BPOL2015-013378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
PREMIER OUTDOOR INC
77588 EL DUNA COURT
STE F
PALM DESERT, CA 92211
V
c64 4 4 Qur«rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2015-0133
78581 DEACON DRIVE EAST
770220008
GLOY / POOL SPA AND AUTOMATIC COVER
$40,000.00
LICENSED CONTRA DECLARATION
I hereby affirm under penalty of perjury t t I am icensed der provisions of Chapter
9 (commencing with Section 7)00) of Div Sion 3 of he B in ss and Professio s Code,
and my License is in full force and effect.
License C ss' S3 {License No.: 963 16
Date: 'J Contractor:
OWN ER -BU ILDE aECLAR6WON
I hereby affirm under penalty - perjury that m 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 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
THOMAS GLOY
P O BOX 4497
INCLINE VILLAGE, NV 92253
Contractor:
PREMIER OUTDOOR INC
77588 EL DUNA COURT
STE F
PALM DESERT, CA 92211
(760)345-9791
Llc. No.: 963116
Date: 6/29/2015
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 ork 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 work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier- _ Policy Number:
I certify that in the performanceof rk for which this permit is issued, I
shat n mploy any person in any manner as 71
to come subject to the workers'
compensation laws of California, and agre hat, if I ould become subject to the
workers' compensation provisions of Secti n37 o the Labor Code, I shall forthwith
compV
hosepr �ns.
Date:'� /� Applicant:
VIVW
WARNING: FAILURE TO SECURE WORKERS'COfAPNSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0 ). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FO 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,9bove information is correct.
I agree to comply with all city and county ordinances an state I s rel ng to building
construction, and hereby authorize representatives oft is city t ente on the above•
menti a prope y for inspection purposes.
Dat Signature (Applicant or Agen
'DESCRIPTION
FINANCIAL . 1
ACCOUNT QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$2.00
$0.00
PAID BY
METHOD
RECEIPT:# •'
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA;
$2.00
$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 for POOL/ SPA:
TOTALS:00
$279.91
$0.00
Description: GLOY / POOL SPA AND AUTOMATIC COVER
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 6/29/2015 SKH
Approved:
Parcel No: 770220008 Site Address: 78581 DEACON DRIVE EAST LA QUINTA,CA 92253
Subdivision: TR 28470-1 Block: Lot: 8
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $40,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, AUTOMATIC COVER. THIS PERMIT DOES NOT INCLUDE WALL, FIRE PIT OR BBQ. EQUIPMENT SHALL BE INSTALLED IN
ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING CODE.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
PREMIER OUTDOOR INC
77588 EL DUNA COURT
PALM DESERT CA
92211
CONTRACTOR
PREMIER OUTDOOR INC
77588 EL DUNA COURT
PALM DESERT CA
92211
OWNER
THOMAS GLOY
P 0 BOX 4497
INCLINE NV
VILLAGE
92253
Printed: Monday, June 29, 2015 9:24:29 AM 1 of 2
CRsrsreMs
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" BLD
Printed: Monday, June 29, 2015 9:24:29 AM 2 of 2
RW SYSTEMS
Permit #
Of ,fid Quinta
'Building 8t Safety Dwon
P.O. Box 1504,78-495 Calle Tampico
La.Quitlfa, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: r7,? -'!581
Go» Dr.
Owner's Name: —r6m
o
A. P. Number
� �(T�g
Address: •sg� (�G
Legal Description:
//'
City, ST, Zip: L4(, nift,, <14 9205
Contractor. 'Pr
&opr G .
Telephone:
Address: –77518 61 Dung C
City, ST, Zip: patrA b tse
Pool
Ve.
Telephone: ?(00' Sys. q7q /.
State Lic. #: (p 3 %Gj
City Lic. #,
Arch, EW., Designer.
Address:
City, ST, Zip.
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
State Lie. M
Name of Contact Person: 7th
�G py1
Sq. Ft:
Units:
# Stories:LL''
Telephone # of Contact Person:
Estimated Value of Project:
^^ MM#
# Submittal Req'd
Plea Sete
APPLICANT: DO NOT WRITE BELOW THIS UNE
Recd TRACMG
Plan Chuck submitted
PERMIT FEES
Item Amount
Structural Calks.
Reviewed, ready for corrections
Plan Check Deposit • .
Truss Cates.
Caped Contact Person .
Pian Check Balance
Tide 24 Catcs.
Plans picked up
Constraedoa
Flood plain plan
Pians resubmitted.'.
Mechaalcal
Giadlug plan
2'! Review, ready for correctionetnue
Electrical
Subcostactor List
Ca11ed Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading .4
M HOUSE:-
''' Review'. ready for eorreetionslissne
Developer impact Fee
Planning Approval
Called Contact Person
A1P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
AUTOMATIC COVER HOUSING
7-6. F
POOL WATER SETBAC.
