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BPOL2015-018678-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 COMMUNITY. DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: AZURE POOLS & SPAS INC PO BOX 10641 PALM DESERT, CA 92255 BPOL2015-0186 52977 VIA DONA 777410013 SPECK RESIDENCE / POOL SPA & FIRE BOWLS $25,000.00 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, and my License is In full force and effect. License Class: CS3 License No.: 802919 Datedp,��, Contractor: ' OWNER-BUILDERDECLA TION 1 hereby affirm under penalty of perjury that I 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).: (_) 1, 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 Name: Lender's Address: VOICE (760.) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/13/2015 Owner: SPECK 52977 VIA DONA LA QUINTA, CA 92253 Contractor: AZURE POOLS & SPAS INC P 0 BOX 10641 PALM DESERT, CA 92255 (760)322-7665 Llc. No.: 802919 --- ------------------------------------------ WORKER'S_COMPENSATION DECLARATION I herby affirm under penalty of.perjury oneof tKi_Qlowirig declarations: I _ I have and will maintain a certificate of consent to self -Insure for workers' compensate rf, as provided for by Section 3700 of the Labor Code, for the performance of thew for winch this permit is issued. I have and will maintain workers' compensation insurance, as required by Section3700 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 performance of the work for which this permit Is Issued, I shall Sot 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 the Labor Code, (shall forthwith comply ith those provi ' ns. Applicant: WARNING:. FAILURE TO SECURE WORKERS' COMPE . ION COVERAGE IS.UNLAWFUL, AND 1HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEgEST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMP RTANT: Application Is hereby.made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. qach person upon whose behalf this application is made, each person at whose requOst and for whose benefit work Is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall Defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and empl¢yees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void If work is not cpmmenced within 180 days from date of Issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. i I certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county ordinances and state•laws relating to building construction, and hereby.authorize representatives of this city to enter upon the above-mentioned pro rty for Inspection purposes: Date. Signature (Applicant or Agent) L ej # yZ DESCRIPTION �'�$ - # t ACCOUNT ` ; ` QTY } AMOUNT � , PAID s, � PAID DATE a ....... . . a ,- BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/2/15 PAIDBY _, " ,METHOD ;RECEIPT# 'CHECK #"CLTD BY;°. AZURE POOLS & SPAS INC T CHECK. R8918 100009 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ti •ACCOUNT a ,' QTY. AMOUNT,' _ -PAID -PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 9/2/15 Q.