BPOL2019-0132 Revision 178-495 CALLE TAMPICO C& a D 4-uQuiom
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number:
BPOL2019-0132
Property Address:
50660 EISENHOWER DR
APN:
773370028
Application Description:
OCEAN SPRINGS TECH INC
Property Zoning:
Application Valuation:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LANDS
3366 VIA LIDO
NEWPORT BEACH, CA 92253
Date: 6/20/2019
Applicant: Ea! Contractor:
ARMANDO RODRIGUEZ -OCEAN SPRINGS TECH INC OCEAN SPRINGS TECH INC
PO BOX 234 PO BOX 234
DESERT HOT SPRINGS, CA 92240 �r�{� +„�f)� DESERT HOT SPRINGS, CA 92240
CITY OF LA QUINTA (760)329-8933
Llc. No.: 920435
���ARTM PVT
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: i License No.: 920435
Date: S,Is
_�_ ` 4 Contractor:
OWNER -BUILDER 1ECLARATION
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 ($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that he
or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Address'
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the . ork for which this permit is issued.
I have and wlII maintain workers' compensation insurance, as required by
Sect on 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: )(y$URANCE COMPANY OF THE WEST Policy Number: WPL503357103
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
complywi ptfio p•rovtslons.
Date: 40 I y 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 ofthis 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 ofthis 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
construct on, 1hereby authorize representatives of this city to enter upon the above-
menti n pr for inspection purposes.
Date: G Signature (Applicant or Agent):
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BPOL2019-0132
50660 EISENHOWER DR
773370028
OCEAN SPRINGS TECH INC
Applicant:
ARMANDO RODRIGUEZ - OCEAN SPRINGS TECH INC
PO BOX 234
DESERT HOT SPRINGS, CA 92240
-0'tpL. �/20/2019
Owner:
LANDS
3366 VIA LIDO
NEWPORT BEACH, CA 92253
Contractor:
OCEAN SPRINGS TECH INC
PO BOX 234
DESERT HOT SPRINGS, CA 92240
(760)329-8933
Llc. No.: 920435
----------- ----------- - - - - -- - - - - - -
Detail: SILVERHAWK APARTMENTS / REMOVE AND REPLACE POOL PLA51-ER & DEPTH MARKERS ON DECKING AT PUBLIC POOL AND SPA. ANTI -
ENTRAPMENT DEVICES TO BE FIELD VERIFIED. THIS PERMIT DOES NOT INCLUDE REPLACEMENT OF EQUIPMENT, OR POOL TILE. 2016 CALIFORNIA
BUILDING CODES.
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.68
Total Paid for ELECTRICAL:
$53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$200.12
Total Paid for POOL / SPA:
$200.12
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
Contractor Name:
Address: A) S ��
City, St, Zip SUM
Telephone: S AM C-
Email: S
State Lic: City Bus Lic:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
City Bus Lic:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
New SFD Construction:
/N Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Occupancy:
Grading:
Bedrooms: I Stories: I # Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# � Submittal Required ` Received
Plan Sets
Structural Calcs
Truss Calcs
i Title 24 Calcs
Soils Report
�Landscape
Plan (PM10)
Plan
i
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License