BPOL2015-012978-495 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
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2015-0129
52687 ROSS AVE
767670014
T -STAR RESIDENCE POOL /SPA & WATER FEATURE
$83,000.00
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: D35, C53 License No.: 644723
( Date: z Contractor����lJd/
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 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:
VOICE (7601) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
T STAR III LLC
2030 E FLAMINGO.RD STE 290
LAS VEGAS, NV 89 19
Contractor:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
(760)275-7626
Llc. No.: 644723
Date: 6/23/2015
. WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of tie 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 •:arrier 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 thatAf I should become subject to the
workers' compensation provisions of Section 370.0 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA- 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 ACKNOWI EDGEMENT
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 applicaton 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 representati%as of this city to enter upon the above-
mentioned property for inspection purposes. ,f S
Date: (1 Signature (Applicant orAgent -Ift2 �
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. WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of tie 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 •:arrier 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 thatAf I should become subject to the
workers' compensation provisions of Section 370.0 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA- 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 ACKNOWI EDGEMENT
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 applicaton 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 representati%as of this city to enter upon the above-
mentioned property for inspection purposes. ,f S
Date: (1 Signature (Applicant orAgent -Ift2 �
Description: T -STAR RESIDENCE POOL /SPA & WATER FEATURE
Type: POOL Subtype: Status: FINALED
Applied: 6/19/2015 EVA
Approved: 6/23/2015 KKI
Parcel No: 767670014 Site Address: 52687 ROSS AVE LA QUINTA,CA 92253
Subdivision: TR 33076-1 Block: Lot: 18
Issued: 6/24/2015 SKH
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: 10/13/2016 JFU
Valuation: $83,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CITY
Details: POOL AND SPA ATTACHED, 2ND SPA, AND WATER FEATURE AT SIDE YARD. THIS PERMIT DOES NOT INCLUDE FIRE PIT, BBQ, OR
EQUIPMENT WALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
477 4
1
I Applied to Approved
Approved to Issued
Issued to Finaled
ADDITIONAL
•Lim
•
CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES
NOTE MARY FASANO 6/23/2015 6/23/2015 returned 6/23/15
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CONTACTS
NAME TYPE
NAME
ADDRESSI
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 LLC
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SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
■ ■
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
6/26/2015
6/26/2015
APPROVED
UNDERGROUND PLBG
KKI
6/26/2015
6/26/2015
APPROVED
BY
BSAS SB1473 FEE
101-0000-20306
0
$4.00
$4.00
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION $4.00 $4.00
BSA:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$98.62
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
PC
WATER FEATURE ONLY
101-0000-42404
0
$362.58
$362.58
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
WATER FEATURE ONLY
101-0000-42600
0
$197.24
$197.24
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
PC
Total Paid for POOL / SPA: $839.73 $839.73
REPLACEMENT COPY OF
101-0000-42600
0
$25.00
$25.00
3/7/16
R13611
DEBIT
SCOTT POOLS
SKH
APPROVED PLANS
REPLACEMENT
101-0000-42600
1
$36.26
$36.26
9/9/16
R18326
3420
CHECK
SCOTT POOLS
SKH
INSPECTION CARD
Total Paid for REPLACEMENT OF PLANS/JOB CARD: $61.26 $61.26
Ask KALI"904.99A $904.99
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WsYsrEMS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
PRE-GUNITE
KKI
6/26/2015
6/26/2015
APPROVED
UNDERGROUND ELEC
KKI
6/26/2015
6/26/2015
APPROVED
UNDERGROUND PLBG
KKI
6/26/2015
6/26/2015
APPROVED
UNDERGROUND ELEC
KKI
2/3/2016
2/3/2016
APPROVED
W/EXCEPTIO
N
spa on south side of house
UNDERGROUND GAS
KKI
2/3/2016
2/3/2016
APPROVED
UNDERGROUND PLBG
KKI
2/3/2016
2/3/2016
NOT READY
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Printed: Wednesday, July 05, 2023 2:22:50 PM 3 of 5
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PRE-GUNITE
KKI
2/3/2016
2/3/2016
APPROVED
WATER FEATURES NEAR FRONT ENTRY.
