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BPOL2016-0096C - o 78-495 CALLE TAMPICO Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy Number: LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2016-0096 Property Address: 49215 VISTA VENTURA APN: 658220005 Application Description: KOSMOS GEORGE / POOL RE Property Zoning: Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division Application Valuation: $30,000.00 c&t!t 4 el� Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT A 0 AUG 29 2016 CITY GFLA QUJ,VTA� C0M',IV14Ty 1;G1,'FLCPh1ENT Dc?4RT. IEWT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS(760)777-7153 Owner: GEORGE KOSMOS 601 UNION ST STE 3900 SEATTLE, WA 9253 Date: 8/29/2016 Applicant: Contractor: LEAK SPECIALISTS INC DBA LEAK DETECTORS LEAK SPECIALISTS INC DBA LEAK DETECTORS P 0 BOX 727 P 0 BOX 727 THOUS^ND PALMS, CA 92276 THOUSAND PALIVIS, CA 92276 (760)7.73-9070 Lic. No.: 618116 --------------------- ------------------------------------------------------------------------- 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: C36. C53 /License No.: 61{ _8116 Co�ntra�r�ttR'or: /V `/ - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificat5 of consent to self -insure for workers' compensation, as provided for by Section 3707 of the Labor Code, for the performance of the w , for which this permit is issued. -have and will maintain workers' c)mpensation insurance, as required by Section 3700 of the Labor Code, for the perfownance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State SWC1114066 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that in the performance ofthe work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ.any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section _ 700 of the Labor Code, I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. 3 of the Business and Professions Code) or that he or she is exempt therefrom and the ep , basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Dat Appy permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' CCU PENSATION COVERAGE IS UNLAWFUL, ( ) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMMAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,OCO). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FO R IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (� I, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this applitation is made, each person at whose to construct the project: (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owne r, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License law.). employees for any act or omission related to tie work being performed under or (� I am exempt under Sec. . B.&P.C. for this reason 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 Date: Owner: work for 180 clayswill subject permit to cancellation. 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: 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. Signat�(ApplicantorAgent) Application Number: BPOL2016-0096 Property Address: 49215 VISTA VENTURA APN: 658220005 Application Description: KOSMOS GEORGE / POOL REMODEL Property Zoning: Application Valuation: $30,000.00 Applicant: LEAK SPECIALISTS INC DBA LEAK DETECTORS P 0 BOX 727 THOUSAND PALMS, CA 92276 Date: 8/29/2016 Owner: GEORGE KOSMO_• 601 UNION ST ST= 3900 SEATTLE, WA 92233 Contractor: LEAK SPECIALISTS INC DBA LEAK DETECTORS - P 0 BOX 727 THOUSAND PALfvS, CA 92276 (760)773-9070 Lic. No:: 618116 ` --------------------------------------------------------------------------------------------- ''Uetaii. DEMOLITION OF EXISTING SPA AND INSTALLATION OF NEW SPA AT NEW LOCATION. NEW SM LOCATION WILL REQUIRE A SPECIAL INSPECTION FOR EPDXY TIE-INS. REPLASTER AND RETILE OF EXISTING POOL AND ADDITION OF GAS LINE AND FIRE PIT. GAS LINES SHALL 3E SLEEVED AS REQUIRED. ALL WORK SHALL CONFORM TO 2013 BUILDING CODE. