BPOL2017-009478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application.Number: BPOL2017-0094
Property Address: 52120 AVENIDA MENDOZA
APN: 773233006 -
Application Description: STOCKSTILL / POOL, SPA AND BBQ STUB AT REAR YEARD
Property Zoning:
Application Valuation: $18,000.00
Applicant:
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA RAMIREZ
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm u der penalty of perjury that I a icense rider provisions of Chapter 9
{commencing wi Section 7000) of Division 3 o t e siness and Professions Code, and
my License iYin f II fort and effect.
License Clas3: CS License No.: 65899
I hereby affirm under penalty of perjury that I aI exempt from the Contractor's State
License Law for the following reason (Sec. 7031. , 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).:
( ) 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: 6/29/2017
Owner:
MR AND MRS STOCKSTILL .
52120 AVENIDA MENDOZA
LA QUINTA, CA 92253
Contractor:
FAMILY POOLS CONSTRUCTION
53-300 AVENIDA RAMIREZ
LA QUINTA, CA 92253
(760)564-3655
Llc. No.: 658996
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
ave and will maintain a certificate of consent to self -insure for workers'
co sation, asprovided for by Section 3700 of the Labor Code, for the performance
o t rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Seci n 3700 of the Labor Code, for the performance of the work for which this permit is
issu . My workers' compensation insurance carrier and policy number are:
Carr er: STATE COMPENSATION INSURANCE FUND Policy Number: 9210626
_. I certify that in the performance of the work for w ich this permit is issued, I
shall not employ any person in any manner so as t e subject to the workers'
compensation laws of California, and agree that ' hould become subject to the
workers' compensation provisions of Section o the Labor Code, I shall -forthwith
comply wjth tgose provisions. _
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.
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
for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the a 4 formation is correct.
I agree toJr
mply with all city and county ordinances and s laws relating to building
const tiand ereby authorize representatives of sc enter upon the above-
mentiie„opery for inspection purposes. ��
or Agent):
f
Application Number:
BPOL2017-0094
Property Address:
52120 AVENIDA MENDOZA
APN:
773233006
Application Description:
STOCKSTILL / POOL, SPA AND BBQ STUB AT REAR YEARD
Property Zoning:
Application Valuation:
$18,000.00
Owner:
MR AND MRS STOCKSTILL
52120 AVENIDA MENDOZA
LA QUINTA, CA 92253
Date: 6/29/2017
Applicant: Contractor:
FAMILY POOLS CONSTRUCTION FAMILY POOLS CONSTRUCTION
53-300 AVENIDA RAMIREZ 53-300AVENIDA RAMIREZ
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)564-3655
Llc. No.: 658996
------------------------------------------------------------- :
POOL, SPA, AND GAS STUB FOR FUTURE BBQ AT REAR YARD.[POOL ENGINEERING) THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE.
ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
.101-0000-42600
0
$25:33
Total Paid for ELECTRICAL: $50.66
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
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin #
City of is Quint'aillon
BuiAft ar Safety Dillon
: P.O. Box 1504, 78-495 Calle Tampico
La Qldnta, CA 92233 - (760) 777-7012
Mlding Permit Application and Tracking Sheet
Permit #
Project Address:
I
Owner's Name:
L
A. P. Number.
Address: "5—ZI7.6, AzAaqmeae-A
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address:
Project D¢scnption:
City, ST, Zip: 'ItAll-
Telephone _-, 5 f,-3
State Lie. #':
Arch., Engc, Designer:
City Lie. A.
Address:
City-, ST, Zip:
Telephone: `-
eP _ ..,� . - ,$>
State Lic. #: <m„ :. -
Name of Contact Person:{
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: # Stories: # Units:
Telephone # of Contact Person
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'•d
TRACKING
PERMIT FEES
Pian Sets
Plan Check submitted
item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance
Title 24 Calm
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for eorrecdon&4ssue
Electrical
Sabcontactor Ust
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctiouslissue
Developer Impact Fee
Planning Approval
Called Contact Person
AALP,P.
Pub. Wks. Appr
Date of permit issue
School Fees
_
Total Permit Fees
M
INSTALLATION CER'TIFICA'TE c.�-tea`-`•n''` xg-
i. Pool And Spa HeatingS stems e 1 of 2
Site Address: Enforcement Agency: :erm0 Name
l
Pool and Spa Heating Systems requirements
~ ' §114( ): Systems and Equipment-
1.
quipment1. Heater has a thermal efficiency that complies with the Appliance Efficiency Regulations.
2. Has a readily accessible on-off switch mounted outside of the heater.
3. Weatherproof plate or card containing operating instructions for the pool or spa heater.
4. No electric resistance heating except for listed package units that has fully insulated enclosures and tight fitting
covers that are insulated to at least R-6. Or if documentation is provided that at least 60 % of the annual heating
energy is from site solar energy or recovered energy.
5. Heating system has no pilot light.
§114( ): Installation.
1. System is installed with at least 36" of pipe between the filter and heater, or dedicated suction and return lines,
or built-in or busk -up connections for future solar heating,
2. A cover for outdoor pools. or spas that. have a heat pump or gas heater.
3. Pool system has directional inlets to adequately mix the pool water
4. Time switch which will allow the pump to beset or programmed to run during off -peek porsod` only
§1S ) Purnp Sizing and flow rate speclReatlon
1. The pump specified is listed in the CEC database of entified pool PUMPS `
2. The pump flow rate shall be calculated based on pool sizing table below.
3. The pump is capable of operating at 2 or mom. speeds (rot applicable if pump is less than 1 horsepower)-
4. Each auxiliary pool load is served by either a separate pump, or the system is.s-rved by a multi -speed pump.
Pnni cisina tVoinew ora ieoca i nn o movie ism srinwal ao Nseev&r mte of & hourul
Max Pool
Volume
(gallons)inches
Min Pipe D or Greater
uare feet
Min Filter Area orn70133
❑ 7. Stiction Pipe Di
Return
Suction
Cartridge
Sand
❑ .9. Filter Surface Area
13,000
1.5
1.5
100
2.4
17,000
1.5
2
130
3.1
21000
2
2
160
3.9
28,000
2
2.5
210
52
42,000
2.5
3
320
7.8
49,000
3
3
360
8.9
Note: For pumps greater than I hp. Tire maximum Pump Flow is the lowest spee&MJautrlutrxurvn
❑ 5. Calculated volume of pool (gallons).
❑ 6.' Return Pipe Diameter
��
(inches).
❑ 7. Stiction Pipe Di
(inches).
❑ .8. Filter Type Ater��
(Cartridge, Sand, DE).
❑ .9. Filter Surface Area
(sf).
Q 10. Max Pump Flow
�'�—
(gpm).
August 2009
2008 Residential Compliance Forms
INSTALLATION CERTIFICATE " ---
Pool And Spa R ling Systems, re 2 of 2
Site ddress: Enforcement Agency: Pcrmit'Nnmber. ffAV&j itm (m
S em Piping
1.. The suction side pipe is straight for at least 4 pipe diameters before entering the pump (See table below for the
required. straight run lengths for various pipe sizes).
2. The design uses low pressure drop fittings (sweep90's)
Pipe Diameter Required Pipe Length
inch leading into pump (inch)
1.5
6
2
8
2.5
10
3
12'
F11tta Equipment-
1. 1f a backwash valve is used: The diameter of the backwash multi -port valve. is 2 inches or as large as the
circulation pipe, whichever is greater
DECLARATION STATEMENT
®. 1 certify under penalty of per ury, under the laws of the State of California, the information provided on this form is true and correct.
• l am eligible under Division 3 of the Business and Professions Code to accept tesponsibility for construction, Oran authorized
representative of the person responsible for construction (responsible person).
• 1 certify that the installed features, materials, components, or manufactured devices identified on this certifiesste (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• t reviewed a copy of the Certificate of Compliance (CF -IR) form'approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met.
C 1 will ensure that a completed. signed. copy of this Installation Certificate shall be posted: ortnade availabie.with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this installation Certificate b required to be included with the documentation the builder provides to
the building owner at occupancy. 11
Corup any Name: %,"tailing Subc tractor r General ontrpctor or Builder/0)
tri)) JC tAA1.1 VP
Date Si¢ned: , _ 1 Position
2008 Residential Compliance Forms
44
a
August 2009
+18" Spa, 6 Jets, 2'w
Spill, Tile Raised
Existing Mist Housing
4'h Vinyl Equipment
Fence
Pool Equipment
Gas Stub for
HO BBQ
Existing 6' Wall
Saw Cut for Utilities
cu
3
Y
cc
Zt
rn
c
X
W
ectric
3'6"wd
Existing Covered Patio
Existing 6' Wall
6'wd
Mr. & Mrs. Stockstill m
x
52120 Avenida Mendoza ,
i
La Qu i nta
W(562) 274-6718
i
New 6 Ornamental
Iron
Saw Cut for Utilities
Access
Driveway
6' Wall
Y OF
QUANTA
DING
SAFETY DEPT.
Front Courtyard APPROVED
LDATE4?K)
R CO
TRUCTION
F
I: BY
Avenida Mendoza6/16/17 Family Pools
oWe Date 'a Construction
Cy n Lic. 658996
oP0unn_0nau (760)564-3655
FPSDate
2,1U AAJEWMA MADERb C�1—l`1