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BPOL2014-106078-495 CALLE TAMPItO LA QUINTA, CALIFbRNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2014-1060 Property Address: 53725 AVENIDA VILLA APN: 774133026 Application Description: Property Zoning: Application Valuation: POOL/SPA BBQ WITH PROPANE & WALL /1 a $20,000.00 Applicant: BLACK DIAMOND POOLS & DESIGN 88-351 AVENUE 58TH #6 CftY0FlA0Ul DEVELOPN►£NT DEPARTMENT THERMAL, CA 92274 COMMUNITY 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 a Business an Professions Code, and my License is in full force and effect. License Class: C53 License No.: 97734 / Date: Contractor: OWNER-BUILDERFDECTION I hereby affirm under penalty of perjury that empt from the Contractor's State License Law for the following reason (Sec. 70siness 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).: (_) 1, 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 notapply 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 Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/26/2014 Owner: STONE MARK & LAURA 53725 AVENIDA VILLA LA QUINTf-., CA 92253 Contractor BLACK DIAMOND POOLS & DESIGN 88-351 AVENUE 58TH #6 THERMAL, CA 92274 (760)619-1362 Llc. No.: 977341 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 Secticn 3700 of the Labor Code, for the performance of the work for which this permit is issu ?d. I have and will maintain wor:ers' 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 performa-ic of•the work for which this permit is issued, I shall not employ any person in any man.ier as to become subject to the workers' compensation laws of California, and a&-ee th Yf I should become subject to the workers' compensation provisions of Se-ApfLade, I shall forthwith comply wit those provisions.Dote: AppliWARNING: FAILURE TO SECURE WORKERRAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($=00,000). 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 harmleis 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 r tin to building construction, and hereby authorize representatives of this cityto tRr n the above• mentioned property for inspection purposes. / J L D e: `� J A/Signature (Applcant or A nt): 1 SPA14P4IF4IWON$ n r TILE vK 4 1695SO.FT. PAVERS EXCAVATION / STEEL SPA SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART. ��. � - 240 S OFT. STONE - - ANTI -COVERS 10"ASME / ANSI APPROVED RAISED SPA AT +18" WITH RANDOM QUARTZTE I _ f; POOL AND SPA COMBO • - STONE CAP. 2 -TILE LIP SPILLWAYS AND RAISED BOND BEAM AT +18",+12" AND +6" 573 SQ. FT. / 130 LN. FT. ' RANDOM STONE VENEER FACE. 8 JETS AT WITH RANDOM QUARTZITE STONE CAP, FACE VENEER T.B.S. ' FENCING RANDOM HEIGHTS, FOUR BAR STOOLS AND FOUR GUNITE a—a. sm a.n ssasn UMBRELLA SLEEVES OTHER RAISED BOND BEAM AT +18" - II ' WITH RANDOM QUARTZTE STONE CAP .. ^• JOBADDRESS 53725 AVE IDA VILA CITY PHONE OFFICE RES LOT . TRACT PAGE BOOK MAP BOOK PAGE NO. ICITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE DATEORA F BY SOLD BY CHECKED BY Its— 09.22.14. ALF JOB# REVISIONS .DATE 860 AT +36" 8 42" WITH STONE COUNTER TOP STUCCO 2 3' 4 5 ' SELECTIONS STONE TILE BOULDERS DECKCOLOR !!!DY FACE AND BACK WITH PROPANE GRILL, DUAL BURNER, DRAINAGE NOTE: Drainage and irrigation for plonter5 and pots• by others• unless otherwise noted. - • FRIDGE, ONE UNBRELLA SLEEVE AND CANTILEVER 7 1 BAR. 'I POOL EQUIPMENT 50 AMP SUBPANEL - PB s•� P6,di I WITH 36" CLEARANCE 1 SPA14P4IF4IWON$ n r TILE vK 4 r BLACK -DIAMOND POOLS x"760 619 1362, DESIGN, INC- CON S TRU C TION LIC. NO.977341 r POOL EQUIPMENT: ELECTRIC POOL HEATER .. 'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED T BLIND WALL WITH STUCCO FINISH TO MATCH PROPERTY WALL POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART: ANTI -COVERS 10" ASME / ANSI APPROVED BRICK PAVER DECKING WITH 18" WIDE RANDOM QUARTZTE - STONE COPING AROUND POOL AND BBQ AREA .PULL UP BAR WITH STONE FINISH AND THREE BAR STOOLS ELECTRIC CONDUIT CITY OF LA `. UINT/ • MAIN HOU 20 ;*k GA4 EISAFE I Y DEPT..