BPOL2018-0177 Revision 178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
POOL/PRIVATE
BPOL2018-0177
51040 AVENIDA VELASCO
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
773065027
STARK / POOL,SPA AND 12LF EQUIPMENT ENCLOSURE AT COURTYARD
$30,000.00
Applicant:
CARE POOLS & SPAS MAINTENANCE
84444 AMAPOLA LANE
COACHELLA, CA 92236
F D 6%A
[CFFYOFLAQUI
P 28 2018
NTA
COMMUNITY DEVELOPMENTDEPARTMENT
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 Class: C53 License No,-
Dates4*jj�,Cont CL
OWNER -BUILDER ❑ LARATION
I hereby affirm under penalty of perjury that I am exempt rom -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 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.).
(_) 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:
l
W-1
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/28/2018
Owner:
STARK MARICELA LIVING TRUST
51040 AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
CARE POOLS & SPAS MAINTENANCE
84444 AMAPOLA LANE
COACHELLA, CA 92236
(760)784-5714
Llc. No.: 1042021
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.
. V f 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: NORQUARD INSURANCE COMPANY Policy Number: OMWC925019
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, a gree tha I should become subject to the
workers' compensation provisio of Sec n 3700 of the Labor Code, I shall forthwith
comply with those provisions.
❑ate: C) Ap lCBnt l�f�il{crS a
WARNING: FAILURE TO SECURE WORKER COMPENSATfON 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
.vork for 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county 0IdInanc and s ate laws relating to building
:onstruction, and hereby authorize representativ of this y to enter upo the
above -mentioned property for inspection purpos s.
'ZCJ ( Sigrpplicantor nt): RW
Date: 9/23/zu18'
Application Number:
BPOL2018-0177
Property Address:
51040 AVENIDA VELASCO
APN:
773065027
Application Description:
STARK / POOL,SPA AND 12LF EQUIPMENT ENCLOSURE AT COURTYARD
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
CARE POOLS & SPAS MAINTENANCE
84444 AMAPOLA LANE
COACHELLA, CA 92236
Owner:
STARK MARICELA LIVING TRUST
51040 AVE NIDA VELASCO
LA QUINTA, CA 92253
Contractor:
CARE POOLS & SPAS MAINTENANCE
84444 AMAPOLA LANE
COACHELLA, CA 92236
(760)784-5714
Llc. No.: 1042021
Detail: POOL,SPA AND 12LF OF EQUIPMENT ENCLOSURE AT REAR YARD [DENISE POELTLER ENGINEERING]. NEW EQUIPMENT MUST BE LOCATED IN AN
APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L--FIELD VERIFY.. ALARMS AND BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE
DESCRIPTION ACCOUNT
WALL/FENCE - FIRST 100 LF 101-0000-42404
DESCRIPTION ACCOUNT
WALL/FENCE - FIRST 100 LF PC 101-0000-42600
QTY
AMOUNT
7
0
CITY
$52.01
AMOUNT
0
$65.02
Total Paid for BLOCK WALL: $117.03
DESCRIPTION ACCOUNT
BSAS SB1473 FEE 101-0000-20306
DESCRIPTION
SWIMMING POOL/SPA
DESCRIPTION
SWIMMING POOL/SPA PC
CITY
AMOUNT
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
ACCOUNT
101-0000-42404
ACCOUNT
101-0000-42600
CITY
AMOUNT
0
$195.05
CITY
AMOUNT
0
$106.11
Total Paid for POOL / SPA: $301.16
DESCRIPTION ACCOUNT
RECORDS MANAGEMENT FEE 101-0000-42416
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
!QTY
AMOUNT
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
ACCOUNT
502-0000-43611
QTY
AMOUNT
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
(&XI qd, N'SFR i
PERMIT # A POL1610 ' 7 LU-1
PLALOCATION:
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
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InT�
Applicant Name:
j
Address:
City, ST, Zip:
_ `2ZZ3
Telephone: `7
Email:
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�G�_e'�t ds I?� �fC�.f �°vt a r 1. Cool
Valuation of Project $
C3. tAk 1 /,1: viNCt
Contractor Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
City Bus Lic:
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: J l l
Address:
City, ST, Zip
Telephone:
Email:
New Commercial / Tenant Improvements:
Total Building
Construction Tvne:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
Occupancy:
SF
OFFICE USE ONLY
#
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
m