BPOL2017-003778-495 CALLE TAMPICO Q.�i C� 0 D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2017-0037
Property Address:
78295 CLOUD VIEW WAY
APN:
770032022
Application Description:
SMITH RESIDENCE / POOL & SPA
Property Zoning:
Application Valuation:
$16,000.00
Applicant:
CLASSIC POOLS & SPAS
79-461 AVENUE 40
INDIO, CA 92203
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- C10 License No.: 6`33'4338
Cbate: 4oTt-_7___Contractor: NA
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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/5/2017
Owner:
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SMITH
LUJOSEPH
78295 CLOUD VIEW W
LA QUINTA, CA 92253
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Contractor:
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CLASSIC POOLS & SP
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(760)345-8302
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Llc. No.: 634338 ®
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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.
,>C- 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
issued. My workers' compensation insurance carrier and policy number are:
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 760001435,
_ 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: cIllohl 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. I,-
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: i7 Signature (Applicant or Agent): 114111
Date: 4/5/2017
Application Number:
BPOL2017-0037
Owner:
Property Address:
78295 CLOUD VIEW WAY
JOSEPH SMITH
APN:
770032022
78295 CLOUD VIEW WY
Application Description:
SMITH RESIDENCE / POOL & SPA
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$16,000.00
Applicant:
Contractor:
CLASSIC POOLS & SPAS
CLASSIC POOLS & SPAS
79-461 AVENUE 40
79-461 AVENUE 40
INDIO, CA 92203
INDIO, CA 92203
(760)345-8302
-------------------------------------------------------------------------'-------------------
Llc. No.: 634338
Detail: POOL AND SPA AT SIDE YARD [DENISE POELTLER ENGINEERING] THIS PERMIT
DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA
BUILDING CODE.
DESCRIPTION ACCOUNT CITY 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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $299.3
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V �. P.O Box 1504,78-49S Calle Tampka
4.QMbU, CA 92253 •.-(760) 777-7012 ,
Building Permit Appircad'on and Trackrig Sheet
PerrNt #
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Projed�ddress:' C 1 Q ckv 1 uJ vJ 0.
Owner's Name:. G ,
A P. Number:
Address: - , Q^ 2 9 Sr
Legal Description:
City. ST, Zip:
Contractor
Telephone: 1 3 4 S • Z�8'2
proje4Dm;prion:
Address: '-7q _ vemu.
City, ST. Zip: ; !. - 2 .
Telephone s 2
State Lia #: -'j, qty Lie
Arch.. Rag,., Designer :DoeLk
44`
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Address: g -
City. ST, zip. ra
Telephone: -772 4
State Lia #:
Construction Type: Otxupatttyy:
Project type (cuele one): New O dd'n Alta Repair Demo
Name of Contat t Penson:t e
Sq. FL: # Stories: #Units
Telephone # of Contact Person: 'j
EWmetod Value of Project:
APPLICANT:
DO NOT WWM BELOW THIS UNE
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Submittal
Wd
Beed
1RAC.KM
PERMYi FEffi
Plea Sds
Plan Check submitted
Item Amoattt
Structural Calls.
Reviewed, ready for corrections
Plan 6crk Deposit. .
Tross Calm
Called Contact Person
Plan Check Balance
Title 24 Cater.
Pians picked up
Constriction
Flood plata plan
Plans resubmitted.-.
MechaEileai
Ginding plan
Z'! Review, ready for comctiousltssue
Electii>al
Subeontaetor IM
Clued CoatactPerson
Plumblog
Grant Deed
Pians picked up
ML
H.O.A. Approval
Plans resubmitted
Gradtrig
IN I OUSM-
Review; ready for rorrectioos/issae
Developer Impact Fee
Planning Approval.
Called Contact Person
A"JL' '
Pub. WkL Appr
Date of permit issue
School Fees
Total termit Fees