BPOL2019-021478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Tiht^f 1w4,iltry
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
POOL/PRIVATE
BPOL2019-0214
52175 AVENIDA RUBIO
773212019
MOLDENHAUER / POOL AT REAR YARD
$40,200.00
Applicant:
MELO POOLS INC
77-530 ENFIELD LN BUILDING C
PALM DESERT, CA 92211
n QD
V
OCT 01 2019
CITY,OF LAQLNNTA
DESIGN 6 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:L�L3 License No.: 954374
Date:' 1 1 Contractor; 1
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 ofthe 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/1/2019
Owner:
MICHAEL E. & ANA MARIE MOLDENHAUER
52175 AVENIDA RUBIO
INDIO, CA 92253
Contractor:
MELO POOLS INC
77-530 ENFIELD LN BUILDING C
PALM DESERT, CA 92211
(760)341-3505
LIc. No.: 954374
WORKER'S COMPENSATION DECLARATION
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 wprk for which this permit is issued.
n- 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: PREFERRED PROFESSIONAL IN$U0AbICE Policy Number: ON0835402
_ 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.
Date: l d rT Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECTAN 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.
Date: ��} C Signature (Applicant orAgent):
Date: 1-9/1/2019
Application Number:
BPOL2019-0214
Property Address:
52175 AVENIDA RUBIO
APN:
773212019
Application Description:
MOLDENHAUER / POOL AT REAR YARD
Property Zoning:
Application Valuation:
$40,200.00
Applicant:
MELO POOLS INC
77-530 ENFIELD LN BUILDING C
PALM DESERT, CA 92211
Owner:
MICHAEL E. & ANA MARIE MOLDENHAUER
52175 AVENIDA RUBIO
INDIO, CA 92253
Contractor:
MELO POOLS INC
77-530 ENFIELD LN BUILDING C
PALM DESERT, CA 92211
(760)341-3505
Llc. No.: 954374
Detail: POOL AT REAR YARD [POOL ENGINEERING INC.] THIS PERMIT DOES NOT INCLUDE EQUIOMENT ENCLOSURE OR CMU HVAC SCREEN. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. OVERHEAD POWER LINES MUST COMPLY W/ CEC 680.8. 2016 CALIFORNIA
BUILDING CODE. QrVIO. k;
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
' SWIMMING POOL/SPA PC
101-0000-42600
0
$109.48
Total Paid for POOL / SPA 2019: $310.73
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCQUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Qaiara
—
PERMIT # ��
PLAN LOCATION;
Project Address: �aAV6P1 Di`
%� U151 d
Project Description: Pool Remodel Addt Elect Plumb
J P '> Mech
APN
Applicant Name: Maos-Pot)L}f-301-Toc'Sit's
Address: -7-7S -?® CMG LD L, O '9 "
City, ST, Zip: -Pw-i 1
Telephone: ,,�a - 3Ll ( Sb
Email:0s-f atSA+vDSfA4S(&
Valuation of Project$ �C: • _
Contractor Name:' lE&D,<- 'POOL bJtD1X�'(LS
New SFD Construction:
Address: "71 530 6jJ-1-6La L�, u„ G ;��
Conditioned Space SF
City, St, Zip PA(,11 P656rl
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:tj/64(CL HOLDG"UCK
New Commercial / Tenant Improvements:
Address: 5;Z- 175 Va)i ) O
Total Building — _ SF
City, ST, Zip A 5 4�g.7r- 1 ,
Construction Type: Occupancy:
Telephone: 66
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Cates
Truss Cates
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
DocuSign Envelope ID: FIABBOC6-5FF7-440A-AEOA-AED7F01037C7
MELIP'S
POOLS AND OUTDOORS
• 77-530 Enfield Ln, Building C Palm Desert CA 92211 • Phone 760 341 3S(35 • C 53 954374
Contract
•\nv4,\ni.rr)elospoolsandoutdoorscom
This Construction Contract ("Contract") is entered into by and between Melos
Pools ("Contractor") and Michael Nloldenhauer ("Owner'), whose residence
address is 5277iA enida Ruy6io La„Q,r.nta. CA 92253
Pool and Spa Dimension:
Dimensions
Pool
S a
Linear
N.A.
Length:
28' O"
N.A.
Width:
11' - 0,
N.A.
Surface area.
308 sq. ft.
N.A.
Perimeter
781ft.
N.A.
Depth:
3'-6" - 5'-6" k
--
LL
C" _ 0.
N
U
W
(W
rV
�
Mp,
Initials
Page 1 of 7
DoWSign Envelope ID: FlAB80C6-5FF7-44OA-AEOA-AED7FO1037C7
MELO'S
POOLS AND OUTDOOPS
• 77-530 Enfield Ln. Building C Palm Desert CA 92211 Phone 760-341-3505 C-53-954374 kAwjvrrielospoolsandoutdoors.com
ACCEPTANCE OF CONTRACT:
The prices, specifications, terms and conditions of this contract are satisfactory and are
hereby accepted. I represent that I am the Owner/custor-ner or authorized property
manager For aforementioned property and hereby authorize work to be completed as
specified. Payments are to be payable in the amount and on the terms specified in this
agreement. I the owner acknowledge that I have read and received a legible copy of this
agreement signed by Melo's Pools.
Michael Moldenhauer
Print Name
r}acu$1Qnod by:
�[osaz�r or authorized agent for above property)
9/23/2019
Date of Acceptance
Thank you for selecting Melo Pools, Inc, to build your pool. We appreciate your business
and your trust and Took forward to turning your backyard into a paradise that gives you
great pleasure for years to come.
Best Regards
Marciial A. Maio
Prim Narne
c'ainpanv �;iler�uturc{pr Iderst n e Ycwisl
9/23/2019
Date
DS
Initials
Page 7 of 7
LEGEND
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CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
_DAm ?°!q BY
AVENIDA RUBIO
SITE PLAN
RCALE! 302' „ V
Fk B' qT
aRT=ELa@xE
=6A16HIN0
DATE
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WAkk I' DLW. ELECT, [•A-.11 O.CRNIIOIN
ID AMO IC6aFR A•r•UW. r;M9 L PU
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UAL UNIYMEA
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e INSTALL A' DIAM NOS DRAIN WITH BRASS CAPE
Ik INSTALL 3- DIAM. PVC (BON 35) DRAIN PIPS
EXISTING RESIDENCE
EN E' HT
WALL
FX NT
BLGMK WN6
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RECEIVED
SEP 2 7 2019
CITY OE LA QUANTA
DESIGN AND MELOPMEM DEPARTMENT
l MATERIAL LEGEND
Ir aYM DNCPoRION I MANNFACTBaaRIPIVINATNNIa
C PODLMN AE.1
RE III•CARIN@AN CIAEC. nLE
O POOL CUBING LIGHT FRNMQ CONCRETE CANIILEVRR
ML CRAYCOLORDICK IRWIN RNIW€UC®NCRETE CAN11,1VCR
NANRµ DART M.
POOL EQUIPMENT
YYP9 auxnE RER Atl.11•x W91rtN 'r+',D,A•
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EXIT ALARMS TO OR INTALIEG IN ALL DOOM WITH DIRECT KCESS TO THE
POOL AREA
CGNDURAND GA@ LINE SWILL RE Ir MLOW fRAUE
NpXrFEFF{MD WTI- lfln TIN LF.P'P
GATE SHALL NN NLF CLOSING SELF.LAWHINO (LATCH TO N Y' ABOVE
OKACHU AND SHALL SMNNO CNIMAND AWAY FROM POOL EPA
SAIIETV HARRIER REOUIR EMSNTS
PER SWIMMING WNDL"P T ACT I INA OF THE DµPORNIA HEALTH AND SNETY
CWEEFFECTrV@ 1.11EDCT
ELECTRICAL
COUIPDTENTML EUNBINO REWRENWTI SWUL N INSTALLSO TO
ELIMINATE VMTAUE OMWENIEE IN THE POOL AREA AS MR CEC ART
No
pIW %",11WLSI LELPVRAA IV MCNORED
IT DALIFORN4@URCINO CODE (EAMBON ARE IeCI
A IS CAHFORNW MFCHANICOBSISMEOW ADS
AIR CHJFORNN PLUMPING
CODE (BAEEOON ASS WC)
AIA Cµ1FO11NIA EkEGTWIOµ CWE IEAEEG ON AW NCI
901E GADPORNIA @NROY EFFICIENCY STANOMOS
WVIU NMEM CODE MOTION NEIE @XAXI) EXCEPT W AN €M@XGEKY• ANY
PENNONPLANNINGTQaO DLICTANYEXQAVATION SHALLgGNTACT THE
9A�1 WEMGFR ITI1MI IA 4MCNpMt2Nlew. A1�[`��
ENOAVATADK IF TIE IYCAVATNIF>Kl k CpgllCryn rYAN AREA Iwar w
KNOWN. OR FWUNA Y SHOUTA N KNOWN TO CONTAIN BUEEUWACS
INOWLA"o PTFgR hMN IPR NA1lSOROUIgiAEAFME DYIf.O DR
O .RUE eY 1HENOxnvA'♦<N NAM PRADT)G,� sLR SFGIYATDRySA!
"CAA TE YnfN SANT{RWrPRCMlIPPi WAPERILyRNEp AP16A TQM
EXCAVATED
CONSTRUCTION HOURS
OCTOBER T THROUGH APRIL 30
MAY T THROUGH SEPTEMBER 30
MAMRY•PARAY:RW— 0
M.."- POOR: E:A Am -NODPm
EEWAMY; NOTALLOWEO
S,WT* NOT ALLOWED
'MlR NOTAI.J."OB
0R,lrA,NTA Sae NggpYPl NOT —WED
SW YNOT ALLOWED
awm,Wl1 CRC, H~: NOT ALLOWED
O
LL
OBLIGATIONS OP BUYER
W
1APPROVE POOL AND SPA ELEVATIONS AND VENIFV LOCATION OF PL,OPIRTY
LINES
C IF REWIRED. THE DOWNEREI D PAY FOR NEAOVTIVQ OF OVERHEAD CA
Q9
UNOERONWNB UTILITIES
AE
E IF REQUIRED THE OWNER SHOULD PAY FOR ANY ADIUMONAL DOBTS
NCURRED DUN TO UNDERGROUND UNTACLES. ROCK UR WATER
3
4,MWEGVINEDTNE0WNCR SHWLBPAVFORANYADCITIONALCOSTS
W
INCURRED WE TO NICK WITH MIAOEOUATE SEWING CAPACITY
Z
S IP REW IRM THE OWNR RHDULO PAY FOR ELECITC04 PANEL C—ORB IP
EXISTING SERMON 18INADEWAII
@ IF MWINEU THE BANNER SHOULD PNQWDE FENCING AND WINDOW GL181NG
TO LOCAL CODE/
AGREE TWIT MELU'B POOLS AND PAN WC lE NOT NEMPONMELE FOTI
UNDENCH OURD OONBITICN. ANY DAMAGE TO CLREN. MC@WALKS.
DRIVEWAYS• LAWN@. SPRINKLES. LIOHTIN OR OTHRR ITEMS IN THE ACORN
"I"
OYNJER APPROVES PLAN POOL AND EQUIPMENT LOFAIIGNE AND NAS READ
THE CSLMATaNE AND NOTICES ABOVE
1101NTURE(1) _ DATE:
REVISIONS
N DESCRIPTION DATE
1
9
SCALE; 114' - 1'
e
p DRAWN BY: A. S.
E --- _ APPROVED BY: A, M•
DATE; OW23t2018
POOL PLAN SHORT NO..
P-1