BPOL2015-017178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
J
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2015-0171 k.
Property Address:
81485 GOLDEN POPPY WAY
APN:
764790045 A
Application Description:
BALDWIN RESIDENCE SPA, GAS LINE, BLOCK WALL
Property Zoning:
Application Valuation:
$17,000.00
Applicant:
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA RAMIREZ
o
LA QUINTA, CA 92253
Owner:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/6/2015
ALANA AND MARLENE BALDW
81485 GOLDEN POPPY
LA QUINTA, CA 92253
3
n
C
�Q,
o
Contractor:
FAMILY POOLS CONSTRUCTION
53-300 AVE NIDA RAM IREZ
a V
;r"
LA QUINTA, CA 92253
�
C
(760)564-3655
Llc. No.: 658996
----------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARA
I hereby affirm under penalty of perjury that I am licen under provisions of Chapter
9 {commencing with Section 7000) of Division 3 o Business and Professions Code,
and my License Is in full ce and effect.
License Cl C License No.: 658996
Date: Contractor.
OWNER -BUILDER DEC ATIO
I hereby affirm under penalty of perjury that I am a mpt fry 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 if
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 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.).
(_)1, 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 Addre:
WORKER'S COMPENSATION DECLARATION
I b irm under penalty of perjury one of the following declarations:
I have and will maintain -a certificate of consent to self -insure for workers'
p nsation, as provided for by Section 3700 of the Labor Code, for the performance
0 ork for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
ct n 3700 of the Labor Code, for the performance of the work for which this permit
is iss d. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number:
_ I certify that in the performance of the work for which � permit is issued, I
shall not employ any person in any manner so as to becom ject to the workers'
compensation laws of California, and agree tha , i s d become subject to the
workers' compensation rovisions of Section 3 the Labor Code, I shall forthwith
mply tho a pr visions.
i
gate: Applicant:
. 2^ �L
WARNING: FAILURE TO SECURE WORKERS' COMPE SATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($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.
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 th4abVve inforrp6fion is correct.
I agree to comply with all city and county ordinances and tat la relating to building
constructs and her y authorize representatives of this o ent upon the above•
mentio rop rt or inspection purposes. TNL_,�/
Date: Signature (Applicant or Agent
FINANCIAL • /
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY METHOD ,' RECEIPT V_ CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT _
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
-0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL / SPA: $181.29 $0.00
TOTALS:i. $0.00
Description: BALDWIN RESIDENCE SPA, GAS LINE, BLOCK WALL
Type: POOL
Subtype:
Status: APPROVED
Applied: 8/4/2015 EVA
Approved: 8/5/2015 KKI
Parcel No: 764790045 Site Address: 81485 GOLDEN POPPY WAYLA QUINTA,CA 92253
Subdivision: TR 30023-6
Block:
Lot: 124
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $17,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
-No. Stories: 0
No. Unites: 0
Details: INSTALL NEW SPA, 18 LF BLOCK WALL AND GAS LINE FOR PORTABLE BBQ
Printed: Thursday, August 06, 2015 8:30:07 AM I. of 2
' RW.SYS TEMS
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
6 NOTES
NOTE
PHILIP JUAREZ
8/5/2015
8/5/2015
sent back to philip 8/5/15
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA
RAMIREZ
LA QUINTA
CA
92253
(
Printed: Thursday, August 06, 2015 8:30:07 AM I. of 2
' RW.SYS TEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
WALL/FENCE -FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91.
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00
DETACHED SPA/WATER
FEATURE/OTHER
101-0000-424040
$181.29
1.$0.00
1
1
1
1 1
1
Total Paid for POOL / SPA: $181.29 $0.00
TOTALS:0. $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
" RESULT REMARKS '`NOTES
DATE DATE
FINAL"* BLD
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, August 06, 2015 8:30:07 AM 2 of 2
RWSYS 7EM5
Bin #
City of La Quints
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
17 Building Permit Application and Tracking Sheet
Permit #
Project Address:Owner's
Name: P' 0/n/
A. P. Number.
Address: f q�� O DC—/q
Legal Description:
City, ST, Zip (�
Contractor: xil ooL
Address: . (� _
j: err 4r �i• ./
Telephone: Y
Project Description:
City, ST, Zi :-
Telephon
�. '}{� :•'`Aye -• x �r ?f/ `�. k��:
r-3 S.
Q �1
State Lic. # .- City Lie. #:
,,�
Y-
Arch., Engr., Designer.
Address -
City., ST, Zip:
Telephone:
State Lic. #:
` '
r"/rex x Yr,, :jyre; wn:
s .un••riv-. ..