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.5 $72.50 Total Paid for BLDG CITY STAFF - PER HOUR: $72.50 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM; 1-4 OUTLETS 101-0000-42401 0 $12:09 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 "TOtAIPYii8"for PLUMBING FEES: : $36.26 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $181.29 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 Total Paid for POOL! SPA: $279.91 TOTALS: •0 ! Sri PA . 5 Proposed Constrctl o es will confonn to thefollowing-011Scale: 1/8""- 1' _ _.__ _ TIri i24XIO Y _ ..r P'k-'V1S1uj Qin # Permit # (o ... fr,oject Address: Jr' !' . .City of La Quinta Building 8i' Safety Division . . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking -Sheet A- ' ; ,A ti0�`" nc s Name: f QQ V A. P. Number: Address: Legal Description: City, ST, Zip: gntract r w t o. r r Telephone: ele one: �. o Address: 1 p cject Description: 4 City, ST, Zip p t fTele h ne P o . r o yz 7 S to Lic. #': 40/81. ` City Lia`#.: Arch., Engr., Designer: i r. Address: City, ST, Zip: Telephone: one: aneY Cotruction Type: Occupancy: : State Lie. ,. S •ProJect r Demo. type (circle one • New Add'n Alter Repairai 0 -08ffl& of Contact Person: Sq. Ft.: # Stories: # Units: �olcphone # of Contact Perso* 7(a 2.r IEsti mated Value of Project: �! APPLICANT: DO NOT WRITE BELOW THIS LINE tl 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 Cafes. Called Contact person Plan Check Balance. Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Revicw, ready for corrections/issue Electrical Subconlactor List Called ContactPcrson Plumbing Grant Deed Plans picked up S.M.I. 1-I.O.A. Approval Plans resubmitted Grading IN HOUSE:- . ' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.1.P.P. Pub. Wks. Appr Dale of permit issue School Fees, Total Permit Fees � VOICE (760) 777-7125 ars, 78-495 CALLE TAMPICO T FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/6/2016 Application Number: BPOL2016-0096 Owner: Property Address: 49215 VISTA VENTURA — GEORGE KOSMOS APN: 658220005 _ ��� 601 UNION ST iTE 3900 Application Description: K05MOS GEORGE / POOL REMODEL ivy, SEATTLE, WA 9.2253 Property Zoning: ��? I•a Application Valuation: $30,000.00 cm c.e N Applicant: pp � "' i,:;Contractor, LEAK SPECIALISTS INC DBA LEAK DETECTORS LEAK SPECIALISTS INC DBA LEAK DETECTORS P 0 BOX 727Q THOUSAND PALMS, CA 92276 d� 0 BOX 727 -=_ MmHOUSAND PA_MS, CA 92276 (760)773-9070 Llc. No.: 61811.5 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: C36, C53 License No.: 618116 Dim— 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 they 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 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 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 co S on 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 3700 of the Labor Code, I shall forthwith comply with those provisions. , /J A Date: j% IT/ /J(p pplicant 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 ($100c000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED EOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKMOWLEDGEMENT IMPORTANT: Application is hereby made tc the Building Official for a permit subject to the conditions and restrictions set forth on :his application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is perfcrmed 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 #ie City of La Quinta, its officers, agents, and employees for any act or omission related b 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 anc 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 represe-itatives of this city to'enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE' 101-0006-20306. 