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BPOL2016-0024f 1111101111111111111 33 aw 78-495 CALLE TAMPICO C� 0 D adi� VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT. DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/9/2016 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: BRILLIANT POOLS P 0 BOX 429 YUCCA VALLEY, CA 92286 BPOL2016-0024 81105 COLUMBUS 767670028 FILLER / (2) POOLS AND SPAS, (1) FIRE PIT ATTACHED TO POOL $124,000.00 i.i,a�; A 2016 r, _ J CM,Ot-LAQUINTA I c0a1i�U�irr PEVELOftrirtd'f OEs"•Aia7•°•SENT 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: C53 License No.: 878257 /// Date 3`/� _/ Contractor: // OWNER -BUILDER DECLARATION I 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).: (_) 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 interided 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 Addre! Owner: EAST OF MADISON P 0 BOX 1482 LA QUINTA, CA 0 Contractor: BRILLIANT POOLS P 0 BOX 429 YUCCA VALLEY, CA 92286 (760)333-0187 Llc. No.: 878257 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 Pork for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Sect ' n 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: Carrier: _ Policy Number: _ _ 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 370 f the labor Code, I shall forthwith comply with those provisions. Date v �/� / Applicarit: 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 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 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 eea upon the above-mentioned property for inspection purposes. 7 Date: `� �— Signature (Applicant or Agent): I FINANCIAL •/• DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS'SB1473 FEE 101-0000-20306 0 $5.00 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL/ SPA: $559.82 $0.00 TOTALS:.000 Description: FILLER / (2) POOLS AND SPAS, (1) FIREPIT ATTACHED TO POOL Type: POOL Subtype: Status: UNDER REVIEW Applied: 3/8/2016 SKH Approved: Parcel No: 767670028 Site Address: 81105 COLUMBUS LA QUINTA,CA 92253 Subdivision: TR 33076-2 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $124,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CITY Details: POOL AND SPA WITH FIREPIT ATTACHED AT BACKYARD, SPA AND WADING POOL AT SIDEYARD. THIS PERMIT DOES NOT INCLUDE BBQ OR FRONT WATER FEATURE. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT BRILLIANT POOLS P 0 BOX 429 YUCCA VALLEY CA 92286 CONTRACTOR BRILLIANT POOLS P 0 BOX 429 YUCCA VALLEY CA 92286 OWNER EAST OF MADISON P 0 BOX 1482 LA QUINTA CA 0 Printed: Wednesday, March 09, 2016 9:36:56 AM 1 of 2 �� srsrenas DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29. $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $559.82 $0.00 TOTALS:.0 00 PROJECTSINSPECTIONS PARENT REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE 1ST BLDG NS (1 APPROVED- PER APPLICATION AND PROPOSED SCOPE OF DAY) JAKE FUSON 3/8/2016 3/9/2016 3/9/2016 CONDITIONS WORK, APPROVAL DOES NOT INCLUDE FRONT WATER FEATURE. Printed: Wednesday, March 09, 2016 9:36:56 AM 2 of 2 EmAr - R? SYSTEMS Bin City. of La Quin to Building 8& Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: A. P. Number: 6 7. o Addr ss: e 7 s -K— Legal Description: POS) G S p L} _ W qd In Pod 'City, ST, Zip: Pq Al %Zp26 tr n act r• Co o . I �� 1 B o S � /T h n - Tele o e. OV P y Address: PO '7 Project Description: City, ST, Zip: t) CC UQ�f P O G'T neLo DO O'd •� l9 r Tel h ne e o P �O " ,� 7 � s Com¢. L A �ll r:0 n e d 1 S �i- 4 _ State Lic. # : R7d S City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ne: an Construction e: Ali Occupancy: n TYP cY State Lie: �cit le ne):New Add'n Alter Re air Demo Name of Contact Person: �sa... zzw /� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 7160 — �3�., D Estimated Value of Project: (6(90 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad 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 I10USE:- '^! Reyiew, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees } — — _ — — 3.1 MAX. g 13 " T'% - i} ,oPA eFc ' Z, \ POOL a \COPING=1008.97 113=1008.44 J1 \ \ k -t Iv 74 \ I _ \ ff a+ omtr \ \` J PA t010.OFG P. C' . \ \11 \ `J — --17- 03 03 4--rE : n f �1 �U08.771FN t 1 INV 1: 11 Aim MAW 11 j 6wei) 1008.0OTF - \----------—Otff-0E—bk0UI-4TA— ---------------------------------------------------------- -------------------- � BUILDING & SAF DEPT- APPROVEDLOT 2B \\ FOR CONSTRUCTION P E = (10 0 0.0 ) DATES/ 61( -lr (VACANT) Y `\' —670-028 APN: 767 x \ ' " 81-105 COLUMBUS WAr PREPARED UNDER THE SUPERVISION OF: VMS—.1/7/16 ESFANDIAR SHAHANDEH DATE: DATE: RCE NO. _psi n-576 s Lw sim pGINEERING P(M)m- �" °a (760) 7OU. C0 a=1 (760) M -64V FAX WW .n=n.d womwny vron�y s PRIVATE RESIDENCE PRECISE GRADING PLAN MADISON CLUB LOT 1B TRACT 33076-2, M.B. 393/61-80 PORTION OF SECTION 10, T.83., R.7E., SBB&M CITY OF LA QUINTA \ \ i� �1 �U08.771FN t 1 INV 1: 11 Aim MAW 11 j 6wei) 1008.0OTF - \----------—Otff-0E—bk0UI-4TA— ---------------------------------------------------------- -------------------- � BUILDING & SAF DEPT- APPROVEDLOT 2B \\ FOR CONSTRUCTION P E = (10 0 0.0 ) DATES/ 61( -lr (VACANT) Y `\' —670-028 APN: 767 x \ ' " 81-105 COLUMBUS WAr PREPARED UNDER THE SUPERVISION OF: VMS—.1/7/16 ESFANDIAR SHAHANDEH DATE: DATE: RCE NO. _psi n-576 s Lw sim pGINEERING P(M)m- �" °a (760) 7OU. C0 a=1 (760) M -64V FAX WW .n=n.d womwny vron�y s PRIVATE RESIDENCE PRECISE GRADING PLAN MADISON CLUB LOT 1B TRACT 33076-2, M.B. 393/61-80 PORTION OF SECTION 10, T.83., R.7E., SBB&M CITY OF LA QUINTA