BPOL2015-021178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2015-0211 �
Property Address: 48800 LEGACY DR
APN: 658420001 FPFOCT=:T
Application Description: LEGACY VILLAS POOL #4 PUBLIC POOProperty Zoning:2015
Application Valuation: $47,800.00 01
I IIII'I VIII OF
37
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
ZY VILLAS AT LA QUINTA H
ADELINA RD
EDRAL CY, CA 92253
Applicant: Co tractor:
LEGACY VILLAS HOA OF �A"111A AN SPRINGS TECH, INC.
48800 LEGACY DR.F SIDE CITY LIMITS
LA QUINTA, CA 92253 LWMUWJTy'10V&0Nr-MT D_PART
SCANNED .
(760)329-8930
LIC. 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 andPcofess)ons Code,
and my License is in full force and effect. l
License Class: _ License No.: :LIC -0003608
Dat§7�/D f— l� .c�+actor. i
OWNER -BUILDER DEC TION
I hereby affirm under penalty of perjury that I a 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.).
( ) 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:
Date: 9/28/2015
WORKER'S COMPENSATION DECLARATION
[he b ffir 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: _
___,,1'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 Cgde, I shall forthwith
comply with those provisions. /
r
D`O��Applicant:
WARNING: FAILURE TO SECURE WORKERS' rPENSATION 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 upon the
above-mentioned property for inspection purposes.
Dat—e�P /U•�Signa�(ApplicantorAgent -
J
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BSAS SB1473 FEE r 101-0000420306
0 $2.00
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DEVICES,:FIRST.20.PC
161-0000-41600
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Total Paid for ELECTRICAL: $48.34. $0.00
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PERMIT ISSUANCE
101-0000-42404
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Total Paid for PERMIT ISSUANCE: $91:85 $0:00
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FIXTURE/TRAP
101-0000-42401.
0
$12.09.
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FIXTURE/TRAP PC
101-0000-42600
0
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.5 .;.;RECEIPT
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Total.Paid for PLUMBING FEES:- $24.18 $0.00
Description: LEGACY VILLAS POOL #4 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
Details: POOL REMODEL WITH NEW EQUIPMENT, CHLORINATOR, SPLIT DRAINS, AND CHANGEOUT TO SKIMMER AND FLOW METER PER
2013 CALIFORNIA BUILDING CODE
Printed: Monday, September 28, 2015 12:29:24 PM 1 of 2
sysicrns
ADDITIONAL
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
CHRONOLOGY
COMPLETION DATE NOTES
NOTE
STEPHANIE KHATAMI
9/23/2015
CONDITIONS
NAME TYPE
NAME:
ADDRESSI
CONTACTS
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
Printed: Monday, September 28, 2015 12:29:24 PM 1 of 2
sysicrns
c Permit Details PERMIT NUMBER
�City of La Quinta BPOL201;50211
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
BSA: $2.00 $0.00
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
0
$12.09
$0.00
Total Paid for PLUMBING FEES: $24.18 $0.00
TOTALS:0•
INSPECTIONS
PARENT PROJECTS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED. STATUS REMARKS NOTES
DATE
Printed: Monday, September 28, 2015 12:29:24 PM 2 of 2 C
sysrrnns
°`n #
Permit #
Q� 20t5 —
Project Address:
City of La Quinta
Buifding 81; Safety Division
78-495 Calle Tampico
t I La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
v C� Owner's Name:LJ O
A. P. Number:
Address: O L
Legal Description:
City, ST, Zip: L# Q V k j A- C 1- '12-1.2- S 3
Contractor: 0ntra0r.
404-
D
� i
Telephone-
sP
Address:
Project Description:
City, ST, Zip:
Telephone:
Poo l
State Lie. # :
City Lie. #;
Arch., Engr., Designer:
kITL qu I" � P Z..bA-
Address:
%
City, ST, Zip:
C1} V f:Ngto
Telephone:
:
ConstructionPe: Occupancy:
State Lie.
Project t type (circle one): : Ne w Ad d'n AIter Repairair Demo
Name of Contact Person:16u—
RVV O-50
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: AM42-5-41751
�^
Estimated Value of Project: 1 ��
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Revicwed, 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
2nd Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
1I.0.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
COUNTY OF R]VERSIDE
dc&kDEPARTMENT OF ENVIRONMENTAL HEALTH
Pool & Spa Renovation Worksheet
Name of Facility: LecJacy Villas HOA -POOL 4 pR: SR:
Site Address: 48800 Learn DR C►ty:_ La Quinta
Contractor. 1 Stop Pool Pros _License #: License Type: C53
f
-
is-/ 3/
Depth(s)
Suction Pipe: 6 in.
Circle One: POO SPA
WADER WATER FEATURE
Model: 12MF101
Return Pipe: 4 in.
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
Min:_ 1' Max: 3"5,
additional plan submittal.
19, Resurfacing -40000" AquaGlaSS❑
Splitting suction outlets
O
Solar System Installation
1$ Water line tile Z,
Coping (Provide detail)
❑
Fencing (Provide fence plans)
X Trim the X
Replace surface skimmers
0
Replace plumbing
X Depth markers X
Decking
❑
Depth change (ie. Shallow)
❑ Breakline the @ 4 Y2 foot depth (9
Deck depth markers
O
Other Remodel:
3I_C Hand rails (Provide detail) ❑
Bring equipment out of pit
IX
Drain covers
❑ Deep end exit ladder/grab rails Z
Equipment addition/change
Z
Pump replacement
Pool or Spa Information:
Surface Area
Volume
Depth(s)
Suction Pipe: 6 in.
Make: HaMard Model: EcoStar Hp: -2.7
Min flow: gpm Max flow: 128 gpm
CKSplit Main Drain O Unblockable Drain 0 Single Drain + SVRS:
Make: AQUa$taf
Model: 12MF101
Return Pipe: 4 in.
2901 sq.ft.
48,890 gallons
Min:_ 1' Max: 3"5,
Piping Type: PVC
Make: Model: Hp:
A
Equipment Information:
9- NEW
Recirculation Pump
Drain Covers
❑ EXISTING
Quan* of 2
Make: HaMard Model: EcoStar Hp: -2.7
Min flow: gpm Max flow: 128 gpm
CKSplit Main Drain O Unblockable Drain 0 Single Drain + SVRS:
Make: AQUa$taf
Model: 12MF101
K Floor 0 Wall Max Flow: 2Z4-
0 NEW
Jet System Pump
Drain Covers
❑ EXISTING
Make: Model: Hp:
Make:
Model:
❑ N/A
0 Split Main Drain ❑ Unblockable Drain O Single Drain + SVRS:
❑ Floor 0 Wall Max Flow:
(KNEW
Filter Quantity of 3
Backwash:
❑ EXISTING
Make: Hayward Model: HCF342T Type: Sand
[KNEW 0 N/A
Chlorinator
0 EXISTING
Make: IPS Model: M920
❑ NEW 0 N/A
Sak Chlorine Generator
0 EXISTING
Make: Haymrd Model: HCSC60 Quantity - __2_
IXNEW
0 EXISTING
Skimmer(s)
Make: Hayward Model: WG10712SFVAQuantity: 6
Equalizer Drain Covers
Make: Paramount Model: SDX
R NEW 0 N/A
How Meter
❑ EXISTING
Make:BlueWhitee Model:_)O-300
0 NEW ❑ N/A
Solar System
❑ Separate pump system
❑ EXISTING
Su etailed plumbing schematic
1 0 Bypass Loop 0 Bypass Loop w/ booster
Foroffice ese oniy prov Refected r w '8y �, I.
