BPOL2017-002578-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT ,
Application Number:
BPOL2017-0025
Property Address:
56965 MOUNTAIN VIEW
APN:
762350006
Application Description:
GATH RESIDENCE / POOL & SPA
Property Zoning:
Contractor:
Application Valuation:
$24,500.00
Applicant:
AZURE POOLS & SPAS INC
P 0 BOX 10641
PALM DESERT, CA 92255
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.: 802919
Date:� Ikf 4 11 Contractor:
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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 ) 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.).
(_) 1, 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: 3/7/2017
Owner:
GATH
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56965 MOUNTAIN VIEW
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LA QUINTA, C4.92253
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(760)322-7665. Z
Llc. No.: 802919rn
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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'
compensate -, as provided for by Section 3700 of the Labor Code, for the performance
of t eVol� 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: SECURITY NATIONAL INSURANCE CCOMPANY Policy Number:
SWC1101469
_ 1 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 bat, 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: I AppljVl `�
WARNING: FAILURE TO SECURE WORKERS' C7MPENSATION 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 appication 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 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 -tate 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.3 / 1' I /orSienature (A.olicantor.A¢ ntl:
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Contractor:
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AZURE POOLS 3c SPAS INC a
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P 0 BOX 10641
PALM DESERT, CA 92255
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(760)322-7665. Z
Llc. No.: 802919rn
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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'
compensate -, as provided for by Section 3700 of the Labor Code, for the performance
of t eVol� 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: SECURITY NATIONAL INSURANCE CCOMPANY Policy Number:
SWC1101469
_ 1 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 bat, 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: I AppljVl `�
WARNING: FAILURE TO SECURE WORKERS' C7MPENSATION 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 appication 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 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 -tate 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.3 / 1' I /orSienature (A.olicantor.A¢ ntl:
4
Application Number: BPOL2017-0025 Owner:
Property Address: 56965 MOUNTAIN VIEW GATH
APN: 762350006 56965 MOUNTAIN VIEW
Application.Description: GATH RESIDENCE / POOL & SPA LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $24,500.00
Applicant:
Contractor:
AZURE POOLS & SPAS INC
AZURE POOLS & SPAS INC
P 0 BOX 10641
P 0 BOX 10641
PALM DESERT, CA 92255
PALM DESERT, CA 92255
Date: 3/7/2017
(760)322-7665
Llc. No.: 802919
-------------------- -----------------------------------------------------------------------
Detail: POOL, SPA, AND FIRE PIT AT REAR YARD. RUN GAS AND ELECTRIC TO FIREPIT [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] .
EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. THIS PERMIT DOES NOT INCLUDE WALLS/BARRIERS. PER 2016 CALIFORNIA BUILDING CODE
DESCRIPTION
ACCOUNT I QTY I AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
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
Din # City of La Q 1. in to
Building 8T Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application -and Tracking Sheet
Project Address: t/pS Ol!/'!%id ly (j j QvU Owner's Name: Ty/y
A. P. Number:
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Address:'
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Legal Description:
City, ST, Zip:
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Telephone:
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Address: t'J 3C, Y,
ProjectDescription:
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State Lic. # :' C/f 7
City Lic..#:
Arch., Engr., Designer: ' I
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Address:. N •J
City, ST, Zip: Q7
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Telephone:
one:
Construction Type: � lJ Occu aacY•
State Lic. #•
P oJectrYP �circle one): Add'n Aler Repair r Demo
-Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Projec . 2
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd 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.Clieck Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd Reyierv, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Ms. Aper
Date of permit issue
School Fees,
Total Permit Fees
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i POOL FROM PROPERTY LINE
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- EXISTING 30" TALL
BLOCK WALL
(BUILT BY DEVELOPER)
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51_011
EXISTING 72" TALL
BLOCK WALL
(BUILT BY DEVELOPER)
PROPERTY LINE 155.35'
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GRAVEL IN ALL REAR YARD °0
PLANT AREAS & SIDE YARD w
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BU��DiNG ---
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APPROvEoN -- -- - - - -- -- -- - - -- -- -- - - -- -- -- -- -- -- FOR CONST
PROPERTY LINE 155.35'
AYE -3 EXISTING 30" TALL EXISTING 7211 TALL
� w I BLOCK WALL BLOCK WALL
> Q i I (BUILT BY DEVELOPER) (BUILT BY DEVELOPER)
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21_011 151.011 19_611
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PLANT LEGEND
WASHINGTONIA
ROBUSTA
"MEXICAN
FAN PALM"
12' TALL
QTY =6
AGAVE
AMERICANA
"CENTURY PLANT"
25 GALLON
QTY = 10
AGAVE
DESMETTIANA
"DWARF
CENTURY PLANT"
15 GALLON
QTY = 21
AGAVE
PARRYI
"ARTICHOKE
AGAVE"
12" DIAMETER
QTY =8
ECHINOCACTUS
GRUSONII
"GOLDEN
BARREL CACTUS"
12" DIAMETER
QTY =8
IXORA
"MAUI ORANGE
IXORA'1
5 GALLON
QTY = 10
CALLISTEMON
VIMINALIS
"LITTLE JOHN
DWARF
BOTTLE BRUSH"
15 GALLON
QTY = 4
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Azure Pools & Spas, Im
Po Box 10541"
Palm Desert, CA 92255
LIGHTING
LEGEND
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MODEL: SPJ-ALPHA 12
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ENGINE: FB-12W-TA550
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LUMENS: 550 -
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COLOR: 2700K
MOUNTING: 1/2" NPT.
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FINISH: STAINLESS
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QUANTITY =_ 6 0 PER PALM)
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SUBMITTALS
DESIGN02.14.2017
.
...............
SCALE 1/4" =14
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