BPOL2015-02103
78-495 CALLE TAMPICO~ _ D 4v VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: .9/28/2015
Application Number: BPOL2015-0210 Ow
Property Address: 48800 LEGACY DRD LEG LAS AT LA QUINTA H
APN: 658420001 689 A LINA RD
Application Description: LEGACY VILLAS POOL #3 PUBLIC POOL REMO CA E L CY, CA 92253
Property Zoning: OCT U 12015
Application Valuation: $47,800.00
Applicant:
CITY OF LA QUINTA Contract,
1COMMUNPnEVELOPMENT DEFMn;'VZ � INGS TECH, INC.
LEGACY VILLAS HOA
48800 LEGACY DR. OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Nf0
(760)329-8930
Llc. No.: :LIC -0003608
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: License No.: :UC -0003608
gate:' — Contactor:
OWNER -BUILDER CLARATION
I hereby affirm under penalty of perjury th 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 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.).
(_J 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:
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 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 Co , I shall forthwith
comply with those provisions.
,Date. r Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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 enter on the
above-mentioned property for inspection purposes.
Date' Signature (Applicant -or A
a
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s166.37 300�
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F
Description: LEGACY VILLAS POOL #3 PUBLIC POOL REMODEL
Type: POOL Subtype: Status: APPROVED
Applied: 9/18/2015 AZA
Approved: 9/23/2015 KKI
Parcel No: 658420001 Site Address: 48800 LEGACY DR LA QUINTA,CA 92253
Subdivision: TR 31379 Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $47,800.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NOTE
Details: POOL REMODEL WITH NEW EQUIPMENT, CHLORINATOR, SPLIT DRAINS, AND CHANGEOUT TO SKIMMER AND FLOW METER PER
2013 CALIFORNIA BUILDING CODE
Applied to Approved
FINANCIAL INFORMATION
Printed: Monday, September 28, 2015 12:14:21 PM 1 of 2
SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
NOTE
STEPHANIE KHATAMI
9/23/2015
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE ZIP PHONE FAX EMAIL
APPLICANT
LEGACY VILLAS HOA
48800 LEGACY DR.
LA QUINTA CA 92253
CONTRACTOR
OCEAN SPRINGS TECH, INC.
OUTSIDE CITY LIMITS
OWNER
LEGACY VILLAS AT LA QUINTA H
68950 ADELINA RD
CATHEDRAL CY CA 92253
FINANCIAL INFORMATION
Printed: Monday, September 28, 2015 12:14:21 PM 1 of 2
SYSTEMS
Permit Details PERMIT NUMBER
City of La Quinta BPOL2015=02.10 a
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD.
BY ,
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
FIXTURE/TRAP
101-0000-42401
0
$12.09
$0.00
FIXTURE/TRAP PC
101-0000-42600 d
0
$12.09
$0.00
Total Paid for PLUMBING FEES: $24.18 $0.00
TOTALS:0i
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, September 28, 2015 12:14:21 PM 2 of 2.
SYSTEMS
It
a�
Bin
Permit ##
(3 to 15 —
Project Address:
v
..
Qty of La • Quinta
Building 8i' Safety Division
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
v Cti' Owner's Name: O
A. P. Number:
Address: 4
Legal Description:
City, ST, Zip: Q V l-iii— C X q ,Z„Z 6, 3
tfaCt i'
Ca]
J
T ele hone�6 V -ID -70s
Address:
Project Description:
City, ST, Zip:
le h ne
Te P o .
nn 6t
00 3 � p
State Lie. # :
City Lie.
Arch., Cngr., Designer:
(p tJ M t+Tl� 0. b (l a r� r�tr12G nwy�o
Address:
N
F l t*C6 k.S fttf C I kC- U A Allo,,J I' `, 6,"t P -
City, ST, Zip:
Telephone:
PaneY:
Construction Type: Occupancy:
State ie. #
ProjectttYP (circle one New Ad d'n Alter Repair Demo
Name of Contact Person:
�c 0
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person: 766(;is-1751
Estimated Value of Project: , U '
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'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
Phan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
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.
II.O.A. Approval
Plans resubmitted
Grading . .
IN HOUSE:-
'r° 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 Dees
COUNTY OF RIVERSIDE
DEPARTMENT OF ENVIRONMENTAL HEALTH
Pool & Spa Renovation Worksheet
Name of Facility: Legacy Villas HOA -POOL 3 PR: SR:
Site Address: 48800 Legacy DR City: La Quinta
Contractor: 1 Stop Pool Pros license #: License Type: C53
K15- I 3r
Circle One: POOL SPA WADER WATER FEATURE
Scope of Work: (check all that apply): Include all modifications, upgrades, & additions that will be done during the renovation -
regardless of whether multiple contractors are performing the work. The scope of work may require
additional plan submittal.
19,
Resurfacing- 4000061% AquaGlasS❑
Splitting suction outlets
❑
Solar System Installation
CK
• Water line tile X
Coping (Provide detail)
❑
Fencing (Provide fence plans)
9
Trim the 9-
Replace surface skimmers
❑
Replace plumbing
R
Depth markers R
Decking
❑
Depth change (ie. Shallow)
❑
Breakline tile @ 4 % foot depth IR
Deck depth markers
❑
Other Remodel:
PS
Hand rails (Provide detail) ❑
Bring equipment out of pit
CK
Drain covers
❑
Deep end exit ladder/grab rails K,
Equipment addition/change
9
Pump replacement
Pool or Spa Information:
Surface Area
Volume
Depth(s)
Suction Pipe: 4 in.
Make: Hayward Model: EcoStar Hp: 2.7
Make: AquaStar
Model: 12MF101
Return Pipe: 4 in.
1742 sq.ft
55.672 gallons
Min: 3.5, Max:
Piping Type: PVC
Equipment Information:
K NEW
Recirculation Pump
Drain Covers
❑ EXISTING
Make: Hayward Model: EcoStar Hp: 2.7
Make: AquaStar
Model: 12MF101
Quantity of 2
Min flow: gam Max flow: 128 eom
IXSplit Main Drain ❑ Unblockable Drain ❑ Single Drain+SVRS:
low:274❑
IK Floor ❑ Wall Max Flow:-274--
0NEW
Jet System Pump
Drain Covers
❑ EXISTING
Make: Model: Hp:
Make:
Model:
❑ N/A
❑ Split Main Drain ❑ Unblockable Drain 0 Single Drain + SVRS:
❑ Floor ❑ Wall Max Flow:
CKNEW
Filter G -VY 'Z
Backwash:
❑ EXISTING
Make: Hayward Model:_HCF342T Type: Sand _
CKNEW ❑ N/A
Chlorinator
❑ EXISTING
Make: IPS Model: M920
❑ NEW ❑ N/A
Salt Chlorine Generator
❑ EXISTING
Make: Halmorb Model: HCSC60 Quantity: 2
KNEW
Skimmers)
Equalizer Drain Covers
❑ EXISTING
Make: Hayward Model: WG10712SFVAQuantity: 4
Make: PARAMOUNT Model: SDX
Ot NEW ❑ N/A
Flow Meter
❑ EXISTING
Make:BlueWhlte Model: F-300
❑ NEW ❑ N/A
Solar System
❑ Separate pump system
❑ EXISTING
175vbfail a detailed plumbing schematic
❑ Bypass Loop ❑ Bypass Loop w/ booster
�'
For office use only ti rApproved
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COUNTY OF RIVERSIDE
DEPARTMENT OF ENVIRONMENTAL HEALTH
Pool & Spa Renovation Worksheet
Name of Facility: Legacy Villas HOA -POOL 3 PR: SR:
Site Address: 48800 Legacy DR City: La Quinta
Contractor: 1 Stop Pool Pros license #: license Type: C53
Circle One: <19D SPA WADER WATER FEATURE
Scope of Work: (check all that apply): Include all modifications, upgrades, & additions that will be done during the renovation -
regardless of whether multiple contractors are performing the work. The scope of work may require
additional plan submittal.
Iffi
Resurfacing40000AN* AquaGlasso
Splitting suction outlets
❑
Solar System Installation
18
Water line tile %
Coping (Provide detail)
❑
Fencing (Provide fence plans)
9
Trim tile 9
Replace surface skimmers
❑
Replace plumbing
R
Depth markers 9,
Decking
❑
Depth change (ie. Shallow)
❑
Breakline the @ 4 Y2 foot depth 6C
Deck depth markers
❑
Other Remodel:
tx
Hand rails (Provide detail) ❑
Bring equipment out of pit
CK
Drain covers
❑
Deep end exit ladder/grab rails 31
Equipment addition/change
Ig
Pump replacement
Pool or Spa Information:
Surface Area
Volume
Depth(s)
Suction Pipe: 4 in.
Make: Hayward Model: ECOStar Hp: 2.7
Make: AquaStar --
Model: 12MF101
Return Pipe: 4 in.
1742 sq.ft.
55.672 gallons
Min: 3.5• Max: 5_
Piping Type: PVC
Equipment Information:
IK NEW
Recirculation Pump
Drain Covers
❑ EXISTING
Make: Hayward Model: ECOStar Hp: 2.7
Make: AquaStar --
Model: 12MF101
Quantity of 2
Min flow: spm Max flow: 128 spm
CKSplit Main Drain ❑ Unblockable Drain ❑ Single Drain + SVRS:
K Floor ❑ Wall Max Flow
❑ NEW
!et System Pump-
Drain Covers
❑ EXISTING
Make: Model: Hp:
Make:
❑ N/A
❑ Split Main Drain ❑ Unblockable Drain ❑ Single Drain + SVRS:
Model:
❑ Floor ❑ Wall Max Flow:
(KNEW
Filter Q -VV 'Z
Backwash:
❑ EXISTING
Make: Hayward Model: HCF342T Type: Sand
1XNEW ❑ N/A
Chlorinator
❑ EXISTING
Make: IPS Model: M920
❑ NEW ❑ N/A
Salt Chlorine Generator
❑ EXISTING
Make: Haymind Model: HGSC60 Quantity: 2
KNEW
Skimmer(s)
Equalizer Drain Covers
❑ EXISTING
Make. Hayward Model: WG10712SFVAQuantity: 4
Make:PAR►MOUNT Model: SDX
Ot NEW ❑ N/A
pow Meter
❑EXISTING
Make:BlueWhite Model: F-300
❑ NEW ❑ N/A
Solar System
❑ Separate pump system
❑ EXISTINGa
detailed plumbing schematic
1 ❑ Bypass Loop ❑ Bypass Loop w/ booster
For office use only: (,Approved,)_ Rejected By: 1,&f ( "/ �jDate:
For required inspections O Plumbing ❑ Pre -Plaster ' ai Contact:?,(}
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