BPOL2019-012578-495 CALLE TAMPICO T4h/ U 4 QU14(&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2019-0125
Property Address: 79400 STONEGATE
APN: 776020021
Application Description: ANDERSON / NEW SPA AT MAIN ENTRY COURTYARD
Property Zoning:
Application Valuation: $2,000.00 /� n
Applicant: D
MAUI POOL SERVICE
P 0 BOX 5639 JUL 01 2019
LA QUINTA, CA 92248 0
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 G� License No.: 1 8 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 D
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.).
() 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/1/2019
Owner:
THOMAS L. & NANCY S. ANDERSON
79400 STONEGATE
LA QUINTA, CA 92253
Contractor:
MAUI POOL SERVICE
P 0 BOX 5639
LA QUINTA, CA 92248
(760)989-2984
Llc. No.: 1030478
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 04 w for which this permit is issued.
ave and will maintain workers' compensation insurance, as required by
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:
Carb,er: 5TATZ COMPENSATJON INSURANCE FUND Policy Number: 9212027
11 I certify that in the performance of the work for which this permit is issued, I
sha! nflt 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 Sectfo 700 o the bor Code, I shall forthwith
comply with those provisions.
0 [ I °l mamma —
WARNING: FAILURETO 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this [y to enter upon the
above -mentioned property for inspection purposes.
Lender's Name:
( I l (Applicant or Agent):
Lender's Address:
Date: 7/1/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
MAUI POOL SERVICE
P 0 BOX 5639
LA QUINTA, CA 92248
BPOL2019-0125
79400 STONEGATE
776020021
ANDERSON / NEW SPA AT MAIN ENTRY COURT YARD
$2,000.00
Owner:
THOMAS L. & NANCY S. ANDERSON
79400 STONEGATE
LA QUINTA, CA 92253
Contractor:
MAUI POOL SERVICE
P 0 BOX 5639
LA QUINTA, CA 92248
(760)989-2984
Llc. No.: 1030478
Detail: SPA AT MAIN ENTRY COURTYARD [DENISE POELTLER ENGINEERING.] 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. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION, SPECIAL INSPECTION REPORT REQUIRED AT PRE PLASTER. 2016 CALIFORNIA
BUILDING CODE �,
DESCRIPTION
,FINANCIAL INFORMATION
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*
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--- (Al ?FORM a
Project Address: "��►��J ���y��.�
APN #:
Applicant Name: V Z
Address:
City, ST, Zip: L�� ►� �c, c a.
Telephone:
Email: I �x �- J,?_ LSX-C vicr.. Q1
Contractor Name:
Address: i
City, St, Zip
Telephone:
Email:
State Lic: 7 City Bus Lic:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
m�-
Address: Icli—>7
City, ST, Zip
Telephone:
Email:
# 6?0L 2o1q - o125'
Project Description: - (Y-LD r S 0 w
Valuation of Project $
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction
Grading:
Bedrooms: � Stories:
SF
SF
SF
5F
Occupancy:
# Units:
ufa-son New Commercial / Tenant Improvements:
Total Building SF
53 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
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
1 I DETAIL
DETAIL
1 � � _DETAIL
I SCALE: N.T.S.
4 DETAIL
LEGEND
DEEP ROOT
BUBBLER SYSTEM
LEGEND
TREVIRALM SHRUB GROUND COVERS LIGF INO
TREE
I!� SPECIMEN PALM
VINE
(: FLODO-LIGHT
I FINISH GRADE
2 BUBBLER HEAD
] ANNUAL COLOR
PAIR -LIGHT
3, 1e PVC SCHEDULE 90 RISER
i MULTI TREE
% PHOEIII% ROEELENII
500
4. PVC SCHEDULE AO STREET ELL
l�J!
SHRUB
✓_
� CONCRETE
svOT-LIGHT
�AL•��„
S PVC SCHEDULE AO TEE AND ELL
6. CLASS 200 PVC LATERAL
s cAL SHRUB
;
J e A.D.S PERFORATED PIPE
w/ ONE BUBBLER, DEPTH VARIES
PALM TREE
O LE CCHEED
✓1L BOULDER T'3
B 3/4 PEA GRAVEL
-
^N I GAL BHITE
RUE
GRAN
� EOULOER 27.I'
9 DRAIN GRATE
-All construction must comply with the 2016 California Building,
Electrical, Mechanical, Plumbing, and Energy Codes and the La
Quinto Munlcipal Code
-Continuous special inspection required for shotcrete placement
per CBC Section 1705, Table 1705.3 & Chapter 19
-Construction must comply with the California Swimming Pool
Safety Act and SB 442 including (2).drowning prevention safety
features
VINE DETAIL
STAINLESS STEEL 'MRE w/ ANCHOR BOLTS
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GRADE
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