BPOL2017-0088.. CALLE TAMPICO VOICE (760) 777-7125
' '78-495 FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
I Date: 6/23/2017
I Application Number: BPOL2017-0088 Owner:
Property Address: 49849 VIA CONQUISTADOR DION KESHOU
I APN: 602160016 nn
Application Description: KERHOULAS /POOL SPA BBQ AND FIRE PIT LA QUI 2253
Property Zoning:"
Application Valuation: $65,000.00
I Applicant: Contractor:
BRILLIANT POOLS DBA PREMIER POOLS &.SPAS BRILLIANT POOLS DBA P�jf P00L5 &
P 0 BOX 429 P 0 BOX 429
YUCCA VALLEY, CA 92286 YUCCA VALLEY, CA 92286 �F.4
(760)333-0187, ��lF
Llc. No.: 878257
-----------------------------------"----------------=------------------------------------------
LICENSED CONTRACTOR'S DECLARATION . .
+ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I and my License is in full force and effect..
License Class: C53 License
��No.: 878257
I Date�40�entractor.
I OWNER -BUILDER DECLARA ON
I hereby affirm under penalty of perjury that*l am 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 isnot 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
1 . 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 .
i 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:
l.•
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:
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 work 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 polity number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9099738
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of Lahor Code, I shall forthwith
comply with those plovisions. A A
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 subjectto
the conditions and restrictions set forth on this application.
1. Each person upoh 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 above information is correct.
I agree to comply with all city and county ordinances and state laws r ti to u'
construction, and hereby authorize representatives of this city t ter on
above-ment' ned property for inspection purposes.
Dat Z Sigrralicant or Agent
Date:. 6/23/2017
Application Number: BPOL2017-0088
Owner:
Property Address: 49849 VIA CONQUISTADOR
DION KESHOULAS
APN: 602160016
1 Application Description: KERHOULAS / POOL SPA BBQAND FIRE PIT
LA QUINTA, 92253
Property Zoning:
Application Valuation: $65,000.00
Applicant:
Contractor: .
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
P 0 BOX 429
P 0 BOX 429
YUCCA VALLEY, CA 92286
YUCCA VALLEY, CA 92286
(760)333-0187
Llc'No.: 878257 .
Detail: POOL, SPA, BBQ AND FIRE PIT AT REAR YARD [TODD LACHER ENGINEERING] THIS PERMIT
DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION, 2017 CALIFORNIA BUILDING CODE.
i
i
FINANCIALINFORMATION.
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS 501473 FEE 101-0000-20306 0 $3.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES,. FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0.
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
01
$103.36
Total Paid for POOL / SPA: $293.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00.
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:•• •
'
.3. -.,
Bin # <
City of La Quinta
Building &r Safety Division
r` 78-495 Calle Tampico.
La'Quinta, CA 92253.- (760)777-7012
Building Permit Application and Tracking Sheet.
Permit #
Project Address: C?�A Dt$A04d..
Owner's Name: -blob efh
A. P. Number:
Address: 7 ! y y ()J'( C0 1
[City,
Legal.Description:
ST, Zip: zu QUA x
Contractor: lac �l i�tif cP.�� �eM ic(t` �c� •�S
Telephone:
Address: Pp .Q�X a
Project Description: toms --IC
City, ST, Zip: t7GC 4 i'� b 'CA
�1' Ct IPA Q
Telephone: 6 0 3 —� 7
State Lic. # : 7 S
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: ne:
<>«>>State Lic. #• =
Name of Contact Person: Hyl L—Q�VbY1S
Construction Ty P e: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:(p 0fo .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recdff.m
TRACKING
PERMIT FEES
Plan Sets
mitted
�I
Item
Amount
Structural Calcs.
for corrections
Plan Check Deposit
Truss talcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2r' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up'
S.M.I.
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
r
Total Permit Fees
file:///C:/Users/Jason/AppData/LocaVMicrosoft/ Windows/lNetCache/...
Master Association`for Rancho La Quinta
•79-285 Rancho La Quinta Drive
�, La Quinta CA 92253 ,
Phone: 760-777-8807® Fax: 760-777-8961t9
,. www.rlgma.com
Date: 6/19/2017 10:02:29 A
Dion & Bette Kerhoulas
49849 Via Conquistador
La Quinta CA 92253 r ,
Re: 49849 Via Conquistador - Approval of, Submission
Dear, Mr. and Mrs. Kerhoulas, ;
The Architectural Committee reviewed your'submission for the following;
Pool, spa, fire pit, barbeque, pavers and landscape changes: '
Your submission as presented, is approved contingent on the following:
• Any damage to. the common area caused during this construction shall be repaired by the Owner to tr
satisfaction of the Association. y
• All work is to be done in accordance with all applicable requirements of governmental entities,
' including the City of La Quinta and accordance with all Homeowners Association
Architectural/Landscape Guidelines and governing documents.
• If required, a City of La Quinta building permit will be obtained and copy furnished to the Associatic
prior to commencement of work.
• No other structural changes are approved with this. submission.
Once completed, please submit a "Notice of Completion" and the Association's Architect will schedule an
inspection so we can process your deposit for return.
If you have any questions, please contact the onsite office at 760-777-8807-®.
Sincerely, ,
r
fJamie Circle `
Architectural & Communications Manager REC-VED
Master Association for Rancho La Quinta
JUN 2 12017
CITYNG EP UINTq
PLgN ,
ARTMENT
10 1 y t 6/20/17,1:40 PM
1