` I"I�I�O d ED r FOR CONSTRUCTION DA G - 6 BY O/ F1BD DIG PRE-GUMTE UNDERGMUND MASONRY DECAL - Ff�-PEBBLE SPECIFICATIONS REMODEL,s 33'-6" 18'-6" — _39 — - 95LN FT.--�.�—.n 5-6" SPA14P4IF4IWON$ n r TILE vK saou wm DECKING EXCAVATION / STEEL :� un MASONRY PLUMBING rmsauo _ .aot w.o a wa•. or. ".us P BL PLASTER maws' sew FENCING GUNITE a—a. sm a.n ssasn - s OTHER OWNER REVIEW AND APPROVAL SIGNED: DATE: sounrmA SWIMMING POOL DESIGN: NAME STONE RESIDENCE STREET JOBADDRESS 53725 AVE IDA VILA CITY PHONE OFFICE RES LOT . TRACT PAGE BOOK MAP BOOK PAGE NO. ICITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE DATEORA F BY SOLD BY CHECKED BY Its— 09.22.14. ALF JOB# REVISIONS .DATE 1 2 3' 4 5 ' SELECTIONS STONE TILE BOULDERS DECKCOLOR !!!DY PEBB.tPLAS SIGNATURE DRAINAGE NOTE: Drainage and irrigation for plonter5 and pots• by others• unless otherwise noted. STONE RESIDENCE - 53725 AVENIDA VILLA SCALE: LA QUINTA CA. 92253 FINANCIAL INFORMATIM r tDESCRIPTION k=x' fsACCOUNTg QTYAIVIOUNT:" �` ` PAID c PAID.DATE , BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/26/14 f �yde �.� �, PAID BY METHOD, " a W �9✓ T Y,�Y a+.RECEIPT # CHECK # n ° ' ',,,CL BY. - BLACK DIAMOND POOLS & DESIGN DEBIT R1507 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA' $1.00. $1.00 �� DESCRIPTION 4 `` ACCOUNT ; f' _ y QTY AIVIOUNTy• �PAID PAID'DATE- >f DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 9/26/14 METHOD ac W>E RECEIPT #CHECK # at • CLTD BY ys .�. BLACK DIAMOND POOLS & DESIGN DEBIT R1507 MFA "T �e `DE'SCRIPTION ° " X� s ACCOUNTS +� QTY z: a AMOUNT: r� a PAID PAID DATE a, ,� , DEVICES, FIRST 20 PC 101-0000-426000 $24.17 $24.17 9/26/14 yy PAID �'.k:,b RECEIPT #> > . CHECK # -... .. -. CLTD BY .: , Y` BLACK DIAMOND POOLS & DESIGN DEBIT R1507 . _ MFA Total Paid for ELECTRICAL: $48.34 $48.34 W � k e ' > DESCRIPTION QTY FW AMOUNT ' � �m PAID PAID DATE : WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 9/26/14 METHOD ` `,t RECEIPT #� CHECK # 5 ' CLTD BY ' , �. :.4.•,� xr BLACK DIAMOND POOLS & DESIGN DEBIT Ry1�507 MFA ` •_ i?, '�: t { DESCRIPTION ACC i F _ F� tk OUNT F ^t3 .y.. y AMOUNTf PAID PAID DA TE' .� ... ,> x =QTY ,y ,n , r �,. WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 9/26/14 PAID BY r4�"k"METHOD r '' ¢y +`RECEIRT # ." a CHECK #", CLTD BlL' ., BLACK DIAMOND POOLS & DESIGN DEBIT R1507 MFA Total Paid for FENCE OR FREESTANDING WALL $108.77 $108.77 L.r*+ '' DESCRIPTION' ;.<p'ACCOUNT rc ` QTY { AMOUNT ' ,Y. f PAID' ;PAID'DATE , SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 9/26/14 PAID'BY,METHOD § RECEIPT# f M' CHECK#„ CLTD'Bl( r' zJ r:° $ Y BLACK DIAMOND POOLS & DESIGN DEBIT R1507. MFA DESCRIPTIONrs ` A000UNTr QTY,4 AMOUNTS r ' PAID PAID DATE:'. �.x SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $98.62 9/26/14 PAID BY`y: p4 jj RECEIPTf#''_: zCHECK# z CLTD BY,.:;> >� ,+`� £METHODae BLACK DIAMOND POOLS& DESIGN DEBIT R1507 MFA Total Paid for POOL/ SPA: $279.91 $279.91 TOTALS: f Description: POOL/SPA BBQ WITH PROPANE & WALL Type: POOL Subtype: Status: SUBMITTED Applied: 9/23/2014 PJU Approved: Parcel No: 774133026 Site Address: 53725 AVENIDA VILLA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 242 Lot: 12 Issued: UNIT 23 Lot Sq Ft: 0 Building Sq Ft: 0. Zoning: Finaled: Valuation: $20,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stogies: 0 No. Unites: 0 Details: POOL, SPA, AND BBQ WITH 10LF AT 4 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. Printed: Friday, September 26, 2014 2:02:29 PM 1 of 3 Printed: Friday, September 26,2014ZIQ:29PK4 2cf3 _ BLACK DIAMOND BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/26/14 R1507 DEBIT MFA POOLS & DESIGN Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BLACK DIAMOND DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 9/26/14 R1507 DEBIT MFA POOLS & DESIGN 'DEVICES, FIRST 20 PC 0 $24.17 $24.17 9/26/14 R1507 DEBIT BLACK DIAMOND MFA .101-0000-42600 POOLS & DESIGN Total Paid forELECTRICAL: $48.34 $48.34 WALL/FENCE - FIRST BLACK DIAMOND 101-0000-42404 $47.86 $47.86 9/26/14 R1507 DEBIT. MFA 100 LF POOLS & DESIGN WALL/FENCE - FIRST BLACK DIAMOND 101-0000-42600 0 $60.91 $60.91 9/26/14 R1507 DEBIT MFA 100 LF PC POOLS& DESIGN Total Paid for FENCE OR FREESTANDING WALL $108.77 $108.177 BLACK DIA MOND SWIMMING POOL/SPA 101-0000-42404 '0 $181.29-,, -$181.29 9/26/14 R1507 DEBIT ' MFA POOLS& DESIGN SWIMMING PCICIL/SPA 101-6000-42600 0 DEBIT BLACK DIAMOND MFA PC POOLS & DE�IGN Total Paid for POOL/ SPA: $279.91 $279.91 Printed: Friday, September 26,2014ZIQ:29PK4 2cf3 _ BOND m s 41 ' 'r . �� ' {. t- j � � t• .{ L � . ` J 5 ' •�, •!� .. - �'- a Try r . ed. c� "� .,. - ^� .,r. ♦- + � �wr:, r. - • � ` � .may. ...r" ..( ...�' f' . .a• �� . ,., _ .,. ♦ r '''n - '� it . ", � r r . � 1 i y , i ♦. ' M• i . �. , v :.. - ` _ ..,� .7 � � `_• ' � � ~,:,� � • �_ � r^ 3 , � C � . - .` -r ' S' - 'n � �' �� f' . ;1' � a ..a -' �. Vii:, - _ .t r v Printed: Friday, September 26, 2014 2:02:29 PM 3 of 3 r Bin # City of La Qulnta ' Building &I Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quints, CA 92253 - (760) 777-7012 • Building Permit Application and Tracking Sheet Project Address: �;S-7 5' hve f/; Owner's Name: L P. Number: 3' -^LA. Address: 6s— egal Description: Legal City, ST, Zip: L IN R Contractor: G l h CJlS� p� h /t Telephone: ->s ;;.<.<«> :t; Mom= Address: ,$0ff{ 6 Project Description: k) PQ Q( ,, 't/ City, ST, Zip: Ur IN M � �F R w 45 O H " NR t c Telephone: State Lic. #: City Lia #;/ �aJ Jov 601 Arch., Engr., Designer:' Address: City., ST, Zip: Telephone: Construction Type: Occupancy: ey: State Lic. #: ` ...................................................... Project type (circle one): ew Addf n . Alter Repair Demo Name of Contact Person: 5-6m(c �76e}� �Qfq -�36 Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: >K Submittal APPLICANT: DO NOT WRITE BELOW THIS LINE Rcq'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance • Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- . ''d Review, ready for•correctionissue 6 6 Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Pcrmit'Fecs (gxon sin. # City of, La Quinta Building 8r Safety Division P.O. Box 1504,'78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit' Application and Tracking Sheet Permit # mot.)" f Project Address: — S (/l `� Owner's Name:. SAolve 4 Gl A. P. Number. Address: . S3_ 7Z S hoe- VN . Legal Description: ------------------ City, ST, Zip://4 M4 !%')�� Contractor. �l • S Telephone:��'�� =fteject Description: Address: q3q/` _S�'Q e �;r� 6 City, ST, Zip: IXI �� (r Q d �SQ�C Telephone: �( .�; � .<� -•y IA l l (74 4 t . State Lic. 4: 9773q/ City Lie. # Arch, Engr., Designer Address: City., ST. Zip: Telephone: State Lie. #: a • y, ' rua. Construction Type: _ Occupancy: project type (circle one):New Ad d'n Alter Repair Sq. Ft.: #Stories: Units: Demo Name of Contaq Person: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW. THIS UNE # Submittal Req'd Recd TRACMG PERMfrFEES Plan Sets PIan'Cheek submitted �. ��' fill Item Amount Structural Cafes. Reviewed, ready for corrections - Plan Check Deposit. . Truss Coles. Called Contact Person Plan Check Balance Tide 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted.-. Mechanical Grading plan l r4 Review, ready for correctionstissue Electrical SubcontactorList Called Contact Person Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Gradlag IN ROUSE:- 3,a Review, ready for corrections/issue' Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees