Loading...
BPOL2016-0041.rA;2 Applicant: t Contractor: AZURE POOLS &SPAS INC AZURE POOLS & SPAS INC P 0 BOX 10641 P 0 BOX 10641 PALM DESERT, CA 92255 PALM DESERT, CA 92255 .(760)322-7665 LIc. No.: 802919 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: XP�� I have and will maintain a certificate of consent to self -insure for workers'' z. compensation, as provided for by Section 3700 of the Labor Code, -for the performance 4 VOICE (760) 777-7125 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 Date: ( Contractor: Section 3700 of the Labor Code, for the performance of the work for which this permit COMMUNITY -DEVELOPMENT TM INSPECTIONS (760) 777-7153 OWNER -BUILDER DECLARATION Carrier:- Policy Number: BUILDING PER I (� License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'• city or county that requires a permit to construct, alter, improve, demolish, or repair - Date: 4/14/2016 Application Number: BPOL2016-0041hown AP' r: Property Address: 44710 VIA CATALINA 3 of the Business and Professions Code) or that he or she is exempt therefrom and the TIX��N(L APN: 604610031 --- 4 10 VIA CAT INA Application Description: WILLIAMS / POOL, SPA AND EQUIPMENT WALL AT REAR �f�D CENOPA, j,1),1l��T, A 2253 Property Zoning: compensation, will do the work, and the structure is not intended or offered for sale.. Ml� fiv)�'DEVECOP c� A Application Valuation: $21,000.00 MENTpEpgRTME ---._M Applicant: t Contractor: AZURE POOLS &SPAS INC AZURE POOLS & SPAS INC P 0 BOX 10641 P 0 BOX 10641 PALM DESERT, CA 92255 PALM DESERT, CA 92255 .(760)322-7665 LIc. No.: 802919 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, -for the performance License Class: C53 License No.: 802919 of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Date: ( Contractor: 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: OWNER -BUILDER DECLARATION Carrier:- Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'• city or county that requires a permit to construct, alter, improve, demolish, or repair - compensation laws of California, and agree that, if I should become subject to the. any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor.Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply ith those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division j _ 3 of the Business and Professions Code) or that he or she is exempt therefrom and the w I Date: t (! Applicant: 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 thaofive hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS.UNLAWFUL, ($500).: AND SHALL SU8'1ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (� I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale.. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. " 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 APPLICANT ACKNOWLEDGEMENT ' are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within.one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1: Each person upon whose behalf this application is made, each person at whose (� I, as owner of the property, am exclusively contracting with licensed "contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: -The Contractors' . issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance'of this permit. (� I am exempt under Sec. . B.