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD 'BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 DESCRIPTION ACCOUNT CITY 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 PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:00 l ° -r9' Description: KOSMOS GEORGE / POOL REMODEL Type: POOL Subtype: Status: APPROVED Applied: 6/29/2016 RSE Approved: 7/6/2016 MFA Parcel No: 658220005 Site Address: 49215 VISTA VENTURA LA QUINTA,CA 92253 Subdivision: TR 25237 Block: 'Lot: 50 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $30,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details:. DEMOLITION OF EXISTING SPA AND INSTALLATION OF NEW SPA AT NEW LOCATION. NEW SPA LOCATION WILL REQUIRE A SPECIAL INSPECTION FOR EPDXY TIE-INS. REPLASTER AND RETILE OF EXISTING POOL AND ADDITION OF GAS LINE AND FIRE PIT. GAS LINES SHALL BE SLEEVED AS REQUIRED. ALL WORK SHALL CONFORM TO 2013.BUILDING CODE. Process Summary ,,,,,-„}Applied to Approved ' Printed: Wednesday, July 06, 2016 5:07:40 PM 1 of 3 (7/TTLJ SYSTEMS {� CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES TELEPHONE CALL DUANE CLAYTON 7/1/2016 7/1/2016 PHONE CALL TO MIKE LUHAN INFORMING HIM THAT PLANS REQUIRE CORRECTIONS AND READY FOR PICK UP. TELEPHONE CALL DUANE CLAYTON 7/6/2016 7/6/2016 CONTACTED MIKE LUHAN INFORMED HIM PLANS WERE APPROVED AND READY FOR PICK UP. NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT LEAK SPECIALISTS INC DBA LEAK DETECTORS P 0 BOX 727 THOUSAND PALMS CA 92276 CONTRACTOR LEAK SPECIALISTS INC DBA LEAK DETECTORS P 0 BOX 727 THOUSAND PALMS CA 92276 OWNER GEORGE KOSMOS 601 UNION ST STE 3900 SEATTLE I WA 1 92253 Printed: Wednesday, July 06, 2016 5:07:40 PM 1 of 3 (7/TTLJ SYSTEMS INSPECTIONS PARENTPROJECTS FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK #' METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0. $2.00 $0.00 REVIEWER Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: GAS SYSTEM, 14 101-0000-42401 0 $12.09 $0.00 DATE OUTLETS NON•CONrORMING EXISTING POOL EQUIPMENT GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 LOCATION. WILL REQUIRE RELOCATION OF NEW 1ST BLDG NS (1 DUANE 6/29/2016 6/30/2016 7/1/2016 OUTLETS PC EQUIPMENT TO A CONFORMING LOCATION PER' DAY) CLAYTON LQMC 9.60.70(2)(A)(B). POOL AND SPA TO HAVE Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 2 SUCTION OUTLETS EACH, 36" APART. . SWIMMING POOL/SPA REQUESTED 2-11"X17' PLANS COPIES. 2ND BLDG NS (1 DUANE 7/6/2016 7/6/2016 7/6/2016 APPROVED • 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:00 INSPECTIONS PARENTPROJECTS REVIEWS STATUS REMARKS RETURNED REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE NON•CONrORMING EXISTING POOL EQUIPMENT LOCATION. WILL REQUIRE RELOCATION OF NEW 1ST BLDG NS (1 DUANE 6/29/2016 6/30/2016 7/1/2016 REVISIONS REQUIRED EQUIPMENT TO A CONFORMING LOCATION PER' DAY) CLAYTON LQMC 9.60.70(2)(A)(B). POOL AND SPA TO HAVE 2 SUCTION OUTLETS EACH, 36" APART. . REQUESTED 2-11"X17' PLANS COPIES. 2ND BLDG NS (1 DUANE 7/6/2016 7/6/2016 7/6/2016 APPROVED WK) CLAYTON Printed: Wednesday, July 06, 2016 5:07:40 PM 2 of 3 SYSTEMS Printed: Wednesday, July 06, 2016 5:07:40 PM 3 of 3 srsTFMS Bin # C)CI City of La Quinta Building ST Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # .6 Project Address: t•S . v_ Owner's Name: S S A. P. Number: Address: Legal Description: City, ST, Zip: CA V I ✓l Contractor: l L 2 hone: Telephone: Address: (30 -7 Z Project Description: � City, ST, Zip: �Q (%lSA(iy/ ay, 4PK(SNvq s ,q... Tele h ne: P 0 7 ov 7 � R i State Lic. #: 61 City Lic. #.: ( ' Arch., Engr., Designer: O E I l •' 1 ` (� (S L}Q e rk--wf ' Address: � �'] Z 5 L t/I,�I E`•A �^ T f ��t= � � �T i /1 t. City., ST, Zip: oese-ai. Telephone % — Z I Y� ....................................................... ;; Construction Type: Occupancy: Lic. #: ectState Project type (circle ne • Neww Add'n Alter Repairair Demo Name of Contact Person: KL t Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 2 `20 6 Estimated Value of Project: 3 © C40 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d 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 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 �g b tev LP 6 6A P �QQ