• 'PAID BY � METHOD `� RECEIPT# ' � CHECK# CLTD BY AZURE POOLS & SPAS INC CHECK R8918 100009 SKH tp w -DESCRIPTION" ACCOUNT 4r4_ QTY, AMOUNT ds PAID PAID DATE' WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 9/2/15 PAID BY �'� �` -' METHOD T» a CHECK r YTB�� AZURE POOLS & SPAS INC CHECK R8918 100009 ` SKH Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77 tN DESCRIPTION- , ` ACCOUNT " ' ,F QTY. AMOUNT ' > ,'PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 9/2/15 PAID BY METHOD RECEIPT# ti L CHECK # .. CLTD BY. AZURE POOLS & SPAS INC CHECK R8918 100009 SKH " ". . QTYDESCRIPTIO AMOUNT` PAID PAID'DATE`� GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 9/2/15 ... ''PAID BY METHOD '''RECEIPT # � :'CHECK #' CLTD BY AZURE POOLS & SPAS INC CHECK R8918 100009. SKH Total Paid for PLUMBING FEES: $36.26 • $36.26 �DESCRIPTION » `_ACCOUNT ' r ..' QTY AMOUNT PAID DATE° SWIMMING POOL/SPA 101-0000-42404. 0 $181:29 $181.29 9/2/15 r- ° PAID BY „ ` ''" Y, METHOD _ �. s RECEIPT # .i- 4 ` •CHECK #CLTD BY AZURE POOLS & SPAS INC CHECK R8918 100009' SKH "•' " DESCRIPTION, ACCOUNT QTY' AMOUNT* I' PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $98.62 9/2/15 " �PAID BY' v - METHOD RECEIPT # `'.CHECKS# CLTD BY ` , AZURE POOLS & SPAS INC CHECK R8918 100009 SKH DESCRIPTIONS i a • . ACCOUNT �QT1Y AMOUNT �PAID, ?PAID DATE WATER FEATURE ONLY 101-0000-42404 0 $181.29 $181.29 9/2/15 PAID BY '�^; '' METHOD �. RECEIPT # CHECK # CLTD BY AZURE POOLS & SPAS INC CHECK R8918 100009 SKH ,DESCRIRTION , `$ ACCOUNTS, , QTY AMOUNT,_ PAID PAID DATE ,` WATER FEATURE ONLY PC 101-0000-42600 0 $98.62 $98.62 9/2/15 PAID BY' h METHODS: •'RECEIPT # °x, CHECK # • CLTD BY�,- AZURE POOLS & SPAS INC CHECK R8918 100009' SKH Total Paid for. POOL / SPA: $559.82. $559.82 , Ir„ •gin r i� .. � r.[� �'S ; � 1.•x1..1` .• ,.. ��i � y fp 10- ♦• t �, �' ` t .. • ,i1 ' . , .'yam �_, 1 1�. .�. a .., :1. - {i � t`1. ' _y :1 � r�'€ .� R'r r ♦ +fir' ' .•L.. ♦t r� �. ,i .. a� �o I �`�'tiG'or'arN�V Description: SPECK RESIDENCE/ POOL SPA &.FIRE BOWLS Type: POOL Subtype: Status: ISSUED Applied: 8/27/2015 MFA Approved: 8/28/2015 KKI Parcel No: 777410013 Site Address: 52977 VIA DONA LA QUINTA,CA 92253 Subdivision: TR 29894-4 Block: Lot: 51 Issued: 9/2/2015 SKH Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $25,000.00 Occupancy Type: Construction Type: Expired: 3/7/2016 crw No. Buildings: 0 No. Stories: 0 No. Unites: 0 sent back 8/28/15 to philip Details: POOL, SPA, AND GAS LINE TO FIRE BOWLS, 4 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL]. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. ADDITIONAL SITES �. �n lam,: ^7 a �; Process Summary 'd; fYe`St-.'kv`"`.�%. 'W�'N M•� # :! 9%' xb' > a+. �.- i Applied to Approved . ; Approved to Issued, HRO_NOLOG :•rteCT.I.,O%''C STAFF NAME ...,,-, ...C. O.. MP-' L-.E,TIO_ M...,'D°~ATE. _ , R r ..,.. < z ^.