BPOL2017-001678-495 CALLE TAMPICO U ZP VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT FAX
(760) 777-7153
BUILDING PERMIT
m2017
cn6`� CUD
Application Number,: BPOL2017-0016 Owner: G)
Property Address: 81930 MOUNTAIN VIEW LN LARRY OWENS a
APN: 767480012 P 0 BOX 6416
Application Description: OWENS / POOL AND SPA ONLY LA QUINTA, CA 0 c7 n ;E1
Property Zoning: m co
Application Valuation: $60,000.00
Applicant: Contractor: N
LARRY OWENS OWNER BUILD Lp
P 0 BOX 6416 �®!
LA QU I NTA, CA 0
Z
LIC. No.:
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 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
Ampe
s owner of the property, or my employees with wages as their sole
w abbn, 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.).
'� _
Q 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:`
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
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: _
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner soas to become subject to the workers'
compensation laws of California, and agree that, 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: 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 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 tie 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 ofissuance of such permit, or cessation of
work for 180 days will subject permit to tante lation.
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 represent; tives of this city to enter upon the
above-mentioned property for inspection purposes. n
re
Date: 3/2/2017
Application Number:
BPOL2017-0016.
Owner:
Property Address:
81930 MOUNTAIN VIEW LN
LARRY OWENS
APN:
767480012
P 0 BOX 6416
Application Description:
OWENS /.POOL AND SPA ONLY
LA QUI NTA, CA 0
Property Zoning:
Application Valuation:
$60,000.00
Applicant:
Contractor:
LARRY OWENS
OWNER BUILD
P O BOX 6416
LA QUINTA, CA 0
Llc. No.:
-------------------------------- ------------------------------------------------------------
Detail: POOL AND SPA ONLY.AT REAR YARD SPECIAL ENGINEERING. THIS PERMIT DOES NOT INCLUDE AN EQUIPMENT WALL. ALARMS AND BARRIERS
MUST BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2016 CLAIFORNIA BUILDING CODE.
DESCRIPTION
ACCOUNT QTY
70
AMOUNT
BSAS SB1473 FEE
101-0000-20306
$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
Y.O. BOX 1504
LA QU.INTA, CALIFORNIA 92247-1504
78-495. CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-70 1 1
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! OTICE TO PROPERTY OWNER
Dear PropN
erty Owner:
An application for a buildings b submitted in o ame listing Y u� g yourself as the tuilder of the property
improvements specified at been
(&j- 11 a .
We are providing you with an Owner -Builder Acknowledgment and Iii rmation Verification Form to hake you aware.of your
responsibilities andpossible 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 understane.ing of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot 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.
1. I understand a frequent practice of unlicensed persons is' to have the property owner obtai-r an.
"Owner -Builder"
wilding 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 by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not prov.de 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.
2.. I understand building permits are not required to be signed by property owners unless they -re 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 1 understand that I may protect
LZ myself from potential financial risk by hiring a licensed Contractor and havin the
own g permit filed rn his or her name instead of my
4. I understand Contractors are required by law to be licensed and bonded in California and to list th--r lic
inumbers on
permits and contracts. ense
G%5: I understand if I_employ or otherwise engage any persons, other than California licensed Contractors, and the total v_alue._____._
of -my construction -is -at -least -five hundred dollars ($500),`mcluding labor and materials, I may be considered an "employer"
under state and federal law.
I understand if I am considered -an "employer" under state and federal law, I must register with the state and federal
government, withhold. payroll taxes, provide workers' compensation disability insurance- and contribzte to unemployment
compensation for each "employee:" I also understand my failure to abide by these laws
risk. may subject me to.serious financial
11>q)7. I understand under California 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' performed 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.
I understand as an Owner -Builder if I sell the property for which this permit is issued, F may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent con :truction defects in the
workmanship or materials.
�9. I understand I may obtain more information regarding my, obligations as an "employer" frori 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-
800-321-CSLB (2752) or www.tslb-ca.gov for more information about licensed contractors.
10. 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 responsible for proposed construction activity at the - following address:
11. I agree that, as the party legally and financially responsible for this proposed construction acti-rity, I will abide by all
applicable laws and requirements that govern Owner -Builders asmell as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ave provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board maybe 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 hi civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or fun is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and, wsh to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status 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 verification acceptable to the agency is required to be presented when tl:e permit is issued to verify the property
owner's signature. _
Signature of property owner Date: _/ G
Note: The following Authorization Form is required lobe 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.owners driver's license, form notarization, or ower verification
acceptable to the agency ii required to bepresented when the permit is issued to verify theproperty owners signature.
Property Owner's Signature: Date:
6
EQUIPMENT LOCATION
60' OF 1.5" DIAMETER POLYETHYLENE GAS LME
WITH TRACING WIRE
3/4" GAS RISERSSPA +48"
37'-0^ • ~ "X5'6" SPA QM8 HT.
