BPOL2017-012678-495 CALLE TAMPICO+' D �ItiNNCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2017-0126
Property Address: 54625 AVENIDA BERMUDQRTYARDAUG
0
APN: 774285018
Application Description: WISH / POOL AT FRONT Q 0 9 2017
Property Zoning: 6U
Application Valuation: .$45,000.00 CITY
DESIGN AND DEVELOPMENT INTA
Applicant:DEPARTMENT
SIPOVAC CONSTRUCTION INC
72651 THEODORA LANE
PALM DESERT, CA 92260
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: B C33 C53 C-9 CSO C20 C36 C21 License No.: 581636
Date ' teonfractor. U. _ fnOU4L
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 Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
bate: 8/9/2017
Owner:
DENNIS WISH
54625 AVENIDA BERMUDAS
LA QUINTA, CA 92253
Contractor:
SIPOVAC CONSTRUCTION INC
72651 THEODORA LANE
PALM DESERT, CA 92260
(760)567-2347
Llc. No.: 581636 .
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificade 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9087965
I certify that in the performance o` 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.
Da� r1 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 th s application.
1. Each person upon whose behalf this applcation is made, each person at whose
request and for whose benefit work is perforned 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 appli-ation 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 cancelation.
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
aboveme=tion d property for inspection purposes. i
Date: 4M t 7 Signat>t a Applican4 or Agent):
Date: 8/9/2017
Application Number:
BPOL2017-0126
7 Owner:
Property Address:
54625 AVENIDA BERMUDAS
DENNIS WISH
' APN:
774285018
54625 AVENIDA BERMUDAS
Application Description-
WISH / POOL AT FRONT COURTYARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$45,000.00
Applicant:
Contractor:
SIPOVAC CONSTRUCTION INC
SIPOVAC CONSTRUCTION INC
72651 THEODORA LANE
72651 THEODORA LANE
PALM,DESERT, CA 92260
PALM DESERT, CA 92260
(760)567-2347
------------------------------------------------------------------------------------------_--
LIc. No.: 58163E
Detail: POOL AT COURT YARD
[DENISE POELTLER ENGINEERING] WITH 61 LF OF S' CITY STANDARD GARDEN WALL AT FRONT PROPERTY LINE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
a'
r
I
FINANCIAL ./•
DESCRIPTION ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100-1-F
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
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
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 POO_ / SPA: $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
N
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
—OTALS: $414.3
0
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA' 92253 - •(760) 777-7012
_011b_ Building Permit Application and Tracking Sheet
Permit#
Project Address:
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Owner's Name:
7 f' - lKavI
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A.P. Number 7 7LI _ Z �5 _ U I �
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Address: �Ci L/ 6 � 6- AuetA r A (n wt 6&Legal
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Description:
City, ST, Zip:
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C QZZ 5�
Contractor: S i (SOV&C- UL� 1
Telephone:
Address:-72-66-
Address:
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Project Description..
ICLA
City, ST, Zip:
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Telephone: 7! o -6'67
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State Lic. #: 56163&
City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip: << r
Telephone: c
Construction Type:
Occupancy:
State Lic: #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact: J_ Ot _ C/ OVA(_
SgFt:
#Stories
# Units:
Telephone of Contact: -76j 0 _ G_G 7 - Z 2 l 7
l� JAPPLICANT:
Estimated Value of Project:
UU V
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIIf 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:
Title 24 Calcs
Plans Picked Up
Constriction:
Flood Plain Plan
Plans Resubmitted
Mecharacal:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Gradin€
IN-HOUSE
3fd Rev, Ready for corrections /
DeveloFer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P..
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
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Area of Work i . n60j 1 _
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LOT.•S,ST BLK:301 LOTS 5 & ST BLK 301
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i i - - ,.. , , j a " - • • ' 110 .£/ APNfi 774-185-018
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MARK DATE DESCRIPTION
IL _ SCALE: 1/4"=1'-0" O
property line 82'-1" �, ' „Q=,£ + PROJECT NO: 020916 .
• _ - MODEL FILE: 6.28.2017.pin C
WN BY: Eugene
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COPYRIGHT
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• i n t! ',r '♦ v '`,• l SHEET TITLE
1 wtIf ``� V �I — ' CITY OF LA QUINTA , Site Plan
Calculation of the Net Lot Area
Lot size - 5227 sqft
Total sqft of all proposed structure - 3200 sqft ( BUILDING &SAFETY DEPT. }
' Net lot arca-61%, - �0�� � 1 APPROVED � �,• _
WALL LEGEND - Notes: FOR CONSTRUCTION PLAN -
NORTH
1-Remove all Bo ugaioville around [he house and finish the patio shade cover.
_ -NEW'WACCS-i60'=t0"-C.FT.� ////////// _ - - p ..
• - DATE
EXISTING WALLS BY ~ Thursday, July 13, 2017
• . � - �• � . � � . ,� •� � - - __. • • � A-101 �
' r SHEET 2 OF 17
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