BPLB2018-00247$-ADS..CALLE: TAMPICO
WQUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
JOSE JIMENEZ
PLUMBING/
BPLB2018-0024
DESIGN & DEVELOPMENT DEPARTMENT
. BUILDING PERMIT
53232 VIA PALACIO
777210030
TOWNSEND / PLUMBING AND ELECTRIC FOR FUTURE USE
$350.00
VOICE (760) 777-7125
FAX (760) 771-7011
INSPECTIONS (760) 777-7153
Owner:
TOWNSEND
53232 VIA PALACIO
LA QUINTA, CA 92253
a
Contractor:
D
DESERT MIRAGE POOLS &SPAS
P 0 BOX 10050
FEB 2 0 2018 INDIO, CA 92202
CITY OF LA QUINTA (760)7 9222
Llc. No.. : : 999928
DESIGN AND DEVELOPMENT DEPARTMENT
'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: License No.: 999928
Date: 1Z -'1x6 Contractor: _.�o.s�' /��/a�0 _ ] �_� •/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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).:
( 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 ) 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 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.).
0
Lender's Name:
Lender's Address:
Date: 2/20/2018
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 workfor which this permit is issued.
,)A 3t' Ihave and will maintain workers' compensation insurance, as required by
Section 3700 of thelabor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy numberare:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9125416
_'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.
Date: 20 ZO//$ 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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit issued
as a result of this application , the owner, and the applicant, each agrees to, and shall
defend, indemnify and hold. harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with.all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property fo$.inspection purposes.
;r
Date:_ ISD 1,1/� Signature (Applicant or Agent):_\n —re, .N� --►-- - r/
Date: 2/20/2018
Application.Number.,, BPLB2018-0024
Owner:•
' Plvperty �tilt7reSs -'---,--'53232 VIA PALACIO
TOWNSEND
APN: 777210030
53232 VIA PALACIO
Application Description: TOWNSEND / PLUMBING AND ELECTRIC FOR FUTURE USE
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $350.00
Applicant:
Contractor:
. JOSE JIMENEZ
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
(760)702-9222
-------------------------------------- --------------------------------------------------
Llc. No.: 999928
Detail: 90LF TRENCH FOR WATER, GAS, AND ELECTRIC FOR FUTURE WATER FEATURE. THIS PERMIT DOES NOT INCLUDE WATER FEATURE. PER 2016
CALIFORNIA. BUILDING CODES.
......j.DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT.ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-000042600
0
$13.00
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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP.
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$13.00
Total Paid for PLUMBING FEES: $91.01
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
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MISCELLANEOUS: <
'DECKING: m w
WATER FEATURES WATER FEA�,IJRES COhMD: 36- WIDE X 60' TALL UNITS. 2'.4 -TUBE STEEL FRAME CONSTRUCTION
REINFORCED GUNITE CONSTRUCTION WITH -MINI PEBBLE -TEC 13. PAVER EDGE BANDS PRECAST INTERLOCKING PAVERS MORTARED -IN . -PLACE. 18. GATES WITH TWO (2) INSET STEEL FLAT PANELS & TURN KNOB WITH LOCKSET.
OCK 5.:, �om� REINFORCED GUNITE CONSTRUCTION WITH -MINI PEBBLE -TEC-, lo. SPA FINISH. TILE AT WATERLINE AND DAM WALL LGAR OR SIMILAR SEE DETAJL'7'ON SHEET L3 . T 121
T,NGWALL WITH FINISH AND TILE AT WATERLINE. VERIFY ALL DEPTHS WITH OWNER. WITH STONE PAVER SEE DETAIL'S' ON SHEET L3 PAVER TYPE: BE 'D' 2• SO. TUBE STEEL JAMB WITH THREE (3) HEAVY DUTY HINGES. — z
ON SEE Sj�TION'A'&B* LOCATIONS I I . . . — , .
Cl OF LA SECTION & -B- STONE PAVER COPING AND NINE (9) MINI L.E.D. LIG S. PLACE ON SHEET COPING. VERIFY BENCH HEIGHTS. DEPTHS AND ALL JET PAVER COLOR: TO BE SELECTED : .
