BPOL2017-0023r � ,
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> D auuclu! VOICE (760) 777-7125
78-495 CA" LLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
9/20171,_
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Application Number:
BPOL2017-0023
Owner:
Property Address:
79820 FIESTA DR
OLIVIER CHAINE
APN:
600051012
6500 W 84TH 5T
a
Application Description:
CHAINE / RESSURFACE POOL, ADD JACUZZI AND EQUIP. WALL
LOS ANGELES,. CA 92253
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Property Zoning:
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Application Valuation:
$12,000.00
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Applicant:
Contractor:
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OLIVIER CHAINE
OWNER BUILITR
V a
6500 W 84TH ST
LOS ANGELES, CA 92253
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Llc. 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 f
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).:
(;as w owner of the property, or my employees with wages as their sole
CPO—
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.).
304 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 rm exempt under Sec. . B.&P.C. for this reason
Date: i — a wrier: aZ iyflex CAAAi
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 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: _
(certify that in the performance ofuhe work for which this permit is issued, I
sha not -employ any person in any manner sc as to become subject to the workers'
compensation laws of California, and agree Oat, if 1 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
- I—
WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,090). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FO 2 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 foe 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 issua nce of such permit, or cessation of work
for 180 days will subject permit to cancellatiorx
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.
icant 3 Aeent)
Applicant: .
OLIVIER CHAINE
6500 W 84TH ST
LOS ANGELES, CA 92253
Owner:
OLIVIER CHANE
6500 W 84TH ST
LOS ANGELES' CA 92253
Contractor:
OWNER BUILDER
Date: 3/9/2017
Llc. No.:
--------------------------------------------------=-----------------------------------------
Detail: RESURFACE POOL, ADD SPA, RELOCATE POOL EQUIPMENT, AND 60LF OF 6' HIGH EQUIPMENT WALL [DENISE R. POELTLER] THIS PERMIT DOES
NOT INCLUDE RELOCATION OF MECHANICAL CONDENSER. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016
CALIFORNIA BUILDING CODE.
Application Number:
BPOL2017-0023
Property Address:
79820 FIESTA DR
APN:
600051012
Application Description:
CHAINE / RESSURFACE POOL, ADD JACUZZI AND EQUIP. WALL
Property Zoning:
Application Valuation:
$12,000.00
Applicant: .
OLIVIER CHAINE
6500 W 84TH ST
LOS ANGELES, CA 92253
Owner:
OLIVIER CHANE
6500 W 84TH ST
LOS ANGELES' CA 92253
Contractor:
OWNER BUILDER
Date: 3/9/2017
Llc. No.:
--------------------------------------------------=-----------------------------------------
Detail: RESURFACE POOL, ADD SPA, RELOCATE POOL EQUIPMENT, AND 60LF OF 6' HIGH EQUIPMENT WALL [DENISE R. POELTLER] THIS PERMIT DOES
NOT INCLUDE RELOCATION OF MECHANICAL CONDENSER. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016
CALIFORNIA BUILDING CODE.
FINANCIAL •R •
DESCRIPTION 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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin #
pity of La Quinta
Buifding a Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
MOL OZO/a3 Building Permit Application and Tracking Sheet
Project Address: S',;L10 t E 1'D vt Owner's
A. P. Number:
Address:
Legal Description:
City, ST, Zip: 057
Contractor: O LYL✓� _ tJ
Telephone: 4
one: O
U
Address:
Project Description:
City, ST, Zip:
CSG i
Telephone:
i- c
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: h
one:
Construction TY Pe: Occupancy:
:
State #,.
S te Lic.
Project type (circle le one • New Add'n Alter Repair- r- Demo
Name of Contact Person: ��`L
CIL
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
l7
Estimated Value of Project: 1�/z 000
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees,
Total Permit Fees
Titf 4 4a�w
P:'O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT -
PROPERTY OWNER'S PACKAGE
(760)777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER, 1
Dear Property Owner:
An application for a building'unit s been brmtted in your me listing yourself as the builder of the property
improvements specified at Pi( 2.0 ('T/9- ) -0 .
We are providing youwith an Owner -Builder. Acknowledgment and Information Verification Form to nuke 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 can_zot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signer you understand or verify this information.
IR
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained b} an unlicensed person
and his or her employees while working on my property. My•homeowner's insurance may not proviie 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
on my property.
O -Z-2. I understand building permits are not required to be signed by property 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 filed in his or herr name instead of my
own.
. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and.contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
o -my-construction-is-at-least-five7hundred dollars ($500),, -including labor and materials, I may be consi3ered an "employer"
under state and federal law.
C6. I understand if I am considered an "employer" under state and federal law, I must register withthe state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance; and contribu_e tounemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me- to.serious financial
risk.
7. J understand under Cahibmia 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 is perormed 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. pe
C8. I understand as an Owner -Builder if I sell the property for. which this permit is issued, I maj 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.
/M�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-
8�0000--3321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
(54r 0. I 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 respponsible for proposed construction activity at the following address:
'�G lei n
1. 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.well as employers.
4eS12: 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 publi:. 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 satus 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 ignature. ation acceptable to thea cy
owner''ss signature. is requir presented when the permit is issued so verify the property
Signature of property owner te: Z —q_
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 the.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 owners signature.
Property Owner's Signature: Date:
CITY: OF LA QUINTA LIST
JOB ADDRESS IOa20 lt��i ��
.SUB-CONTRACTOR
PERMIT. NUMBER OWNER ®Li�V(V — C-0<tAJC _ BUILDER 60h&W
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous 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 building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response:
Trade./.. Clas sificatio.n.:.....................:........Contract
...:...:::.:::.::::.:::......:
or.............................
.....:.::..::.:........................:..:.::..::
.
.......................... a r.: .;Licen:....:..::•.:..:::.
St te..Contracto ..s. se.......................
.,..:.:..:..... :;. ;::•..:::.:.::::.0
m anon..Insurance................ :....
................................. ..ens:.......:..............................................
W.orkers..Co.
?Business.:License:>::::::<:::
................Y..............,..,.._......_..,...............
Name
Classification
License Number
Exp. Date
Carrier
P.lic, Number
Exp Date
Lic�,�. Numbei
Exp. D
dteComPanY
B C-B
xxxx x
xx x x
e. . State Fund, CaIC mP
(Format ries)
xx/xx/xx1
xxxx)
(xx xx / xx
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FIESTA DR
10'
EXISTING
LANDSCAPE 1°
PROPERTY LINE
NEW TANNING SHELF AT 1( "WD ,
MATCH SECOND STEP OF THE POOL
SPA SPLIT MAIN DRAW SUCTION MINIMUM
3' APART.
AN'rI-COVERS 10" ASME/ ANSI APPROVED
NEW 7'X 10' RAISED SPA AT +2.4"
WITH 2) 24" WIDE TILE SPILLWAYS
POOL SPLIT MAIN DRAW SUCTION MINIMUM
3' APART.
ANTI -COVERS 10" ASME/ ANSI APPROVED
EXISTING SKIMMER
REMOVE EXISTING WOOD FENCE
30 AMP SERVICE PANEL
1" UL CONDUIT
10 AWG WIRE.
JET PUMP 1-1/2 HP.
1-1/2" PLUM131NG.
1-1/2" GAS LINE P.E.P.
NO OUTDOOR LIGHTING EXIST.
PENTAIR EQUIPMENT MEETS
ALL REGULATIONS CODES
NEW 4' HIGH BLOCK WALL(S" r3LOCKS)
— NEW POOL
5QU1PMENT
30 AMPS PENTAIR
EASYTOUCH Sue PANEL
_ GFG
DISCONNECT
NOTE:
1. "ALL EQUIPMENT WILL SHALL GE SEISMICALLY
ANCHORED
z. MANSORY EQUIPMENT WALL SHALL 13E &U1LT PER CITY
STANDAR SPEGFIGATIONS
3. ALL GFI OUTLETS WILL BE WEATHER AND TAMPER
PROOF
4. ALL OUTLETS SUPPLIED 6Y SINGLE-PHASE, 18A AND
zOA, 12 -SV OR 240V BRANCH CIRCUITS FOR SWIMMING
POOL PUMP MOTORS ARE REQUIRED TO HAVE GFCI
PROTEOTION
S. PROVIDE 36" WORKING CLEARANCE FOR THE POOL
EQUIPMENT MOTORS ARE REQUIRED
POOL SAFETY 13ARRIER:
EXIT ALARMS
SELF-CLOSING
SELF -LATCHING DOORS
SPA TO BE EQUIPPED WITH ANTI -ENTRAPMENT DEVICE (SEG. 1404 FEDERAL
SWIMMING POOL AND SPA DRAIN COVER STANDAR)
NOTE: ALL POOL HEATER INSTALLATIONS REQUIRE A-
CF-�R-MECH-03 FORM TO BE COMPLETED AND SIGNED BY
THE INSTALLER OF RECORD AND SUOMITTED TO THE
BUILDING INSPECTOR PRIOR TO INSPECTION APPROVAL
PROVIDE LOCATION OF ANTI-ENTRAPMENT/VORTEX COVERS MEETING
CURRENT STANDARS OF THE AMERICAN SOCIETY FOR TESTING AND
MATERIALS (ASTM) OR THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS
( ASME). IDENTIFY A MINIMUM 3 FEET SEPARATION BETWEEN ALL DRAINS
AND NOTE HYDRAULICALLY BALANCED
SAFETY FEATURES:
w ALL ANTI -ENTRAPMENT COVER INSTALLATI❑N MEETING CURRENT STANDARDS OF THE AMERICAN
SOCIETY FOR TESTING AND MATERIALS OR THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS (ASME)
ELECTRICAL:
EQUIPOTENTIAL BONDING REQUIREMENTS SHALL BE INSTALLED TO ELIMINATE VOLTAGE
GRADIENTS IN THE POOL AREA AS PER CEC ART, 680.26,
20 1 6 CALIFORNIA BUILDING CODE (BASED ON2006IBC)
20 1 6 CALIFORNIA MECHANICAL CODE (BASED ON 2006 UMC)
20 1 6 CALIFORNIA PLUMBING CODE (BASEDON2009UPC) TITLE 24, PART
20 1 6 CALIFORNIA ELECTRICAL CODE (BASEDON2006NEC)
20 1 6 CALIFORNIA ENERGY EFFICIENCY STANDARDS
GOVERNMENT CODE SECTI❑N 4216.2. (a) (1) EXCEPT IN AN EMERGENCY, ANY PERSON
PLANNING TO CONDUCT ANY EXCAVATI❑N SHALL_ CONTACT THE APPROPRIATE REGI❑NAL
N❑TIrICATI❑N CENTER, AT LEAST TWO WORKING DAYS, BUT NOT MORE THAN 14 CALENDAR
DAYS, PRI❑R COMMENCING THAT EXCAVATION, IF THE EXCAVATI❑N WILL BE CONDUCTED
IN AND AREA THAT IS KNOWN, OR REASONABLY SHOULD BE KNOWN, TOC❑NTAIN SUBSURFACE
INSTALLATI❑NS OTHER THAN THE UNDERGROUND FACILITIES OWNED OR OPERATED BY THE
EXCAVATOR AND IF PRACTICAL, THE EXCAVATOR SHALL DELINEATE WHIT WHITE PAINT OR
OTHER SUITABLE MARKING THE ARE TO BE EXCAVATED
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL
COMPLY WITH SECTION 114 -MANDATORY REQUIREMENTS
EXIT ALARMS TO r3E INSTALLED ON ALL DOORS WITH
DIRECT ACCESS TO THE POOL
POOL HEATER, POOL EQUIPMENT SHALL 13E INSTALLED
PER MANUFACTURE'S RECOMMENDATIONS AND IN
ACCORDANCE WITH LOCAL REGULATIONS
General Notes
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 31 Qt %7gY
7-1s
REMODEL
Date
2-20-2017
No.
Revision/Issue
Date
RESIDENCE INFO
OLIVER CHAINE
78-820 FIESTA DR
LA QUINTA„ CA 92253
I
an ast'le ools
F
'iV'fr
Project
Sheet
REMODEL
Date
2-20-2017
Scale
1/8"= 1'
931
v
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