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: For regwred inspections ❑:Plumbing.❑Pre-Plaster.: al ,p�';G Contact=y'+ �"'��'�����:.��.� ' "
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Legacy Pool 4
48000 Legacy Drive
D QJ
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>>
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COPINGSt
A handhold lhWlnosoce01� Handholdswlll w hanglhe
180.11"S1
Bo el load t Inch but not oval 2 hwhas and w111 not exceed
two and hall Inchos tn dtldcrosa
I
f 110.
This outer line represnts the 3" Concrete Sub -deck. This sub -deck is 48" from the pool coping.
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,
COUNTY OF RIVERSIDE
DEPARTMENT OF ENVIRONMENTAL HEALTH
Pool & Spa Renovation Worksheet
Name of Facility: Legacy Villas HOA -POOL 4 PR: SR:
site Address:_ 48800 Legacy DR Gly: La Quinta
Contractor. 1 Stop Pool Pros _ _ - - ^wLicense # 5 License Type: C53
1 elept lul
-
ys� ,
�3
Depth(s)
Suction Pipe: 6 in.
Circle One: POO SPA
WADER WATER FEATURE
Model: 12MF101
Return Pipe: 4 in.
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
Min:__I' Max: 3.5,
additional plan submittal.
9, Resurfacing- JM00121 Xr AquaGlass❑
Splitting suction outlets
❑
Solar System Installation
I% Water line tile IN
Coping (Provide detail)
0
Fencing (Provide fence plans)
N Trim tile 9
Replace surface skimmers
0
Replace plumbing
Depth markers
Decking
0
Depth change (ie. Shallow_ )
❑ Breakline tile @ 4 % foot depth M
Deck depth markers
0
Other Remodel:
Ig Hand rails (Provide detail) ❑
Bring equipment out of pit
Ig
Drain covers
0 Deep end exit ladder/grab rails 19
Equipment addition/change
9
Pump replacement
Pool or Spa Information:
Surface Area
Volume
Depth(s)
Suction Pipe: 6 in.
Make: Hayward Model:EcoStar Hp: 2.7
Min flow: spm Max flow: 128 gam
IgSplit Main Drain 0 Unblockable Drain ❑ Single Drain +SVRS:
Make: AquaStar
Model: 12MF101
Return Pipe: 4 in.
2901 sq.ft.
48.890 gallons
Min:__I' Max: 3.5,
Piping Type: PVC
Equipment Information:
KNEW
Recirculation Pump
Drain Covers
❑ EXISTING
Quantity of 2
Make: Hayward Model:EcoStar Hp: 2.7
Min flow: spm Max flow: 128 gam
IgSplit Main Drain 0 Unblockable Drain ❑ Single Drain +SVRS:
Make: AquaStar
Model: 12MF101
K Floor ❑ Wall Max Flow:
❑ NEW
Jet System Pump
Drain Covers
❑ EXISTING
Make: Model: Hp:
Make:
Model:
0 N/A
0 Split Main Drain 0 Unblockable Drain 0 Single Drain + SVRS:
❑ Floor ❑ Wali Max Flow:
[KNEW
Filter Quantity of 3
Backwash:
❑ EXISTING
Make: Hayward Model: HCF342T Type: Sand
[KNEW ❑ N/A
Chlorinator
0 EXISTING
Make: IPS Model: M920
0 NEW ❑ N/A
Sale Chlorine Generator
0 EXISTING
Make: Haymrd Model: HCSC60 Quantity: 2
IXNEW
❑ EXISTING
Skimmer(s)
Make: Hayward Model: WG10712SFVAquantity: 6
Equalizer Drain Covers
Make: Paramount Model: SDX
IX NEW 0 N/A
How Meter
❑EXISTING
Make:BlueWhite _Model: F-30(
❑ NEW ❑ N/A
Solar System
❑ Separate pump system
❑ EXISTING
Su etailed plumbing schematic
1 ❑ Bypass Loop 0 Bypass loop w/ booster
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For office use only:
For required inspections
Approved
0 Plumbing
Rejected
❑ Pre-Plaster,V [/\ .
By: j (:,-61 Z Date:
contact:
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