&P.C. for this reason 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. 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 Na Lender's 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 hereby authorize representatives of this city.to enter upon the above-mentioned property for inspection purposes. Date: I'� Signature (Applicant or Agent): FINANCIAL •1. �s.DESCRIPTION '�: �'- ACCOUNT �'. `,,.QTYw AMOUNT ` PAID , -PAID DATE -. s BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/14/16 PAID BY 5� METHYOD, a ; ,;RECEIPT #} CHECK # CLTD'BY`< „fix e AZURE POOLS & SPAS INC CHECK R14773 0125 MFA'. Total Paid for BUILDING STANDARDS ADMINISTRATION.BSA: $1.00 $1.00 € DESCRIPTION ACCOUNT c QTY > *'R AMOUNT ` `$; PAID PAID DATE . gay WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 4/14/16 METHOD RECEIPT #�; ° r' &CHECK # 4 "CLTD BY:-- AZURE POOLS & SPAS INC CHECK 814773 0125 MFA t M DATE t;lMOUNT, 11 9 r WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 4/14/16 PAID BY +` METHOD t RECEIPT,#� CHEEK # ' tCLTD BY; & f AZURE POOLS & SPAS INC CHECK R14773 0125 MFA Total Paid for FENCE OR FREESTANDING WALL: .$108.77 $108.77 - DESCRIPTION '; ' * ` � ACCOUNT 5 'QTY a AMOUNT PAID PAID:DATE �. a : 3 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 4/14/16 PAID'�BY ':. T beg 4 f : METHOD ;� :, r RECEIPT # ; CHECK , fr t� , AZURE POOLS & SPAS INC CHECK R14773 0125 MFA r-DESCRIPTION�:�r +°?ErACCOCINT 8P QTY AMOIINT� R ' "F PAID *� PAID,:DATE AV SWIMMING POOL/SPA PC .101-0000-42600. 0 $98.62 .$98.62 4/14/16 ` PAIO BY s METHOD 'p �y.y,SRECEIPT # syr„*'4 "CHECK .# 't �CLTD BY , , r �a” AZURE POOLS & SPAS INC. CHECK R14773 0125 MFA Total Paid for POOL / SPA: $279.91 $279.91 TOTALS: • 3 - Description: WILLIAMS / POOL, SPA AND EQUIPMENT WALL AT REAR YARD Type: POOL CONSTRUCTION Subtype: PRIVATE Status: ISSUED Applied: 3/30/2016 ECON (WEB) Approved: 4/14/2016 MFA Parcel No: 604610031 Site Address: 44710 VIA•CATALINA LA QUINTA,CA 92253 Subdivision: TR 30521-2 Block: Lot: 8S Issued:4/14/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0. Zoning:` Finaled: Valuation: $21,000.00 Occupancy Type:. Construction. Type: Expired: 10/11/2016 MFA' No. Buildings:.0 No. Stories: 0 No. Unites: 0 Details: POOL, SPA, AND 16LF OF 4' HIGH EQUIPMENT WALL AT REAR YARD [TBD ENGINEERING] ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT -PRE -PLASTER INSPECTIOW2013 CALIFORNIA BUILDING CODE. ' 15 0 e4ls� t,; t ,• -CONDITIONS CONDITION, r_77 DATE DATEw •'. 1 ,. t 'uau�9JL=:.4�s:O. a . l,�le�?uM.::;4v _ .,, y. y, .......,, *"_ . ;:,::-. P.t';' ., $"•J0&i�a-P.?sc., v-. �'.;-.Fa^-Sx :aa..-' • v5-a•i' ?t�..:.:.. ACTION DATE COMPLETIO T NDA Ems= .. .{' tv,�� ter,. OTES CONTACT :wCHRONO.LOGYTYPE __. xt, �. z.: ... m �.. ��.::. • ,� a,..�..