POOL PLANS AND ENGINEERING PLANS NOT
UNDERGROUND PLBG
JFU
3/4/2016
3/4/2016
NOT READY
ON SITE AT TIME OF INSPECTION. WORKERS
ON SITE SAID THEY HAD NOT SEEN THE POOL
CONTRACTOR.
WATER FEATURES NEAR FRONT ENTRY.
POOL PLANS AND ENGINEERING PLANS NOT
UNDERGROUND ELEC
JFU
3/4/2016
3/4/2016
NOT READY
ON SITE AT TIME OF INSPECTION. WORKERS
ON SITE SAID THEY HAD NOT SEEN THE POOL
CONTRACTOR.
WATER FEATURES NEAR FRONT ENTRY.
WATER FEATURE REQUIRES SPECIAL
ENGINEERING DUE TO ITS PROXIMITY TO
PRE-GUNITE
JFU
3/4/2016
3/4/2016
NOT READY
THE HOUSE. POOL PLANS AND ENGINEERING
PLANS NOT ON SITE AT TIME OF
INSPECTION. WORKERS ON SITE SAID THEY
HAD NOT SEEN THE POOL CONTRACTOR.
WATER FEATURE NEAR FRONT ENTRY. NO
DECK BOND
JFU
3/4/2016
3/4/2016
NOT READY
DECK BOND IN PLACE AT TIME OF
INSPECTION.
UNDERGROUND PLBG
JFU
3/8/2016
3/8/2016
PARTIALLY
(2) WATER FEATURES AT FRONT ENTRY.
APPROVED
UNDERGROUND ELEC
JFU
3/8/2016
3/8/2016
PARTIALLY
(2) WATER FEATURES AT FRONT ENTRY.
APPROVED
PRE-GUNITE
JFU
3/8/2016
3/8/2016
PARTIALLY
(2) WATER FEATURES AT FRONT ENTRY.
APPROVED
DECK BOND
JFU
3/8/2016
3/8/2016
PARTIALLY
(2) WATER FEATURES AT FRONT ENTRY.
APPROVED
APPROVED
PRE -PLASTER
JFU
6/20/2016
6/20/2016
W/EXCEPTIO
NO DECK BOND INSPECTION CONDUCTED AT
REAR POOL OR SPA.
N
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WsYsrEMS
BOND INFORMATION
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
RETURNED
DATE
STATUS REMARKS
NOTES
NON-STRUCTURAL- KIRK 6/19/2015 6/22/2015
CONTRACTOR STATED HE HAS PHOTOS OF
APPROVED
AJ ORTEGA PHOTO POOL OCPD AT PHOTO POOL OCPD AT
MAIN SERVICE.JPG MAIN SERVICE.JPG
1 WK KIRKLAND
DECK BONDING WIRE. APPROVAL GIVEN TO
APPROVED
PRE -PLASTER
JFU
6/20/2016
6/20/2016
W/EXCEPTIO
PLASTER POOL --DECK BOND ISSUE MUST BE
RESOLVED PRIOR TO FINAL APPROVAL.
N
INSPECTION RESULT CHANGED TO
"APPROVED W/ EXCEPTION."
-PROVIDE THERMAL POOL COVER IN
ACCORDANCE WITH CALIFORNIA ENERGY
FINAL"
JFU
9/15/2016
9/15/2016
DISAPPROVE
CODE -OPEN SUB -PANEL FOR VIEWING OF
D
CONDUCTORS AND INNER COMPONENTS -
OUTDOOR RECEPTACLES SHALL BE LABELED
AS "WEATHERPROOF"
ADDITIONAL CORRECTIONS: -FEEDER NOT
FINAL"
AOR
9/21/2016
9/21/2016
DISAPPROVE
SIZED FOR 90A OCPD-MULTIPLE
D
CONDUCTORS LANDED AT SINGLE OCPD NOT
PERMITTED. -SEE ATTACHED PHOTOS
FINAL"
JFU
10/6/2016
10/6/2016
DISAPPROVE
FEEDERS ARE NOT SIZED ADEQUATELY FOR
D
OVPD PROVIDED.