Construction Type: Occupancy:
l�ttyP (circle one) New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft: -T
# Stories:
# Units:
Telephone # of Contact Person:
\
1 Estimated value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Contraction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2od Review, ready for eorrectionOnsue
Electrical
Subcontactor last
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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
Existing 6'h Block Wall +36" Beam w/ 3'w Spill 18"h Block Wall, Concrete Cap,
Concrete Cap Stucco Front to Match House
w pa 18"h Block Wall
Pa
7Pilaster - pa Equipment
�� 3D
32*10
rtzite Existing Sun New Stone ro Move A/C Unit
Deck Pad /E for Portable BBQ
pa 7'w x 101 Spa, Pebble
Interior, 6 Jets, LED Light Gray Concrete Deck New 5'h Block Wall to
-----Match Existing
ew
Stone
Pad Gold Quartz Accent Band
pa
Existing 6'h Block Wall
Existing Covered
Patio
pa
Mr. &Mrs. Baldwin
81485 Golden Poppy
Trilogy Country Club
(760)564-7490
Existing 6'h Block Wall
Driveway
CITY OF
� /� Q IINT i Golden Poppy
I
BULDINGI-& SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
New Grey Concrete
Concrete
N
FAMILY POOLS
CONSTRUCTION
LIC.#658996
(760)564-3655
LNSTALLATION CERTIFICATE
Pool And Spa HeatingSystems e 1 of 2
Site Address: Enforcement Agency: Petn+itNember.
Pool and Spa Heating Systems requirements
¢.114 ): Systems and Equipment.
1.. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
2. Has a readily accessible on-off switch mounted outside of the heater.
3. Weatherproof plate or card containing operating instructions for the pool or spa heater.
4. No electric resistance heating except for listed package units that has fully insulated enclosures and tight fitting
covers that are insulated to at least R-6. Or if documentation is provided that at least 60 % of the annual heating
energy is from site solar energy or recovered energy.
5. Heating system has no pilot light.
§1144): Installation.
1. System is installed with at least 36" of pipe between the. filter and heater, or dedicated suction and return lines,
or built-in or built-up connections for future solar heating.
2. A cover for outdoor pools, or spas that have a heat pump or gas heater.
3. Pool system has directional inlets to adequately mix the pool water
4. Time switch which will allow the pump to be set or programmed to run during oil -Ptak periods only
§tS ) Pump Sizing and flow ra-te specification
1. The pump specified is listed in the CEC database .of certified pool pumps.
2. 'ihe*pump flow rate shall be calculated based on pool sizing table below.
The pump is capable of operating at 2 or mor. speeds (not applicable if pump is less than I horsepower).
4. Each auxiliary pool load is served. by either a separate pump, or the system is served by .& multi -speed pump.
Pool sizine (Values are based on a maximum allowable turnover rate of 6= hours)
Max Pool
Volume
Min Pipe D or treater
Min Filter Area or more
Max Pump
allons
inches
sane feet
Flow.
Return
Suction
Cartridge
Sand
DE
13,000
1.5
1.5
100
- 2.4
20
36
17,000
.1.5
2
130
3.1
25
47
21,000
2
2
160
3.9
30
58
29,000
2
2.5
210
52
40
78
42,000
2.5
3
320
7.8
60'
117
49,000
3
3
360
8.9
70
133
Note: For pumps greater than.I hp..77re maximum Pump Flow is the towest speed -do
❑ 5. Calculated volume of.'peei- GtL (gallons).
❑ 6. Return Pipe Diameter l (inches).
❑ 7. Suction Pipe Diame (inches).
❑ ..8. Filter Type �L' KA 161!e- (Cartridge, Sand, DE).
.12 9. Filter Surface Area (SO.
❑ 10. Max Pump Flow 7,0 (8pm)•
August 200
2008 Residential Compliance Forms
INSTALLATION CERTIFICATE CF-6R6MVCH-03
Pool And Spa Heating Systems (Page 2 of 2
Site Address: Eafor•eement Agency: Permit Plumber -
S stem Piping
L. The suction side pipe is straight for at least 4 pipe diameters before entering the pump (See table below for the
\ required straight run lengths for various pipe sues).
2. The design uses low pressure drop fittings (sweep90's)
Pipe Diameter
inch
Required Pipe Length
leadin into ti inch
1,5
6
2
8
2.5
to
3
12'
Filtra ' Equipment
I . if a backwash valve is used: The diameter of the backwash mutti-port valve .is 2 inches or as large as the
circulation Pipe, whichever is greater
a
DECL ARATIDN STATEMENT
•• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, of manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with -the plans and specifications approved by the
enforcement agency.
• 1 reviewed a copy of the Certificate of Compliance (CF -I R) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -(R that apply to the installation have been met.
• 1 will ensure that a completed, signed copy of this Installation Certificate shall be posted, ormade avaitable.witb the building
permit(s) issued for the building, and.made available to the enforcement agency for all applicable inspections. t understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at ocenn•n-
2008 Residentid! Compliance Forms August 2009