BPOL2020-001578-495 CALLE TAMPICO D" VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/6/2020
Permit Type/Subtype: POOL/PRIVATE Owner:
Application Number: BPOL2020-0015 GREGORY WALDEN / D MODRICH TITLE TRUST
Property Address: 56455 JACK NICKLAUS BLV 56455 JACK NICKLAUS BLVD.
APN: 762070020 LA QUINTA, CA 92253
Application Description: WALDEN / POOL, SPA [21 GAS OUTLETS
Property Zoning:
Application Valuation: $40,000.00
Applicant: Contractor:
FRED ROCK POOLS INC D FRED ROCK POOLS INC
P O BOX 790 P O BOX 790
CATHEDRAL CITY, CA 92235 FFB O c 202o CATHEDRAL CITY, CA 92235
CITY OF LA QUINTA Llc. N .: 92419
Llc. No.: 924163
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 B iness and Professions Code,
and my lice se Is i full force and effect.
License CI ss: License No.: 924163
Date• Contractor:
OWNER -BUILDER 4RATION
I hereby affirm under penalty of perjury that Iempt 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
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
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'
Compens I on, as provided for by Section 3700 of the Labor Code, for the performance
of th w for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 700 of the Labor Code, for the performance of the work for which this permit
Is issue . My workers' compensation insurance carrier and policy number are:.
Carrier: WESCO INSURANCE COMPANY Polity Number: WWC34192$7
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 subjec the workers'
compensation laws of California, and agree that, if I should beccisub ect to the
workers' compensationovision5 of Section 3700 oft abor de,1 all forthwith
comply with thgji4 pro sons.
Date: ?,P ppIIcant:
WARNIN : FAI RE TO SECURE WORKERS' C PENSATID COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRMi (NAL PENALYES 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 inform ion is correct.
1 agree to comply with all city and county ordinances and state laws r atl g to b ng
construction, and 7pp
by authorize representatives of this city to en r u n I
above-menti`' edert,far inspection purposes.
Date: (!L�Signature (Applicant or Agent):
Date: 2/6/2020
Application Number:
BPOL2020-0015
Property Address:
56455 JACK NICKLAUS BLV
APN:
762070020
Application Description:
WALDEN / POOL, SPA [2] GAS OUTLETS
Property Zoning:
Application Valuation:
$40,000.00
Applicant:
FRED ROCK POOLS INC
P 0 BOX 790
CATHEDRAL CITY, CA 92235
Owner:
GREGORY WALDEN / D MODRICH TITLE TRUST
56455 JACK NICKLAUS BLVD.
LA QUINTA, CA 92253
Contractor:
FRED ROCK POOLS INC
P 0 BOX 790
CATHEDRAL CITY, CA 92235
(760)343-6279
Llc. No.: 924163
Detail: POOL AND SPA [2] FIRE FEATURES AT REAR YARD [DENISE POELTLER ENGINEERING.] MA2020-0002 APPROVED FOR POOL EQUIPMENT SETBACK OF
4'6". NEW EQUIPMENT MUST BE LOCATED IN AN APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 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
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.83
Total Paid for PLUMBING 2019: $40.25
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
CITY
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
TOTALS:
Project Address: S"ffl j Jac
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Contractor Name:
Address:
City, St, Zip
Telephone: 7r) C' 22
Email:
State Lic-�� ��� City Bus Lie:
F
Eng Name:
ss:
t, Zipone:ic: City Bus Lic:
Property Owner's Name:
7
Address:
City, ST, Zip le
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
I NAME: GREGORY WALDEN
1. ALL EQUIPMENT WILL BE SEISMICALLY ANCHORED
2. ALL GFI OUTLETS WILL BE WEATHER AND TAMPER PROOF
3. ALL OUTLETS SUPPLIED BY SINGLE PHASE. 15A AND 20A . 125V OR
240V BRANCH CIRCUITS FOR SWIMMING POOL PUMP
-4. PROVIDE 36" WORKING CLEARANCE FOR POOL EQUIPMENT
15. POOL SAFETY BARRIERS
EXIT DOORS ALARMS
SELF CLOSING SELF LATCHING DOORS
15. POOL AND SPA SPLIT MAIN DRAIN SUCTION MINIMUM T APART
ANTI -COVERS 10" ASME/ANSI APPROVED
BUILDING CODES:
019 California Residencial
019 California Electrical Code
019 California Mechanical
019 California Plumbing Code
019 California Green Code
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE � 13Y _ 4
—Pao►-,
201o� Cam,
S : 11 -
AA= op 030L
Address: 56455 JACK NICLAUS BLVD.
CITY: LA QUINTA ST: CA ZIP: 92253
POOL
SIZE: 39' X 18'
AREA: SQ FT:539'3" SQ FT.
SKIMMER: 1
TILE:
DEPTH: TX 5'6"
RETURNS: 3
PERIMETER:113'1" FT.
GAL: 13240
SPA SPECS
SIZE: 6' X 12'
SQ. FT: 351"
PERIMETER: 28
DEPTH: 3' 6" FT.
SPILLWAY: N/A
RAISE HEIGHT: 1'6"
SIZE: 6' X 12'
GAL: 1041
PLUMBING
RETURNS: 3
POOL MAIN DRAIN: 2
SKIMMER: 1
VAC LINE: 1
WATER FEATURE: N/A
GAS LINE: 1.5"
SPA LIGHT :1 COLOR LEDLIGHT
POOL LIGHT: 2 COLORLED LIGHT
POOL PUMP: VSF PENTAIR PUMP
HEATER: 400k BTU MASTERTEMP
CONTROL: EASYTOUCH 5 FUCTION WITH
20K ICLOR
FILTER: 320 PENTAIR CLEAN AND CLEAR
F's