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BPOL2015-002978-495 CALLE TAMPICO ` LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 Twit 4 646 a". COMMUNITY DEVELOPMENT DEPARTMENT ' BUILDING PERMIT BPOL2015-0029 81266 PEARY PL 767680032 MADISON/SOCTT POOLS/POOL SPA, MASTER SPA, WATER FEATURE $1.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License'dass: D35, C53 License No.: 644723 D�t/e:' �b Contractor:�['d��`s VOICE (760) 777-7125 FAX(760)777-7011 INSPECTIONS (760) 777-7153 Owner: JEFF SMITH 3395 S JONES BLV NO 360 LAS VEGAS, NV 0 Contractor: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 (760)275-7626 . Llc. No.: 644723 Date: 2/13/2015 �J '- w to cc ea o f L m �:5 LJJ LL U ' 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. 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: OWNER -BUILDER DECLARATION Carrier:_ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the tontractor's State *,_l certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' U 78-495 CALLE TAMPICO ` LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 Twit 4 646 a". COMMUNITY DEVELOPMENT DEPARTMENT ' BUILDING PERMIT BPOL2015-0029 81266 PEARY PL 767680032 MADISON/SOCTT POOLS/POOL SPA, MASTER SPA, WATER FEATURE $1.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License'dass: D35, C53 License No.: 644723 D�t/e:' �b Contractor:�['d��`s VOICE (760) 777-7125 FAX(760)777-7011 INSPECTIONS (760) 777-7153 Owner: JEFF SMITH 3395 S JONES BLV NO 360 LAS VEGAS, NV 0 Contractor: SCOTT POOLS 74 532 GARY AVENUE PALM DESERT, CA 92260 (760)275-7626 . Llc. No.: 644723 Date: 2/13/2015 �J '- w to cc ea o f L m �:5 LJJ LL U ' 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. 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: OWNER -BUILDER DECLARATION Carrier:_ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the tontractor's State *,_l certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 -- 0 / i Date: /S Applicant. Cd , 00 S basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a e— permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,. ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAUPENALTIES AND CIVIL FINES UP TO (1 I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request .and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business aid Professions Code: The Contractors' issued as a result of this application , the owner; and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. , B.&P.C. for this reason 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. 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: 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 city to enter upon the above- mentioned property for -inspection purposes. Date`. �j e�%ature (Applicant or Agentj: k DESCRIPTION' ACCOUNT QTY AMOUNT' " PAID + >PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 FINANCIAL INFORmATION. jCHECK #„ ' **CLTD BY k DESCRIPTION' ACCOUNT QTY AMOUNT' " PAID + >PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BYt METHOD k"RECEIPT # , jCHECK #„ ' **CLTD BY Total Paid for6UILDING STANDARDS ADMINISTRATION BSA $1:00 $0.00 DESCRIPTION _ ACCOUNT y QTY"' AMOUNT°'�, PAID F PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $362.58 $0.00 PAID BY q _ 'METHOD RECEIPT # "_ CHECK # LLTD BY, w DESCRIPTION . ACCOUNT c ' QTY = AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $197.24 $0.00 PAID BY' METHOD • RECEIPT # CHECK # CLTD BY, DESCRIPTION '= ' _ A00OLINT QTY ' °AMOUNT _ • .