BPOL2017-000778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
JOSE HIGUERA
77705 CALLE ARROBA
LA QU I NTA, CA 92253
Twyl, 4 4v Qu&Z '
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2017-0007
77705 CALLE ARROBA
774164013
HIGUERA / POOL AT FRONT YARD AND BLOCK WALL
$20,000.00
1
VOICE (760) 777-7125
FA(760) 777-7011
-I1V• . ION%760) 777-7153
a. I
T mR„ ,... Pat1/25/2017
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Owner:+
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JOSE WGUE
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77705 CALLE ARV '�A
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LA QUINTA, C 53
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Contractor:
OWNER BUILDE
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LIC. No.:
--------------------------------------------------------------------- ------------------- -- - - -
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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.:
Date:
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).:
C(�a
; 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.).
C40.1as 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.).
,(40760m exempt under Sec. . B.&P.C. for this reason
/DateF: Qi q" — 7 Owne — '
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 Address:
WORKER'S CCIMPENSATION DECLARATION
I hereby affirm under penalty of perury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' I
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 polity number are:
Carrier: Policy Number:
'jI certify that in the performance of the work for which this permit is issued, 1;
shall-notemployany person in any manner so as to become subject to the workers' I
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.
Da�Vf::D-- 1-7 Applican';___)
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 4$100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF F 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 fiis 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 relFted 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 fromdate of issuance of such permit, or cessation of
work for 180 days will subject permit tD 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 inspect on purposes.
Date: Signature (Applicant or Agent) �
Applicant: Contractor:
JOSE HIGUERA OWNER BUILDER
77705 CALLE ARROBA
LA QUINTA, CA 92253
Date: 1/25/2017
Llc. No.:
---------------------------------------------------------------------------------------------
Detail: POOL AT FRONT YARD [DENISE POELTLER ENGINEERING] AND 84LF OF 5'/6' GARDEN WALL [CITY STANDARD] ALONG FRONT AND SIDE. THIS PERMIT
DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA
BUILDING CODE.
Application Number:
BPOL2017-0007
Owner:
Property Address:
77705 CALLE ARROBA
JOSE HIGUERA
APN:
774164013
77705 CALLE ARROBA
Application Description:
HIGUERA / POOL AT FRONT YARD AND BLOCK WALL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$20,000.00
Applicant: Contractor:
JOSE HIGUERA OWNER BUILDER
77705 CALLE ARROBA
LA QUINTA, CA 92253
Date: 1/25/2017
Llc. No.:
---------------------------------------------------------------------------------------------
Detail: POOL AT FRONT YARD [DENISE POELTLER ENGINEERING] AND 84LF OF 5'/6' GARDEN WALL [CITY STANDARD] ALONG FRONT AND SIDE. THIS PERMIT
DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA
BUILDING CODE.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0 ,
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL:
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING. POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
}
Total Paid for POOL / SPA: $293.36
Pin #
Permit ;'
Project Address:_ 5
City of La Qui oto
Guifding &r Safety Division .
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Flame: C
A. P. Number: L R vn Cf� ' Z•Z S
Address: Ile, 81 0—be�k-
Legal Description:
City, ST, Zip:�`Vj ,`
nira r:
Co ct 0
T I
Address:
Project Description: I
City, ST, Zip:
Telephone:
S
State Lic. # :
City Lic. #.:
c*ffA
Arch., Engr., Designer:
Top\
Address:
City, ST, Zip:
h
Telephone:
one:
an :
Construction ruction TYPe: Occupancy:
cY
Lic. #
t L .
State a'
ne • New Add'n Alter Repair.
Demo
0o
Name of Contact PersonjU �e
Sq. Ft.:Stories:
#Units:
Telephone # of Contact Person: o
Estimated Value of Project:0-44-
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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 Cates.
Called Contact.person
Plan Check Balance.
Title 24 Cafes.
Plans picked up
ConstQuction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electr caf
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Gradi-ag
IN If OUSE:-
'`d Review, ready for corrections/issue
Dcvcicper Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
I
Total -'crmit Fees
k
New filter pump s
420 s.f, cartridge New gate. To open away .
filter from pool and be self F
closing self latching.
12' 3" Property Line
- Ralsed Water
--s----- ------------ ---- ---------------_-----------k-r--------,-- ---• 7 -----------
Feature +12" ` }
.!
19,
Existing 220v, • • � f �� . - • � � � t y - • -
• ' 20amp electrical
T L._.4* --=—circuit. Extend to ' T . - � - � •
o new pool equipment
v
..Main Drains
Mln 3 - POOL 10'x25'
New 5' CMU wall per si paratlon Depth - 3'6" to 6' °
city standard detail Area - 250 s.f. Y
--
Per. -7ol.f. 'EXISTING HOUSE
Gallons - 8,500
m ;
c
D ;
Exist.
n 5' 4'x 4' window
O - 3 �o
Exist. - 4'x 6' window
t 4. Existing
Wood Gate
Existing Patio l
---------------------------------- ----------------- -------------------------------
N i r New 3' gate. To open away
- • c from pool and be self
- New 5' CMU wall per city closing self latching. -
standard detail T -
. • _ N
Property Line 4
_ _......_.._._._............................_............_._....._....._......_..._........................................_........... ................._ ._..............__........._._..._..............._............._..._....... .......... _ ....._... ._..-....._......._... .. ._...._............._...
_ . , _-_._ .. -.. _ .. ...._-- ,- ,_90...2 " _ _.. __........... -- --- --
Arturo Higuera Residence .4
OVERALL SITE PLAN - • CALLE ARROBA N 0 77705 Calle Arroba
La Quinta, Ca. 92253
SCALE: 1/8" = 1'-0" _ - � •
,o
P.O.T-111af 4 4� a.".
BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE .TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING' & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-701.1
Disclosures & Forms for OWner-Builders Applying for Construction Per
IMPORTANT! NOTICE TO. PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as fie builder of the property
improvements specified at % 7 7 D S Cris � e )4 �CYo b r� 1 -et
We are providing you with an Owner -Builder Acknowledgment and Information Verification Fo,rm to make you aware of your
responsibilities and possible risk you may incur.by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute- this notice
unless you, the property owner, obtain the prior approval of the permitting authority:
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
JI understand a frequent practice of unlicensed persons. is to have the property owner obtainan "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor aid material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustain -,d by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not -3rovide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
onmyproperty.
Je` I.2. I understand building permits are not required to be signed b property gn y p p rty owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filedin hiE or her name instead of my
own.
JIH-4. I understand Contractors are required by law to be licensed and bonded in California and to last their license numbers on
permits and contracts.
J__6 5. I understand if I employ or otherwise engage any persons, other than California licensed Contactors, and the total value
of -my construction is at -least five hundred dollars ($500), including labor and materials; I may be considered an "employer"
under state and federal law.
ILL 6. I understand if I am considered an "employer" understate and federal law, I must register with the state and federal
govemment, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws ma
risk. y subject me to.serious financial
,_1,Y__7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with .the intent to offer them 'for sale, unless. all work -s' performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
p It 8. I understand as an Owner -Builder ifI sell the property for which this permit is issued, I.may be held liable for any
financial or personal injuries 'sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
,144.9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small -Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License. Board (CSLB) at 1- .
800-321-CSLB (2752) or www.cslb.ca.gov.for more information about licensed contractors.
am aware of and consent to an Owner -Builder building permit.applied for in my name, and understand that I am the
party legally, and financially responsible for proposed construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as mell as employers.
3L�L 12. I agree to. notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with -
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and: wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the .agency responsible for issuing the permit. -Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the •permit is issued to verify the property
owner's signature. J d
Signature ofproperty owner Date:
0
Note: .The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign; and file. the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I .personally filled out the above
information and certify its accuracy. Note. A copy of tke.owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
' CITY OF LA QUINTA SUB -CONTRACTOR, LIST.
ihn�S ��— P\PERMIT NUMBER?Y-cIER BUILDER'
. JOB ADDRESS __-
This fbriii-shall be posted on-tiie io6'vvith the Building'Inspection Card at°.alII times in a=conspi.ct►ous-place. Only persons appearing on this list or their employees are.. authorized to work
on this job. Any changes to, this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance,.,
of.buildi.ng permit. For each applicable. trade; all information requested below.must be completed by:applicant. "On File" is not an acceptable response
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