BPOL2019-006178-495 CALLE TAMPICO T4 D ( Qula&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2019-0061
Property Address: 78630 CARNES CIR CIR
APN: 604223016
Application Description: FEIG / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation: $25,000.00
Applicant: L� u
STONECREEK POOLS & SPAS INC D
104 CALLE LOS HIBISCOS APR
n
RANCHO MIRAGE, CA 92270 lull U 9 2019
CITY OF LA QUINTA
DESIGN & 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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: 7 License No.: 365900
Date; Contractor: .
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury'that I am exempt frop'Ae Contractor's State
License Law for the following reason (Sfee. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter,.irnprave, 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/9/2019
Owner:
JEFF FEIG
78630 CARNES CIRCLE
LA QUINTA, CA 92253
Contractor:
STONECREEK POOLS & SPAS INC
104 CALLE LOS HIBISCOS
RANCHO MIRAGE, CA 92270
(760)601-6003
Llc. No.: 365900
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'
icompensate n, as provided for by Section 3700 of the Labor Code, for the performance
of the for which this permit is issued.
C I have and will maintain workers' compensation insurance, as required by
�e io 3700 of the Labor Code, for the performance of the work for which this permit
ts issued. My workers' compensation insurance carrier and policy number are:
Carrier: W SCO INSURANCE QMPANY Policy Number: WWC3400823
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 3700.0 he Labor Code, I shall f At!
comply with those provisions.
Date: `� 7 Applicant:
WARNING: FAILURE TO SECURE WORi�ER5'.COMPENSAT VERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER•TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOL RS ($13]0,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES ADOL
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 ting to building
construction, and hereby authorize representatives of thi;city nente upon the
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Application Number:
BPOL2019-0061
Property Address:
78630 CARNES CIR CIR
APN:
604223016
Application Description:
FEIG / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation:
$25,000.00
Applicant:
STONECREEK POOLS & SPAS INC
104 CALLE LOS HIBISCOS
RANCHO MIRAGE, CA 92270
Owner:
JEFF FEIG
78630 CARNES CIRCLE
LA QUINTA, CA 92253
Contractor:
STONECREEK POOLS & SPAS INC
104 CALLE LOS HIBISCOS
RANCHO MIRAGE, CA 92270
(760)601-6003
Llc. No.: 365900
Date: 4/9/2019
Detail: POOL, SPA AND [1] GAS FIXTURE AT REAR YARD [POOL 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. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. SPECIAL INSPECTION REPORT REQUIRED AT PRE PLASTER. 2016 CALIFORNIA
BUILDING CODE
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNTQTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$200.12
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$108.87
Total Paid for POOL / SPA: $308.99
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
t6j
CALIFORNIA
Project Address:
APN #:
Applicant Name:
Address: 1 o
City, ST, Zip:
Telephone:
Email: ,el
Contractor Name:
Address:
City, St, Zip
Telephone: r
Email:
f
State Lic�City Bus
PERMIT #
PLAN LOCATION:
Project Description:
Valuation of Project $ ddO
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
r
OFFICE USE ONLY
#
Submittal Required Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
CVWD Fire Flow Letter
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