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BPOL2015-021778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 T-iat 44 0914& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPOL2015-0217 81266 PEARY PL 767680032 T -STARS III RESIDENCE / WATER FEATURE $16,000.00 D Q � OCT 282015 0 CITY OF IAOUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: D35. C53 License No.: 644723 Date: z417 / ContractorC7r_0*' A"'A L. L 111111111111111 42 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/28/2015 Owner: T -STAR III 81266 PEARY PL LA QUINTA, CA 92253 Contractor: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 (760)275-7626 Llc. No.: 644723 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: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 1C I certify that in the performance of the work for which this permit is issued, I 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' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, 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:&j�o✓l/ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) 1, 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. 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 APPLICANT ACKNOWLEDGEMENT 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.). 1. Each person upon whose behalf this application is made, each person at whose (_) 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 officers, 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 work for 180 days will subject permit to cancellation. 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 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. Date: 0%9 /� Signature (Applicant or Agent FINANCIAL •• • DESCRIPTION _ ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1 $70.00 $70.00 10/28/15 PAID BY METHOD RECEIPT # - CHECK # CLTD BY SCOTT POOLS CHECK R10336 3312 SGU Total Paid'for BLDG CITY STAFF - PER HOUR: $70.00 $70.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SCOTT POOLS CHECK R10336 3312 SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER FEATURE 101-0000-42404 0 $181.29 $181.29 10/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY. SCOTT POOLS CHECK R10336 3312 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER FEATURE PC 101-0000-42600 0 $98.62 $98.62 10/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SCOTT POOLS CHECK R10336 3312 SGU Total Paid for POOL/ SPA: $279.91 $279.91 TOTALS:• 0• Description: T=STARS III RESIDENCE / WATER FEATURE Type: POOL Subtype: Status: APPROVED Applied: 10/2/2015 MFA Approved: 10/27/2015 LUR Parcel No: 767680032 Site Address: 81266 PEARY PL LA QUINTA,CA 92253 Subdivision: TR 33076-1 Block: Lot: 70 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $16,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NOTES Details: WATER FEATURE ON EAST SIDE OF HOME [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE.MUST PROVIDE 4' OF CLEAR UNOBSTRUCTED PATH. 2013 CALIFORNIA BUILDING CODE. Printed: Wednesday, October 28, 2015 11:50:21 AM 1 of 3 SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY -TYPE -____STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK -COMMENTS FROM CONSULTANT STEPHANIE KHATAMI 10/13/2015 10/13/2015 STRUCTURAL CONTENT IS APPROVABLE RECEIVED . PLAN CHECK PICKED UP LUIS URIBE 10/14/2015 10/14/2015 PLANS PICKED UP FOR CORRECTIONS. PLAN CHECK SENT TO MARY FASANO 10/2/2015 10/2/2015 OUTSIDE PC PLAN CHECK SUBMITTAL MARY FASANO 10/2/2015 10/2/2015 RECEIVED RESUBMITTAL STEPHANIE GUMPERT 10/16/2015 10/16/2015 TELEPHONE CALL LUIS URIBE 10/13/2015 10/13/2015 CONTACTED MARTY SCOTT LET HIM KNOW 1ST REVIEW IS COMPLETE. PLANS ARE READY FOR CORRECTIONS.. TELEPHONE CALL LUIS URIBE 10/27/2015 10/27/2015 LEFT MESSAGE WITH SCOTT POOLS, PERMIT IS READY TO BE • ISSUED. Printed: Wednesday, October 28, 2015 11:50:21 AM 1 of 3 SYSTEMS = Permit Details PERMIT NUMBER � BPOU2015=02I7 City of La Quinta " INSPECTIONS PARENT PROJECTS Printed: Wednesday, October 28, 2015 11:50:21 AM 2 of 3 C ,. SYS7EIv1S FINANCIAL CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT SCOTT POOLS 74 532 GARY AVENUE PALM DESERT CA 92260 CONTRACTOR SCOTT POOLS 74 532 GARY AVENUE PALM DESERT CA 92260 OWNER T -STAR III 81266 PEARY PL LA QUINTA CA 92253 INSPECTIONS PARENT PROJECTS Printed: Wednesday, October 28, 2015 11:50:21 AM 2 of 3 C ,. SYS7EIv1S FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY HOURLY PLAN CHECK - 101-0000-42600 1 YES $70.00 $70.00 10/28/15 '1110336 3312 CHECK SCOTT POOLS SGU Total Paid for BLDG CITY STAFF - PER HOUR:. $70.00 $70.00 BSAS SB1473 FEE F 101-0000-20306 0 $1.00 1 $1.00 10/28/15 I R10336 3312 CHECK