& STEPS
SPA NO.2
r - m_ - - - - - ---Tm� +Y8 —34^GAS RISERS
NO'T'E 1
r
1
NOTE
3/4" GAS RISERS �^
ia•
I - 12'x8'6" SPA Q+24"
.,b.. W/10 JETS & STEPS
NOTE
I
1
FIRE PITS 3/4" GAS RISER::
OTE 1
3/4" GAS RISERS
. 1 w"vemmaeaumx, w
3W OF 2" DIAMETER , NOTE 1
POLYETHYLENE GAS LINE ,
WITH TRACING WIRE I Z
FROM METER TO POOL
EQUIPMENT LOCATION
1
PTyANT
Bl, -3' ew.D.
1 SKIMMER Oo!
, NOTE 1
72'-9.
0
1
HOUSE OVER VIEW: NOT TO SCALE.
1
M o I ,mm,rj PROPERTY LINE WALL
Crry OF La
QUINTA
BUILDING & SAFETY DEPT
APPROVED
FOR CONSTRUCTION
DATE 3 2 ZGf 13Y
b�iG� �Pr
2,,V)?
cx)/
1 BOULDERS TO SIT •»s..+mrol�rr
IN T LEDGE INSIDE POOL.
1
. `.. _ SKIMWiER
pLr�NTE[t 1 NGTE 1
i e ' 3" p (NOTE'1: DRAINAGE CONNECTED TO SUBSURFACE DRAIN PIPE
NOTE 1
PLAN'C�R '
y
I
i - APPROXIMATELY
300 FEET OF
I
2" DIAMETER
,
POLYETHYLENE
' GAS LINE WITH
- TRACING WIRE
FROM, GAS METER
1 o TO EQUIPMENT
LOCATION
F— SELF CLOSING AND LATC14ING
I (:ATF ON THIO SIDF OF HOINP
U W IIGI'
Iarryo4968Qaol.com
A&B Lic. #996546
P.O. BOX 6418 (760) 250-1544 cell
LA QUINTA , CA 92253 (760) 398-0068 fax
POOL SPECS
POOL SIZE: 50'X42'
POOL AREA: 1,462 SF.
POOL PERIMETER: 155 LF.
POOL DEPTH: 8' MAX DEPTH
SPA SPECS
SPA SIZE: 12' '
SPA AREA: 102 SF.
SPA PERIMETER: 40 LF.
SPA SPECS
SPA SIZE: 12'
SPA AREA: 102 SF.
SPA PERIMETER: 40 LF. _
SPECS
-
SPA SIZE: 6
SPA AREA: 39 SF.
SPA PERIMETER: 26 LF.
I
SCOPE OF WORK:
INSTALL POOL, SPA:
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�,I.GR 01 2017
MY OF L4 GUINTA
COMMUNITY DEVELOPMENT. .
LARRY & TERRIE OWE:
81-930. MOUNTAIN VEEW LAP
1
I
1
F— SELF CLOSING AND LATC14ING
I (:ATF ON THIO SIDF OF HOINP
U W IIGI'
Iarryo4968Qaol.com
A&B Lic. #996546
P.O. BOX 6418 (760) 250-1544 cell
LA QUINTA , CA 92253 (760) 398-0068 fax
POOL SPECS
POOL SIZE: 50'X42'
POOL AREA: 1,462 SF.
POOL PERIMETER: 155 LF.
POOL DEPTH: 8' MAX DEPTH
SPA SPECS
SPA SIZE: 12' '
SPA AREA: 102 SF.
SPA PERIMETER: 40 LF.
SPA SPECS
SPA SIZE: 12'
SPA AREA: 102 SF.
SPA PERIMETER: 40 LF. _
SPECS
-
SPA SIZE: 6
SPA AREA: 39 SF.
SPA PERIMETER: 26 LF.
SCOPE OF WORK:
INSTALL POOL, SPA:
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•„mr�.rl„"n.• roe �„�I�.,rn.
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�,I.GR 01 2017
MY OF L4 GUINTA
COMMUNITY DEVELOPMENT. .
LARRY & TERRIE OWE:
81-930. MOUNTAIN VEEW LAP
BIR #
Cit}/ Of La Qui to
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: ,Vy- i -ems•
Owner's Name:.CWeVS
A. P. Number. q(900 I Z
Address: 8 / c�60 oaAilmv View eA,t/=
Legal Description:
n- 92Z�3
�. .
City, ST, Zip: 14 4b A"
Contractor.
Telephone: 6 U Z SrJ/$y 3' z' �! s,`'
.;>
Address:
Project Description:
City, ST, Zip:
Telephone:'
State Lic. # : City Lic #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #: y�. ;
...._'"
Name of Contact Person: L Q(Af elli'S
Construction Type:. Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: (' c)). 7- S O - /,5-4 q
Estimated Value of Project Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMTF FEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs•
Called Contact Person
Plan Check. Balance
Title 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
tad Review, ready for correctionslissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SILL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review; ready for correctionsJissae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees