BPOL2019-011378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
VACATION POOLS INC
P 0 BOX 10940
INDIO, CA 92202
POOL/PUBLIC
BPOL2019-0113
42800 WASHINGTON ST
609040007
Twit 4[w4�(&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WASHINGTON STREET APARTMENTS / PHASE 2 PUBLIC POOL
$130,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/3/2019
Owner:
REDEVELOPMENT AGENCY CITY OF
78945 CALLE TAMPICO
LA QUINTA, CA 92253
Zk- 0 Contractor:
VACATION POOLS INC
JUltil 2��9 P 0 BOX 10940
INDIO, CA 92202
CITY OF IA OLiINT4 (760)775-0468
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 856835
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.
Licensegiv,-t
ss: CSC_ — License No_:85fi
Date:
Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the fallowing reason (Sec- 7031.5, Business and Pea Fes sians 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 Ale 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 byany applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
IS500).:
() 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, $us iness and Pro Fesslons Code: The Contractors' State Licanw Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himsei€ or herseff 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•buIIder wilI have the burden of proving that
he or she did not build or improve for the purpose of sate.).
(_) f, as owner of the property, am exciusiveiy contracting with Ilcensed contractors
to Construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not appiY to an owner of property who builds or improves
thereon, and who contracts for the projects wlth a cantractor(s) Ilcensed pursuant to
the Contractors' State License Law.).
O 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
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 or Forwhich this permit is issued.
X�
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:.BENCHMARK INSURANCE C MP Y Policy Number: CSTSp15�$7
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
compf with thorse provisions%�_
Date: 1 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AN 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 ATTORNEYS 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• ntipned` property for inspection 216141_tl.�
]ate:Signature (Appl
.6/43/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
VACATION POOLS INC
P 0 BOX 10940
INDIO, CA 92202
BPOL2019-0113
42800 WASHINGTON ST
609040007
WASHINGTON STREET APARTMENTS / PHASE 2 PUBLIC POOL
$130,000.00
Owner:
REDEVELOPMENT AGENCY CITY OF
78945 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor:
VACATION POOLS INC
P 0 BOX 10940
INDIO, CA 92202
(760)775-0468
Llc. No.: 856835
-----------------
Detail: WASHINGTON STREET APARTMENTS/ PUBLIC POOL AND SPA. PHASE 2 (POOL ENGINEERING INC.] THIS PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE, POOL ENCLOSURE/BARRIER, OR GAS AND ELECTRICAL PIPING TO POOL EQUIPMENT AREA. SPECIAL INSPECTION REPORT FOR SHOTCRETE
REQUIRED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT CITY AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600 0.5 $80.00
Total Paid for BLDG CITY STAFF - PER HOUR: $80.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$6.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $6.00
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
QTY 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
Property Owner's Name:
Address: r�
()rl
City, ST, Zip I MZ
Telephone:+�JP
Email: 9
,10)
f160 l So :R10 �e—
New Commercial / Tenant Improvements:
rS f Total Building
Construction Type:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
SF
Occupancy:
OFFICE USE ONLY
#
Submittal Required Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
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