EC Ty " ON SHEET L4 I I : WITH OWNER. ONE (1) L.E.D. LIGHT. TUBE STEEL POWDER COAT TO MATCH RESIDENCE METAL WORK c) .
COVERED . : �, I EQUIPMENT IN DESIGNATED AREA AND PROVIDE OWNER WITH PAVER PATTERN: SOLDIER COURSE
544i.
Ik
-MINI P�EBBUE-TEC- COLOR: MATCH ITEM 05 19. POoLJiPAIFOUNTAIN VERIFY TYPE AND QUANTITY OF EQUIPMENT WITH OWNER.. ALL
• EQUIPMENT LIST FOR REVIEW AND APPROVAL AT BID SUBMITTAL. Z W C3
PAVER FIELD LO.
TILE: MATCH ITEM #5 14.
'MINI PEBBLE -TE . C: TO BE SELECTED PRECASTINTER CKINGPAVERS . SET ON WELL COMPACTED EQUIPMENT LGCATIO� EQUIPMENT TO BE SET ON PRECAST CONCRET�PADS.
SAND BASE.
TILE: TO BE SELECTED SEE DETAIL -5- ON SHEET L3 uj .
HEIGHT PER PLAN REINFORCED GUNITE CONSTRUCTION VA R PAVER TYPE: BELGARD OR SIMILAR 20. .
WITH
SELECTED. u), .0
OVERFLOW TROUGH SPILLWAY:. STONE VENEER -AT EXTERI AIC.UNITS VERIFY ATI CE A.C. UNTT.S ON CONCRETE PADS'
PEBBLE -TEC' PAVER COLOR: to BE
OCK WALLWITH -6 AS SHOWN WITH MINI PEBBLE SEE SE 'TION OVERFLOW
-CHISELED-FACEO
ST143EET OR POOL STEPS SHEET L4 FOUNTAIN WALLS WITH CUT STONE CAPS. PAVER PATTERN:. RUNNING BOND
N C STONE TILE SPILLWAY WIT14 -MINI PEBBLE -TEC -,FINISH IN BASIN a 21 . . LANDSCAPE HEADER' FLEXIBLE STEEL. BY LANDSCAPE CONTRACTOR. z C)
TILE AT WATERLINE. TWO (2) L.E.D. LIGHTS. PLACE EQUIPMENT IN <
-sr TED
,FOOTINGS SEE SECTIO -A�,O N SHEET L4 'MINI PEBBLE -TEC MAT HIT EM 45 j TONEPAVERSSAND =TONAWLCO.PAC
OLD WALL I STONE 24- X 16- 6UT S
DESIGNATED AREA. v i SUB BASE WITH PERIMETER MORTXRED4N-PLACE
•
S
7. POOL BENCH'MINI
EE DETAIL "S'ON SHEET L3 AS SHOWN WITH 'MINI PEBBLE-TEC"FINISH. .1 -TEC-: MATCH ITEM 95 22, PEA GRAVEL 318* GRAVEL FILLED TO A MINIMUM DEPTH OF 2' ON A CONTINUOUS CN
INIPEBBLE STONE PAVER: TRAVERTINE WEED BARRIER SET ON WELL COMPACTED SOIL BASE.
Contractor Name:
New SFD Construction:
Address:
PERMIT # h
City, St, Zip
Garage SF.
Telephone:
PLAN LOCATION:
Project Address: "? /
Project Description: Pool, Remodel, Add't, Elect, Pluinb, Mech
APN
RO
State Lic: City Bus Lic:
S, ., O
Applicant Name: C' T
Address:
City, ST, Zip:
_
Telephone:
Ernail:
Valuation of Project•$
Contractor Name:
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF.
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF .
City; ST, Zip
Construction Type: Occupancy:
Telephone:
E-mail:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760=777-7000
#
-. Submittal.
Req'd .
-Rec'd
Plan Sets
Structural Calcs
Truss Calcs
'
Title 24:Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
,Burrtec Debris Plan
Planning approval .
Public Works approval
Fire approval
City Business License