12-0090 (RPL);Ab
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000090
Property Address: 81449 GOLDEN POPPY WY
APN: 764-280-999-118 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 16500
Applicant:
�T4&t 4 4Q"
Architect or Engineer:
PI A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HUGH HELLER
81449 GOLDEN POPPY WAY
LA QUINTA, CA 92253
Contractor:
CLASSIC POOLS & SPAS
79461 40TH AVENUE
BERMUDA DUNES, CA 9220
(760)345-8302
Lic. No.:.634338
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/01/12
D)
2012
ri R7__3 U. -
CITY OF LA P.WiNTA
!7-bV1:0e %:;bPT
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busine,� 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: C10 C53 / { ice se o : 634338
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
U
ate: 2 ontractor: f
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 CASTLEPOINT INS Policy Number 400015451
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, 1 shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in 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
3700 of the Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom andthe basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
te: plicant:
(_ 1 I, as owner of the property, or my employees with wages a$ their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
' 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).-)N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, 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 sale.).
1 _) 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.).
(_ 1 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:
•LQPERMIT
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety 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, indemnity 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 here y authorize representatives
of this coyntenter upon th .above-mentioned grope or inspection pses
ature (Applicant or Agent): rYt�
14
LQPERMIT
Application Number . . . . . 12-00000090
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
180.00 Plan Check
Fee
117.00
Issue Date . . . .
Valuation
16500
Expiration Date
7/30/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
15.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
135.00
Permit . . . MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
7/30/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
------------------------------------------------------------
EA MECH FURNACE >1OOK
----------------
11.00
Permit . . . ELEC POOL.PERMIT-RES
Additional desc .
Permit Fee
45.00 Plan Check
Fee
11.25
Issue Date
Valuation
. . .
0
Expiration Date
7/30/12
Qty Unit Charge
Per
Extension
BASE FEE
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
7/30/12
Qty Unit Charge
Per
Extension
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
Permit . . . . . . WALL/FENCE PERMIT
Application Number . . . . . 12-00000090
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee .00
Issue Date Valuation . . . . 240
Expiration Date 7/30/12
Qty Unit Charge .Per Extension
BASE FEE 15.00
-------------------7--------------------------------------------------------
Special Notes and Comments
POOL/SPA, BBQ (NO SINK)15 L.F. V
EQUIPMENT ENCLOSURE, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. 2010 CODES.
----------------------------------------------------------------------------
Other.Fees . . . . . . . . .. BLDG STDS ADMIN (SB1473) 1.00
STRONG MOTION (SMI) - RES 1.65
Fee summary Charged Paid' Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 299.00 .00 .00 299.00
Plan Check Total 143.00 .00 .00 143.00
Other Fee Total 2.65 .00 .00 2.65
Grand Total 444.65 .00 .00 444.65
LQPERMIT
77'
/*I
/ 15' \� DRAINS
3" DRAINS
56'
+18"
8' � I
/ -5 _
12'
15' I
30'
EXISTING
jWNDSCAPE
14,
Effilles
•
000
POOL \
EQUIP. y
AREA SCHEDULE
POOL
450 SQ. FT
POOL PERIMETER
87 LN.FT
POOL COPING
92 SQ. FT
SPA
39 SQ. FT
SPA PERIMETER
27 LN. FT
SPA SPILLWAY
9 LN. FT
SPA COPING
25 SQ. FT
Gray Concrete
600 SQ. FT
Gas Line
230 LN. FT
+ 18" Raised Bond Beam
30 SQ. FT
4' High Block Wall
16 LN. FT
THESE PLANS, DRAWINGS AND SPECIFICATIONS ARE NOT TO BE REPRODUCED,
CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT THE
EXPRESSED CONSENT OF CLASSIC POOLS AND SPAS.
EXISTING
RESIDENCE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE - - 1-I a BY ct
GAS Ute'
ELECT.
W
Bln. #
Ow. .
of La Qubta
Building 8T Safety Division .
Permit # P.O. Box 1504,78-495 Calle Tamplco
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet.
Project Address: g (- �i . cu l d e ti CO '% Owner's Name:. NG J4(� C i •J' .
A. P. Number.
Address: . ( `o Q N
Legal Description:
Contractor
J 0 C
City, ST, Zip: �Q 2-2 S
6-(f Telephone:
7J,-r�
Address: Y 6 ( Lico
Project Description:
City, ST, Zip: `�= /1'G C/�
'7'Z
[ 2.20 ? b C) f
Telephone, —'3 q j'- Ca 3 6'
State Lic. #: 63 Q( 3
-i- � � l� .k,• C C
City Lic.
Arch; Rug., Designer.
Address:
City, ST. Zip:
Telephone:
State Lic. #:
Name of Contact Person: I r C yI
Construction Type:. F'Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
S9• Ft.: b-}-}-- # Stories: -Fy-- # Unit: zt
Telephone # of Contact Person:
Estimated Value of Project 'p
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING PERMIT FEES
Pian Cheek submitted j Item Amount
Structural Cala.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cates.
Called Contact Person Plan Check Balance
Title 24 Calci.
Pians picked up Construction
rlood plain plan
Plans resubmitted Mechanical
Grading plan
V Review, ready for correctionsrmue Electrical
Snbcontaetor List
Called Contact Person Plumbing
Grant Deed
Plans picked up ML
ILOAL Approval
Plans resubmitted Grading
IN HOUSE:-
'" Revlew, ready for corrections/issue Developer Impact Fee
Planing Approval.
Called Contact Person A.1.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees