BPOL2018-0018 - Permit Expired78-495 CALLE.TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
POOL/PRIVATE
BPOL2018-0018
80957 VIA PESSARO
777390002
HICKS/ POOL,SPA,FIRE PIT AND FEATURES
$86,900.00
Applicant:
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
CITY QE LA QUINTA
PRIGN AND 00VELOWNT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licens under pr visions of Chapter 9
{commencing with Section 7000) of Division 3 of the Bu ness a d rofessions Code, and
my License is in full force and effect.
License Class: C53 License No.: 999928
Date: J-- 17 I i 6 Contractor
I hereby affirm under penalty of perjury that I m exemp from the Contractor's State
License Law for the following reason (Sec. 703 .5, Busin from
and Professions Code: Any
city or county that requires a permit to constrVpplica
prove, demolish, or repair any
structure; prior to its issuance, also requires tfor the permit to file a signed
statement that he or she is licensed pursuant ions of the Contractor's State
License Law (Chapter 9 (commencing with Sef 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).:
( 11, 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.).
(_) 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.).
(_j 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/15/2018
Owner:
BRENT & JORJA HICKS
5525 SE.SCENIC LN #200
VANCOUVER, WA 98661
Contractor:
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
(760)702-9222 .
Lic. No.: 999928
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 wq k 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9125416
I certify that in the performance of the work r which s permit is issued, I
shall not employ any person in any manner so as to b me subj to the workers'
compensation laws of California, and agree that, if I uld be a subject to the
workers' compensation provisions of Section 3700 f he Lab o de, I shall forthwith
comply with those provisions.
Date: 2' I I Applicant:;
WARNING: FAILURE TO SECURE WORK S' COM ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO RIMIN L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ( 100,00 ). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROW D FO 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 i ormati n i correct.
I agree to comply with all city and county ordinances and state la rela77the
building
construction, and hereby authorize representatives of this city to ter above-
mentioned 'property for inspection purposes.
Date: Signature (Applicant or Agent
1
78-495 CALLE.TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
POOL/PRIVATE
BPOL2018-0018
80957 VIA PESSARO
777390002
HICKS/ POOL,SPA,FIRE PIT AND FEATURES
$86,900.00
Applicant:
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
CITY QE LA QUINTA
PRIGN AND 00VELOWNT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licens under pr visions of Chapter 9
{commencing with Section 7000) of Division 3 of the Bu ness a d rofessions Code, and
my License is in full force and effect.
License Class: C53 License No.: 999928
Date: J-- 17 I i 6 Contractor
I hereby affirm under penalty of perjury that I m exemp from the Contractor's State
License Law for the following reason (Sec. 703 .5, Busin from
and Professions Code: Any
city or county that requires a permit to constrVpplica
prove, demolish, or repair any
structure; prior to its issuance, also requires tfor the permit to file a signed
statement that he or she is licensed pursuant ions of the Contractor's State
License Law (Chapter 9 (commencing with Sef 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).:
( 11, 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.).
(_) 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.).
(_j 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/15/2018
Owner:
BRENT & JORJA HICKS
5525 SE.SCENIC LN #200
VANCOUVER, WA 98661
Contractor:
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
(760)702-9222 .
Lic. No.: 999928
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 wq k 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9125416
I certify that in the performance of the work r which s permit is issued, I
shall not employ any person in any manner so as to b me subj to the workers'
compensation laws of California, and agree that, if I uld be a subject to the
workers' compensation provisions of Section 3700 f he Lab o de, I shall forthwith
comply with those provisions.
Date: 2' I I Applicant:;
WARNING: FAILURE TO SECURE WORK S' COM ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO RIMIN L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ( 100,00 ). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROW D FO 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 i ormati n i correct.
I agree to comply with all city and county ordinances and state la rela77the
building
construction, and hereby authorize representatives of this city to ter above-
mentioned 'property for inspection purposes.
Date: Signature (Applicant or Agent
t
• n
Date: 2/15/2018
Application Number: BPOL2018-0018
Owner:
Property Address: :"80957 VIA PESSARO
BRENT & JORJA HICKS
APN: 777390002
5525 SE SCENIC LN #200
Application Description:, HICKS/ POOL,SPA,FIRE PIT AND FEATURES
VANCOUVER, WA 98661
Property Zoning:
Application Valuation: ,$86,900.00
Applicant:
Contractor:
DESERT MIRAGE POOLS & SPAS
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
P 0 BOX 10050
INDIO, CA 92202
INDIO, CA 92202
(760)702-9222
----------------------------------------------------------------------•----------------------
Llc. No.: 999928
Detail: POOL, SPA, FIRE PIT, IN REAR YARD AND FIRE FEATURES AND WATER FEATURES IN FRONT YARD(JOHN HENRY HACKKER ENGINEERING] THIS
PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016
CALIFORNIA BUILDING CODE.
n
.::DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$585.15
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$195.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$106.11
Total Paid for POOL / SPA: $886.31
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:$5.00
Bin #
City of La Qui to
Building 81" Safety Division
Permit #
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
� L1f�1�-Ooh
Building Permit Application and Tracking Sheet
Project Address: G—
e 5 Q "r� • Owner's Name: C51 r1pyl r(2
A. P. Number.
n
Address:
Legal Description:
City, ST, Zip: vl
Contractor: e y
Telephone:
Address: /00 SG a
Project Description_
City, ST, Zip:
11
Telephone:
Tele;,:::::
�-fca<•�:...
°-<ti. x•,.St:e:•:.;.' xz::;;::.�,-:,...?err';" -_� 16 C �?
State Lir. # : 2
City Lie. P.-
;.Arch.,
.Arch.,Engr., Designer.
J i %
Address:
'. VO iv 2
City, ST, Zip:
1 _�t
U I
Tel hone:;u;{y;enw
x:• Construction Type: Occupancy:
g g
'
State Lie.#:
3E,? Project type (circle one): New Add'n Alter Repair" Demo
Name of Contact Person:
r r y z— Sq. FL: # Stories: # Units:
ifQ
Telephone # of Contact Person:
7 Q Estimated Value of Project: fJ
APPLICANT: DO. NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caks.
Reviewed, ready for corrections
Plan Check Deposit "
Truss Cala.
Called Contact Person
Plan Check Balance •
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'4 Review, ready for-corrcctionsrtssue
Electrical .
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'd Reyiew, ready for correctionstiissue
Developer Impact Fee "
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
Description: HICKS / POOL,SPA,FIRE PIT AND FEATURES
Type: POOL Subtype: PRIVATE Status: EXPIRED
Applied: 2/8/2018 AHI
Approved: 2/15/2018 JAN
Parcel No: 777390002 Site Address: 80957 VIA PESSARO LA QUINTA,CA 92253
Subdivision: TR 29894-3 Block: Lot: 40
Issued: 2/15/2018 AHI
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $86,900.00 Occupancy Type: Construction Type:
Expired: 7/30/2019 JFU
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, FIRE PIT, IN REAR YARD AND FIRE FEATURES AND WATER FEATURES IN FRONT YARD[JOHN HENRY HACKKER
ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE
Applied to Approved
Approved to Issued
AL
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
DESERT MIRAGE POOLS &SPAS
P O BOX 10050
INDIO
CA
92202
jerry78perez@gmail.co
