BPOL2018-023478-495 CALLE TAM PICO C& a D 4 Qx6a
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
POOL/PRIVATE
Application Number:
BPOL2018-0234
Property Address:
54636 SOUTHERN HILLS
APN:
775120035
Application Description:
TEAL / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation:
$25,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS-(760) 777-7153
Owner:
BRIAN AND VANESSA TEAL
54636 SOUTHERN HILLS
LA QUINTA, CA 92253
Applicant: Contractor:
FRED ROCK POOLS INC FRED ROCK POOLS INC
P 0 BOX 790 - P 0 BOX 790
CATHEDRAL CITY, CA 92235 CATHEDRAL CITY, CA 92235
DEC 212018
I (760)343-6279
CI11®F�A4UlNTv
O4'.YII��I{yLlc. No.: 924163
�l+n�11�Fn01eW�UUi '1CDA�lTp�C�n
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.: 9241VDE
Date: Z ? f f Contractor;__ i
OWNER-BUILDI hereby affirm under penalty of perjury thm 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 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:
Date: 12/21/2018
WORKER'S COMPENSATION DECLARATION A,
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'
campe tion, as provided for by Section 3700 of the Labor Code, for the performance
of th for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sect on 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: WEW.0INSURANCE COMPANY Policy Number: WWC3354320
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 SecYIN
Labor de, I shall forthwith
comply with tho provi ons.
Date: 4 Applicant:
WARNING: FAILURE: TO SECURE WORKERI COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($.1DITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDEN 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.
11 agree to comply with all city and county ordinances and state laws ff
ding
construction, and hereby authorize representatives of this city to tabove-mention proerty for inspection purposes.
Date: f Signature (Applicant or Agent):
Date: 12/21/2018
Application Number:
BPOL2018-0234
Owner:
Property Address:
54636 SOUTHERN HILLS
BRIAN AND VANESSA TEAL
APN:
775120035
54636 SOUTHERN HILLS
Application Description:
TEAL / POOL AND SPA AT REAR YARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$25,000.00
Applicant:
Contractor:
FRED ROCK POOLS INC
FRED ROCK POOLS INC
P 0 BOX 790
P O BOX 790
CATHEDRAL CITY, CA 92235
CATHEDRAL CITY, CA 92235
(760)343-6279
LIc. No.: 924163
Detail: POOL, SPA, AND FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$200.12
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$108.87
Total Paid for POOL / SPA: $308.99
DESCRIPTION ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE 101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta QuiKra
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PERMIT # D ZU ' V 2.3
PLAN LOCATION:
Project Address:
,Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name:
Address:w1v 1 V j k
City, ST, Zip �K tft��� Vy q
Telephone:
Email: � �J o r s�, �111
Valuation of Project $
Contractor Name:
New SFD Construction:
Address: P80170
Conditioned Space SF
City, St, Zip 11X1 OA f
Garage SF
Telephone: ri _ ,
Patio/Porch —SF
Email:
Fire Sprinklers SF
State Lic: Z, f 163 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
Bedrooms: Stories: # Units:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name: L
New Commercial / Tenant Improvements:
Address: 1
-' Total Building SF
City, ST, Zip CA Z
Construction Type: Occupancy:
Telephone: 5 10 Z 79 rr
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
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
Untitled
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16" COPING ,
TRAVERTINE PAVERS
SX20 W STEPPING
STONES AND REAL
GRASS 6" APART
AROUND POOL AND
FIRE PIT, REFER, TO
SAMPLES IN OFFICE
City: LA
RLINE
PFRTY LINE
f h
Owners, BRIAN TEAL
GOLFCOURSE
Addressm, 54�636 SOUTHERN HILL
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cal Panel
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Pmfile
State: CA
Zip: 92253
SIZE: 14 X 38
SQFT: S07
DEPTH: 3-5
PERIMETER: 106
EST TOTAL GALLONS: 10,748
SKIMMERS: 1
RETURNS:
INTERIOR MATERIAL:
SPECIAL:
TILE::
DOTES:
SPA SPECS
SIZE: 7X7
SQF ., _ 49
DEPTH: 3
PERIMETER: 26
..
i NS: 916
EST TOTAL GALL_
SPILLWAY: 2.
RAISED HEIGHT: 0
SKIMMERS:
RETURNS: _
"FILE:
INTERIOR MATERIAL:
SPECIAL:
NOTES:
PLUMBING
RETURNS: 2 SKIMMERS' 1
PODcMAIN DRAINS: 2 SPA MAIN DRAINS: 2
CLEANING SYSTEM: zr. HEADS: m..�...Y
VAC LINES: 1 ROBOT VAC:: _
'VVA`IER'FEATURES: _ _ 'SPA SPILLWAY:
LIGHTS IN POOL: I LED LIGHTS IN SPA: ILED
TOTAL PIPE:
SPECIAL:
NOTES:
AA
DECK TYPE: ELEVATION:
TOTAL DECK SOFT: PERIMETER:
RAISED BEAM: LIP STYLE:
MATERIAL 1: _ MATERIAL 2:
SPECIAL: 16" COPING AND STEPPING STONES W,,' REAL GRASS 6"
NOTES: APART
EQUIPMENT
POOL PUI,IP: VS PENTAIR PUMP 2ND PUMP:
FILTRATION: PENTAIR C&C 420 FILTER SIZE:
HEATER: 400,000 BTU INLINE:
71MER: GAS: 1 1a"2" GAS LINE,
SPECIAL:
NOTES:
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DEC 17 2018
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT