BPOL2015-012078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2015-0120
Property Address:
53551 ROSS AVE
APN:
767680039
Application Description:
SURES RESIDENCE POOL SPA FIRE PIT & WATER FEATURE
Property Zoning:
LA QUINTA, CA 92253
Application Valuation:
$50,000.00
Applicant:
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MC INTYRE POOLS & SPAS
INC
83-695 AVENUE 45
INDIO, CA 92201
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/11/2015
Owner:
SURES, JONATHAN & MOLLY
53551 ROSS AVE
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LA QUINTA, CA 92253
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Contractor:
SURES, JONATHAN & MOLLY
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53551 ROSS AVE
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LA QUINTA, CA 92253
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Llc. No.::CONV:140528101254088838
-------------------------------------------------------------------------------------'--------
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:Aense No.::CONV:140528101254088838
Da et :—' C9Contractor:
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, as owner of the property, or my empfoyees with wages as their sole
compensation, will do the work; and the structure is not intended & 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.).
(_) 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
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 ofthe 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 ose ovisions.
Date: 69 gl is 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 pursuantto 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 MKon the above.
mentioned Ax
or inspection purposes.
Date: �Signature (Applicant or Age
FINANCIAL INFORMATION
DESCRIPTION � '
ACCOUNT,
QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $2.00 $0.00
PAID BY METHOD
RECEIPT # ` ? CHECK #; a CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
'DESCRIPTION
ACCOUNT
qTY
AMOUNT
�: PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT#`
CHECK #.f
CLTD BY
DESCRIPTION ,
;: ACCOUNT
QTY
AMOUNT
PAID :.,
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY .
METHOD
RECEIPT #
_ CHECK #
CLTD BY
Total Paid forPLUMBING FEES: $36.26 $0.00
"DESCRIPTION
ACCOUNTQTY
AMOUNT,
PAID .`
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
'PAID BY'
METHOD
RECEIPT#
r :'CHECK # :.M'
CLTD' BY
DESCRIPTIONACCOUNT
`-
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY - ''"
METHOD
;. RECEIPT #
= CHECK # '
CLTD BY.
DESCRIPTION
-ACCOUNTQTY
AMOUNT
PAID -
PAID DATE
WATER FEATURE ONLY
101-0000-42404
0
$181.29
$0.00
PAID BY
t METHOD
RECEIPT #
CHECK # :
CLTD BY:
DESCRIPTION ' :''
ACCOUNTQTY`
AMOUNT.
PAID
PAID DATE
WATER FEATURE ONLY PC
101-0000-42600
0
$98.62
$0.00
PAID BY ;, ' .
METHOD
RECEIPT #
CHECK#
CLTD'BY
Total Paid for POOL / SPA: $559.82 $0.00
TOTALS:i 0.00
Description: SURES RESIDENCE POOL SPA FIRE PIT & WATER FEATURE
Type: POOL Subtype: Status: APPROVED
Applied: 6/9/2015 MFA
Approved: 6/10/2015 KKI
Parcel No: 767680039 Site Address: 53551 ROSS AVE LA QUINTA,CA 92253
Subdivision: TR 33076-1 Block: Lot: 34
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $50,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, FIRE PIT, AND WATER FEATURE. THIS PERMIT DOES NOT INCLUDE 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.
_j. Applied to.Approved
Printed: Thursday, June 11, 2015 9:56:36 AM 1 of 3
. ., "flySTEMS
ADDITIONAL
CHRONOLOGY TYPE „STAFF.NAME
ACTION.DATE':
COMPLETION DATE:
=NOTES
NOTE
STEPHANIE KHATAMI
6/9/2015
sent back 6-9-15
NOTE
STEPHANIE KHATAMI
6/10/2015
sent back 6-30-15
NAME TYPE
NAME
CONDITIONS
ADDRESSI
•
CITY ..
.STATE .
ZIP
PHONE :: FAX EMAIL
APPLICANT
MC INTYRE POOLS & SPAS INC
83-695 AVENUE 45
INDIO
CA
92201
CONTRACTOR
SURES, JONATHAN & MOLLY
53551 ROSS AVE
LA QUINTA
CA
92253
OWNER
SURES, JONATHAN & MOLLY
53551 ROSS AVE
LA QUINTA
CA
92253
Printed: Thursday, June 11, 2015 9:56:36 AM 1 of 3
. ., "flySTEMS
INSPECTIONS
TY INSPfdOR-`1" SCHEDULED COMPLETED RESULT-
EQID-,,"�_ -INSPECTION REMARKS, Ott
DATE
FINAL" BLD
Printed: Thursday, June z1,ZOI59'56:36AM 2of3 CRWIYSTEMS
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLEfS PC
Total Paid forPLUMBING FEES: $36.26 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$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. $SS9.82 $0.00
INSPECTIONS
TY INSPfdOR-`1" SCHEDULED COMPLETED RESULT-
EQID-,,"�_ -INSPECTION REMARKS, Ott
DATE
FINAL" BLD
Printed: Thursday, June z1,ZOI59'56:36AM 2of3 CRWIYSTEMS
a"C
fetes O�
E@ -
CFti°OF.T1;Y��
NON-STRUCTURAL -
BUILDING
6/10/2015
6/17/2015
6/10/2015
APPROVED
-
1 WK
BUCKET
BOND
INFORMATION
„ ...
ATTACHMENT
STRUCTURAL -1 WK
BUILDING
6/10/2015
6/17/2015
6/10/2015
NOT REQUIRED
BUCKET
Printed: Thursday, June 11, 2015 9:56:36 AM 3 of 3 ', SYSTEMS
_
-°
BOND
INFORMATION
„ ...
ATTACHMENT
S
Printed: Thursday, June 11, 2015 9:56:36 AM 3 of 3 ', SYSTEMS
Bin #
��
City Of La Qtlinta.
Bulloing 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
b Quinta, CA 92253 - (760) 777-7012
Bililding Permit Application and -Tracking Sheet
Permit # :
�PD
Project Address: 5 3—
5 S
S' Owner's Name: S V C3
A. P. Number:
TRACING PERMIT FEES
Address: Sc2— S
Legal Description:
City, ST, Zip. C
Contractor: C_
Address: — 05
S S Telephone:
Project Description:
City, ST,.Zip: Q);At C14,
9)2,01. cs
Telephone: % 6� H �.-3G 2
�
i
t State Lic. # : C S3 -
Truss Calcs.
CityLic: , 1 SOS
Arch., Engr., Designer ...
Called Contact Person Plan Check Balance
"
Tyne 24 Cales.
Cityj ST, Zip:
Name of Contact Person:C Sq. Ft.:
# Stories: #.Units:
Telephone # of Contact Person: 7 U - SC). Estimated Value of Project: Sa
APPLICANT: DO NOT WRITE 13ELOW THIS LINE
#
Submittal
Req'd
Recd..
TRACING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs..
Reviewed, ready for corrections Plan Check Dzposit
Truss Calcs.
Called Contact Person Plan Check Balance
Tyne 24 Cales.
Plaus.picked up Construction.
Flood plain plan
. Plans resubmitted Mechanical
Grading plan
god Review, ready for corrections/issue Electrical
Subcontactor List
Called Contact Person Plumbing:
Grant Deed
Plans.picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN-HOUSE:-
Review, ready for correctionslissue Developer Impact Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Focal Perm- Fees
MATERIALS LEGEND:
C D
NAME:
SIZ '
P 1
STONE PAVERS
3/4" X 24" X 48"
(800) 970-9798
MASSANGIS JUANE CLAIR
1 %2" X 1211 X 24" COPING
P2
BBQ COUNTERTOP
1.5" X 18" X 36"
P R L
1
Q
P3
WATERLINE TILE
3/g" X 12 X 24"
( O 970-
STONE PROJECTS
P4
POOL PLASTER
(213) 880-1 155
BLUE TERRA
P5
GRAVEL
3/g" MINUS
POOL SURFAECS
CRESTON BLONDE
P6
CHIP AND SEAL
3/g" MINUS
BOURGET BROS.
CRESTON BLONDE
it
NOTE: REFER TO CIVIL PLANS FOR
DRAINAGE AND GRADING
PANY NAME:
CO ENTS:
EXQUISITE SURFACES
BRUSHED FINISH
(800) 970-9798
REFER TO PAVING DETAIL 47 L-2.02
PROVIDE SAMPLE FOR OWNER'S APPROVAL
PRIOR TO ORDERING
1
Q
EXQUISITE SURFACES
HONED `
( O 970-
S D TAl
STONE SOURCE
BRERA - NATURAL FINISH - REFER TO POOL
(213) 880-1 155
COPING DETAIL - PROVIDE SAMPLE FOR
OWNER'S APPROVAL PRIOR TO ORDERING
°
POOL SURFAECS
OYSTER QUARTZ - PROVIDE SAMPLE FOR
(704) 373-2529
OWNER'S APPROVAL PRIOR TO ORDERING
1
Q
BOURGET BROS.
CRESTON BLONDE
it
O
CC
(3 1 O) 450-6556 EXT.22 1
REFER TO DETAIL
BOURGET BROS.
CRESTON BLONDE
(310) 450-61556 EXT.221
SEE CHIP & SEAL DETAIL
o
�+
REFER TO DETAIL #8, L-2.02
METAL EDGER @ ALL SIDES SEE DETAIL
4
#4, L-3.01
LAYOUT NOTES:
1 . ANY DISCREPANCIES WITH WHAT IS SHQWN ON THE PLANS AND WHAT IS
OCCURRING IN THE FIELD SHALL BE BROUGHT TO THE ATTENTION OF THE
LANDSCAPE ARCHITECT PRIOR TO INSTALLATION.
2. GRADING AND DRAINAGE PLAN PER CIVIL ENGINEER.
3. ELEVATIONS ARE APPROXIMATE BASED ON PROVIDED SURVEY DATA.
4. WRITTEN DIMENSIONS OVERRIDE SCALED GRAPHICS.
5. BID NOTE: CONTRACTOR TO CREATE LINE ITEM BID INDICATING
MATERIALS, SIZES, QUANTITIES AND TYPES.
CITY OF LA QUIpNT�
AP& SAFETY A 1
BUILUINPROVED
FOR CONSTRUCTION
DATE -6&" Sy-'� —.._
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north
revisions
date
04.00.2015
date
01/23/2015
scale
drawn by
sheet number
L-2.00