m
CONTRACTOR
DESERT MIRAGE POOLS & SPAS
P O BOX 10050
INDIO
CA
92202
jerry78perez@gmail.co
m
OWNER
BRENT & JORJA HICKS
5525 SE SCENIC LN
#200
VANCOUVER
WA
98661
Printed: Thursday, July 07, 2022 10:11:31 AM 1 of 4
RWSYS7EMS
■ ■
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$4.00
$4.00
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
POOLS & SPAS
Total Paid for BUILDING STANDARDS ADMINISTRATION $4.00 $4.00
BSA:
GAS SYSTEM, 1-4
101-0000-42401
0
$13.00
$13.00
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
OUTLETS
POOLS & SPAS
GAS SYSTEM, 1-4
101-0000-42600
0
$26.01
$26.01
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
OUTLETS PC
POOLS & SPAS
Total Paid for PLUMBING FEES: $39.01 $39.01
DETACHED SPA/WATER
101-0000-42404
0
$585.15
$585.15
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
FEATURE/OTHER
POOLS & SPAS
SWIMMING POOL/SPA
101-0000-42404
0
$195.05
$195.05
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
POOLS & SPAS
SWIMMING POOL/SPA
101-0000-42600
0
$106.11
$106.11
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
PC
I
I
I
I
I
I
I
IPOOLS
& SPAS
Total Paid for POOL / SPA: $886.31 $886.31
RECORDS
101-0000-42416
0
$10.00
$10.00
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
MANAGEMENT FEE
POOLS & SPAS
Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00
TECHNOLOGY
502-0000-43611
I
0
$5.00
$5.00
2/15/18
R32218
0001
DEBIT
DESERT MIRAGE
AHI
ENHANCEMENT FEE
POOLS & SPAS
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00
$944.32 $944.32
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
I
Printed: Thursday, July 07, 2022 10:11:31 AM 2 of 4
RWSYS7EMS
INFINITY EDGE NOT CONSTRUCTED PER
APPROVED ENGINEERING. DOUBLE MAT
PRE-GUNITE
JFU
2/16/2018
2/16/2018
DISAPPROVE
REQUIRED AT POOL WALL AND DOUBLE
D
BOND BEAM REQUIRED AT OUTSIDE WALL
OF TROUGH.
PRE-GUNITE
JFU
2/22/2018
2/22/2018
APPROVED
APPROVED PER REVISED INFINITY EDGEDETAIL
(ATTACHED).
INCLUDES REAR POOL/SPA AND
UNDERGROUND ELEC
JFU
8/17/2018
8/17/2018
APPROVED
COURTYARD WATER FEATURE.
GAS PIPING STUBBED NEAR FIRE TROUGH
UNDERGROUND GAS
JFU
8/17/2018
8/17/2018
PARTIALLY
AREAS PENDING FINAL LOCATION
APPROVED
DETERMINATION BY OWNER. SECOND
INSPECTION REQUIRED AT THESE AREAS.
INCLUDES REAR POOL/SPA AND
UNDERGROUND PLBG
JFU
8/17/2018
8/17/2018
APPROVED
COURTYARD WATER FEATURE.
INSTALL ELECTRICAL AND PLUMBING PIPING
PRE-GUNITE
JFU
10/24/2018
10/24/2018
DISAPPROVE
TO POOL SHELL AND PRESSURIZE PLUMBING
D
PIPING.
SHEAR DESCENT PIPING INCOMPLETE AND
PRE-GUNITE
JFU
11/1/2018
11/1/2018
DISAPPROVE
NO ELECTRICAL CONDUIT INSTALLED AT
D
POOL SHEEL. REINSPECTION FEE ASSESSED.
- FRONT WATER FEATURES. - NOTE: FIRE
PRE-GUNITE
DCL
11/6/2018
11/6/2018
APPROVED
FEATURE AT WEST COURTYARD DELETED
FROM SCOPE.
DECK BOND
JFU
1 1/31/2019
1 1/31/2019
1 APPROVED
POOL AT REAR YARD.
Printed: Thursday, July 07, 2022 10:11:31 AM 3 of 4
RWSYS7EMS
1ST BLDG NS (1 I JULIO ANAYA I 2/8/2018 I 2/9/2018 I 2/15/2018 I APPROVED
DAY)
PROVIDE STRUCTURAL DETAIL AT SPA
ILLUSTRATING BOND BEAM TYPE. PLESE SEE "SPA
ADJACENT TO POOL TYPICAL SPA SECTION" FOR
REFERENCE.
Printed: Thursday, July 07, 2022 10:11:31 AM 4 of 4
RWSYS7EMS
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