc lel Va\mS
FOPL� ' SPA, 0,) (L" 0 . W Anw, 9 &roit
Telephone: 1� l�" 3L1 Q(0 �a h .:. .j �Z 6tac S LI v.Lg Fl'C
ti
State Lic. # : 3:13 City Lic. #, O O R
4 `�v , %' i . l/(V E f -Vi , Bf u �.C? .
Arch., Engr., Designer: I 1
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic: #: 33 (p
Project type (circle one): New Add'n Alter Repair Demo
4 FL: # Stories: J # Units:
Name of Contact Person:
Telephone # of Contact Person: U DU f I 'Z.
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
it—
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Cheek Deposit
Truss Calks.
Called Contact Person
Plan Check Balance
We 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i° Review, ready for correctionvIssue
Electrical
Subcontector Inst
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for correetionsliissue
Developer Impact Fee
Planning Approval
Called Cout�d Person
Pub. Wks. Appr .
Date of permit issue
School Fees
Total Permit Fees
s
i�idll►'��
Filter Pump,* .172 hp 2 speed__pum.p
.. . . ............ . . . . .- ................... .... . ........... . ................
Filter Type: 420 Clean. and Clear
I . ....................... ........ .. .... .. .. ..... .. ..... .. .. .
Heater: 400K BTU Heater
- .... .. ...... . ..... ..... ..... ............................................................................... - ................ . .... . ...........
Sanitation: IC40 Easv touch Salt
------------ - .. .... . .... . . . ....... . ....... . I . ....... ...................... .......... I . .... .. ............................ ...........
sYs-t-em. ..... .................... I ........... -- .......... .... L ... . ........ . ............................. ..................................... ...............
. .........
Water Features: /-ni) Sin le speed
...........
PVMIR-� ........... ........... I ........... ..........
i. F
4
XLf(z10/P
ww�
Length! 53 In ft
.............. . .... . ....... . .. -.1 ---------------------------------------------------
- --------------------------------------------
Width: 10 In ft
.................. .. ................... ..... .. .. .. .. .. .. .......
........ .... ------------- ...................... ....... ... - ----- -
Depth: 4' -5'
...... ......... ................................................................................................................
............
............. .........................
Perimeter,.: 134 In ft ..............
Square Footage:
509 sqft
CITY�0
CI TY OF LA QUIP
Capacity: III 1.
. ......... ....
Material: Pebble
Finish ...............
APPROVED
Water Feature Sz.:
1 n e
DATE J -LO- LZ
By
Desents
... . .............
Length6 7 In ft
Width: 7 In ft
................................ ..................... ........... .........................
Depth: T6
. ....... ..........
. ........................ .... . .... .
Perimeter: 28 In
.... . ................ . . . ......... . .........................................
ft
Square Footage:
4.9—_�q__ft
............ ..... .. ..........
Capacity: _1,:323__gai 1. Ions
---------- ------------ - --------- ------- . .. ........ .
Material,, Pebbli
.;
aFeature :
zDtacked
............ . ..... ......... .. .. .......
stonc,a;,
Filter Pump,* .172 hp 2 speed__pum.p
.. . . ............ . . . . .- ................... .... . ........... . ................
Filter Type: 420 Clean. and Clear
I . ....................... ........ .. .... .. .. ..... .. ..... .. .. .
Heater: 400K BTU Heater
- .... .. ...... . ..... ..... ..... ............................................................................... - ................ . .... . ...........
Sanitation: IC40 Easv touch Salt
------------ - .. .... . .... . . . ....... . ....... . I . ....... ...................... .......... I . .... .. ............................ ...........
sYs-t-em. ..... .................... I ........... -- .......... .... L ... . ........ . ............................. ..................................... ...............
. .........
Water Features: /-ni) Sin le speed
...........
PVMIR-� ........... ........... I ........... ..........
i. F
4
XLf(z10/P
ww�
Spa Ftf11ftd1S"
............. .........................
............. . ...... ...............
7
CITY�0
CI TY OF LA QUIP
B UILD�INCG & SAFETY
APPROVED
FOR CONSTRUCT101
DATE J -LO- LZ
By
-RAI. d b*nd 18m
- --- ----- ---
.00 � am
existing Dock mr.
by o..ers
t