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BPOL2019-011878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: T4tit 4 4.0 Qal#� DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT. POOL/PRIVATE BPOL2019-0118 54015 AVENIDA HERRERA 774213013 PEDERSEN / POOL COURTYARD $16,000.00 Applicant: KEITH GOODYER - KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDIO, CA 92201 n as V JUN 10 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: C53 License No.: 987g7 Date: a ContractorI IF 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).: () 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 Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/10/2019 Owner: NANCY M. FLAKE 54015 AVENIDA HERRERA LA QUINTA, CA 92253 Contractor: KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDIO, CA 92201 (760)567-7377 Llc. No.: 987978 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. 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: EXEMPT Policy Number: 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 those Inrovvi]islons. Date: W '�' ! Applicant: C WARNING: FAILURETO SECURE WORKERS' COMPENSATION COVE RA 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 entergon the above -mentioned roperty for lnspeCtion purposes. Date: O Signature (Applicant or Agent)-. Date: 6/10/2019 Application Number: BPOL2019-0118 Property Address: 54015 AVENIDA HERRERA APN: 774213013 Application Description PEDERSEN / POOL COURTYARD Property Zoning: Application Valuation: $16,000.00 Applicant: KEITH GOODYER - KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDIO, CA 92201 Owner: NANCY M. FLAKE 54015 AVENIDA HERRERA LA QUINTA, CA 92253 Contractor: KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDIO, CA 92201 (760)567-7377 Llc. No.: 987978 Detail: POOL AT EAST COURTYARD [DENISE POELTLER ENGINEERING] WITH 40 LF OF CITY STANDARD CMU GARDEN WALL. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 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 Total Paid for BLOCK WALL: $120.08 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 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 TOTALS-44 Nancy M. Pederson Gregory Pedersen 5310 Broadmoor Bluffs Drive Colorado Springs, CO 80906-7920 June 5, 2019 City of La Quinta Building and Safety 78495 Calle Tampico La Quinta, CA 92253 To Whom It May Concern: This letter is written to confirm that I am the deeded owner of the following property located in the La Quinta Cove are of La Quinta: 54015 Calle Herrera APN 774213013 La Quinta, CA 92253 The Title Deed was not updated with my surname when I got married. My husband Greg Pedersen has all rights and title, to and in the operation, use and/or maintenance of this property. The contract he entered into for the construction of a swimming pool with Kancun Pools and Spas Inc. is valid, as they have the required permission to construct the pool per contract. Please call with any questions. Sincerely, I Nancy .Flake Pedersen T: 804-652-9911 ta QaiKra GEM nf,h, DESERT - 05 PERMIT # W2,C) • v r r PLAN LOCATION: Project Address: 54015 Avenida Herrera Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 774213013 Construction of a new swimming pool only, no spa, New pool pump, filter, propane heater Applicant Name: Greg Pedersen Address: 54015 Avenida Herrera City, ST, Zip: La Quinta, CA 92253 Telephone: 804-652-9911 Email: Valuation of Project $ 16,000.00 Contractor Name: Kancun Pools and Spas Inc New SFD Construction: Address: 80554 Willow Lane Conditioned Space SF City, St, Zip Indio CA 92201 Garage SF Telephone: 760-567-7377 Patio/Porch SF Email: Fire Sprinklers SF State Lie: 987978 City Bus Lic: Arch/Eng Name: The Flying Buttress Construction Type: Occupancy: Address:77725 Enfield Lane Grading: City, Sr, Zip Palm Desert CA 92211 Telephone: 760-772-4411 Bedrooms: Stories: # Units: Email: drpfly@aol.com State Lic: City Bus Lic: Property Owner's Name: same as above New Commercial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 -ro--7: TVV ;CA License 987978 C-53 f• KAtN P O O L S & 5 P A S _ NOTICE OF CANCELLATION Not later than midnight I HEREBY CANCEL THIS TRANSACTION Date Client's Signature Proof of Delivery of Notice of Cancellation completed by Client and sent to the Contractor ** via: `- ly ❑ Telephone ❑ Fax ❑ Email ❑ First Class Mail, Certified Return Receipt Requested Q) ** Upon receipt, Contractor will send on acknowledgement to the Client NOTES: * We suggest contacting a residential electrician to confirm the existing electrical service is adequate for the addition of a swimming pool pump i. The proper hydration (curing) process takes a minimum of 28 days. The pool will be brushed and vacuumed as needed during this first month at no additional charge; continued pool maintenance is available. Once filled, the pool should not be entered for a minimum of on 10 days, and not heated for a minimum of 28 days to avoid possible surface damage. Continued pool service and maintenance is available after startup 2. No additional equipment, equipment repair or modifications are included unless specified Under 'General Scope of Work' listed above 3. Because the propane service would have to be in the Owner's name, Kancun Pools is limited to making the connection between a new tank and pool heater WARRANTIES * The plaster finish comes with a 5-year manufacturer's warranty against material failure Q The pool work comes with a one-year warranty covered by Kancun Pools & Spas Inc ■ Automation (i.e. pumps, filters, heaters) come with a one-year manufacturer -supported warranty. ACCEPTANCE: Terms of this Contract have been read, understood, and are hereby accepted as indicated by signature below. Each payment will be made as outlined in the Schedule of Payments as listed on page 3. You are permitted to proceed with construction as outlined. 7�j Client i na �e Kancun Pools and as Inc. Page 7 of 7 a: 80-554 Willow Indio, CA 92201 p: 760-397-7699 e: kancunpools@gmail.com w: www.kancuninc.com x N P O O L 5 v 5 P A 5 oC° H Existing slab CU LL ,�LT�' -- li_ 13 ft. 15 in. 0 N License C-53 987978 1 P/L Existing wooden fence @ + 6'0" y` _ LP tank c rs' °' 1 Y2" yellow poly pipe with trace wire PRIVATE RESIDENCE HOUSE NOT TO SCALE! 54015 Avenida Herrera La Quinta, CA 92253 APN: 774213013 I 0 M 20 ift. GARAGE 10 ft. 0 in. 21 ft. 4 in. Construct block wall @ +4'0" built to match new wall and painted to match house T O C C A 4 ft. 4 ft. L L EXISTING DRIVEWAY E L NConstrict a 6" x 8" x 16" gray block L wall, Painted to match house, with L rolled concrete cap per City O TOC stands d. 40 If total @ +5' 0" N 2016 California Building Code ( BASED ON 2015 IBC) 2016 California Mechanical Code ( BASED ON 2015 UMC ) 2016 California Plumbing Code ( BASED ON 2014 NEC 2016 California Electrical Code (BASED ON2014NEC) 2016 California Energy Efficiency Standards PROVIDE LOCATION OF ANTI-ENTRAPMENT/VORTEX COVERS MEETING CURRENT STANDARDS OF THE AMERICAN SOCIETY FOR TESTING AND MATERIALS (ASTM) OR THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS (ASME). IDENTIFYA MINIMUM 3 FEET SEPARATION BETWEEN ALL DRAINS AND NOTE HYDRAULICALLY BALANCED NOTES: 1. ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED 2. ALL GFCI OUTLETS SHALL BE WEATHER RESISTENT 3. ALL OUTLETS SUPPLIED BY SINGLE-PHASE, 15A AND 20A, 125V OR 240V BRANCH CIRCUITS FOR SWIMMING POOL PUMP MOTORS ARE REQUIRED TO HAVE GFCI PROTECTION 4. PROVIDE 36" WORKING CLEARANCE FOR THE POOL EQUIPMENT MOTORS IS REQUIRED • INSTALLATION OF POOLSYSTEMS AND EQUIPMENT WILL COMPLY WITH SECTION 114-MANDATORY REQUIREMENTS • EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS TO THE POOL • SECONDARY BOUNDARY TO BE POOL GUARD WATER SENSOR ALARM NSF CERTIFIED TO ASTM F 2208-08 • POOL HEATER, POOL EQUIPMENT SHALL BE INSTALLED PER MANUFACTURER'S RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS CITY OF LAQUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE rjS/Zo I BY [m LH-40 M]] 1 /8" = 1 AVENIDA HERRERA ' 0"