� _�. ; . , T .N t- =REQUIRED : ,* EMAIL SENT TO APPLICANT/CONTRACTOR THAT PLANS ARE �. APPROVED AND MAY BE ISSUED WITH CONDITIONS, PRE -APPROVED ENGINEERING SPECIFICATION E-MAIL READY TO ISSUE AJ ORTEGA 3/31/2016 3/31/2016 AJ ORTEGA 3/31/2016 ENGINEERING SPECIFICATION SHEET AND UPDATE TO CITY COMPLETE SHEET AND RENEWAL OF CITY BUSINESS LICENSE CHECKLIST BUSINESS LICENSE REQUIRED. PER JAKE THE WET STAMPED DETAILS ON THE ENGINEERING - 'NOTE MARY FASANO 4/14/2016 4/14/2016 SHEET WERE VERIFED. CONTRACTOR WILL ENGINEERING SHEETS ON SITE FOR INSPECTIONS. - t -CONDITIONS CONDITION, r_77 DATE DATEw CONTACT r ADDED . , .: - : SATISFIED' STATUS t REMARKS fi NOTES x e t- =REQUIRED : ,* = PRE -APPROVED ENGINEERING SPECIFICATION READY TO ISSUE AJ ORTEGA 3/31/2016 4/14/2016 COMPLETE SHEET AND RENEWAL OF CITY BUSINESS LICENSE CHECKLIST REQUIRED Printed: Thursday, April 14, 2016 2:55:10 PM 1 of 3 _ CRWSYSTEMS ut" READY TO ISSUE FINANCIAL INFORMATION LICENSE AND ENGINEERING HAVE IBUSINESS AJ ORTEGA13/31/201'6 �IVIETAO'b:"PAID DESCRIPTION 14/14/2016COMPLETE CITY PA ID,' PAID DATE:, RECEIPT, �CHECK Jf­4 'CHECKLIST 'k. it By::�. BEEN VERIFIED' 101-0000-2030 6- 0 $1.00 CONTACTS 4/14/16 R14773 0125 CHECK ............... I ...... .... ME TY PE A DRES 1' A M V7: , =V T ... ............ PHONE 7 1-. INC APPLICANT AZURE POOLS & SPAS INC 0 BOX 10641 PALM DESERT CA 92255 (760)567-06.68, RENEE@AZUREPOOLSA ..P BSA: NDSPAS.COM ,CONTRACTOR AZURE POOLS & SPAS -INC P 0 BOX 10641 PALM DESERT-- CA 92155 (760)567-6668 RENEE@AZUREPOOLSA $47.86 $47.86 . . 1 4/14/16 R14773 0125 CHECK AZURE POOLS & SPAS NDSPAS.COM OWNER.., TIFFANY WILLIAMS 44710 VIA CATALINA LA QUiNTA CA 92253 (760)567-0668 TSANTIN@YAHOO.CO WALL/FENCE -FIRST 101-0000-42600 0 $60.91 M 7, INSPECTION& - Printed. Thursday, April 14, 2.0162:55:10 PM 2of3 JffwS YSTEMS FINANCIAL INFORMATION �IVIETAO'b:"PAID DESCRIPTION CITY PA ID,' PAID DATE:, RECEIPT, �CHECK Jf­4 -�� Y 'k. it By::�. BSAS SB1473 FEE 101-0000-2030 6- 0 $1.00 $1.00 4/14/16 R14773 0125 CHECK AZURE, POOLS & SPAS MFA INC Total Paid for BUILDING STANDARDS ADMINISTRATION $i .00 $1.00 BSA: WALL/FENCE . FIRST '101-0000-42404._ .t 0 $47.86 $47.86 . . 1 4/14/16 R14773 0125 CHECK AZURE POOLS & SPAS MFA 100 LFINC WALL/FENCE -FIRST 101-0000-42600 0 $60.91 $60.§1 4/14/16 R14773 0125 CHECK AZURE -POOLS & SPAS MFA 100 LF PC INC Total Paid for FENCE OR FREESTANDING WALL: $108.77. $108.71 SWIMMING POOL/SPA 101-0000-42404 0 .$181.29 $181.29 4/14/16 R14773 0125 'CHECK AZURE . POOLS & SPAS MFA INC SWIMMING POOL/SPA AZURE POOLS & SPAS 0 $98.62 $98.62 4/14/16 R14773 0125 CHECK MFA PC .101-0000-42600 INC Total. Paid for POOL /SPA:. $279.91 $279.91 TOTALS: $38968 m 7, INSPECTION& - Printed. Thursday, April 14, 2.0162:55:10 PM 2of3 JffwS YSTEMS .,. ..O RNEb NOTES REVIEW TYPE REVIEWER SENT DATE: DUE GATE RETU: ;" StATUS x'REMARKS - TM D � �i # k ,, „„' ATE 1ST BLDG NS - APPROVED- PLAN APPROVED, PRE -APPROVED ENGINEERING. ETRAKIT (1 DAY) AJ.ORTEGA 3/30/2016 3/31/2016- 3/31/2016 CONDITIONS SPECIFICATION SHEET REQUIRED. -j- BOND INFORMATim, . q Attachment Type CREATED OWNER?RIP 10N -= PATHNAME * . ' SUBDIR ETRAKIT ENABLED BLOCK WALL DETAIL BPOL2016-0041- BLOCK DOC 3/31/2016: , ' AJ ORTEGA WALL DETAIL (CITY. 1 (CITY STANDARD) STANDARD).pdf DOC, 3/31/2016 AJ ORTEGA POOL PLAN BPOL2016-0041- POOL 1 . (APPROVED) PLAN (APPROVED).pdf BPOL2016-0041- HOA DOC , 3/30/2016 k ,' EtrakitContractor HOA APPROVAL 1 APPROVAL.PDF . 1ST SUBMITTAL POOL BPOL2016-0041- 1ST - PHOTO- 3/30/2016 Etrakit6ntractor PLAN SUBMITTAL POOL ; 1 T PLAN.)pk