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BPOL2019-018878-495 CALLE TAMPICO U -!n, VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/6/2019 Permit Type/Subtype: POOL/PRIVATE Owner: Application Number: BPOL2019-0188 Curiel Angel / Curie] Maria M Property Address: 43875 GALAXY DR 43875 GALAXY DR APN: 609480028 LA QUINTA, CA 92253 Application Description: CURIEL/ POOLAT REAR YARD Property Zoning: Application Valuation: $25,375.00 Applicant: D Contractor: BLUE OASIS POOLS INC BLUE OASIS POOLS INC PO BOX 578 PO BOX 578 DESERT HOT SPRINGS, CA 92240 SEP 0 6 2019 DESERT HOT SPRINGS, CA 92240 CITY OF LA QUINTA (760)898-0676 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 1049518 ----------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effectt�49 compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: C53 License No.: ofthe qrk for which this permit is issued. Ihave and will maintain workers' compensation insurance, as required by Date: ContraSection 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: OWNER -BUILDER DECLARATION Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9245318 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 I certify that in the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, I ould become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 37 o bo Cod I shall f thwlth Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. 3 of the Business and Professions Code) or that he or she is exempt therefrom and the [ J basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Date: Applicant C� permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, (_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT- Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.), the conditions and restrictions set forth on this application. () 1, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. . B.&P.C. for this reason 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. 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 Address: 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 la relating to building construction, and hereby authorize representatives of this city o e n th above -mentioned property for inspection purposes. w Date: Signature (Applicant or Age Date: 9/6/2019 Application Number: BPOL2019-0188 Property Address: 43875 GALAXY DR APN: 609480028 Application Description: CURIEL / POOL AT REAR YARD Property Zoning: Application Valuation: $25,375.00 Applicant: BLUE OASIS POOLS INC PO BOX 578 DESERT HOT SPRINGS, CA 92240 Owner: Curiel Angel / Curiel Maria M 43875 GALAXY DR LA QUINTA, CA 92253 Contractor: BLUE OASIS POOLS INC PO BOX 578 DESERT HOT SPRINGS, CA 92240 (760)898-0676 Llc. No.: 1049518 Detail: POOL AT REAR YARD [POOL 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 AND STRENGTH REPORT REQUIRED AT PRE PLASTER. 2016 CALIFORNIA BUILDING CODE DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $200.12 DESCRIPTION ACCOUNT QTY 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 QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ta Qaigta cALIFOKNIA PERMIT # APMO - Y ' PLAN LOCATION: Project Description: c2� L Project Address: APN #: �% d A/ q �Q Applicant Name: Address: fv P City, ST, Zip: Telephone: 0 Email: Project Valuation S Contractor Name: LV S/SvOvL ' New Construction: Address: Conditioned Space SF City, St, Zips s c D Garage SF Telephone: O �� S Patio/Porch SF Email: S"� SCFire Sprinklers SF State Lic: Q 1/ 75—/ grCity Bus Lic: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: rU g (� Ulfi( L New Commercial / Tenant Improvements: Address: (� /; p ✓ Total Building SF City, ST, Zip L, D L' 9 a Construction Type: Occupancy: Telephone: Email: - 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 CVWD Fire Flow Letter 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 033 STARLIG I -I T DUNES HOMEOWNERS ASSOCIATION APPLICATON FOR ARCHITECTURAULANDSCAPE MODIFICATION APPROVAL Date:_ Owners Name: _ ��_ t C,r P�- Property Address: - / ,_-) —_ Z4 11 Phone: 0 ri 9 - ) -' (� � vEmail: Modification requested: Y '5 _ Xjo ,t'-0 Q 1� (Re -painting of house does not require drawings or permits submitted) G. /Crt �f�S You are hereby advised that the above work is proposed and approval is requested. Attached, are drawings to scale (minimum 1/8" = V) of the work to be done and types of materials to be used are indicated on the drawings. We understand that Building Permits for some modifications are required by the City of La Quinta and the costs of the permits and the responsibility of obtaining permits and subsequent inspection will be borne by the applicant. We acknowledge that all approved changes in the original design will be at our expense; that any damage to or relocation of existing sprinkler systems, underground utilities, building structure and exterior landscaping to other damage to Association property resulting from the construction and/or installation of these permitted improvements shall be at our expense. We acknowledge a security deposit of 10% 20% None of the total cost of the project is required to cover any damage to the common area or clean-up necessary for the completion of the project. Deposit amount will be determined by the ALC in relation to the extent of the work. The deposit must be submitted prior to commencement of work. After inspection of the completed project by the ALC, the deposit will be refunded if all components are restored