BPOL2017-009678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2017-0096 4
Property Address: 46860 HIGHLAND PALMS DR
APN: 643193004
Application Description: DAVIDSON / POOL SPA AND RETAINING WAC CO .l
Property Zoning:
Application Valuation: $67,000.00
Applicant:
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
P 0 BOX 429
YUCCA VALLEY, CA 92286
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.: 878257
Date: 7—
%J / Contractor:
OWNER -BUILDER ECLARATION
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 ) 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.).
(__j 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.).
(_J 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 Address:
VOICE (760) 771-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/3/2017
Owner:
NORMAN DAV DSON
150 INVERNESS DR
LA CANADA FL.NTRIDGE, CA 92253
Contractor:
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
P 0 BOX 429
YUCCA VALLEY, CA 92286
(760)333-0187
Llc. No.: 8782-c7
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
comp nsation, as provided for by Section 3700 of the Labor Code, for the performance
of th work for which this permit is issued.
I have and will maintain workers' -ompensation insurance, as required by
Se tion 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: 9099738
_ I certify that in the performance d 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 :hat, if I should become subject to the
workers' compensation provisions of Section 3 00 the Labor Code, I shall forthwith
comply with those provisions.
-
Date: 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 FSR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made tache Building Official for a permit subject to
the conditions and restrictions set forth on tris 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. .
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 citvJ.�enter upon the above-
mentioned property for inspection purpose^. ��
Date: — Signature (Applicar.,t or Agent)
1
f t �
Application Number:
BPOL2017-0096
Property Address:
46860 HIGHLAND PALMS DR .
APN:
643193004
Application Description:
DAVIDSON / POOL SPA AND RETAINING WALL
Property Zoning:
Application Valuation:
$67,000.00
Applicant:
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
P 0 BOX 429
YUCCA VALLEY, CA 92286
Date: 7/3/2017
Owner:
NORMAN DAV DSON
150 INVERNESS DR
LA CANADA FLINTRIDGE, CA 92253
Contractor:
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
P 0 BOX 429
YUCCA VALLEY. CA 92286
(760)333-0187"
Llc. No.: 878257
--------------------------------------------------------------------------------------------
Detail: POOL AND SPA AT REAR YARD [POOL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE, FIRE PIT OR BBQ. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL ,• 1•
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $3.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00
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
Iain #
Qty of La Qu'ijta
Building & Safety Division.
Permit 9; 78-495 Cai1e Tampico
La Quinta, CA 92253 - (760) 777-701.2
Building Permit Application and Tracking Sheet
Project Address: 6 6 O Owner's Name: 6 r-M-Ln
A. P. Number:
Address: 7 1kq044 /?/Yt
Legal Description:
City, ST, Zip:C�
GQ ' F� r3
v t�
ontra r
C ct -.
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Te le hone: �
Address: '7370p '0Inq SAere,ap
Project Description:
City, ST, Zip: �ql S
C4 70-� l/
I CDr
Telephone: -
le h 0 O
P 3 O 1
nn t Ali d D
K ✓lt ! .
State Lic. # : 7 ��
city Lie. #;
Arch., Engr., Designer:
Address:
City, ST., Zip:
Telephone:
...w(.:,.:::
.
O ecu azcy
.0on
Construction Type:
a #
State to Ltc.
Project e (circle one • N w Add'n A.terRepair- Demo
Name of Contact Person: � �
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760 0 t,?,>
Estimated Value of Project: 7 6 6 p
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
.'Amount
Structural Calcs.
Reviewed, ready for.corrections
Plan Check Deposit
Truss C21cs.
Called Contact Person
Plan Check I3212nZC.
TiQe 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2n° Review, ready for corrections/issue
Electrical
Subcontactor Lis(
Called Contact Person
Plumbing
Grant Deed
W
Plans picked up
S.M.L.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3,° Rcyiew, ready for corrcctionstissuc
Developer ImpacLFee
Planning Approval
Called Contact Person.
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
t
•
Total Permit Fees
- 1 GIItI VVVVI �, V♦ ♦ Vl�a� I I .
37' 31"
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LED Q\JFL- 1
31�
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-121'
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Zo°
LED LED LED
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Ln
LU
_
LIU-
120' gray ul electrical conduitLU
with #6 awg wire less than 3% ="
voltage drop
140' of 2" Poly gas line
_
F LAQUI19'211
Existing House
F�7
DPT. & SAFETYROVE
-
FOR CONSTRUCTIO
Length:31' : -
c'
Job Site ,and Owner=
1
Width: 15'
Depth: to
s
.a~"
- { ,
Norman Davidson
DATE I BY
J 11
Perimeter:92'
.,
- : 46860 Highland Palms
Drive �-
",
ti '`
Sq Ftg:465' `
Capacity: 10, 182 Gallons
Y+
- La Quinta, CA
:.
Material: Gunite/ Pebble
,
_
Electric'meter
Spa: 7' @ +18" "
Gas Meter
. )�W3)77
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Scale:
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