BPOL2018-00137S-49S,,C LLE,TAMP.ICO.�, :
LA QUINTA, CALIFORNIA 92253^
Permit Type/Subtype: POOL/PRIVATE
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2018-0013
Property Address: 61047 DESERT ROSE DR
APN: 764350009
Application Description: ALLEN / ENLARGE EXISTING SPA
Property Zoning:
Application Valuation:
Applicant:
JAVIER ART.URO PEREZ RAYGADA
73-700 HIGWAY 111 STE 9
PALM DESERT, CA 92260 MAR 0 2 2018
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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.: 940021 ' *,
Date: Contractor:
OWNER -BUILDER DECLARION
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.).
( 11, 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 Address:
VOICE (760) 777-7125
FAX (760)"777-7011
INSPECTIONS (760) 777-7153
Date: 3/2/2018
Owner:
GLEN ALLEN
61047 DESERT ROSE
LA QUINTA, CN 92253
Contractor:
JAVIER ARTURO PEREZ RAYGADA
73-700 HIGWAY 111 STE 9
PALM DESERT, CA 92260
(760)610-3435
Llc. No.: 940021
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 377)0 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 insuranc•a carrier and policy number are:
Carrier: EXEMPT Policy Number:
jF - 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 teat, 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:' Z �` Applicant:
WARNING: FAILURE TO SECURE WORKERS' CDMPENS ION 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 fie Building Official for a permit subject to
the conditions and restrictions set forth on tHs application.
1. Each person upon whose behalf this app:ication 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, anc 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 :he 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: Signature (Applicant orAgent):
Date: 3/2/2018
Application Number_ ;y . BP.OL2018-0013 Owner:
Proper'WAddress `" "bI047 DESERT ROSE DR GLEN ALLEN
APN: 764350009 61047 DESERT -ROSE
Application Description: ALLEN / ENLARGE EXISTING SPA LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant: Contractor:
JAVIER ARTURO PEREZ RAYGADA JAVIER ARTUR'O PEREZ RAYGADA
73-700 HIGWAY 111 STE 9 73-700 HIGWAY 111 STE 9
PALM DESERT, CA 92260 PALM DESERT, CA 92260
(760)610-3435
Llc. No.: 9400"el
Detail:*ENLARGE EXISTING SPA WITH RAISED BOND PER DETAIL, RELOCATE POOL EQUIPMENT, DEMOLISH EXISTING EQUIPMENT WALL AND REBUILD AT
5' PER DETAIL, WITH BBQ AT REAR YARD [DENISE POELTLER ENGINEERING] . TWO DROWNING.SAFETY FEATURES AND BARRIERS REQUIRED TO BE
INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
t
DESCRIPTION ACCOUNT QTY AMOUNT
WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $52.01
DESCRIPTION ACCOUNT QTY AMOUNT.
WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $65.02
Total Paid for BLOCK WALL: $117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$8.73
Total Paid for Credit Card Fee: $8.73
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Total'Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$195.05
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-02600
0
$106.11
Total Paid for POOL / SPA: $301:16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
r
PERMIT #GEM
PLAN LOCATION:
`
Project Address: �p% 01/�C-f
Project Description: Pool, emodel Add't, Elect, Plumb, Mech
APN #:
FA/C
C)
Email:
Fire Sprinklers SF
..
Applicant'Name: ' .J�}V/6rL
/u P
Address: 173-�'� /11•�`I /l l� #F- 5'
City, ST, Zip: C)Cf&< C- 47'Z? 4;0
Telephone:. 6'O =� G /o 3 Y 31
Email: /-f0?N ;</L , Gal
Valuation of Project S
Contractor Name: A f 44 D"
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF.
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 9 t10n Z/ CityBus Lic:
r
Arch/Eng Name:
Construction Type: Occupancy:.
Address: '?-.�-72I' 6r,,JR-f&_
Grading:
City, St, Zip 7A1-11 6 O'15t F, CQ- -'5 0' 4i2Jij
Construction Type: OccL.pancy:
Telephone: :6 O
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name.:
New Commercial / Tenant Improvements:
Address: 6/0 A_-,(ae_i /f pse oz
Total Building SF
City, ST, Zip I 9z2s3
Construction Type: OccL.pancy:
Telephone: % —
E-mail:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal.
Req'd
Ree'd
Plan Sets
t
Structural Calcs
Truss Calcs .
Title 24 Calcs .
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
I
Grant Deed
HOA Approval
School Fees
•Burrtec Debris Plan
Planning approval.
Public Works approval
Fire approval
City Business License
I