OtTl I 70'
• ` ` 4' -6'
DEEP
3'
HARDSCAPE SETBA@
V.
3) 2' WIDE SPILLWAYS 12' HT. WALL at 12' WIDE
.. .. .. .. .. PROPERTY LINE . .
Y
U
Q 7'
v POOL WATER SETBACK
w � I
•
5'-0' 4'-6'
DEEP DEEP
STEPS
SPA
EMPTY LOT
I
I. I
. I
• I
I '
I
: I
STORAGE FOR PALLETED
• I PAVERS FOR RE -USE
• I
I
I
i
I
I
BOBCAT ACCESS FOR
DEMO and EXCAVATION
I
I
I
I
r
I
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
I
APPS VED
FOR CONSTRUCTION
DA
FEB -2614 THU 2;39 PM . STONEY CREEK DES, FAX NO,, 7603405191 P, 2
Architectural Design, Planning and Dcsign Consultation
Wednesday, February 26, 2004
City of La Quinta
Building and Inspection Department.
La Quinta, CA
STONEY CREEK DESIGN STUDIO
Robyn S. RITCHEY, ARCHITECT
—Jr_U�
/,.- -(JIL
RE: Reynolds Residence, Lot 8 Deacon Drive East,
Tradition Golf Club, La Quinta, California.
Structural Observations by Architect of record for substantial
compliance with structural plans and specifications.
Dear inspector:
After completing a walk through inspection of structure for the above project with
the project Superintendent for Andrew Pierce Company I find the structural
installation to be in substantial conformance with the plans and specifications for
this project.
If you have any questions feel free to call me at your convenience.
Sincerely,
RSR/dmr
Cc: Reynolds Residence, Tradition
72.925 Fred Waring Drive, Snile 201
Palm Desert, CA 92260
(760) 341-6997 101(760) 340.5191
K:\Reynolds\Reynolds-Structural approval letter W2504.doc
Mc GEE SUR VEYING, INC.
79-301 Country Club Dr., Ste. 102 — Bermuda Dunes, CA 92201
Phone (760) 345-3828 — Fax (760) 772-5705
September 26, 2003
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92253
Re: Form Certification — Lot 8, Tr. 28470-1
Pursuant to your request a field survey was conducted on the above referenced project to
determine the vertical location of the building forms. The above mentioned were found as
follows:
LOT ADDRESS FORM (DES) FORM (FIELD)
8 78-581 Deacon Dr. E. 42.50'
Sincerely
ayn A. McGee
L.S. 5479
42.50'
FEB -26-04 THU 2:35 PM STONEY CREEK DES, FAX 1`O, 7603405191 P. 2
to
Architectural Design, Planning and Design Consultation
Wednesday, February 26, 2004
STONEY CREEK DESIGN STUDIO
Robyn S. RITCHEY, ARCHITECT
City of La Quinta
Building and Inspection Department.
La Quinta, CA -7 9 �sg'
RE: Reynolds Residence, Lot 8 Deacon Drive East,
Tradition Golf Club, La Quinta, California.
Structural Observations by Architect of record for substantial
compliance with structural plans and specifications.
Dear Inspector:
After completing a walk through inspection of structure for the above project with
the project Superintendent for Andrew Pierce Company I find the structural
installation to be in substantial conformance with the plans and specifications for
this project.
If you have any questions feel free to call me at your convenience.
Sincerely,
RSR/dmr
Cc: Reynolds Residence, Tradition
W04
72-925 Fred Wulag Drive, Sulle 201
Palm DeSeil, CA 92260
(760) 341-6997 Fax (760) 340-51! i1
K:tReynoldskReynolds-Strucu,rutapproval letter 022504.doc
-71
The Keith Companies lrl<c
May 7, 2004
CITY OF LA QUINTA
78-495 Calle Tampico
La Quinta, CA 92253
Attention: Mr. Timothy R. Jonasson, P.E.
Public Works Director/City Engineer
RE: THE TRADITION
LOT 8, TRACT NO. 28611
Dear Mr. Jonasson:
We hereby certify that a field verification survey of the above referenced site has been performed under my
supervision and that the as -built elevations and horizontal positions of the building forms are in substantial
conformance with the Precise Grading Plan.
Sincerely,
THE KEITH COMPANIES, INC.
PALM E ERT DIVISION
ssell J. Mullins, PLS 3712
ector of Survey
CC: Jerome Soba
CAMy Documents\La Quinta.Bldg Form Certification.TRADITION, LOT 8.doe
D
RUSSE111 MUWNSNp
No. 3712 :0
u ?Mop IM?
L
Palm Desert Division
73-733 Fred Waring Drive
Suite 100
Palm Desert
California 92260-2590
T. 760.346.9844
F: 760.346.9368
www.keithco.com