� PAID PAID DATE WATER FEATURE ONLY 101-0000-42404 40 $181.29 $0.00 PAID BY. .5- -'METHOD •4° '' -RECEIPT#a . CHECK*CLTDBY.pT --DESCRIPTION',. `_ *ACCOUNT '. r QTY AMOUNT .. PAID' ` -PAID WATER FEATURE ONLY PC 101-0000-42600 0 $98.62 $0.00 PAID BY� _ METHOD .•'P ,' k RECEIPT.# CHECK# CLTD BY, Total Paid for POOL/ SPA: $839.73 $0.00 $840.73 $0,00 Description: MADISON/SOCTT POOLS/POOL SPA, MASTER SPA; WATER FEATURE Type: POOL Subtype: Status: APPROVED Applied: 2/13/2015 SIKH Approved: Parcel No: 767680032 Site Address: 81266 PEARY PL LA QUINTA,CA 92253 Subdivision: TR 33076-1 Block: Lot: 70 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1.00 • Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL AND SPA, SPA IN MASTER BEDROOM, AND WATER FEATURE AT ENTRY. [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. Printed: Friday, February 13, 2015 1:57:35 PM 1 of 2 SYSTEMS CHRONOLOGY CONDITIONS CONTACTS NAME TYPEx`'-NAME �ApDRE5S1'_ CITY b STATE ZIP�,PHONE, FAX- _ w APPLICANT SCOTT POOLS 74 532 GARY AVENUE PALM DESERT CA 92260 CONTRACTOR SCOTT POOLS 74 532 GARY AVENUE PALM DESERT CA.- 92260 OWNER JEFF SMITH 3395 S JONES BLV NO LAS VEGAS NV 0 360 Printed: Friday, February 13, 2015 1:57:35 PM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SWIMMING POOL/SPA 101-0000-42404 0 $362.58 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $197.24 $0.00 PC WATER FEATURE ONLY 101-0000-42404 0 $181.29 $0.00 WATER FEATURE ONLY 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL/ SPA: $839.73 $0.00 $840.73 $0.00 INSPECTIONS SEQID , .:. ANSPECTION TYPE INSPECTOR n SCHEDULED. 'COMPLETED ,- RESULT - ; ' , "1 REMARKS ' - NOTES' m DATE, DATE - , 0. FINAL" Printed: Friday, February 13, 2015 1:57:35 PM 2 of 2 SYS7EM5 ' r _ ` CITY OFLA Q ~ ~ ' ___ ADDRESS- �___ ~ BUILDER _ on I e iol-<-,ith the Building Inspection Ca'rd at all times in a con's6icu6us place. - [) — pe , b ' 'appua'hng on this list or Aiheir arnp|oyemo are authorized to �xork r on this -job. Any -changes to this list must be approved by the Building Division prior. to no |imancernent of vvork' failure to comply will result in a stoppage of work and/or the xmidonoe of building permit. Fortoach applicable trade, all information requested below must be oonjpleted'bv applicant. "(]n File" is not an acceptable response. o es Company Name Classification- License Number Exp. Date Carrier Name Policy Number Exp. Date. License Number Exp. Date 718 /0 tMNG rA SC -1 IN hk!4 SO a,n # .. Permit # 12rot_2-o 15—ootc) Project Address: �� City of La Quinta. • Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet �� 2 £ Owner's Name: -D A. P. Number: 7 _ _ D Address: Legal Description: City, ST, Zip: Contractor:Telcphone:S ;;;•,.:>::::;;:;:;;;;a;<.::;�:.;:,,>>;:;•>: Address: _ 1 (5 Project Description: City, ST, Zip:% O : A4a- Telephone:v 2Z a s ...........,:>;,>.::::::;<: State Lic. # ;e- _ 41e1 City Lic: C Arch., Engr., Designer: kklS d AIS Address: City, ST, Zip: Telephone State Lic. # }:;-ii>ii:j:•::4i�ii�::;•ltiv:•i% �vtit. `f,.�A.`juui`�iil$. �r <.;,,:; >.:•::<< ;>: ,;>..;;{.::,.:..:,: ?< ;.... - Construction Type: Occupancy: Project : New Add'n Alter Repair Demo Pro J type circle one) Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 000 APPLICANT: DO NOT. WRITE BELOW THIS LINE # Submittal Rcq'dRecd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, rcadyfor corrections Plan Check Deposit Truss CalcS.. Called Contact Person Plan Check Balance Title 24 Calcs. Pians picked up Construction ' Flood plain plan Pians resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 'rd Review, ready for corrcctionsrlssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Ices ��\=��f�±� �\�»�� J■ ■