to original or better condition. NOTE: Construction/Installation of requested and approved modifications must begin within 45 days of receipt of written approval and said modifications must be completed within 90 days of written approval. Prior to commencement of proposed modification, please submit with this application Contractors Insurance, Bond and copy of license if other than homeowner installation. Failure to comply with these or any of the above specifications will result in the nullification of this document and subsequent approval thereof. The thirty (30) day review period does not contruence until a r,-oorldete up Plicrar'iem has been received by the ALC Owner Signature: i lz Mailing Address: R n.I C. Phone: 'ZLO (Architectural Application, Page 1 of 2) ' 034 Send to: Starlight Dunes HOA c/o Desert Resort Management, Inc. 42635 Melanie Place, Suite 103 Palm Desert, CA 92211 Attn: Architectural/Landscape Committee Or Email to (if in email form): Jerry Cavoretto, Community Association Manager �CaVill"Ltk)CqrLi1.i16I1leni t.com w r N w r w w w N w r r N w a r r N r■ Y r M w N w w N r w w w w w w w N w N w r r r r 11 i� ■ r■ w M N N i N r N r R/ R M M M r w w w r w k r r f N w r A M The above request has been reviewed by the ALC and has been: [ ] Approved [ ] Denied [ ] Pending Comments: Date Reviewed: ` z'f 4 Deposit Amount: Approved By: (mustliiave two Si (Architectural Application, Page 2 of 2) '035- 4. Depository Fee — Owner shall deposit a fee with the Association's management company to be held in trust pending completion of the project ("Depository Fee"). The Association's management will deposit the Depository Fee at the Association's designated bank into the "Architectural Account". The purpose of the depository fee is to defray the cost of repair incurred by the Association as a result of damage to the common area caused by you, your contractor, subcontractors or anyone associated with the building of your home. In addition, the depository fee is to defray all costs, including, but not limited to, legal fees incurred in compelling compliance with the Association's governing documents or in compelling production of appropriate governmental permits. This depository fee will be returned to you following completion of construction provided by the ACC has determined that no common are damage has resulted during construction of your home, or there are any other costs outstanding that. If the ACC determines that damage has occurred, the ACC will forward to you an accounting of all costs, including estimates of repairs to restore the common area to original condition ("Notice of Repairs"). You will be allowed to appear before the ACC to contest the ACC's position. However, in order to preserve your right to contest the ACC's decision, you must provide written notice of your intentions within fifteen (15) days from the day the notice of repairs in mailed to you. If you do not submit a request within ten (10) days, your failure to respond will be deemed acceptance of the ACC's position and the ACC's determination will be final. Should a hearing be held, the ACC will forward to you its decision and withdraw, if necessary, appropriate amounts from your depository fee according to its decision. The remaining balance, if any, will be forwarded to you. Please note the Board and the ACC reserve all rights granted pursuant to the Declaration of Restrictions ("Declaration"). Said Declaration provides the Board with authority to specially assess the costs of repair, and if necessary lien the property in the event it has determined, following notice and a hearing, you are responsible for damage to the common areas and or improvements thereon. I understand and accept all the terms of subsection 4 entitled Depository Fees. Date: _ _ Signature: �'`+ 03.2 RECEIPT FOR ARCHITECTURAL SUBMITTAL Owner Name: ,' 1 ! U 1 Date: Association Name: - Association Address / Lot Number: f- "' Zff 411Y11r, 626,k 17e, { �� Items Submitted: Mgr. Notes; L.- ( 7- 1P Blueprints / Drawings - 2 or 3 sets 'Application r MColar / Material board M Fees - Circle One - Other Bxolain: # It is the responsibility of the owner to ensure that this submittal is complete. If it is determined any part of this architectural request is incomplete, submittal date Is void, and submittal may be returned. Until required criteria has een met (i.e. neighbor sign -off, review fees, grading plans, etc.), Off Sv:. Received By. AL 7( 036 ru O rVG t C' C I - 3'0 No dMV to MOMP 12" PV F-L! — S0� Itc. TeA i i ip4w, 3/4 RE Win-c—ilo Ptu—,p 320 Sq fx c-:r..n and clear fifiw PV 8 Bare copper wire deck- bona' mar alarms ;Sclf dMing & Latchim- 5 ft h'sah eats I I I I � high Block wail At P_Li ; A"N W/ 64 fia R of 3/4" UI pvc with 5#12 #two v&c I Gas Metv J f Fitt :yiCtG7 '� 20 amp gfi hrwker for p=p ,fix ray S18th 28 io'b ioTRxrFI 43875 Galaxy LA Quinta, Ca 92253 APN: 609-480-028 Q LU > C" o N 0CV LU T C f C Y.V. t5ox J /5 Desert Hot Springs,Ca 92240 Lic # 1049518 Gegal .21 Acres Lot 1 MB 204/039 TR 23773-1 3/4 H.P. Wisperflo Pump 320 Sq ft clean and clear filter I ■ '% -Ail construction must comply with the 2016 California Building, Electrical, Mechanical, Plumbing, and Energy Codes and the La Quinta Municipal 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 WEA-7-019 OI$8 CITY OF LA OUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE 101A BY t) • R wool. AT 2EAL YAAb. pa4S 81