`. •� , . NOTES,*C, NOTE PHILIP JUAREZ 8/28/2015 8/31/2015 sent back 8/28/15 to philip ?e." -. .':.: r•. ..' .. .d .. NAME.TYPE w CONDITIONS, CONTACTS .... -.:. d' .meg a •�. '.a F,,., - ,ad:.:" 4 zx"' -' Ni4MEM::. j AUDRESSl art 3'. CITY, "'=STATEf• r ZIPh PHONE:„ *aFAX• , 'EIVIAILY` ..O ��# .Ill ' M APPLICANT AZURE POOLS & SPAS INC P 0 BOX 10641 PALM DESERT CA 92255 CONTRACTOR AZURE POOLS & SPAS INC P O BOX 10641 PALM DESERT CA 92255 OWNER SPECK 52977 VIA DONA LA QUINTA CA 92253 ��w........ �.w9.' .I�1 IIID"m" II VII'. 1�,QliblI.I.II!II i n IbI 1, r2wL'5'l!'!'14 !!f t M1}.d l,yq1. !ry, HAA '!IleSWM'i�l'd dN M1SM1 kfgbi'LY�k. t 1 gab a y�,:: V N.4,'r,�dl LbN" lu.d" y b• .:.:-w.'-.. .... ",L Y y w, !y, VW v:1�";erIAL31Nf:RYATIN :"'INANC Y Printed: Tuesday, October 13, 2015 8:13:02 AM 1 of 3 - ORWlYSTEMS, . k'`".:i 1-•�`�'Y ;± 7 �e� '� w �* 't,wa .e� w�, ,., �8.1t . c e*: i t �.5 t °�+� •L C --4,i�"�e.,m.�' W�,�t,, •y k V ��s >�''R+� F µ 'r DESCRIPTION ' ACCOUNT r _QTY AMOUNT PAID '• PAID -DATE `RECEIPT# '. CHECK# METHOD" ` `PAID BY .DATE, i-;% II'. ,t. k"'. aa� «i .wn'.a FINAL" BLD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/2/15 R8918 100009 CHECK AZURE POOLS & SPAS SKH INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: WALL/FENCE• -FIRST 101-6000-42404 0 $47.86 $47.86 9/2/15 R8918 100009 CHECK AZURE POOLS &SPAS SKH 100 LF INC WALL/FENCE -FIRST 101-0000-42600 0 $60.91 $60.91 9/2/15 R8918 100009 CHECK AZURE POOLS &SPAS SKH 100 LF PC INC Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77 GAS SYSTEM, 1-4 101-0000-42401 0 .$12.09 $12.09 9/2/15 R8918 100009 CHECK AZURE POOLS &SPAS SKH OUTLETS INC GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 9/2/15 R8918 100009 CHECK AZURE POOLS & SPAS SKH OUTLETS PC INC Total Paid for PLUMBING FEES: $36.26 $36.26 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $181.29 9/2/15 R8918 100009 CHECK AZURE PONOS &SPAS SKH �J SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $98.62 9/2/15 R8918 100009 CHECK AZURE POOLS & SPAS SKH PC INC WATER FEATURE ONLY 101-0000-42404 0 $181.29 $181.29 9/2/15 R8918 100009 CHECK AZURE POOLS & SPAS SKH INC WATER FEATURE ONLY 101-0000-42600 0 $98.62 $98.62 9/2/15 R8918 100009 ,CHECK AZURE POOLS & SPAS SKH PC INC Total Paid for POOL/. SPA: $559.82 $559.82 t -:S � c - ' s4 n. - • 7� } . � "Ywwrrrr� « wv ._ -. _ 4i _ ;x ,. ,. f' .yam:. 7 77 T F.5� _ .... e+^;,s.a..r-.'w:..,..g...-.-, .,.u,:�..:•zG.y,._ .�14e, ... . �`X. ,a.%. ... ...,,. #R"t`Yg s. .'. 2, s".� ,,. .:: .. ± .. ,... .' ,n.� Yad.: �'�;SEQID � �INSPECTION�TYPE.�a� �� : �,INSPECTOR�i� � ,�SCHEDULED; ,COMPLETEp RESULTY -- ��y�REMARKS� � ,� •. , �W � �NOTES� ��,,;; •<. � ,.� , .Y%.,ux3T iyr 'ia ,w•: -11v., Pp.:...a'axlbai .`.i?.+...i� �'wl ut -y. g tt �x,"� DATE;'., y W.i":�h"'`-�e-r" .DATE, i-;% II'. ,t. k"'. aa� «i .wn'.a FINAL" BLD UNDERGROUND ELEC KKI 9/9/2015 .9/9/2015 APPROVED Printed: Tuesday, October 13, 2015 8:13:02 AM 2 of 3 t CRTWIYSTrMS UNDERGROUND GAS KKI I 9/9/2015. I 9/9/2015 I APPROVED UNDERGROUND PLBG KKI 9/9/2015 9/9/2015 APPROVED a BOND INFORMATION Printed: Tuesday, October 13, 2015 8:13:02 AM 3 of 3 SYSTEMS