BPOL2015-003478-495 CALLE TAM PICO • \ '-., C_ D + 'VOICE (760) 777-7125 Y
LA QUINTA, CALIFORNIA 92253 ` FAX (760) 777.7011
r FAX
DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
W BUILDING PERMIT r '
Date: 2/27/2015
/ 4 y
Application Number: BPOL2015-0034' Owner: •
'Property Address: 78485 VIA SEVILLA ' ^ LILA GANTZ
APN: 604212009 '. 78485 VIA SEVILLA
Application Description: LA QUINTA DEL ORO/PENNA/POOL, SPA, AND GAS LINE FOR BBQ PALM DESERT, CA 92253
Property Zoning: )
Application Valuation: $27,000.00 '
Applicant: • Contractor: -
MIKE LOZANO PROFESSIONAL POOL MIKE LOZANO PROFESSIONAL
P 0 BOX 11272 F� P 0 BOX 11272 ,
-PALM DESERT, CA 92255 ' PALM DESERT, CA 92255
(760)275-4647
LIC. No.: 840397. t
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 followingdeclarations:
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 t_
License Class: C53' License No.: 840397
of theporkr which this permit is issued.
' - —
i _ have and will maintain workers' compensation insurance, as required by
Date: X/�%' C Contractor.. •
Se 3700 of the Labor Code, for the performance of the work for which this• permit 1 «
[%
Is Issued. My workers' compensation insurance carrier and policy number are:. '
OWNER -BUILDS DECLARATION
Carrier: _ Policy Number: t t
I hereby affirm under penalty of perjury that I am exempt fro the Contractor's State
I certify that in the performance of the work for which this permit is issued, 14,
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'. ,. ,, ` •z.
' city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should ecome subject to they
` any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 f the ore I shall forthwith
, signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
'•
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'
Date: Applicant: `
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
V,
permit subjects the applicant to a civil penalty of not more than five hundred dollars r,
WARNING: FAILURE TO SECURE WORKS ' COMPENSATION ERAGE IS UNLAWFUL,
($500).: y �'
AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO +�.I
(� 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:. r.
apply to an -owner of propertywho builds or improves thereon, and who does the work
�, -•
himself or herself through his or her own employees, provided that the improvements
APPLICANT ACKNOWLEDGEMENT' . .r
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.). ) r -
1. Each person upon whose behalf this application is made,.each person at whose r ,,
(� 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 offices; 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 a -
.
work for 180 days will subject permit to cancellation. 4
" Date: t Owner:
r
I certify that I have read this application and state that the above informatiori�is correct.
' CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a'construction lending agency for
construction, and hereby authorize representatives of this city to en r upo e a e•
the performance of the work for which this permit is issued (Sec. 3097, Civ. C:).
mentioned property for inspection purposes.
f Lender's Name:
Date: Signature (Applicant or Agent): " • _
T..
/��.
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Lender's Address:
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ACCOUNTS EQTIfAMOUNT��
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BSAS SB1473 FEE, 101 0000-20306. 'E -OK
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- Total Paid forBUILDING`STANDARDS ADMINISTRATION BSA. ' $1.00_,$6. 00
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GAS SYSTEM;, 1-4 OUTL
OUTLETS.
101-0000-42401
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$12.09
$0.00
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PAIDDATE
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Total Paid,foePLUMBING FEES $36.26' $0.00
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$181.29'
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- . Total Paid.forPOOL'/ SPA.' ;'. , $2179.91 . ' ,,,,$0.00
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Description: LA QUINTA DEL ORO/PENNA/POOL, SPA, AND GAS LINE FOR BBQ
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 2/27/2015 SKH
Approved:
Parcel No: 604212009 Site Address: 78485 VIA SEVILLA LA QUINTA,CA 92253
Subdivision: TR 23971-1 Block:. Lot: 55
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $27,000.00 •Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, AND FIRE PIT. [2 INCH GAS PIPING THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ OR EQUIPMENT WALL.
EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
• - ,DJNJ JD1Y/J rCC 1V1-VVVV-GVJVV V �7L.VV �I V.VV
` Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $2.00 $0.00
Printed: Friday, February 27, 2015 3:55:35 PM 1 of 2
SYSTEMS
I
CONDITIONS
CONTACTS
a'
• - ,DJNJ JD1Y/J rCC 1V1-VVVV-GVJVV V �7L.VV �I V.VV
` Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $2.00 $0.00
Printed: Friday, February 27, 2015 3:55:35 PM 1 of 2
SYSTEMS
PARENT PROJECTS
Printed: Friday, February 27, 2015 3:55:35 PM 2 of 2
S YSTEidS
Bin 1f
C1�}/.Of b QU7nto. -
-Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .'
La Quinta,. CA 922.53 - (760) 777-7012,.'
Building Permit Application and.Trkking Sheet
Permit #'
Project Address: j%t;A- S 9 v t C
Owner's Name: VQ' IIAJAIV -
A. P. Number:
Address: "7 — `��S 44 ' iOZU f(L 1
Legal Description:'
City, ST, Zip: _ ( �cA jb f i • . 2 �S�
Contractor.0
c
Shone' Tele ' S' -C
P 7
»>
Address: ��- a ��2
Project Description: R( C1 sc4vr/11,t,(�,v c}J
City, ST, Zip: P/� dist .. 2�'S.S
AA-) . 3O
hone
Telephone: �G
7 �
..............
:..................
State Lie. # : 1�11 d'3
City. tic. # .
Arch., Engr., Designer: � jt��- �OF- (-r I
Address:
,
City., ST, Zip: P%�-N�- 0F'-S%A-t (;Ik
..
Telephone:Constriction
:{?Y:{::: ii::i: Vii:^:. i:•}iiii�J::r.,v ii}iiii ii:
Type: Occupancy:
YP P Y•
State Lie.
Project tyPa (circle one): New Addt n Alter Repair Demo
Name of Contact Person: o - . %1 v
Sq., Ft.:
# Storiees�s:.
# Units:
Telephone # of Contact Person:. Gam?.
,
Estimated Value of Project:
r APPLICANT: DO NOT WRITE BELOW THIS LINE ' • .
#
Submittal
Req'd
Rec'd
TRACKING
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,
Construction
Flood plain. plan �4.
Plans resubmitted .
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up . . _
S.M.I. .
I-IA.A. Approval
Plans resubmitted
Grading
,IN ROUSE:-
Review, ready for corrcctions/iissue
Developer Impacf Fee
.Planning Approval
' • :..
;' •.
• Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of Perm It issue
School Fees
.
Total Permit Fees
VIA SEVILLA
. JV
1.
-
' _ �,
3•-6.
23
TANNINGLEDGE-16' WITH —� \ ± -5'6• 35'-0•. 36' q
• SLEEVE •
s, /7 v
6.
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ryml -N D ------
------ r, -
- \�
RE�S�IDENCE
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7
\
1
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- -
3, _0• .. ,..
B
~ — POOL EQUIPMENT
s _
SPA .18* -
WITH 16• SPILLWAY
_ — FIRE PIT
-
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
CA 1 �S 8Y
GASL LINE WITH TRACCINGPENE
WIRE
(•.CONDUIT
�
p::
— GAS AND ELECTRIC METERS
PROFESSIONAL POOL
-CONSTRUCTION
LICF C-53 840397
MIKE LOZANO
POOL SPECS
POOL SIZE: 14'X 35'
POOL AREA: 412 SF.
POOL PERIMETER: 90 FT.
POOL DEPTH: 3V TO 5'6•
SPA SPECS
SPA SI7_E: 7'
SPA AREA: 38 SF.
SPA PERIMETER: 22 LF.
POOL DEPTH:
EQUIPMENT SPECS
PUMP:
HEATER:
FILTER:UMBRELLA
LIGHTS:
CHLORINATOR:
_ -
AUTOMATION:
FIIVIsxEs
CONCRETE AREA: 635 5F.
•
VIA SEVILLA