BPOL2019-0063UIUCi! VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
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_C 8 C27 License No
S .: _ 606
LE: �� ZJ Contra�r r: ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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).:
() 1, 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.).
() 1, 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:
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 . prk 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: DEPARTMENT OF INDUSTRIAL RELATIONS Policy Number: 4503-118
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 t 7oo5e rovsWris.
Date:
41F2 2 u 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-m(efntt- nnned property for inspection purposes.
pgr-: '1 "' 2�% Signature (Applicant or Agent)
82019
Permit Type/Subtype:
POOL PRIVATE
Owner:
F—
�
Application Number:
BPOL2019-0063
WENDY ROBIN CATES
r`
Property Address:
52865 AVENIDA NAVARRO
52865 AVENUE NAVARRO
APN:
773334020
LA QUINTA, CA 92253
w
�
Application Description:
CATES POOL/SPA AT FRONT YARD WITH SITE WALL
2
Property Zoning:
Application Valuation:
$30,000.00
O
Q p O
Applicant:
GARDNER POOL COMPANY INC DBA GARDNER OUT
Contractor: "Cr ?
GARDNER POOL COMPNY:!y GARDNEf UT
801 GABLE WAY
801 GABLE WAY
�� 2
CO
EL CAJON, CA 92020
EL CAJON, CA 92020
(619)593-8880
O
Lic. No.: 896061
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_C 8 C27 License No
S .: _ 606
LE: �� ZJ Contra�r r: ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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).:
() 1, 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.).
() 1, 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:
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 . prk 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: DEPARTMENT OF INDUSTRIAL RELATIONS Policy Number: 4503-118
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 t 7oo5e rovsWris.
Date:
41F2 2 u 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-m(efntt- nnned property for inspection purposes.
pgr-: '1 "' 2�% Signature (Applicant or Agent)
Application Number:
BPOL2019-0063
Property Address:
52865 AVENIDA NAVARRO
APN:
773334020
Application Description:
CATES POOL/SPA AT FRONT YARD WITH SITE WALL
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
GARDNER POOL COMPANY INC DBA GARDNER OUT
801 GABLE WAY
EL CA10N, CA 92020
Date: 4/8/2019
Owner:
WENDY ROBIN CATES
52865AVENUE NAVARRO
LA QUINTA, CA 92253
Contractor:
GARDNER POOL COMPANY INC DBA GARDNER OUT
801 GABLE WAY
EL CA10N, CA 92020
(619)593-8880
Llc. No.: 896061
Detail: CATES / POOL AND SPA AT FRONT YARD. 80LF OF 6' GARDEN WALL [CITY STANDARD] TWO DROWNING SAFETY FEATURES AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER INSPECTION. PLEASE PROVIDE WET STAMPED POOL ENGINEERING SHEET ON SITE FOR INSPECTION. 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. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$53.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$66.71
Contractor Name: G ar&atX tit, +,400 Y ltd
Address: S', 0 cbmm 2 -f6 3
City, St, Zip iJ �_U I
Telephone:
Email:
State Lic: (rL>7l, City Bus Lic
Arch/Eng 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
Construction Type: Occupancy:
Grading:
Bedrooms: I Stories: I # Units:
Property Owner's Name: �� Q�b � New Commercial /Tenant Improvements:
Address:
J A� ✓aQ� Total Building SF
City, ST, Zip U 22 Construction Type; Occupancy:
Telephone:
Email: i.1p�nl�lt.r`r-►•'�r�.� (a
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
k
POOL EQUIPMENT 5'
ROM PROPERTY LINE. 1
Owner: WENDY CATES State: CA
Address: 52865 AVENIDA NAVARRO Zip: 92253
City: LA QUINTA
Phone:
ALL CONSCTRUCnON
TO COMPLY WITH
2016
CRC,CMC,CPC,CFC,AND
CEC.
5W C105'1(ty
N
N
[-1
ti
...... 61 611
in
POOL SPECS
SIE: 13X 24
SQFP. 250
DEPTH., 3-6
PERIMETER: 74
EST TOTAL GALLONS: 7,341
SKIMMERS: 1
RETURNS:
INTERIOR MATERIAL:
SPECIAL:
TILE, —
NOTES:
SPA SPECS
SIZE: 7X7
SQFT: 49
DEPTH: 3
PERIMETER: 28
EST TOTAL GALLONS: 892
SPILLWAY: yes
RtiSFD HEIGHT: +18
SKIMMERS:
RETURNS:
TILE:
WTFRIOR MATERIAL:
SPECIAL
NOTES:
PLUMBING
RETURNS:
SKIMMERS:
POOL MAIN DRAINS:
SPA MAIN DRAINS:
CLEANING SYSTEM:
HEADS:
VAC SES:
ROBOT VAC:
WATER FEATURES:
SPA SPILLWAY:
LIGHTS IN POOL-
LIGHTS IN SPA:
TOTAL PIPE:
SPECIAL*
NOTES:
DECK
DECK TYPE:
ELEVATION:
TOTAL DECK SQFP.
PERIMETER:
RAGED BEAM:
LIP STYLE;
MATERIAL 1:
MATERIAL 2:
SPECIAL:
NOTES:
EQUIPMENT
POOL PUMP:
2ND PUMP:
FILTRATION:
FILTER SIE:
HEATER:
INLINE:
TIMER:
SPECIAL
GAS:
NOTES:
,5e -W- U05"179
L.F / 6FT HIGH
Sole: 5/3Z
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE
,4u€' AjAVA00 allow
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