SCOTT POOLS SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 WATER FEATURE 101-0000-42404 0 $181.29 $181.29 10/28/15 R10336 3312 CHECK SCOTT POOLS SGU WATER FEATURE PC 101-0000-42600 0 $98.62 $98.62 10/28/15 R10336 3312 CHECK SCOTT POOLS SGU Total Paid for POOL / SPA: TOTALS:•• $279.91 $279.91 INSPECTIONS PARENT PROJECTS Printed: Wednesday, October 28, 2015 11:50:21 AM 2 of 3 C ,. SYS7EIv1S 1ST BLDG STR (1 WK) YOUNG ENGINEERING 10/2/2015 10/9/2015 10/13/2015 READY FOR APPROVAL OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 1ST REVIEW- PER FIRE (RONALD GRIESINGER) A CLEAR AND DOC 10/13/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BPOL SOLID UNOBSTRUCTED PATH OF 4' IS NEEDED ON 2ND BLDG NS (1 LUIS URIBE 10/16/2015 10/23/2015 10/27/2015 APPROVED-. THE SIDE YARD FOR FIRE ACCESS. WK) BPOL2015-0217 - 1 CONDITIONS DOC 10/13/2015 LUIS URIBE 1ST REVIEW REVIEW CORRECTIONS 0 MUST PROVIDE 4' OF CLEAR UNOBSTRUCTED ' CORRECTIONS LIST PATH IN SIDE YARD. Printed: Wednesday, October 28, 2015 11:50:21 AM 3 of 3 M L j■-' SYSTEMS BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 1ST REVIEW- NEW CITY DOC 10/13/2015 KATHRYN SAMUELS STRUCTURAL TRANSMITTAL BPOL 0 TRANSMITTAL 2015-0217 (lst).pdf BPOL2015-0217 - 1 DOC 10/13/2015 LUIS URIBE 1ST REVIEW REVIEW CORRECTIONS 0 CORRECTIONS LIST LIST.docx BPOL2015-0217 - IST DOC 10/13/2015 LUIS URIBE 1ST REVIEW REDLINED REVIEW REDLINED SITE 0 SITE PLAN PLAN.pdf DOC 10/13/2015 STEPHANIE KHATAMI STRUCTURAL STRUCTURAL 0 COMMENTS.pdf COMMENTS.pdf . Printed: Wednesday, October 28, 2015 11:50:21 AM 3 of 3 M L j■-' SYSTEMS Bin tt City of La Quinta �)4� Building a Safety Division (� 78-495 Calle Tampico Permit#{ �' J P(a Quinta, CA 92253 - (760) 777-7012 P ��' Building Permit Application and Tracking Sheet `ojecc.Address:_ �_ Owne�rsN_ame:. A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: r � w s s _ T ele hone: P ��Address: G' ProjecF Descriptio: ICity, ST, Zip: a Telephone: State Lic ## : !/ Arch., Engr., Designer: City Lie. #; Address: City, ST, Zip: Telephone: P one: aneY• Construction Type: Occupancy: YP S tate Lie. #. Demo Project type (circle one): New Add'nAlter Repaira'r o Name of,Contact Person: Sq: Ft.: # Stories: # Units: i r-- Telephone # of Contact Pefsoti: - _ f _Estimated Value.of Protect. — �_ - APPLICANT: DO NOT WRITE BELOW THIS LINE t/ Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes, Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Pcrson Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan . Plans resubmitted Mechanical Grading plan 2°" Review, ready for correclionsrssue Electrical SubconlactorList Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- 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 Tdf 4 4 QUM& LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 TRANSMITTAL TO: &UNG ❑ESGIL OVCA ATTN: TODAY'S DATE: PERMIT NUMBER: PROJECT ADDRESS: owl APPLICANT NAME: (ILDIT 000Y, SUBMITTAL ROUND: I !f INCLUDED HEREWITH: PLANS []REDLINED PLANS ASTRUCT ❑REDLINED STRUCT ❑TRUSS ❑REDLINED TRUSS ❑SOILS ❑REDLINED SOILS ❑ENERGY OREVISED ENERGY ❑CORRECTION LIST ❑OTHER BUILDING & SAFETY DEPARTMENT (760) 777-7125 FAX (760) 777-7011 ❑COMPLETE PLAN CHECK/N/S-STRUCTURAL r DUE DATE: , oI! BIN NUMBER: []REVISED PLANS []REVISED STRUCT ❑REVISED TRUSS ❑REVISED SOILS ❑APPROVED PLANS OAPPROVED STRUCT OAPPROVED TRUSS OAPPROVED SOILS ❑CUSTOMER RESPONSES -BUILDING DEPARTMENT USE ONLY - GREEN SHEET TO: ❑CDD O(w/Plans) ❑PUBLIC WORKS ❑COVE CHECK (w/Application) ASSIGN NON-STRUCTURAL TO: COMMENTS: 4,p YOUNG SpENGINEERING S E R V i C E 'S Letter of Transmittal To: City of La Quinta Today's Date: 10-13-15 78-495 Calle Tampico City Due Date: 10-9-15 La Quinta, CA 92253 Project Address: 5:5101 ?Amr@ L- Attn: Kay Plan Check #: BPOL 2015-0217 Submittal: 0 1St El 4th ❑ 2nd ❑ 5th El 3rd El Other: We are forwarding: By Messenger El By Mail (Fed Ex or UPS) El Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: pies: 1 Structural Plans El Structural Plans 1 Structural Calculations El -Revised Revised Struct. Calcs ❑ Truss Calculations Floor and Roof El Revised Truss El Soils Report El Revised Soils Report E] Structural Comment List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs El Redlined Structural Calcs El Approved Truss Calcs ❑ Redlined Truss Calcs EJ Approved, Soils Report El Redlined Soils Reports El Other: Comments: -Structural content is approvable. If you have an;questions, please call. Time = 1 HR This Material Sent f or: El Your Files Per Your Request E] Your Review El Approval ❑ Checking ❑ At the request of: Other: F1 By:' Kathryn Samuels Palm Desert Office: Z (760) 772-5107 Other': R