BPOL2017-014978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&'�t 4 4a Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2017-0149
Property Address:
79195 NUEVO DR
APN:
604273006
Application Description:
REESE RESIDENCE/ NEW POOL
Property Zoning:
Application Valuation:
$28,000.00
Applicant:
CRYSTAL BLUE POOLS AND PATIOS
22195 PLANTATION DR
THOUSAND PALMS, CA
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: C5�3,, B. C-8. C27 License No • 846843
-at )P�— l '� Cr � 1 C
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)..-
1,
$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.).
(_) 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/12/2017
Owner:
SATICH AND. ULIE REESE
79195 NUEVO DR
LA QUINA; CA 92253
Contractor:
CRYSTAL BLUE POOLS AND PATIOS
22195 PLANTATION DR
THOUSAND PALMS, CA
(761)485-1463
Llc. No.: 846843
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury on° of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensatio ; as provided for by Section =700 of the Labor Code, for the performance
of the w for which this permit is issued -
ave and will maintain worker' compensation insurance, as required by
5ee4ien` 700 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: SOUTHERN INSURANCE COMPAN\ Policy Number: OWC1005100
_ I certify that in the performanceof 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 that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, l shall forthwith
complywiththose provisions. (/�/ ln/ (/�'
Date: "'i `{ L' I 7 wft?0fFXnt•. J 0 /�.� /_11�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRBVIINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDEDFOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made tD 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 C-ty of La Quinta, its officers, agents, and
employees for any act or omission related ":o 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
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 purposK _
Date: 9/12/2017
Application Number: BPOL2017-0149
Owner:
Property Address: 79195 NUEVO DR.
SATICH AND. ULIE REESE
APN: 604273006
79195 NUEVO DR
Application Description: REESE RESIDENCE/ NEW POOL
4
LA QUINA, CA 92253
Property Zoning:
Application Valuation: $28,000.00
Applicant:
Contractor:
CRYSTAL BLUE POOLS AND PATIOS
CRYSTAL BLU;= POOLS AND PATIOS
22195 PLANTATION DR
22195 PLANTATION DR
THOUSAND PALMS, CA
THOUSAND PALMS, CA
(761)485-14E3
Llc. No.: 846843
----------------- ---=----------- ------------------------------------------------------------
Detail: POOL AT REAR YARD [CHRISTOPHER J BIEDENBACH ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUI?MENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION,
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS S131473 FEE 101-0000-20306 0 $2.00
Total Paid for.BUILDING STANDARDS ADMINISTRATION BSA: $2.00
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 / SPAN $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:00
Bin#
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City of La Quinta
! Building & Safely Division
�
i 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
00
Project Address:
Owner's Name:
A. P. Number
Address: C
Legal Description:
City, ST, Zip:
Contractor:
C
Telephone: -
Address:
Project Description:
City, ST, Zip:. �f" v
to
iV� � � . �1/J ' ls✓` � ��
Telephone:
State Lic. #: < r
City Lic #:
1
Arch, Engr., Designer:
Address:
City, ST, Zip:
U
Telephone: I
C
Construction Type:
Occupancy:
State Lic. #: ®� ,
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Cteck Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees