BPOL2015-0213T
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant: -",
AZURE POOLS & SPAS INC
P 0 BOX 10641
PALM DESERT, CA 92255
ceit9v 4 4 Qumroj
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2015-0213 l I"I" IIII' I'll l�il
81662 PRISM DR 39
764370039
HANSEN RESIDENCE / SPA AND SCREENING WALL
$16,000.00
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.: 802919
/
Date: —13 l } 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 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 Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/28/2015
Owner:
TOM AND LINDA HANSEt
81662 PRISM DR
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LA QUINTA, CA 92253
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Contractor:
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AZURE POOLS & SPAS IN
P 0 BOX 10641C)
C]
PALM DESERT, CA 92255 �_
(760)322-7665
Llc. No.: 802919
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.
1 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 Code, I shall forthwith
comply with those provisions.
Date: �l0-13��J Applicant:
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 enter upon the
above-mentioned property for inspection purposes.
Date: �O Signature (Applicant or Agent
FINANCIAL INFORMATION
- DESCRIPTION ACCOUNT
QTY AMOUNT
PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
PAID BY METHOD
RECEIPT #
CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAIDBY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL: $47.86 $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
Description: HANSEN RESIDENCE / SPA AND SCREENING WALL
Type: POOL Subtype: Status: APPROVED
Applied: 9/25/2015 SGU
Approved: 9/28/2015 KKI
Parcel No: 764370039 Site Address: 81662 PRISM DR LA QUINTA,CA 92253
Subdivision: TR 30023-2 Block: Lot: 190
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
COMPLETION DATE _
Details: INSTALL SPA EQUIPMENT, EQUIP SCREENING 13' LF X 5' HIGH. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODE.
Printed: Monday, September 28, 2015 3:13:23 PM 1 of 2
SY57. M 5
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE _
NOTES
PLAN CHECK SUBMITTAL STEPHANIE GUMPERT
9/25/2015
9/28/2015
sent back 9/28/15
RECEIVED
CONDITIONS
CONTACTS
'NAME TYPE NAME
ADDRESSI
CITY STATE
ZIP
PHONE FAX
EMAIL
APPLICANT AZURE POOLS & SPAS INC
P O BOX 10641
PALM DESERT CA
92255
CONTRACTOR AZURE POOLS & SPAS INC
P 0 BOX 10641
PALM DESERT CA
92255
OWNER TOM AND LINDA HANSEN
81662 PRISM DR
LA QUINTA CA
92253
Printed: Monday, September 28, 2015 3:13:23 PM 1 of 2
SY57. M 5
Printed: Monday, September 28, 2015 3:13:23 PM 2 of 2
SYSTEM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY'
..
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - FIRST
101-0000-42404
701
$47.86
$0.00
100 LF
Total Paid for FENCE OR FREESTANDING WALL: $47.86 $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
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:0i
Printed: Monday, September 28, 2015 3:13:23 PM 2 of 2
SYSTEM5
Azure Pools & Spas Inc.
P.O. Box 10641
Palm Desert, CA 92255
760-322-7665
k Renee@)azurepoolsandspas.com
LIC# C-53, 802919
SPA SPECS
POOL SIZE: 8' X 12'
POOL AREA: 82 SF.
POOL PER: 33 FT.
POOL DEPTH:
EQUIPMENT
PUMP:_
FILTER:
HEATER:
POOL LIGHT:
SPA LIGHT:
FINISHES
DECK AREA: 57 SF.
PAVER AREA: 78SF.
HANSEN
RESIDENCE
ADDRESS: 81-662 PRISM DR.
CITY: LA QUINTA
1 "=8' SCALE
Mr8lI � 4,
SCOPE OF WORK
1. INSTALL ANEW EW SPA PER PLAINT
2. ACCESS Or EAST SIDE WITH A HAND DIG
3. NEW PAVERS TO MATCH EXISTING PAVERS
4. CONCRETE CAP ON SPA TO BE A NEUTRAL TONTE - SEQUOIA
SAND - LIGHT BROOM FINISH
5. SPA EQUIPMENT TO HAVE A SCREENING WALL
6. SPA TILE - PER SAMPLE
7. INTERIOR OF SPA PER SAMPLE - MINX AQUA WHITE
OWNERS TO HAVE A FEW 5 GALLON PLANTS REINSTALLED
SUCH AS HMICUS OR BOXWOOD BEAUTY'S AND A 5 GALLON
BOUGANVILLA ON WALL TO MATCH OTHER EXISTL\i 7G WALLS.
;JIPMENIi TT
LTCH EMSTING
DL EQUIPMENT
�.B. +12" WITH
WIDE CASCADE
1 " CONDUIT
iW PAVERS
5" " DIAMETER
OLYETHYLENE GAS LINE
WITH TRACING WIRE
CITY OF LA QUINI.
.
BUILDING & SAFETY DEPT:
APPROVED
FOR CONSTRUCTION
PRISM DR.
HOUSE OVERVIEW: NOT TO SCALE
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quints, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
September 4, 2015
TOM HANSEN TRUSTEE / LINDA HANSEN TRUSTEE
81662 Prism Dr
La Quinta CA 92253 USA
RE: Design Review Modification Conditionally Approved
81662 Prism Dr / Customer ID #: TRLAQ-0141-02
Dear Tom Hansen Trustee / Linda Hansen Trustee :
Trilogy
Trf atLs Qoiah due Assnemtiou
We are pleased to inform you that your plans for installation of a spa, relocation of existing air conditioner
compressor, removal of plants and grass replaced with pavers to match existing; and removal of 30 feet concrete
walkway 9-18 inches wide to dig a utility trench and will be replaced with neutral colored pavers, received on
August 24, 2015, have been approved by the Design Review Committee with the following conditions: 1, 6, 7, 8,
9, 11, 20, 21 and 22. A neighbor awareness is required prior to work commencement (see attached copy)..
Please note: Any damages caused by contractors due to construction must be repaired; all irrigation and
landscape shall be restored to the original condition.
This app 9yal does not constitute consent by_ft Association for the applicant to encroach,. trespass, or build on
any property other than that of the applicant. This approval is related solely to the items reserved for approval
by the CC&R's in accordance with the Design Review Guidelines. The approval does not extend to the quality of
work done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading
and drainage design. You are urged to obtain the services of a state licensed professional for consultation as
needed.
The Design Review Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please be advised that this approval does not relieve
you from obtaining any necessary building permits from the governmental agencies involved to ensure
...compliance with -these co..es Amy .yiolations`of-tFe e� -o-rdinances. wii)-.be your responsibility to :correct: Thank you for your patience in this matter and for complying with the Association's policies and standards.
Sincerely,
For the Design Review Committee,
M irna Aceves
Asst Manager On -Site Property
Enclosures
cc: Board of Directors
Design Review Committee
• TRILOGY AT LA QUINTA H.O.: ki o se -
`t CONDITIONS OF APPROVAL
Property Address: l`. Q�Y�%� Date Reviewed:
Conditions of
Approval
Your plans have been approved, provided that you meet the items checked below and all work is consistent with the Design
Guidelines.
1
Obtain necessary building permits from the city of La Quinta, meeting setback requirements per city code and
maintain the existing drainage.
2
Obtain services of a state licensed professional for consultation.
3
Proposed planting meets with the Trilogy Rear Yard Minimum Planting Requirement standards and all plants are
included on the Revised Approved Plant List contained in the Design Guidelines.
4
Rear yard may not exceed 70% hardscape and must have a minimum of 3096 softscape, measured from the rear
building face of wall to the side property lines.
5
An independent irrigation controller must be used for the rear yard, it cannot be tied into the front yard.
6
Pool, spa, fountain, and air conditioning equipment set backs must comply with City of La Quinta codes. All
equipment shall be located, screened, or recessed in a manner so as to not be viewable from any lot or street and
the noise from the equipment attenuated for the adjacent property owners. Pool set backs are 6" for hardscape and
18" for water line.
7
Replace block wall per Shea Homes standard block wall specification, if removing any portion of block wall to gain
access to rear or side yard (requires inspection of rebar before cap is installed).
8
The proposed wall or iron work to match the existing developer retaining wall in material, style and color or shall be
the Frazee Paint color specified in the guidelines.
9
The color of the proposed concrete or pavers is natural or a neutral tone.
10
If underground drainage is installed, the drain needs to terminate in the grass swale and be flush with the turf and
capped with a pop -up drain cover.
11
Maintain positive drainage in accordance with the Trilogy Design Guidelines (Section 3.8).
12
Resubmit showing drainage flow/plans.
13
The patio cover material must be Alumna wood or other similar wood like construction. Roofing materials shall
match the roof material of the dwelling or be open wood lattice
14
The color of the patio cover matches the home's stucco, accent, fascia or white.
15
Any patio cover or awning to be installed and attached to the home must be installed in such a manner that it does
not compromise the integrity of the water permeability of the home.
16
The size of the patio cover is limited to the size of the patio slab.
17
The proposed retractable awning may not be a striped awning. It must be a neutral color that blends with the
home. Please submit a sample of the fabric.
18
The screen door must be the color of the house stucco or be black.
19
Exterior paint colors must be one of the HOA Approved color schemes.
20
All exposed piping or conduit must be painted to match adjacent surface.
21
See notes on plans (if any)
X'
22
When work is completed, please submit Notice of Completion form attached.
Notes:
11721 8 PiL Gt% eS "
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Bin #
City of La Quinta
Building a. Safety Division
��[ P•O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: Z ) .
Owner's Name: •l j` f,� llx�ti
A. P. Number:
Address: �! L S
Legal Description:
City, ST, Zip:1-4g 11d1j,1P,1A
Contractor: �, S ,f' S S, % %?G
Telephone: a
Address: x
Project Description: oW �L
City, ST, Zip:
Telephone: Q, 3LL-, /WC
State Lic. #
City Lic. #:
L
ch., Engr., Desr:
Address:
City, ST, Zip: ` g� 9 Z9 7
Telephon '
1
M —��
Construction Type: �,� Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: Z� �• .
Estimated Value of Project: Ito UaU—
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 Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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:-
'`d 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
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