BPOL2015-0046Y
78-495 CALLE TAMPICO C& 0 D QUMAU
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number:
BPOL2015-0046
Owner:
Property Address:
81385 PEARY PL
RICHARD DURHAM
APN:
767680022
136 E SOUTH TEMPLE NO 825
Application Description:
DURHAM (3) REFLECTION POOLS
SALT LAKE CITY, UT 0
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
WESTERN POOLS
l!
Contractor:
WESTERN POOLS
P O BOX 5328
Lr -U
D
P O BOX 5328
LA QUINTA, CA 92253p
a A d
LA QUINTA, CA 92253
(760)275-2948
CITYO FIAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
Llc. No.: 348768
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,
-arid my License is in full force and effect.
License Class: B. C53. A License No.: 348768
Date: 3 —7—Y '%Y 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
permit subjects the applicant to a civil penalty of not more than five hundred dollarsL
($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 Ccntractors' 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:
Date: 3/24/2015
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 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, I shall forthwith
comply with those provisions.
Efate: 3'z "// 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 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 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. _ I A
Date: `—Z Signature (Applicant or Agent):
FINANCIAL ••
�;r , •, ' `DESCRIPTION ACCOUNTS
•
AMOUNT
' "- PAID
PAID,DATE'
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
;; rt `_. : �• yPAID, BY�
METHOD
°RECEIPT #
�; w':s `CHECK #
CLTD BY.'
i
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$1.00-
$0.00
��" _= DESCRIPTIONL'I ' ,' ;.
E ` ACCOUNTS ``sn tri
QTY
AMOUNT
w PAID'`.
PAID DATE
WATER FEATURE ONLY
101-0000-42404
0
$543.87
$0.00
yIX, �PAIDBY-';i':+`ks�
",x ''`METHOD
RECEIPT
g CHECK#'
-CLTDBY
x DESCRIPTIONj'` �•
ACCOUNT ='
QTYa
`x .AMOUNT • `,
PAID
PAID DATE
WATER FEATURE ONLY PC
101-0000-42600
0
$295.86
$0.00
PAID BY` ; •` { [3
y k N
.° 4; 1;METHOD t .'
3 `
,:RECEIPT
r ,CHECK# ,..'
-�CLTD B'
Total Paid for POOL / SPA:
TOTALS:
$839.73
$0.00
00
r
J ,
i
U
�
i
Description: DURHAM (3) REFLECTION POOLS
ADDITIONAL
Type: POOL
Subtype: Status: APPROVED
Applied: 3/23/2015 PJU
Approved: 3/24/2015 KKI
Parcel No: 767680022 Site Address: 81385 PEARY PL LA QUINTA,CA 92253
Subdivision: TR 33076-1
Block: Lot: 60
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
sent to philp
Details: (3) REFLECTION POOLS 7" X 14",7"X7", 5" X 5" PER 2013CALIFORNIA BUILDIN CODES.APPROVED PER KK.
Printed: Tuesday, March 24, 2015 3:00:09 PM 1 of 2 C
SY57EMS
ADDITIONAL
v 1� '- - ... ..
CHR E,: = STAFF NAME ACTION DATE. COMPLETION DATE,
1 • . • .. qty. . d. P..'
;i M NOTES,
. _
_.�
.. .,.t 's�� ,
k
NOTE
PHILIP JUAREZ
3/24/2015
sent to philp
PLAN CHECK SUBMITTAL
PHILIP JUAREZ
3/23/2015
3/23/2015
PUT ON KIRKS DESK.
RECEIVED
CONDITIONS
CONTACTS
NAMETYPE
T ` 'NAME+ -.a' TADDRES51CITY.STATE
ZIP
PHONE, tiF
FAX}'
EMAIL;=
ate.
APPLICANT
WESTERN POOLS
P O BOX 5328
LA QUINTA
CA 92253
CONTRACTOR
WESTERN POOLS
P O BOX 5328
LA QUINTA
CA 92253
OWNER
RICHARD DURHAM
136 E SOUTH TEMPLE
SALT LAKE CITY
UT 0
NO 825
Printed: Tuesday, March 24, 2015 3:00:09 PM 1 of 2 C
SY57EMS
<,
` DESCRIPTION ys
?; ACCOUNT
QTY
AMOUNT
PAID
:PAID DATE
RECEIPT #
CHECK #,,
METHOD
EPAID BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
WATER FEATURE ONLY
101-0000-42404
0
$543:87
.$0.00
WATER FEATURE ONLY
101-0000-42600
0
$295.86
$0.00
PC
Total Paid for POOL/ SPA $839.73 $0.00
TOTALS:00
--- --- ---- - - - - .. - -- ----- - -----PARENT PROJECTS -
BOND INFORMATION
Printed: Tuesday, March 24, 2015 3:00:09 PM 2 of 2 Cff?LYLY srsreMs
INSPECTIONS
: SEQID. -: INSPECTION -TYPE INSPECTOR;"' -r - 'SCHEDULED COMPLETED
` ` RESULT, REMARKS NOTES �;,
.a
DATED E
r �t
r
FINAL" BLD
--- --- ---- - - - - .. - -- ----- - -----PARENT PROJECTS -
BOND INFORMATION
Printed: Tuesday, March 24, 2015 3:00:09 PM 2 of 2 Cff?LYLY srsreMs
Bin # city of La QuInta.
Building st Safety Division
Permit # P.O. Box 1504,, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Project Address: g S ` Owner's Name:
A. P. Number: • •
Address:
Legal Description:
City, ST, Zip:
Contractor:
��-rr Poo[
Telephone:
P
Address: �Q
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Project Description:
City, ST, Zip: Ulrvt
Telephone:
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State Lic. # : S
City Lie. #;
7X.
Arch.., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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.....
ane
Occupancy:
i n Type: y:
Constructoyp
State Lic. #
Project type (circle : New ?dd'n Alter Repair r Demo
Name of Contact Person:
(e� til
Sq. Ft.:
#Stories:
# Units:
Telephone *,of Contact Person:. .
Estimated Value of Project: �s
APPLICANT: DO NOT WRITE BELOW THIS LINE
tf Submittal
Rcq'd
Recd
TRACKING
PERMIT FEES
Plan Sets
PIan Check submitted
J�J
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
C211ed Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
tad Review, ready for corrections/issue
. Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
'`d Rcyinv, ready for corrcctionsCssue
Developer Impact Fee
Planning Approval
Called Contact.Person
A.T.P.P..
Pub. Wks. Appr
Date of permit issue
School Fecs
Tota] Permit Fccs