FINAL"
JFU
10/13/2016
10/13/2016
APPROVED
NO JOB CARD ON SITE.
BOND INFORMATION
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
RETURNED
DATE
STATUS REMARKS
NOTES
NON-STRUCTURAL- KIRK 6/19/2015 6/22/2015
6/23/2015
APPROVED
AJ ORTEGA PHOTO POOL OCPD AT PHOTO POOL OCPD AT
MAIN SERVICE.JPG MAIN SERVICE.JPG
1 WK KIRKLAND
BOND INFORMATION
Attachment Type
CREATED
OWNER DESCRIPTION PATHNAME SUBDIR
ETRAKIT ENABLED
IMAGE
9/21/2016
AJ ORTEGA PHOTO POOL OCPD AT PHOTO POOL OCPD AT
MAIN SERVICE.JPG MAIN SERVICE.JPG
0
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Printed: Wednesday, July 05, 2023 2:22:50 PM 5 of 5
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f
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Per � it.
('
Project Address: lJ.��
U�•S
Owner's Name:.:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: C C,
Or/S
Telephone:
hone.
Address:
6117e3
6
Project Description:
City, ST, Zip: ci
Q
/
m i �✓ O� / S"%�
Telephone: P ..
a -S
State Lic. #
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:. e..
Construction n T
o e• ccu
Type: Occupancy:
P Y•
State Lic. #•
Project Pe (circle one): New Add'n .ter Repair air De mo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: g2
APPLICANT: DO NOT WRITE BELOW THIS LINE
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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 Bala -tee
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god 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.
P
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
6-0" WALL
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�,1�1
LOT 19A
TRACT NO. 33076-1
A.P.N. 676-670-015
APPROVED PAD = 1001.0'
A"
0
LOT 17A
I l ;
TRACT NO. 33076-1
A.P.N. 767-670-013
APPROVED PAD = 1002.0'
, I I
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6-0" WALL
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PLANTING
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6-0" WALL
ARTIFICIAL TURF.
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LOT 18 UNDERGROUND GATE
TRACT NO. 33076 OPERATOR I A' 1 r' i �/
t WATER FEATURE WALL A.PN. 767-670-014
APPROVED PAD = 1001.5' STONE TBDI 2 T @ 18"
FINISH FLOOR = 1002' -� W/T3 R@ 6° D
AREA = 0.79 AC. �,
�,
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PLANTING I I'
POT
1
4TRt A ttJ sr
� GUEST LIVING
GUEST 4 CLOSET
1, i cY
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10,
; 11
GUEST 4 BED
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GUEST 4 BATH_
12'-011
LOSE
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GUEST 3 BED I I IID ESMT.
1 GUEST 3 BATH
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SETBACK
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_ PLANTINGco
I �I SITE PLAN GENERAL NOTES:
.,wI� I I III
_ __j A. SEE LANDSCAPE APE PLAN AND PRECISE GRADING PLAN FOR ADDITIONAL
6-0" WALL I I i I 1 INFORMATION.
i i74LL I I III I I T 5'-0" WALL
B. DRIVEWAY APPROACH REQUIRES A SEPARATE PERMIT AND
II I INSPECTION FROM CITY OF PALM DESERT PUBLIC WORKS
1 DEPARTMENT.
6-0" WALL
111111117111111Z111111 Ll� _ _ ,_ � I C. ALL SITE &RETAINING WALLS TO BE FINISHED WITH PLASTER TO THE
MATCH HOUSE PLASTER IN COLOR & TEXTURE.
I ,
D. TEAK PLATFORMS, CONCRETE COLOR, STEPPING STONES,
COURTYARD WATER FEATURE/POOL/SPA FINISHES, FIRE ELEMENT
I
AND SITE DETAILS BY LANDSCAPE ARCHITECT
I I '
E. SEE GRADING PLAN FOR INFORMATION REGARDING VERIFICATION
\ J I OF FINISH FLOOR LEVEL.
I � I
1
CYTCDlnD CTnN1;: UP.IFFD ENTRY OFF -SET PIVOT DOOR STONE SLAB TO F. GENERAL CONTRACTOR SHALL PROVIDE PROPER SOILS
PREPARATION PER THE SOILS REPORT. IF NO SOILS REPORT EXISTS,
GENERAL CONTRACTOR SHALL PROVIDE ONE BY A LICENSED SOILS
ENGINEER.
G. THE FUTURE POOL, FUTURE SPA AND FUTURE WATER FEATURE ARE
i NOT IN THE SCOPE OF WORK AND REQUIRE SEPARATE PERMITS. THE
CONTRACTOR SHALL SUBMIT POOL, SPA & WATER FEATURE SHOP
DRAWINGS TO THE ARCHITECT AND LANDSCAPE ARCHITECT FOR
APPROVAL PRIOR TO CONSTRUCTION.
1 H. LANDINGS AT DOORS SHALL HAVE A LENGTH MEASURED IN
1 DIRECTION OF TRAVEL OF NOT LESS THAN 36 INCHES. 2010 CRC
I R311.3.
1. PROVIDE CONCRETE PADS FOR ALL MECHANICAL, POOL, SPA, AND
WATER FEATURE EQUIPMENT.
J. BLOCK WALLS REQUIRE SEPARATE APPROVAL AND PERMIT.
K. RETAINING WALLS REQUIRE SEPARATE APPROVAL AND PERMIT.
L. POT SELECTIONS TO BE SUBM17TED TO HOA AND ARCHITECT FOR
REVIEW AND APPROVAL.
M. WOOD/PLASTIC COMPOSITES USED IN EXTERIOR DECK BOARDS,
'STAIR TREADS, HANDRAILS AND GUARDRAIL SYSTEMS SHALL BEAR A
LABEL INDICATING THE REQUIRED PERFORMANCE LEVELS AND
DEMONSTRATING COMPLIANCE WITH THE PROVISIONS OF ASTM D
7032. 2010 CRC R317.4.
N
VERIFICATION OF EOX STING COURB LOC 1 'jh It (O{ C TA
PAVING IF NO CURB EXISTS) FROM PR PE FMEDEPT.
ENTRY WALL ELEVATION
1/4" = V-0
PUBLIC WORKS DEPARTMENT. APPROVED
FOR CONSTRUCTION
DATE . I L �gy_,�
_ -- - -- - - � 1 _---
1
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INSTRUMENTS OF SERVICE
THESE DRAWINGS ARE AN INSTRUMENT OF
SERVICE AND REMAIN THE PROPERTY OF KRISTI
HANSON ARCHITECTS INC. THEY ARE NOT TO BE
REPRODUCED OR ALTERED IN ANY WAY, NOR
DISCLOSED OR ASSIGNED TO ANY THIRD PARTY
WITHOUT THE EXPRESS WRITTEN PERMISSION
OF KRISTI HANSON ARCHITECTS, INC.
c`��SE D A R 6
� KRISTI v
HANSON
V C-24847
AUG. 31 2015 vQ
ENE WADATE
9T16, 0 C p,�\
REVISION LIST
SCHEMATIC
m
04.01.14
SCHEMATIC 02
09-04-14
Lu
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SCHEMATIC 03
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CONST. DOCS.1
11.06.14
CONST. DOCS. 2
04.23.15
CITY SUB.1
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ARCHITECTURAL
SITE PLAN
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78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPOL2015-0129
c&,�t 4 4 Qum&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
52687 ROSS AVE
APN:
767670014
Application Description:
T -STAR RESIDENCE POOL /SPA & WATER FEATURE t
Property Zoning:
? j
Application Valuation:
$83,000.00
Applicant:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
Jar"A INiTV OEVELOP
CAM6iL�170
EPART
-- D -_.. NfENT
F-�M �--`----
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. C>53/ License No.: 6644447223.
Date:/'_/_1_ G Contractor:'////n/„` fiY!!l
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.).
(1 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
i 111111 11111 ilii ilii
41
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/15/2016
Owner:
T STAR III LLC
2030 E FLAMINGO RD STE 290
f:AS VEGAS, NV 89119
Contractor:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
.(760)275-7626
LIC. 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:
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/._—&I // 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 road 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: ! Signature (Applicant or Agent)
t ^- ,,,A .
