BPOL2019-012278-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
MAUI POOL SERVICE
P O BOX 5639
LA QUINTA, CA 92248
POOL/PRIVATE
BPOL2019-0122
ce-d.r444u;,�
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
53563 VIA PALACIO
777220007
VAN AUKER / SPA RETROFIT AT REAR YARD WITH FIRE FEATURES (3)
$35,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
RONALD & JANE VAN AUKER
53563 VIA PALACIO
LA QUINTA, CA 92253
D
Contractor:
MAUI POOL SERVICE
P 0 BOX 5639
J U N 1 1 2019 LA QUINTA, CA 92248
CITY OF L� C.UIN!TA 11 (760)989-2984
DESIGN & DEVELOPIENT DEPARTMENT Llc. No.: 1030478
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: C53 License No.: 1030478
Date: LSiP� TwPW1.wil— Contractor
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
Lender's Add
Date: 6/11/2019
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 l e wo k for which this permit is issued.
ve and will maintain workers' compensation insurance, as required by
SecAn 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9212027
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 provisions.
I
Date: �I 1 ` 1 Aippl?A*"����
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 -mentioned property for inspection purposes. _
i i,iTij
Date:- �ignature (Applicant orAgen
Date:—6/1-1/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
MAUI POOL SERVICE
P 0 BOX 5639
LA QUINTA, CA 92248
BPOL2019-0122
53563 VIA PALACIO
777220007
VAN AUKER / SPA RETROFIT AT REAR YARD WITH FIRE FEATURES (3)
$35,000.00
Owner:
RONALD & JANE VAN AUKER
53563 VIA PALACIO
LA QUINTA, CA 92253
Contractor:
MAUI POOL SERVICE
P 0 BOX 5639
LA QUINTA, CA 92248
(760)989-2984
Llc. No.: 1030478
Detail: NEW SPA RETROFIT TO EXISITNG POOL WITH FIRE PIT AT SPA, AND TWO FIRE FEATURES AT EXISTING POOL LOCATION [DENISE POELTLER
ENGINEERING]. THIS PERMIT DOES NOT INCLUDE EQUIPMENT REPLACEMENT, RELOCATION, OR AN ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE
INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODES
FINANCIAL
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS AQMINISTRATION BSA: $2.00
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
T..a..1 n..:J L—--- r ." wl' 11 n
aao ra.. — .L. a.l-- —. I L.... ..a.Ll\1 rLL. ga.VV
NIA
Project Address: Lr3 V « RAJ"; �
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Contractor Name:�E IS
Address: �F,-4 S, P, 0
City, St, Zip s G 0)
Telephone:
Email:
State Lic: 10 7 0L/7y City Bus Lic:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
PERMIT # WbL 1&1 0122
PLAN LOCATION :
Project Description:
frI rG tc-0-/Icts
Valuation of Project $ 3s 011
f;� Z New SFD Construction:
Conditioned Space
Garage
Patio/Porch
L C-YV\ Fire Sprinklers
Property Owner's Name:}
Address: �5-3 51,03 - ,
City, ST, Zip LC�, vt
Telephone:
Email
Construction
Grading:
Bedrooms: i Stories:
SF
SF
SF
SF
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building 5F
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# I Submittal Required 1 Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
i School Fees
t1urlec Debris Plan
Planning approval
Public Works approval
Fire approval
I
City Business License
1 AIMMI
�
CO M P A N f E S
June 6, 2019
Hideaway HOA
To Whom It May Concern:
We hereby authorize Maui Pools to submit an application on our behalf for the re -model work
that they will be performing on our pool at our home at 53-563 Via Palacio.
Please contact me if you have any questions.
Sincere
Ronald W. Van Auker
3084 E. Lanark St • Meridian, ID 83642 • Tel (208) 887-7994 • Fax (208) 887-7998 • www.vanauker.com
�21
I/bt Z" 000IIL
ELECTRICAL:
EQUIPOTENTFAL BONDING REQUIREMENTS SHALL BE
INSTALLED TO ELIKINA7Ti. VOLTAGE GRAD!ENTS IN THE
POOL AREA AS PER CEC ART.690.26.
2016 CALIFORNIA BUILDING CODE (RASED ON 2006 I80
2018 CALIFORNIA MECHANICAL CODE (BASED ON 2O0GUNQ
2016 CALIFOIA PLUMBING CODE (BASED ON 2OM UPC) TITLE24, PARTS
2016 CALIFORNIANELECTRICAL CODE (BASED ON 20M NEC)
2016 CALIFORNIA ENERGY EFFICIENCY STANDARDS
DEMOLITION PLAN_
CONTRUCTION PLAN �
CD# DESCRIPTION DATE
SAFETY FEATURES:
ALL INTRAPMENT COVER INSTALLATION MEETING AN
CURRENT STANDARDS OF THE AMERICAN SOCIETY FOR —
TESTTNG AND MATERIALS OR THE AMERICAN SOCIETY OF —
MECIIANICALENGINEERS(ASME)
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE r�Y
�= VANAUCKER RESIDENCE
53-563 VIA PALACIO
LA QUINTA, CA. 92253
� SPOOL SEivicc 6 tuAl9
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CONSTRUCTION/DEMOL
I
JUN 0 i 2019
CITY QF LA QUINTA a
DESIGN AND DEVELOPMENT DEPARTMENT �
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