FINANCIAL INFORMATION
.DESCRIPTION
ACCOUNT ` ' QTY : AMOUNT '
PAID
PAID'DATE
BSAS SB1473 FEE
101-0000-20306 0 $4.00
$4.00
6/24/15
PAID BY
METHOD:'., RECEIPT #
CHECK #
CLTD BY
SCOTT POOLS
CHECK R7289
3253
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00 $4.00
DESCRIPTION
ACCOUNT; .:QTY
: , AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
6/24/15
PAID BY . '
METHOD
RECEIPT # , ;
CHECK#
CLTD BY
SCOTT POOLS
CHECK
R7289
3253
SKH
DESCRIPTION .
ACCOUNT...QTY
:; -,:AMOUNT ,
PAID
PAID'DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$98.62
6/24/15
PAID BY
METHOD
RECEIPT #
CHECK # .,
CLTD BY
SCOTT POOLS
CHECK
R7289
3253
SKH
DESCRIPTION
ACCOUNT.
QTY
AMOUNT.
PAID
PAID DATE
WATER FEATURE ONLY
101-0000-42404
0
$362.58
$362.58
6/24/15
PAID BY
„ METHOD
< RECEIPT # ..':
CHECK #
CLTD BY
SCOTT POOLS
CHECK
R7289
3253
SKH
DESCRIPTION
ACCOUNT `
QTY '
} AMOUNT -
PAID
PAID. DATE
WATER FEATURE ONLY PC
101-0000-42600
0
$197.24
$197:24
6/24/15
PAID BY
'METHOD"RECEIPT
# :::
CHECK #
CLTD BY
SCOTT POOLS
CHECK
R7289
3253
SKH .
Total Paid for POOL / SPA: $839.73 $839.73
TOTALS:
Description: T -STAR RESIDENCE POOL /SPA & WATER FEATURE
Type: POOL Subtype: Status: ISSUED
Applied: 6/19/2015 EVA
Approved: 6/23/2015 KKI
Parcel No: 767670014 Site Address: 52687 ROSS AVE LA QUINTA,CA 92253
Subdivision: TR 33076-1 Block: Lot: 18
Issued: 6/24/2015 SKH
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: •
Finaled:
Valuation: $83,000.00 Occupancy Type: Construction Type:
Expired: 12/23/2015 crw
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CHRONOLOGY'TYPE
Details: POOL AND SPA ATTACHED, 2ND SPA, AND WATER FEATURE AT SIDE YARD. THIS PERMIT DOES NOT INCLUDE FIRE PIT, BBQ, OR
EQUIPMENT WALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
Applied to Approved
Approved to Issued
Printed: Wednesday, January 20, 2016 4:21:30 PM 1 of 3 C1"
SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY'TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTE
MARY FASANO
6/23/2015
6/23/2015
returned 6/23/15
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRES51
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 LLC
2030 E FLAMINGO RD
STE 290
LAS VEGAS NV
89119
Printed: Wednesday, January 20, 2016 4:21:30 PM 1 of 3 C1"
SYSTEMS
Printed: Wednesday, January 20, 2016 4:21:30 PM 2 of 3
R�SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS 561473 FEE
101-0000-20306
0
$4.00
$4.00
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION
$4.00
$4.00
BSA:
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$181.29
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$98.62
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
PC
WATER FEATURE ONLY
101-0000-42404
0
$362.58
$362.58
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
WATER FEATURE ONLY
101-0000-426000
$197.24
$197.24
6/24/15
R7289
3253
CHECK
SCOTT POOLS
SKH
PC
Total Paid for POOL / SPA:
$839.73
$839.73
TOTALS:
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED
COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
FINAL"
BLD
PRE-GUNITE
KKI
6/26/2015
6/26/2015
APPROVED
UNDERGROUND ELEC
KKI
j 6/26/2015 j
6/26/2015
j APPROVED
UNDERGROUND PLBG
KKI
1 6/26/2015 1
6/26/2015
1 APPROVED
Printed: Wednesday, January 20, 2016 4:21:30 PM 2 of 3
R�SYSTEMS
ATTACHMENTS
Printed: Wednesday, January 20, 2016 4:21:30 PM 3 of 3 CRWYSrEMs